How do you secure a patient in a Stokes litter?

• A. Straps across the chest, waist, and legs
• B. Straps around the chest only
• C. Rope around the joints
• D. Hold with hands only

Answer: (A)

Securing a patient in a Stokes litter relies on immobilizing them with straps in a three-point system to prevent movement and protect the spine during transport. Straps across the chest, around the waist, and over the legs hold the upper body, pelvis, and lower limbs in alignment, distributing restraint forces so the patient stays steady even if the litter is moved or jolted. Using only a strap around the chest leaves the pelvis and legs free to shift, which can allow dangerous rotation or additional injury. Rope around joints is not appropriate because it can create pressure points, slip, or fail under load, and it doesn’t provide the controlled, even tension needed for safe immobilization. Holding the patient with your hands alone is impractical and unsafe for transport, as it cannot reliably prevent movement. Ensure the straps are snug but not restrictive, and check for comfort and breathing throughout the move.