If the patient does not have a fracture, a normal stretcher can be used to carry the patient. However, if the patient has a fracture, and it is a spinal fracture, the handling should be very careful. If the spine fracture is cervical, it must be fixed with a cervical collar. If the fracture is in the lumbar spine, it must be fixed with a lumbar brace before being carried. If available, use a spinal board or a hard board behind the patient to prevent rotation and bending of the spine, thus avoiding secondary injury. If a neck brace is not available, two sandbags or towels or clothes can be rolled into a ball and stuffed on both sides of the patient’s neck to prevent rotation of the neck. If the fracture is a limb, the fracture can be transported after external fixation with a splint on site or fixation with cardboard, plastic sheet, or tree branch. If the patient has a wound, the wound must be dressed with a clean dressing before being splinted.