Litter Obstacle Course Tasks
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Measures the candidate's ability to apply skills to evacuate and protect a casualty on a standard Army litter through an obstacle course in a battlefield scenario.

Form the candidates into 4-person litter squads. There are 8 tasks on the LOC and each candidate must correctly complete 6 of 8 to receive a GO. The tasks will be tested in a simulated battlefield scenario with the required equipment.


Surmount a Low Wall Obstacle 

Surmount a High Wall Obstacle 

Cross a Trench obstacle 

Transport a Casualty Through a Narrow Obstacle

Transport a Casualty Over Rough Terrain 

Transport a Casualty Through a Barbed Wire Obstacle 

Transport a Casualty Uphill

Transport a Casualty Downhill


(2) The test board will determine the order of the obstacles, the distance, and the grade of terrain between obstacles. Total distance traversed in the course must not exceed 1,090 yards (1 kilometer), nor will the total number of obstacles exceed eight.

(3) Non-LOC tasks may be incorporated before or after the course, but not during the course.

(4) The test board will establish a time limit. The time will be dependent on the course.

(5) The test board may modify a carry to conform with local conditions.

(6) The host unit will train the litter squad on the proper positions for the 4-person carry position along with commands to lift the litter ("Prepare to lift, LIFT"), move the litter ("4-Person Carry, MOVE"), and lower the litter ("Prepare to lower, LOWER").

(7) Each candidate on the litter squad is graded individually. The squad members are rotated after negotiating each obstacle so that each candidate is evaluated as the number 1, 2, 3, and 4 person. Only the number 1 person will provide the commands to the litter squad. Other members will not assist with the commands if the number 1 person forgets them. The commands for each obstacle (except the barbed wire obstacle) are listed in FM 8-10-6. The number 1 person, however, may issue additional commands or instructions to correct a deficiency or control the squad.

(a) Failure of the number 1 person to maintain control and provide guidance to the litter squad in negotiating the obstacle will result in a NO GO for that graded obstacle for that number 1 person.

(b) Assistance with commands from the number 2, 3, or 4 person to the number 1 person will result in a NO GO for that candidate and obstacle.

(8) Candidates will receive a NO GO for the entire LOC, not just the graded obstacle, for any of the following:

(a) Causing further injury to the casualty. Only the candidate or candidates  who caused the injury will receive the NO GO.

(b) Aggravating the current injury.

(c) Committing a safety violation as deemed by the test board.

(d) Exceeding the time limit established by the test board.

(9) Candidates will not serve as a casualty during test week.

(10) The casualty will have a leg injury that has been splinted. The casualty will weigh between 140 and 180 pounds (63.56 and 81.72 kilograms). Mannequins and sandbags will not be used.

c. Tasks. The following tasks are performed.

(1) Surmount a low wall obstacle (Figure 3-42).

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(2) Surmount a high wall obstacle (Figure 3-43).

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(3) Cross a trench obstacle (Figure 3-44).

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(4) Transport a casualty through a narrow obstacle (Figure 3-45).

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(5) Transport a casualty over rough terrain (Figure 3-46).

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(6) Transport a casualty through a barbed wire obstacle (Figure 3-47).

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(7) Transport a casualty uphill (Figure 3-48).

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(8) Transport a casualty downhill (Figure 3-49).

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NOTE: The test board chairperson will consider factors such as grade of incline and proposed length of obstacle to ensure that the obstacles are safe and achievable.

d. Equipment. The host unit will provide one litter with straps for the litter squad at the start of the course.

e. Changes. Changes are NOT authorized without an exception to policy approval.

Litter Evacuation

FM 8-10-6

Litter Carries   video

CTT 081-831-1054: EVACUATE CASUALTIES (INTERACTIVE MULTIMEDIA INSTRUCTION) VERSION 1 01-Mar-2005

EFMB Lessons Learned

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The big things here are don't drop the patient and check everything twice. Don't take it for granted that the vehicle is ready to receive casualties. Get in the vehicle and check yourself!

Further injury to the casualty is a NO-GO.

Review these also for additional information on one-man and two-man carries.

You will be assisted at every station by non-candidate soldiers. These are detailed personnel who will act ask casualties and litter bearers during the train-up and test week.

The candidate is required to complete 8 of the 9 performance tasks and pass 6 of the 8

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