What is the first step in placing a patient in a toboggan for transport?

The first step in placing a patient in a toboggan for transport is to assess whether to place the patient's injury uphill. This is critical because positioning the patient correctly can help minimize further injury and facilitate the best possible outcomes during transport. Placing the injury uphill takes into account gravity and the dynamics of movement, which can reduce stress on the affected area.

In situations where an injury, like a fracture or spinal injury, is present, positioning the patient in a manner that prevents unnecessary movement or pressure on the injury site is vital. This careful consideration in positioning can also make it easier for emergency responders to manage the patient safely during their movement.

While securing vital signs and ensuring the patient is conscious and alert are important components of patient assessment and management, they come after determining the best way to secure and transport the patient. Elevating the legs may also be appropriate in certain situations, but again, this is secondary to ensuring that the injury is correctly oriented in relation to transport.