ʻO kahi kauā, ʻōpala, a i ʻole kaʻi kaʻa he mea hoʻohana no ka hoʻoneʻe ʻana i nā maʻi e koi ana i ka mālama olakino.Pono e lawe ʻia kahi ʻano maʻamau (moe a ʻōpala paha) e nā kānaka ʻelua a ʻoi aku paha.Hoʻolako pinepine ʻia kahi ʻōnaʻi huila (ʻike ʻia he gurney, trolley, moena a kaʻa paha) me nā kiʻekiʻe kiʻekiʻe ʻano like ʻole, nā huila, nā alahele, a i ʻole nā skids.Ma ka ʻōlelo Pelekania ʻAmelika, ua kapa ʻia kahi ʻūla huila he gurney.
Hoʻohana nui ʻia nā Stretchers i nā kūlana mālama ma waho o ka haukapila e nā lawelawe lapaʻau pilikia (EMS), pūʻali koa, a me nā limahana ʻimi a hoʻopakele.I loko o nā lāʻau lapaʻau, waiho ʻia ka lima ʻākau o ke kupapaʻu e kau ana ma luna o ke kaupaku e hōʻike i nā mea lapaʻau ʻaʻole ia he maʻi ʻeha.Hoʻohana pū ʻia lākou e hoʻopaʻa i nā paʻahao i ka wā o ka hoʻomake make ma ʻAmelika Hui Pū ʻIa.