he uses the occipital-chin grip, the hand under the neck must be the closest to the casualty's feet; the same knee is up. With four team members With only four first responders, it is necessary to use a "simple" lift ( in French): the chief plays the role of the first team member, stepping over the casualty and placing one hand under the neck, the other hand under the back, between the shoulder blades. The stretcher can come from the feet or from the head. This method is not adapted in case of suspicion of a spine trauma. With two team members When the casualty has no specific trauma, it is possible to slide a long spine board little by little. A team member lifts a part of the body (head, then shoulders, then hips), and the other one slide the board. Lifting with a strap A handling strap can help the lifting. The strap for this use should be long, at least wide to share out the weight and avoid the pain, and resist at least to a weight of . The strap is slid under the casualty: the flat profile can slide easily under the back and the pelvis without lifting the casualty. This strap will form two handles, thus, the team member at the pelvis will have a better grip and a vertical back; the strap crosses in the middle of the back, thus the team member at the head (lifting with four team members) or at the shoulders (lifting with five team members) does not have to put their arms between the shoulder blades, and can then lift with a vertical back. The verticality of the back of the team members is particularly important in case of an overweight casualty. The strap can be put with two method: when the hollow of the back (just above the pelvis) is small (left picture), then the strap is slid in this hollow until its middle; then, each end is slid under the neck, the two branches of the strap are slid under the back, then the middle part is slid under the buttock; when the hollow of the back is enough high (right picture): the strap is folded in three, then slid in under the hollow of the back; the two extremities are slid towards the shoulders, and the middle part is slid under the buttocks. Then, one