MOBILIZATION AND AMBULATION

Early ambulation of critically ill casualties has been shown to decrease acquired weakness, increase functional capacity, and increase the number of ventilator-free days in Intensive Care Unit (ICU) patients.9 Mobilization exercises, such as active and passive range of motion exercises or even as simple as sitting on the side of the bed/cot have also proven to be beneficial in decreasing muscle weakness.10 The tolerance and appropriateness of mobilization and walking will differ depending on the casualty’s condition.

Non-medical and Medical Responders

The following recommendations for conscious casualties are dependent on their ability to sit and walk safely. Medical responders should decide what each casualty can tolerate based on their condition.

- Minimum: Help casualty to sit on the edge of the bed/cot 2-3 times a day.
- Better: Have casualty sit in a chair during the day, taking care to rotate pressure spots if they are not able to self-adjust.
- Best: Have casualty sit in a chair during the day and walk 2-3 times a day with assistance.