Which harness option is commonly recommended for an unconscious victim with the back-shoulder loops?

• A. Shoelace harness
• B. Chest harness
• C. Seat harness
• D. Shoulder strap harness

Answer: (A)

When rescuing an unconscious victim, you want a harness that quickly secures the torso without constricting breathing or neck alignment, using the upper back loops as solid anchor points. The shoelace harness is designed to do just that: it uses the back-shoulder loops to form a simple, quick-to-apply setup that wraps around the hips and supports the torso without cinching tightly around the chest or neck. This creates a stable lift point for hauling while keeping airway access clear and minimizing movement of the head and spine.

Other options tend to be less ideal in this scenario. A chest-focused harness can put pressure on the chest and compromise breathing. A seat harness may be bulkier and slower to apply and can misalign the spine or restrict movement during the lift. A shoulder-strap approach can slip or shift and doesn’t distribute the load as effectively for an unconscious patient. Using the shoelace harness leverages those back-shoulder loops for a safer, quicker, and more comfortable lift.