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Due to the risks related to transporting hypothermic casualties, establishing a controlled method of rescue should be considered. Specialist medical advice may be required when establishing a method of removal. For more information refer to Specialist resources: Medical resources for water rescue.
Methods of removal may require stabilising casualties in situ and using on-water resources, rope rescue or technical rescue teams to allow the casualty to be removed horizontally.
Removing a casualty from the hazard area will remain the priority, but responders should consider the risk of removing casualties too quickly or vertically, and where possible rescue casualties in a horizontal position with legs elevated to reduce the risk of shock.
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