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There are various methods to load and unload a one-wheeled litter. Factors like patient size, condition, and environment influence the loading process. Patients can be loaded standing or lying down, using tools like backboards or scoops. Sometimes patients are loaded into the litter before attaching the wheel. There are a number of different ways to load and unload a one-wheeled litter. The size and condition of patients, as well as environmental issues, are all factors when determining how to load. Patients can be loaded from a standing position or a lying down position. Backboards, scoops, and other lifting devices can be beneficial for loading a patient into the litter. Patients may be loaded into the litter before attaching the wheel.