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Litters can be used without wheels, and in those cases, a team of four to six people can carry it over flat ground. However, in rough terrain, it's better to have the rescuers stay in one place and pass the litter up through the team. This method requires eight to twelve rescuers for a smooth transport. Litters may be used without wheels. In these instances the litter may be carried over reasonable ground by a team of four to six litter barriers. In rough ground it is better to have rescuers stay stationary and pass the litter up through the team. This requires eight to twelve rescuers to make a smooth transport.