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Under threat, casualty movement must preserve security and tempo. A four-person litter team (two primary carriers, two assist/relief) allows rapid, stable movement over obstacles while maintaining 360° security with additional team members. This configuration reduces fatigue, permits bounding, and keeps weapons up. Two-person carries overexpose both rescuers and strain endurance. A solo drag is acceptable for hasty extraction from immediate danger but not for prolonged movement through complex terrain. Comprehensive exams are deferred until the warm zone/CCP; while moving, reassess only life-threatening changes. Pre-briefed routes, rally points, and hand signals minimize confusion and comms load. Litter straps should be pre-rigged; weapons discipline and fields of fire must be assigned. Integrate with overall scheme of maneuver so medical evacuation does not create a vulnerability. This approach balances casualty care, survivability, and mission continuation.