Why are casualties loaded head first into an ambulance?

Loading casualties head first into an ambulance is primarily done to prevent further injury in case of a collision. This positioning minimizes the risk of additional trauma. In the event of sudden stops or impacts while the ambulance is moving, having the casualty's head positioned first ensures that the more vulnerable part of the body is secured and shielded from abrupt movements.

Additionally, this method allows for easier monitoring of the casualty’s airway and vital signs during transport, as the medical personnel can access the head and neck area more readily. While consideration for ventilation, ease of exit, and comfort are important aspects of patient care during transport, the priority in the case of trauma is preserving the integrity of the head and spine, making the head-first loading strategy essential in emergency medical situations.