Name two common hauling/rigging configurations used to move a patient laterally or vertically.

• A. Z-drag with progress capture.
• B. 2:1 hauling system with no progress capture.
• C. A 4:1 hauling system with an anchor sling only.
• D. Z-drag with progress capture and a 3:1 or 5:1 hauling system with a progress-capture method.

Answer: (D)

Moving a patient laterally or vertically relies on a haul setup that gives you both control of the direction and a reliable way to manage the load as it comes in or out. The Z-drag by itself provides a clear pull path and direction, which is essential for guiding the load where you want it. Adding progress capture to the haul line is crucial because it prevents the rope from slipping back as you shorten the line or reposition, so you can advance the patient safely without losing control. For heavier loads or when you need more mechanical advantage, using a hauling system such as 3:1 or 5:1 increases the force you can apply with less effort, and carrying progress capture along with that system means you maintain control throughout the move and can reset or adjust without a sudden surge. Combining these two elements—Z-drag with progress capture and a secondary hauling system with progress capture—gives you both the directional control and the appropriate load handling with reliable progress control, which is why it’s the best choice. The other configurations either lack progress capture or don’t integrate the necessary control and advantage for safe patient movement.