Abstract: A casualty transport system which provides substantially complete splinting, thermal protection and buoyancy for a patient transported by land, sea or air. The system is particularly suited for ship-to-shore, ship-to-ship or ship-to-helicopter transfers and for mountain rescue. The patient is placed in a glass reinforced plastic body shell having a removable lid which covers all but the head. The body shell is provided with a foam plastic lining premoulded to a 75 percentile man and close splinting, if required, can be achieved by a cast-in-place technique. Lifting handles and lugs and towing eyes are provided on the exterior of the body shell to facilitate lifting and handling.