hansou ni saisite, syoubyousya no zyoutai wo kakuninsuru.

に際して means something like on the occasion of, when, or at the time of doing something, but it sounds more formal and official than a simple とき.

So:

• 搬送に際して = when transporting / during transport / in carrying out transport

This expression is often used in manuals, rules, announcements, and formal instructions.

Compare:

• 搬送するとき = when transporting
• 搬送に際して = upon transporting / in the course of transport / at the time of transport

The second one sounds more procedural and professional.

Because 際する / 際して pairs with に, not を.

The pattern is:

• N に際して
• Verb dictionary form + に際して

Examples:

• 出発に際して = upon departure
• 使用に際して = when using
• 試験を受けるに際して = when taking an exam

So 搬送 is treated as a noun here, and に際して attaches to it.

It is functioning as a verbal noun here.

Many Sino-Japanese words can act as:

• a noun by themselves
• a verb when combined with する

So:

• 搬送 = transport / conveyance
• 搬送する = to transport

In 搬送に際して, it is being used as a noun. In the full sentence, the main verb is 確認する.

傷病者 is a formal compound noun meaning an injured or sick person.

It is made of:

• 傷 = wound, injury
• 病 = illness, disease
• 者 = person

So it refers to someone who is either injured, ill, or both. It is more formal and technical than everyday words like:

• けが人 = injured person
• 患者 = patient
• 病人 = sick person

You often see 傷病者 in medical, rescue, emergency-response, or legal contexts.

The の links two nouns.

• 傷病者 = the injured/sick person
• 状態 = condition, state

So:

• 傷病者の状態 = the condition of the injured/sick person

This is the normal Japanese way to show possession or relationship between nouns.

Other examples:

• 患者の名前 = the patient’s name
• 車のドア = the car door
• 天気の変化 = the change in weather

Because 状態 is the direct object of 確認する.

• 確認する = to confirm / check
• What is being checked? → 傷病者の状態

So:

• 傷病者の状態を確認する = check the patient’s condition

The particle を marks the thing directly acted upon by the verb.

Not exactly. 確認する means to confirm, to check, or to verify.

It has a more deliberate and procedural feeling than just 見る (to look at / see).

Compare:

• 見る = look at
• 診る = examine medically
• 確認する = check/confirm, often to make sure something is correct or safe

In this sentence, 確認する suggests an intentional safety or procedural check, which fits a medical/emergency context very well.

This kind of plain non-past form is often used in:

• manuals
• instructions
• official procedures
• textbook example sentences

So 確認する here can mean something like:

• Check the patient’s condition
• One checks the patient’s condition
• The patient’s condition should be checked

Japanese frequently uses the plain present/non-past in procedural writing instead of an explicit English-style imperative.

Yes, most likely.

Japanese often leaves out the subject when it is obvious from context. In a sentence like this, the subject might be something like:

• 救助者は = the rescuer
• 隊員は = the team member
• 医療従事者は = the medical worker
• or an understood you in an instruction manual

So the full idea is something like:

• When transporting, (the responder) checks the casualty’s condition.

But Japanese does not need to state that explicitly if the context already makes it clear.

Japanese usually places background/context first and the main action at the end.

So this sentence is structured like this:

• 搬送に際して、 = when transporting / during transport
• 傷病者の状態を = the patient’s condition
• 確認する。 = check/confirm

A natural breakdown is:

1. Situation/time: during transport
2. Object: the casualty’s condition
3. Main verb: check it

This is very typical Japanese word order.

The comma helps separate the introductory phrase from the main clause.

So:

• 搬送に際して、 = introductory context
• 傷病者の状態を確認する。 = main statement

It is similar to writing in English:

• When transporting the patient, check their condition.

The comma is not always absolutely required in Japanese, but it is very common and makes the sentence easier to read.

Yes. A simpler version would be:

• 搬送するとき、傷病者の状態を確認する。

This means almost the same thing, but the tone changes:

• 搬送するとき = plain, straightforward, conversational-neutral
• 搬送に際して = formal, instructional, official

So the original sentence sounds like something from a manual, protocol, or training document.

The standard readings are:

• 搬送 → はんそう
• に際して → にさいして
• 傷病者 → しょうびょうしゃ
• 状態 → じょうたい
• 確認する → かくにんする

So the full sentence is:

はんそう に さいして、しょうびょうしゃ の じょうたい を かくにんする。

It most naturally means at the time of transport / when carrying out transport, which can include the period just before and during the act, depending on context.

に際して often refers to a point where an action or event is being undertaken, so it is broader and slightly more formal than simply saying before.

If the writer specifically wanted before transport, they might use:

• 搬送前に = before transport

If they wanted during transport, they might use:

• 搬送中に = during transport

So 搬送に際して is a bit more general and procedural: in connection with transporting.