VSF I will answer your question.
In a normal calm open area scenario, yes I would "double strop".
When I have to get on board a fishing boat in a force 8 and 30ft seas, at night to a crew member below decks in a confined area with no output, who I then have to get back to the upper deck doing CPR as we go, and then get winched to the aircraft, I use a stretcher.
Kind regards
mustfly1