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EMT's using a stretcher.
EMT's using a stretcher.

A stretcher is a medical device used to carry casualties or an incapacitated person from one place to another. A medical device is an object which is useful for diagnostic or therapeutic purposes It is a simple type of litter, and still called by that name in some cases. The litter is a class of Wheelless Vehicles a type of Human-powered transport, for the transport of persons

A stretcher is usually carried by two people, one at the head and the other at the feet. The casualty is placed on the stretcher, and can then be carried away. This usually occurs if the person is unable to walk by themselves, or if other requirements mean a "stair chair" (wheelchair), or similar could not be used. A wheelchair is a wheeled Mobility device in which the user sits Many times the casualty is strapped down to avoid further injury.

Contents

History

Stretchers have been used since antiquity, especially on battlefields and in emergency situations, where wheeled vehicled are hindered by rough terrain. In their simplest form, they generally consisted of a canvas sling with long edges sewn to themselves to form pockets through with wooden poles could be slid. Sling Furniture is usually a suspended free-swinging Chair or bed that is made of a framework connected to hanging straps or rope This form was common with militaries right through the middle of the 20th century. The twentieth century of the Common Era began on

Modern stretchers

Soldiers using a simple stretcher.
Soldiers using a simple stretcher.

The stretchers used in ambulances have wheels that makes transportation over pavement easier, and have a lock inside the ambulance to secure the victim during transport. An ambulance is a Vehicle for transporting sick or injured people to from or between places of treatment for an Illness or Injury.

"Normalised" stretchers, or folding stretchers, are the simplest type. They are made of two poles and two transversal hinged bars with a cloth stretched between the poles and four feet. The bars can be folded for storage. They are now rarely used by modern emergency services, but are still widely used by organisations for whom the storage space is an important factor, e. g. first aid associations, or French companies (a stretcher is mandatory). These stretchers are often used as beds. A bed is a piece of Furniture (or a location primarily used as a place to Sleep, and often used for Relaxation.

Disaster stretchers are designed for easy storage and transport. They consist of a tubular aluminum structure with a washable cloth. WikipediaNaming They cannot be folded, but can be piled up.

As normalised or disaster stretcher have no wheel, they are usually carried by three or four people. When they must be carried by only two people, they tie straps to the poles, so the weight is supported by the shoulders and not by the hands.

LESS Hypothermia stretcher
LESS Hypothermia stretcher

Recent features of stretchers include hypothermia protection. Hypothermia is a condition in which an organism's temperature drops below that required for normal Metabolism and bodily functions [1] Specifically, Light Emergency Stretcher Systems (LESS) is a lightweight stretcher system designed to transport the patient from the scene of an accident to ambulance to medical imaging. The LESS stretcher’s award winning design provides a high degree of thermal insulation reducing the risk of hypothermia. Additional features of this composition are radio-translucency to medical imaging equipment (x-ray, CT and MRI scanners) and good buoyancy (up to 20kg flotation).

Lifting and carrying devices

The casualty must be lifted (scoop) to be put on the stretcher. This lifting can be made manually, but it is also possible to use specific devices. These devices can be also used as stretchers, but only for short distances.

A long spine board can be used to scoop and carry the patient to the stretcher; in case a spine trauma is suspected, the victim is left on the board and tied to it and the board is simply put on the stretcher. A long spine board (LSB, or backboard, is a medical device used for the immobilization and transportation of patients with suspected spinal injuries A vertebra (plural vertebrae) is an individual Irregular bone in the spinal or Vertebral column ( aka ischis a flexuous and flexible column Treatment of physical trauma is described here and in First aid. The spine and the overall immobilisation can also be performed by a vacuum mattress put on the stretcher. A vacuum mattress, or vacmat, is a Medical device used for the immobilisation of patients especially in case of a Vertebra, Pelvis or

A padded spineboard is similar to a long spine board, but has padding on top of the plastic surface to keep emergency victims more comfortable while they are strapped to the backboard.

When there is no suspicion of spine trauma, the vacuum mattress can be used as a stretcher (it has handles), which is best in narrow places when the stretcher cannot be kept horizontal. It is more secure and comfortable than strapping the patient to the stretcher.

Scoop stretcher
Scoop stretcher

The scoop stretcher is used for lifting patients, for instance from the ground onto an ambulance stretcher trolley or long board. The scoop Stretcher (or clamshell, Robertson Orthopedic Stretcher, or just scoop) is a device used specifically for Casualty lifting A long spine board (LSB, or backboard, is a medical device used for the immobilization and transportation of patients with suspected spinal injuries The two ends of the stretcher can be detached from each other, splitting the stretcher into two longitudinal halves. To load a patient, one or both ends of the stretcher are detached, the halves placed under the patient from either side and fastened back together. With obese patients, the possibility exists of accidentally pinching the patient's back when closing the stretcher, so care must be made not to injure them when carrying out this procedure.

A reeves stretcher, or 'flexible stretcher', is a flexible stretcher that is supported longitudinally by wooden or plastic planks. It is a kind of tarpaulin with handles. It is primarily used to move a patient through confined spaces (e. g. a narrow hallway), or to lift obese patients (reeves stretchers have 6 handholds, allowing multiple rescuers to assist extrication). Law enforcement officers sometimes use the Reeves stretcher as a humane method of restraint.

To load the patient, the stretcher is folded, and the patient is rolled aside so the stretcher can be slid under him/her. The stretcher is then unfolded. For the patient's comfort, a dry sheet is often folded into the stretcher.

Other types of stretchers

See also

External links

A gateleg table is a type of Furniture first introduced in England in the 16th century A gurney, known as a trolley in British medical context is the U The casualty movement is the procedures used to move a casualty from the initial location (street home workplace wilderness battlefield to the Ambulance.

Dictionary

stretcher

-noun

  1. A simple litter designed to carry a sick, injured, or dead person.
  2. A frame on which a canvas is stretched for painting.
  3. A device to stretch shoes or gloves.
  4. A brick laid with the longest side exposed (compare header).
  5. A lie.
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