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Stretcher

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A stretcher is a specialized apparatus used to move patients who require medical care.

MS1 on stretcher
MS1 on stretcher

These devices are essential for transporting individuals who are unable to walk or move safely on their own. They are used primarily in acute out-of-hospital care settings. This includes work by emergency medical services (EMS), military units, and search and rescue personnel. Depending on the design, they may be called a cot, a litter, a gurney, or a pram.

The primary goal of any stretcher is to provide a stable platform for medical transport.

Modern wheeled stretchers, often called gurneys, use complex mechanisms to assist medical workers.

Civiere a aubes
Civiere a aubes

These devices are often equipped with variable-height frames and wheels for easier movement over pavement. To ensure safety during transport, an integral lug on the stretcher locks into a sprung latch inside an ambulance. This prevents the device from sliding while the vehicle is in motion. Many modern models now include battery-powered hydraulics. These systems automatically raise or collapse the legs to reduce the workload on EMS personnel. This technology is important because these workers face a high risk of back injury from repetitive lifting.

Stretchers are designed with various adjustable parts to meet specific medical needs. The height of the bed can be changed to make transferring a patient easier. The head of the stretcher can be raised to a sitting position. This is especially helpful for patients experiencing respiratory distress. Conversely, the head can be lowered flat to perform CPR or to support patients with suspected spinal injuries. Some models can also raise the feet into the Trendelenburg position. This specific angle is indicated for patients who are in shock.

Stretcher miloufs
Stretcher miloufs

To maintain hygiene, stretchers are usually covered with a disposable sheet and cleaned after every use to prevent infection.

Basic stretchers represent the most rudimentary and portable category of these tools. These are often lightweight and made of canvas or synthetic material. The material is suspended between two poles or a tubular aluminum frame. Some versions are folding stretchers, also known as collapsible stretchers. These feature hinged points of articulation that allow them to fold into a compact form for storage. Another specialized type is the Roberson orthopedic stretcher, or scoop stretcher. This device can be detached into two longitudinal halves. Rescuers place the halves under a patient from either side and then fasten them back together.

Specialized litters are designed for high-risk or difficult environments. The basket stretcher, or Stokes litter, is shaped to accommodate an adult in a face-up position. It features raised sides and often includes a removable cover to protect the patient. These are used in search and rescue operations involving wooded terrain, slopes, or confined spaces. Once a person is secured, the litter can be carried by hand, mounted on an ATV, or even hoisted by a helicopter. Other devices like the Neil Robertson stretcher are specifically built for maritime settings. These allow for the secure transport of injured individuals through narrow passages or up steep ladders on ships.

History shows that the need for patient transport has existed for centuries.

BNF Français 9749, fo. 67v, c.1380
BNF Français 9749, fo. 67v, c.1380

Early manuscripts from the Middle Ages depict wounded knights being carried on stretchers. Simple stretchers remained common with militaries through the middle of the 20th century. During World War I, the French army used a specific type called the Nimier stretcher. This design allowed the patient to sit in a seated position. This shorter profile made it easier to turn the stretcher within narrow trenches. The term "gurney" for wheeled stretchers likely originated from Pacific Coast slang. Its use in hospital settings became well-established by the 1930s.

Today, several major companies lead the manufacturing of these essential medical tools. The Stryker Corporation in the United States is one of the largest producers of hospital beds and stretchers. Other significant companies include Ferno-Washington Inc. and Hill-Rom Holdings, Inc. in the United States. International manufacturers also play a large role in the global market. For example, MeBer s.r.l. is an Italian manufacturer of emergency and rescue equipment. ROYAX s.r.o. is a Czech company that produces rescue and military stretchers. These companies ensure that medical teams have the specific tools required for diverse environments, from hospitals to remote rescue sites.

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🖼️ Images & Media (7)
File:MS1 on stretcher.jpg
MS1 on stretcher.jpg
ASC Leiden - Coutinho Collection - F 37 -...
File:Fisher's Chair Stretcher 1865. Wellcome L0002114EB.jpg
Fisher's Chair Stretcher 1865. Wellcome...
File:BNF Français 9749, fo. 67v, c.1380.jpg
BNF Français 9749, fo. 67v, c.1380.jpg
File:Stretcher miloufs.jpg
Stretcher miloufs.jpg
File:Marine CASEVAC Fallujah.jpg
Marine CASEVAC Fallujah.jpg
File:Civiere a aubes.jpg
Civiere a aubes.jpg
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