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Stretcher
A stretcher, gurney, litter, or pram is an apparatus used for moving patients who require medical care. A basic type (cot or litter) must be carried by two or more people. A wheeled stretcher (known as a gurney, trolley, bed or cart) is often equipped with variable height frames, wheels, tracks, or skids. Stretchers are primarily used in acute out-of-hospital care situations by emergency medical services (EMS), military, and search and rescue personnel. In medical forensics the right arm of a corpse is left hanging off the stretcher to let paramedics know it is not a wounded patient. They are also used to hold prisoners during lethal injections in the United States. History An early stretcher, likely made of wicker over a frame, appears in a manuscript from . Simple stretchers were common with militaries right through the middle of the 20th century. Gurney Generally spelled ''gurney'', but also ''guerney'' or ''girney''. The first usage of the term for a wheeled stretcher ...
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Stretcher Miloufs
A stretcher, gurney, litter, or pram is an apparatus used for moving patients who require medical care. A basic type (cot or litter) must be carried by two or more people. A wheeled stretcher (known as a gurney, trolley, bed or cart) is often equipped with variable height frames, wheels, tracks, or skids. Stretchers are primarily used in acute out-of-hospital care situations by emergency medical services (EMS), military, and search and rescue personnel. In medical forensics the right arm of a corpse is left hanging off the stretcher to let paramedics know it is not a wounded patient. They are also used to hold prisoners during lethal injections in the United States. History An early stretcher, likely made of wicker over a frame, appears in a manuscript from . Simple stretchers were common with militaries right through the middle of the 20th century. Gurney Generally spelled ''gurney'', but also ''guerney'' or ''girney''. The first usage of the term for a wheeled stretcher ...
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Scoop Stretcher
The scoop stretcher (or clamshell, Roberson orthopedic stretcher, or just scoop) is a device used specifically for moving injured people. It is ideal for carrying casualties with possible spinal injuries. A scoop stretcher has a structure that can be split vertically into two parts, with shaped 'blades' towards the centre which can be brought together underneath a patient. The two halves are placed separately either side of the patient, and then brought together until securing clips at the top and bottom both engage. Scoop stretchers reduce the chance of undesirable movement of injured areas during transfer of a trauma patient, as they maintain the patient in a supine alignment during transfer to a stretcher, vacuum mattress or long spine board). They are more comfortable than a long spine board for transport. The scoop stretcher can be used for patient transport Patient transport is a service that transfers patients to and from medical facilities in non-emergency situa ...
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Litter (rescue Basket)
A litter is a stretcher or basket designed to be used where there are obstacles to movement or other hazards: for example, in confined spaces, on slopes, in wooded terrain. Typically it is shaped to accommodate an adult in a face up position and it is used in search and rescue operations. The person is strapped into the basket, making safe evacuation possible. The person generally is further protected by a cervical collar and sometimes a long spine board, so as to immobilize the person and prevent further injury. A litter essentially is a stretcher with sides (or just a raised edge) and a removable head/torso cover. They are most notably remembered from Korea and Vietnam images of United States Air Force Pararescue airmen or more recent Coast Guard video clips of helicopters rescuing injured people from isolated areas. Some will also recall the images from the TV shows ''Emergency!'' and ''M*A*S*H'' of fixed stretchers on either side of medical evacuation helicopters. One wid ...
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Ambulance
An ambulance is a medically equipped vehicle which transports patients to treatment facilities, such as hospitals. Typically, out-of-hospital medical care is provided to the patient during the transport. Ambulances are used to respond to medical emergencies by emergency medical services (EMS). For this purpose, they are generally equipped with flashing warning lights and sirens. They can rapidly transport paramedics and other first responders to the scene, carry equipment for administering emergency care and transport patients to hospital or other definitive care. Most ambulances use a design based on vans or pickup trucks. Others take the form of motorcycles, buses, limousines, aircraft and boats. Generally, vehicles count as an ambulance if they can transport patients. However, it varies by jurisdiction as to whether a non-emergency patient transport vehicle (also called an ambulette) is counted as an ambulance. These vehicles are not usually (although there are excepti ...
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Casualty Movement
Casualty movement is the collective term for the techniques used to move a casualty from the initial location (street, home, workplace, wilderness, battlefield) to the ambulance. In wilderness or combat conditions, it may first be necessary to stabilize the patient prior to moving them to avoid causing further injury. In such situations, evacuation may involve carrying the victim some distance on improvised stretchers, a travois, or other improvised carrying gear. Spinal immobilization is necessary if there is a likelihood of head or spinal injury. Once the patient is ready to be moved, the first step is the casualty lifting, to put him/her on a stretcher or litter (rescue basket). The final step is the patient transfer from the stretcher to the hospital bed. The use of wheeled stretchers, usually used in most developed emergency services, does not need much explanation, except that great care must be taken in order to avoid aggravating an unstable trauma. See also * CASEVAC * ...
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Battlefield Medicine
Battlefield medicine, also called field surgery and later combat casualty care, is the treatment of wounded combatants and non-combatants in or near an area of combat. Civilian medicine has been greatly advanced by procedures that were first developed to treat the wounds inflicted during combat. With the advent of advanced procedures and medical technology, even polytrauma can be survivable in modern wars. Battlefield medicine is a category of military medicine. Chronology of battlefield medical advances * During Alexander the Great’s military campaigns in the fourth century BC, tourniquets were used to stanch the bleeding of wounded soldiers. Romans used them to control bleeding, especially during amputations. These tourniquets were narrow straps made of bronze, using only leather for comfort. * An early stretcher, likely made of wicker over a frame, appears in a manuscript from c.1380. Simple stretchers were common with militaries right through the middle of the 20th c ...
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Emergency Medical Services
Emergency medical services (EMS), also known as ambulance services or paramedic services, are emergency services that provide urgent pre-hospital treatment and stabilisation for serious illness and injuries and transport to definitive care. They may also be known as a first aid squad, FAST squad, emergency squad, ambulance squad, ambulance corps, life squad or by other acronym, initialisms such as EMAS or EMARS. In most places, the EMS can be summoned by members of the public (as well as medical facilities, other emergency services, businesses and authorities) via an emergency telephone number which puts them in contact with a control facility, which will then dispatch a suitable resource for the situation. Ambulances are the primary vehicles for delivering EMS, though some also use Nontransporting EMS vehicle, squad cars, Motorcycle ambulance, motorcycles, Air medical services, aircraft, or Water ambulance, boats. EMS agencies may also operate a non-emergency patient transpo ...
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Spinal Board
A spinal board, is a patient handling device used primarily in pre-hospital trauma care. It is designed to provide rigid support during movement of a person with suspected spinal or limb injuries. They are most commonly used by ambulance staff, as well as lifeguards and ski patrollers. Historically, backboards were also used in an attempt to "improve the posture" of young people, especially girls. Due to lack of evidence to support long-term use, the practice of keeping people on long boards for prolonged periods of time is decreasing. Extraction uses The spinal backboard was originally designed as a device to remove people from a vehicle. After a time people were simply kept on the spine board for transport without evidence supporting this need. Medical uses A spinal board is primarily indicated for judicious use to transport people who may have had a spinal injury, usually due to the mechanism of injury, and the attending team are not able to rule out a spinal injury. The p ...
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Spinal Board
A spinal board, is a patient handling device used primarily in pre-hospital trauma care. It is designed to provide rigid support during movement of a person with suspected spinal or limb injuries. They are most commonly used by ambulance staff, as well as lifeguards and ski patrollers. Historically, backboards were also used in an attempt to "improve the posture" of young people, especially girls. Due to lack of evidence to support long-term use, the practice of keeping people on long boards for prolonged periods of time is decreasing. Extraction uses The spinal backboard was originally designed as a device to remove people from a vehicle. After a time people were simply kept on the spine board for transport without evidence supporting this need. Medical uses A spinal board is primarily indicated for judicious use to transport people who may have had a spinal injury, usually due to the mechanism of injury, and the attending team are not able to rule out a spinal injury. The p ...
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Search And Rescue
Search and rescue (SAR) is the search for and provision of aid to people who are in distress or imminent danger. The general field of search and rescue includes many specialty sub-fields, typically determined by the type of terrain the search is conducted over. These include mountain rescue; ground search and rescue, including the use of search and rescue dogs; urban search and rescue in cities; combat search and rescue on the battlefield and air-sea rescue over water. International Search and Rescue Advisory Group (INSARAG) is a UN organization that promotes the exchange of information between national urban search and rescue organizations. The duty to render assistance is covered by Article 98 of the UNCLOS. Definitions There are many different definitions of search and rescue, depending on the agency involved and country in question. *Canadian Forces: "Search and Rescue comprises the search for, and provision of aid to, persons, ships or other craft which are, or a ...
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Trench Warfare
Trench warfare is a type of land warfare using occupied lines largely comprising military trenches, in which troops are well-protected from the enemy's small arms fire and are substantially sheltered from artillery. Trench warfare became archetypically associated with World War I (1914–1918), when the Race to the Sea rapidly expanded trench use on the Western Front starting in September 1914.. Trench warfare proliferated when a revolution in firepower was not matched by similar advances in mobility, resulting in a grueling form of warfare in which the defender held the advantage. On the Western Front in 1914–1918, both sides constructed elaborate trench, underground, and dugout systems opposing each other along a front, protected from assault by barbed wire. The area between opposing trench lines (known as "no man's land") was fully exposed to artillery fire from both sides. Attacks, even if successful, often sustained severe casualties. The development of armoured ...
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Camp Bed
A camp bed is a narrow, light-weight bed, often made of sturdy cloth stretched over a folding frame. The term camp bed is common in the United Kingdom, but in North America they are often referred to as cots. Camp beds are used by the military in temporary camps, and in emergency situations where large numbers of people are in need of housing after disasters. They are also used for recreational purposes, such as overnight camping trips. Ancient history It is believed that King Tut, who reigned in Egypt from approximately 1332 to 1323 BC, may have had the first camping bed. When Tutankhamun's tomb was opened in 1922 a room full of furniture was found to contain a three-section camping bed that folded up into a Z shape.Though the frail young king, who had a clubfoot, may never have taken part in long-distance explorations, the elaborate folding bed suggests he had an interest in camping and hunting. 18th and early 19th century history The New-York Historical Society owns a camp ...
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