Views: 0 Author: Site Editor Publish Time: 2022-03-30 Origin: Site
1. the classification of stretchers
2. Principles of stretcher handling
3. Precautions before transportation
4. Sitting position: suitable for patients with pleural effusion and heart failure.
5. Methods of transporting patients on a general stretcher
According to its structure, function and material characteristics, it can be divided into three categories: simple stretcher, general stretcher and special purpose stretcher.
Quick, timely and correct. Improper handling can delay the time for the injured and the sick to obtain further examination and treatment in time, and in severe cases can worsen the condition and cause irreversible consequences. During the handling process, the movements should be light and unnecessary vibrations should be minimized, so as not to increase the pain of the injured.
1. Before carrying the wounded, check the wounded's vital signs and injured parts, focusing on checking whether the wounded's head, spine, and chest have trauma, especially whether the cervical spine is damaged.
2. The wounded must be properly handled. First, keep the airway of the injured person unobstructed, and then stop the bleeding, bandage, and fix the injured part of the wounded according to the technical operation specifications. It can only be moved after proper handling.
3. Do not carry the personnel or stretchers when they are not ready.
4. During the transportation process, the deterioration of the condition of the wounded should be observed at any time. Focus on observing breathing, consciousness, etc., pay attention to keep warm, but do not cover the head and face too tightly, so as not to affect breathing. In the event of an emergency on the way, the transportation should be stopped and emergency treatment should be carried out immediately.
5. In a special site, it should be handled according to a special method.
Fourth, the main points of disease observation during transportation 1. Changes in the state of consciousness
2. Changes in respiratory pulse and vital signs 3. Degree of bleeding, etc.
4. Emergency treatment if necessary
1. Supine position: This position can be used for all seriously injured persons.
2. Lateral decubitus position: After the neck injury is ruled out, the lateral decubitus position can be used for the wounded who are consciously impaired. To prevent food from being sucked into the trachea when the wounded vomits. When the casualty is lying on his side, a pillow can be placed on his neck to maintain a neutral position.
3. Semi-recumbent position: For the wounded with only chest injury, it is often difficult to breathe due to chest pain and hemopneumothorax.
1. Under normal circumstances, let the wounded be carried on a stretcher in a supine or lateral position.
2. Use professional straps to fix the wounded on the stretcher to prevent the wounded's limbs from falling out of the stretcher.
3. When the stretcher is transported, the foot of the injured person is in front and the head is in the back. First lift the head, then lift the foot. When putting down, put the foot first, and then lift the head. When lifting to a high place, the injured person should face forward and feet backward (such as going up steps or crossing a bridge). The opposite is true when going down the stairs.
4. When the stretcher gets on the car, the wounded person should be put on the head first and the feet behind.
5. Put the stretcher carrying the wounded on the stretcher car and pull up the protection bars on both sides to fix it.
1. For emergency patients, it is better to lie on the back, so that the whole body is stretched and the upper and lower limbs are straight; according to different conditions, make some appropriate adjustments; for patients with hypertensive cerebral hemorrhage, the head can be properly raised to reduce the head blood flow.
2. For those who are in a coma, turn their head to one side so that vomit or sputum dirt can flow out and not be inhaled.
3. Patients who are in shock from traumatic bleeding can lower their head appropriately.
4. As for patients with heart disease, those with heart failure and breathing difficulties can take a sitting position to make breathing easier.