Basic rules of transportation of patients
Depending on the severity and type of injury or disease patients are transported to the machine "Ambulance" and from the car to the front desk:
1) on foot;
2) on crutches, with support;
3) on the hands;
4) on a stretcher.
In machines "Ambulance" patients are transported lying on a stretcher with a raised head or foot end (depending on the diagnosis) or sitting.Children are transported on the hands.Paramedic must in all cases be in the cabin next to the patient and monitor its status, if necessary - to provide assistance.Allowed at the discretion of the patient's medical assistant accompanying relative or friend.Children are usually transported in accompanied by their parents.
Walking and sitting in the car transported in patients with non-severe somatic diseases, injuries of the upper limbs, surgical diseases, which do not require hospital on a stretcher.In the event of dizziness and (or) long-time transport of such patients in the machine must be placed on a stretcher.
on crutches can be transpo
the hands transported children and adults when it is impossible to use a stretcher.
on stretchers transported all patients in an unconscious state, in a state of shock, severe patients with cerebral ischemia, acute myocardial infarction, all pregnant women, pregnant women with complications of pregnancy (eclampsia, threat of termination, etc.), With a thigh injury (fracture, extensive wounds), with severe or moderate surgical or gynecological diseases, diseases of the abdominal cavity, with head injuries, with combined lesions with spinal cord injuries.
carrying on a stretcher Technique
if possible on a stretcher should be pre-lay a blanket or bedspread durable so that one half (along) covered stretcher and the other lying nearby.After placing the patient on a stretcher he served this half.In the future, to remove the patient from the stretcher more comfortable holding the edge covers.If the patient can not move himself on a stretcher, put their foot to the head end, the three of us lift the patient and transferred to a stretcher.During the cold season should be worn on the patient's headdress, wrap legs.Nor should we forget the need for additional warming of patients who are in a state of shock.
According patient staircase descends feet first, but raised his head forward.Exception - acute blood loss, very low blood pressure.In this case, doing the opposite.
If it is impossible to carry the stretcher in the apartment or on the stairs of the patient is transferred to a blanket.In an extreme case, the stretcher is set at the entrance, and the patient is lowered to the hands, in the elevator if it is for any reason impossible - on a stool or chair, which should be put there in advance.
patients who are unconscious, because of the risk of aspiration and the tongue is transported in a stable lateral position.The head thus folded back.It is advisable to put the patient on his right side, as this less severe disorders of blood circulation and breathing (unless damaged the right half of the chest).
transport the patients with spinal cord injuries should be at the back, hard board.In his absence - by conventional semi-soft stretcher on his stomach.If the damage of the cervical spine - always on the back, after immobilization.It is forbidden to stack patients with spinal cord injury on his side.
prohibited lay in the horizontal position of the patient in a state of pulmonary edema during an attack of bronchial, cardiac asthma and respiratory failure due to other causes.They should be transported in a sitting position, children - to keep on hand upright.
After transporting infectious patient machine "Ambulance" is subjected to disinfection.Staff should change rooms.More than one infectious patient can be transported only when they suffer from the same infectious disease to the extent that infectivity in different periods of the disease.
Transporting extremely heavy patients is allowed only resuscitation team.Before transporting the need to carry out a complex of therapeutic measures aimed at stabilizing the state.