I. Overview

Handling, escort seems very simple, is a physical handling and transport issues, it seems that medical, emergency no close relationship. The fact is not the case!

Improper handling, poor escort can make critically ill patients at the scene of the rescue come to naught. Many of them have been good early save patients treated, often in transit exacerbations worsened; some patients, because withstand road bumps, or the condition can not be applied first aid, and loss of life.

Growing tourism, business travel, etc. away from their homes, resulting in a large number of patients to escort back to their original towns of life, people have gradually recognized that an important part of medical care on-site emergency transport, is the link patient can safely reach hospital and get treatment process of a comprehensive and effective "chain."

Overall, handling methods and tools escort has been a big change. Well equipped, good performance of ambulances and boats, as well as helicopter ambulance, ambulance light jet aircraft constitutes an important part of the medical transport. However, no matter how progressive, patient from the onset of the scene of the "points", is carried to a stretcher, ambulance boats, aircraft in the process, as well as modern ambulances, boats, aircraft carrier in the process, there is a live person or "Article issue a witness, "the first aid knowledge, skills, normal play, must not underestimate handling, escort in every detail.
  
Second, the transport method

1. Handling Methods

When transporting injured people to to select the appropriate handling method and handling tools based on the patient's specific circumstances and field conditions. First, consider how to move the patient from the bed or on the couch or on the ground and other field of "point" to the stretcher. Mild but still capable of walking man, how the arm.

Handling the work of this series should be light, agile and consistent. Especially important to note that, for some trauma patients, such as the neck, waist, pelvis injured, absolutely can not pay attention to the traditional way "helped it around and try to understand the situation wound." This is a serious mistake, To be absolutely prohibited! As long as these places suspected damage, disease during transport must not be helped, and consistent action to the number of people, carried flat on a hard stretcher.

Some patients prone to vomiting, but caught in a coma, it is likely to carry the slightest vomiting inhale vomit trachea to cause respiratory tract infarction, so when transporting, to protect local, head to one side to avoid the inhalation of vomit; some of Easy patient twitch stimulation occurs, when moving must be lightweight, to avoid inducing; heart disease such as heart failure is difficult to supine, semi-recumbent position may also move.

2. handling tools and methods

(1) the stretcher: stretcher patient is transported most commonly used tools. Many different types of stretchers, commonly used canvas stretcher, the canvas one, two sticks, two horizontal iron or crossbar, negative band, composed of buckling. Such stretcher many currently marketed. Rope stretcher, with a wooden stick or bamboo two, two crossbar, tied into a rectangle of a stretcher, then wrapped around the rope to a solid Serve. CLOTHING stretcher is to take clothes two or gown, coat sleeve turn inwards into two, insert two sticks, and then the proper buttons buttoned Serve. If no stretcher site can also be temporary production.

Methods stretcher transportation is by 2 to 3 people, gently move the patient on the stretcher.

The patient's head back, foot forward, so that the person behind the stretcher, you can always observe the patient changes. Stretchers people's footsteps, action to be consistent. In front of the open left foot, right foot back open, steady progress. When the upward lift, as stairs, cross the bridge, upstairs, in front of people you want to lower the stretcher, behind people who want to raise, in order to maintain the level of the state of the patient, the opposite the next level.

(2) hand carry; when the scene could not find a stretcher and transported away and closer, mild, you can use hand carry law. However, this method both for transport or patients are more tired. It should be particularly noted that the disease is severe, patients with trauma can not hand carry.

There are several ways unarmed transport.

(1) Single handle: for mild, capable of standing and walking may take this method. Patients who stand on the side of the ambulance, the patient is close to his arm clutch their neck, and then the ambulance with the outside of his hands holding the wrist with one hand and held out his patient's back to support their waist, so that the patient's body slightly against the ambulance .

Hold law: the patient can stand, ambulance station in the patient side, a hand under his back, one hand under his thigh, which was picked up. If the patient Woyu ground, the ambulance first bend a knee knees, with one hand to hold back a little help, had asked the other hand from the knee, the patient picked up. If the patient still conscious, you can let the hand holding the neck of the ambulance.

Carrying France: standing in front of ambulance patients, is in the same direction, slightly curved back, the patient on her own. Chest trauma patients should not use this method.

If the patient Woyu the ground, unable to stand, then the ambulance people may lie to the patient side, one hand clenched injured shoulder, the other hugs his legs, forced to stand up to those who lost the back of the ambulance, then slowly up.

(2) Double handling: There are three functional double handling methods.

Pop-chair: also known as the seat transport method. Both opposition on both sides of the patient B, A to the right knee, left knee to knee B, each with one hand under the patient into the thigh and clasped each other's hands while alternately ride on the shoulders of each other, in order to support the patient's back.

Pull carts formula: B two, a man standing behind the patient's head, hands into the armpit, to hold into the arms: A man got his foot cross in the middle of the patient's legs. They slowly raised in unison, before horizontal lines.

Three Handling: Can the three side by side, picked up the patient, consistent forward in unison.

It said unarmed transport method, suitable only for general patients and close temporary use, and for trauma patients, especially the head, neck, chest, waist, pelvis fracture is strictly prohibited.