With the prosperity of social civilization, industrial development, traffic congestion and a variety of labor mechanization, the increase in traffic accidents, explosions, high falls, leading to severe trauma, spinal fractures, multiple injuries of the wounded increasing. Proper and scientific handling of the injured, is essential.

The traditional method of transport for the first fixed after the handling of suspected spinal injury in patients with treatment requirements are cautious in the process of handling the whole body was required to maintain a stable posture, turn the body parallel to the body along the vertical axis flip, so as not to flip But in the traditional transport process, patients will still make the pain intensified, some patients will be nerve, vascular re-injury; the traditional handling of at least three professionals, each time for handling (4.26 ± 0.34) min. One patient needed at least four times of transporting from hospital to hospital and hospitalization, the total time of transportation was (13.12 ± 0.53) min, and the working efficiency was low.

Since 2006, our department began to use the shovel stretcher to transport the patients with serious trauma, suspected spinal injury and multiple trauma. It can reduce the pain during the patient's transportation and reduce the occurrence of re-injury and improve the working efficiency. Are introduced as follows:

Structure and performance of a shovel stretcher

Our scoop stretcher is a type of stretcher (type A) provided by EHSY Western Region. It adopts separate rigid structure, which is specially used for transporting fractures and seriously injured patients. Stretcher at both ends with clutch device, so that stretcher separated into two parts. Without moving the patient, the patient is quickly shoveled or withdrawn from the patient & apos; s body. The length of the stretcher can be adjusted according to the length of the patient. The maximum length is 210cm, the minimum length is 170cm and the length of the head is 44cm. The stretcher has a narrow frame at one end (foot). The width is 33cm. Ergonomic. In addition, the stretcher is also equipped with two locking belts, to ensure the safety and stability of mobile casualties, saving time and effort.

2 to reduce pain, increase patient satisfaction

In 1995, the Joint Committee on Accreditation of Health Care Organizations (JCAHO) officially identified pain as the fifth vital sign following temperature, pulse, respiration, and blood pressure. In 2004, IASP identified 11 October as "World Analgesic Day" and proposed "Exemption of pain, is the basic right of patients." Severe acute traumatic injury, spinal injury, multiple injuries in the handling of patients will be severe acute pain, and severe acute pain can lead to stress the body to produce catecholamines and other substances increased secretion, causing pulse, breathing speed, blood sugar, oxygen Increase the consumption, etc .; interfere with the stability of the environment, affecting the body's function of multiple systems, so that decreased immunity, infection and other complications increased, delaying rehabilitation. We compared the pain of the patients who were carried on the shovel stretchers with those of the traditional methods. There was significant difference between the two groups in the subjective feeling of pain before and after the different handling methods.

3 safe and stable. save time and energy

When using a shovel stretcher to carry out emergency transport, mainly rely on the stretcher clutch device, quickly shovel into or out of the patient from the patient under the stretcher, without moving the body of patients, each moving time (2.15 ± 0. 38) min, each handling shortened 2.15-2.07min. The total time of one patient was (7.15 ± 0.47) min, and the total time of transportation was reduced by 5.91-6.03min. The number of personnel required for handling is also reduced to two, the handling of professional skills required to reduce and improve the work efficiency and reduce the cost of work.

4 re-injury reduction

Fracture end of the activities can increase the organization, blood vessels, nerve damage, leading to increased bleeding, injury level rise. Injury in the field after the initial emergency treatment and subsequent to the hospital process, must go through this important part of the transport, standard, scientific transport on the injured patients rescue, treatment and prognosis are essential. Throughout the first aid process, handling is an integral part of the inseparable emergency medical treatment, shovel stretcher in the handling of patients, the patient is the overall move, without passive passive movement of the patient to avoid part of the body movement or irregular movement. After the patient was shoveled into a stretcher, the patient was fastened to the stretcher with two locking belt harnesses. The ends of the fracture did not damage the blood vessels and nerves in the entire process. Our department from 2006 to use shovel stretcher handling patients, no cases due to improper handling lead to sicker patients, spinal injury level rise.

5 Discussion

Compared with traditional methods, shovel stretcher has an irreplaceable role in relieving pain, increasing patients' satisfaction, reducing the occurrence of re-injury, shortening the time of transportation and improving work efficiency in the process of emergency handling. Shovel stretcher is not only safe, but also effectively reduce the pain of patients in emergency treatment to reduce the damage caused by the handling process again, improve work efficiency.