Casualty Handling and Extrication

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  • Topic: Ambulance, Spinal cord, Spinal cord injury
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  • Published : February 26, 2013
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Casualty Handling
Immobilisation
And
Extrication

Extrication Devices
Immobilisation Devices
Rescue Stretchers

Contents.

Southampton (Yeldrin) Sling

Neil Robertson Stretcher

Paraguard Rescue Stretcher

Orthopedic Scoop Stretcher

Extrication Back Boards

Long Spinal Board

Extrication from a vehicle

Log Rolling at Patient onto a Spinal Board

Back Boarding the Standing Patient

Securing a patient to the Long Spinal Board

When to immobilise the spine

Head Immobilisation Devices

Review of rescue stretchers

Spinal Care

Paediatric Immobilisation

Southampton (Yeldrin) Sling

The Southampton Sling (Also known as the Yeldrin Sling) was designed by the then Southampton Ambulance Service (Now part of Hampshire Ambulance NHS Trust) during the 1960’s, Its design and purpose was to be able to rescue casualties from difficult situations within the dockyard (mainly cargo ships).

The sling is not only suitable for light rescue, but also for house removal and situations where a patient needs to be carried in the prone position.

In comparison to the Neil Robertson and Paraguard Rescue Stretchers, the application of the sling is less complicated, its construction also means it is less likely to perish or suffer from canvas rot as the Neil Robertson does.

Although the Sling cannot be classed as a full rescue stretcher, the sling has many uses for the majority of cases and in everyday use the sling has many virtues, it should be noted that whilst it is not Helicopter approved it is capable of sustaining a lifting harness and roped recovery.

The sling is made from polyester based PVC with hardwood battens stitched into the material along its length, thus making the sling rigid in use, the underside has alloy strips which enable easy sliding over obstacles and also to prevent or reduce the scuffing / damage to the material, the sling is approximately 6ft in length.

The sling should be used as follows, a canvas should be placed under the casualty before the casualty is placed in the sling, the patient should then be blanketed, apply the velcro foot and head restraints, adjust the foot pouch, the velcro straps should now be used to secure the sling around the patient, once the patient is secure the sling can be carried, lifted (rope work / lifting harness) Raised or lowered.

Neil Robertson Stretcher.

These are made of Bamboo cane encased in a canvas fabric stitched such that each cane is contained in a separate pocket, The problems in using natural material for the construction of this type of stretcher is that they rot when stored in wet or damp conditions, To stop this rot they must be washed in fresh water and fully dried after use, They should be stored in a dry, airy location but this must be where they are easily accessible.

This type of stretcher was designed to give partial splinting to the body thus protecting the whole person during recovery.

IT DOES NOT GIVE FULL SPINAL IMMOBILISATION AS THE STRETCHER WILL FLEX WHEN CARRIED HORIZONTALLY.

A modern version of the Neil Robertson stretcher is available, these are made of aluminium, wooden supports and nylon based materials. This makes the stretcher better suited for marine conditions (Southampton Sling is one variant).

Neil Robertson Stretcher.

Use of the Neil Robertson for transporting casualties horizontally.

1) Treat the Casualties injuries taking into account the type of stretcher being used to convey the casualty, Do not secure broken lower arms across the body as closure of the stretcher will cause shortening thus possibly causing more damage and pain, the arm should be secured alongside and well protected.

2) Unless the casualty is of large proportions, always wrap them in a blanket this reduces point loadings on the body and makes it more comfortable for the casualty.

If The casualty is larger than normal it may not be...
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