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Neil Robertson stretcher (NRS) is a type of rescue stretcher designed for the purpose of safely transferring an injured person by either lowering or lifting them to a place of safety. It is constructed from wooden slats and canvas. It features the patient being wrapped in canvas and secured using robust canvas straps, with a lifting rope affixed to a head-mounted ring and a guideline tied near the ankles, serving to halt the stretcher's movement. [1] It has been utilized by the Royal Navy for nearly a century. [2] The Neil Robertson stretcher has been widely adopted in Australia and other countries, and has been credited with reducing the risk of further injury to patients during transport.
The Neil Robertson stretcher (NRS) is believed to have been influenced by a Japanese stretcher made from bamboo. The NRS was designed with the purpose of packaging casualties into a compact form, allowing for rescue operations in spaces with limited openings and facilitating movement through vertical escape hatches while minimizing slippage. However, the flexibility of the NRS, which can be advantageous in many situations, has raised concerns[ who? ] about its suitability for rescuing individuals with spinal injuries. [2]
The Neil Robertson stretcher is widely used in maritime settings, particularly by naval forces and maritime rescue team. During World War I, the NRS (Neil Robertson stretcher) gained widespread use as the Royal Navy employed it for evacuating casualties from navy vessels that presented significant challenges due to narrow passages and confined spaces, making conventional stretchers impractical for such scenarios. As a result, the wounded were either manually carried or transported using the Neil-Robertson stretcher, which provided secure envelopment for easy maneuverability through steep ladders, small hatchways, and narrow passages. Additionally, the Neil-Robertson stretcher offered the advantage of doubling as a splint. [3]
Unlike some modern counterparts used in cave or field rescues, the NRS was not originally designed to be used in conjunction with other extraction devices such as half boards. [2] However, supporters of the stretcher argue that when used properly and in conjunction with other spinal immobilization techniques, it can be an effective tool for protecting patients with suspected spinal injuries during transport.
An ambulance is a medically equipped vehicle which transports patients to treatment facilities, such as hospitals. Typically, out-of-hospital medical care is provided to the patient during the transport.
The Westland Wessex is a British-built turbine-powered development of the Sikorsky H-34. It was developed and produced under licence by Westland Aircraft. One of the main changes from Sikorsky's H-34 was the replacement of the piston-engine powerplant with a turboshaft engine. Early models were powered by a single Napier Gazelle engine, while later builds used a pair of de Havilland Gnome engines.
Battlefield medicine, also called field surgery and later combat casualty care, is the treatment of wounded combatants and non-combatants in or near an area of combat. Civilian medicine has been greatly advanced by procedures that were first developed to treat the wounds inflicted during combat. With the advent of advanced procedures and medical technology, even polytrauma can be survivable in modern wars. Battlefield medicine is a category of military medicine.
A stretcher, gurney, litter, or pram is an apparatus used for moving patients who require medical care. A basic type must be carried by two or more people. A wheeled stretcher is often equipped with variable height frames, wheels, tracks, or skids. Stretchers are primarily used in acute out-of-hospital care situations by emergency medical services (EMS), military, and search and rescue personnel. In medical forensics the right arm of a corpse is left hanging off the stretcher to let paramedics know it is not a wounded patient. They are also used to hold prisoners during lethal injections in the United States.
The Bristol Type 171 Sycamore was an early helicopter developed and built by the helicopter division of the Bristol Aeroplane Company. The name refers to the seeds of the sycamore tree, Acer pseudoplatanus, which fall with a rotating motion. It has the distinction of being the first British helicopter to receive a certificate of airworthiness, as well as being the first British-designed helicopter to be introduced by and to serve with the Royal Air Force (RAF).
A spinal board, is a patient handling device used primarily in pre-hospital trauma care. It is designed to provide rigid support during movement of a person with suspected spinal or limb injuries. They are most commonly used by ambulance staff, as well as lifeguards and ski patrollers. Historically, backboards were also used in an attempt to "improve the posture" of young people, especially girls.
A vacuum mattress, or vacmat, is a medical device used for the immobilisation of patients, especially in case of a vertebra, pelvis or limb trauma. It is also used for manual transportation of patients for short distances. It was invented by Loed and Haederlé, who called it "shell" mattress.
Casualty movement is the collective term for the techniques used to move a casualty from the initial location to the ambulance.
Casualty lifting is the first step of casualty movement, an early aspect of emergency medical care. It is the procedure used to put the casualty on a stretcher.
Casualty evacuation, also known as CASEVAC or by the callsign Dustoff or colloquially Dust Off, is a military term for the emergency patient evacuation of casualties from a combat zone. Casevac can be done by both ground and air. "DUSTOFF" is the callsign specific to U.S. Army Air Ambulance units. CASEVACs by air today are almost exclusively done by helicopter, a practice begun on a small scale toward the end of World War II; before that, STOL aircraft, such as the Fieseler Fi 156 or Piper J-3 were used.
The scoop stretcher is a device used specifically for moving injured people. It is ideal for carrying casualties with possible spinal injuries.
A combat medic is responsible for providing emergency medical treatment at a point of wounding in a combat or training environment, as well as primary care and health protection and evacuation from a point of injury or illness. Additionally, medics may also be responsible for the creation, oversight, and execution of long-term patient care plans in consultation with or in the absence of a readily available doctor or advanced practice provider. Combat medics may be used in hospitals and clinics, where they have the opportunity to work in additional roles, such as operating medical and laboratory equipment and performing and assisting with procedures.
A diving chamber is a vessel for human occupation, which may have an entrance that can be sealed to hold an internal pressure significantly higher than ambient pressure, a pressurised gas system to control the internal pressure, and a supply of breathing gas for the occupants.
A firefighter's carry or firefighter's lift is a technique allowing one person to carry another person without assistance, by placing the carried person across the shoulders of the carrier.
Stabilization is a process to help prevent a sick or injured person from having their medical condition deteriorate further too quickly before they can be treated in depth at a medical facility.
Aeromedical evacuation (AE) usually refers to the use of military transport aircraft to carry wounded personnel.
A litter is a stretcher or basket designed to be used where there are obstacles to movement or other hazards: for example, in confined spaces, on slopes, in wooded terrain. Typically it is shaped to accommodate an adult in a face up position and it is used in search and rescue operations. The person is strapped into the basket, making safe evacuation possible. The person generally is further protected by a cervical collar and sometimes a long spine board, so as to immobilize the person and prevent further injury.
A wilderness medical emergency is a medical emergency that takes place in a wilderness or remote setting affinitive care. Such an emergency can require specialized skills, treatment techniques, and knowledge in order to manage the patient for an extended period of time before and during evacuation.
Air medical services are the use of aircraft, including both fixed-wing aircraft and helicopters to provide various kinds of medical care, especially prehospital, emergency and critical care to patients during aeromedical evacuation and rescue operations.
The Thomas Stretcher is a British mountain rescue stretcher designed by in the 1930s by a climbing club committee formed to investigate the construction of a stretcher specifically for carrying injured climbers over rough ground.