Scoop stretcher

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A scoop stretcher. Note that the stretcher is upside down: the narrow end of the stretcher is for the patient's legs and feet.

The scoop stretcher (or clamshell, Roberson orthopedic stretcher, or just scoop) is a device used specifically for casualty lifting. It is most frequently used to lift supine patients from the ground, either due to unconsciousness or in order to maintain stability in the case of trauma, especially spinal injury, where it is used as an intermediate step between the ground and a restraining device such as a long spine board or vacuum mattress.

A scoop stretcher has a structure that can be split vertically into two parts, with shaped 'blades' towards the centre which can be brought together underneath a patient. The two halves are placed separately either side of the patient, and then brought together until securing clips at the top and bottom both engage.[1]

Top: putting the scoop stretcher; middle: casualty lifting with five team members (one is pushing the normal stretcher); bottom: view from below)

Scoop stretchers reduce the chance of undesirable movement of injured areas during transfer of a trauma patient, as they maintain the patient in a supine alignment during transfer to a stretcher, vacuum mattress or long spine board). They are more comfortable than a long spine board for transport.[2]

The scoop stretcher can be used for patient transport, provided the patient is strapped. However, the ninth edition of the ATLS Student Course Manual advises against using scoop stretchers for patient transport.[3] For comfort and safety reasons, it is recommended to transfer the patient to a vacuum mattress instead, in which case the scoop stretcher is put on the transport device and then opened.[4]

The scoop stretcher is part of the origin of the term "stoop and scoop", or "stay and play". "Stoop and scoop" suggests a scenario in which prompt transport to a hospital is demanded, while a situation in which there is time to provide care on scene may be considered a "stay and play" scenario.

References[edit]

  1. ^ "Scoop Stretcher Application". Prehospital Spinal Care. Emergency Technologies. Retrieved 25 May 2011. 
  2. ^ Ahn, H; Singh, J; Nathens, A; MacDonald, RD; Travers, A; Tallon, J; Fehlings, MG; Yee, A (Aug 2011). "Pre-hospital care management of a potential spinal cord injured patient: a systematic review of the literature and evidence-based guidelines.". Journal of neurotrauma 28 (8): 1341–61. doi:10.1089/neu.2009.1168. PMC 3143405. PMID 20175667. 
  3. ^ Advanced Trauma Life Support® Student Course Manual (9th ed.). Chicago: American College of Surgeons. 2012. p. 204. ISBN 978-1-880696-02-6. 
  4. ^ Morrissey, J (Mar 2013). "Spinal immobilization. Time for a change.". JEMS : a journal of emergency medical services 38 (3): 28–30, 32–6, 38–9. PMID 23717917.