Pre-hospital transfer device for multiple wounded patients
Technical Field
The utility model belongs to the technical field of medical facilities, and particularly relates to a pre-hospital transfer device for a patient with multiple injuries.
Background
Multiple injuries are injuries that, under the action of the same injury-inducing factor, cause trauma to two or more anatomical parts or organs of the body, wherein at least one injury may be life threatening. Multiple injuries are different from multiple injuries, the former being that more than two anatomical parts or organs are severely wounded, the latter being that more than two injuries are made in the same part or organ. Common traffic accidents, explosive accidents, mine accidents, falling off from high altitude and the like, and a plurality of injuries can occur to some patients when the patients fall off from the bicycle on the flat ground. The patient needs to be subjected to admission diagnosis and treatment after a plurality of injuries and accidents, and needs to be transferred before admission, and some facilities for assisting transfer are needed.
As described above, many characteristics of multiple injuries generally require that patients be transferred to hospitals in a relatively fixed posture and receive treatment by an inspection machine, and should be moved as little as possible during pre-hospital transfer to avoid further expansion of injuries, so that auxiliary transfer facilities need to provide good fixing effects for patients, and should have certain portability, adjustability and expansibility to improve convenience of operation and use and reduce operation burden of medical staff. The existing pre-hospital transfer device is usually a stretcher, has no good limb fixing function on patients, has poor adaptability for use of the existing pre-hospital transfer device for different patients and multiple injuries of different degrees, and has heavy operation burden for medical staff.
Disclosure of utility model
The utility model aims to provide a pre-hospital transfer device for a patient with multiple injuries, which improves the fixing effect on limbs of the patient, has the adaptability adjusting function required by different patients and different illness states, and reduces the operation burden of medical staff.
The technical scheme includes that the pre-hospital transfer device for the multiple injury patients comprises a bottom frame formed by two opposite side supporting beams and connecting beams positioned between the side supporting beams, a body supporting plate is fixedly arranged on the bottom frame, a shoulder supporting plate is connected to the front portion of the body supporting plate through hinges, a supporting component is arranged between the body supporting plate and the bottom of the shoulder supporting plate, a head supporting plate is arranged at the front portion of the shoulder supporting plate, a telescopic component is arranged between the shoulder supporting plate and the bottom of the head supporting plate, a chest fixing belt and an abdomen fixing belt are arranged on the body supporting plate, a headrest is arranged on the head supporting plate, the two side supporting beams are all C-shaped sections and open outwards, arm fixing components which can be telescopically adjusted and can be folded into grooves of the side supporting beams are arranged on two sides of the front portion of the bottom frame, and leg fixing components which can be telescopically adjusted and can be folded into grooves of the side supporting beams are arranged on two sides of the rear portion of the bottom frame.
Preferably, the arm fixing assembly comprises a first sleeve and a first telescopic rod inserted in the first sleeve, the root of the first sleeve is hinged with the side supporting beam through a first pin shaft, a first track is arranged at the top of the first sleeve, a first base plate is arranged on the first track, the outer end of the first telescopic rod is fixedly connected with the outer end of the first base plate, an arm fixing belt is arranged on the first base plate, and a first locking screw used for limiting the position of the first telescopic rod is also arranged on the side wall of the first sleeve.
Preferably, the leg fixing assembly comprises a second sleeve and a second telescopic rod inserted in the second sleeve, the root of the second sleeve is hinged with the side supporting beam through a second pin shaft, a second track is arranged at the top of the second sleeve, a second base plate is arranged on the second track, the outer end of the second telescopic rod is fixedly connected with the outer end of the second base plate, a leg fixing belt is arranged on the second base plate, and a second locking screw used for limiting the position of the second telescopic rod is also arranged on the side wall of the second sleeve.
Preferably, a vertical foot pad is further provided at the outer end of the second base plate, and a foot fixing strap is provided on the foot pad.
Preferably, a front strip-shaped hole is formed in the front portion of the bottom of the side support beam, a rear strip-shaped hole is formed in the rear portion of the bottom, the first pin shaft of the arm fixing assembly is located in the front strip-shaped hole, and the second pin shaft of the leg fixing assembly is located in the rear strip-shaped hole.
Preferably, front guide rails are arranged on two sides of the front strip-shaped hole, a first moving plate is arranged at the bottom of the root of the first sleeve and is positioned between the front guide rails, rear guide rails are arranged on two sides of the rear strip-shaped hole, and a second moving plate is arranged at the bottom of the root of the second sleeve and is positioned between the rear guide rails.
Preferably, the support assembly comprises a first connecting seat arranged at the front part of the bottom of the body support plate and a second connecting seat arranged at the bottom of the shoulder support plate, support rods with external threads at the ends are hinged on the first connecting seat and the second connecting seat, and the support assembly further comprises a connecting sleeve with internal threads at the two ends, and the connecting sleeve is in threaded connection with the two support rods.
Preferably, the telescopic assembly comprises a left shoulder sleeve and a right shoulder sleeve which are positioned at the bottom of the shoulder supporting plate, a left head sleeve and a right head sleeve which are positioned at the bottom of the head supporting plate, a telescopic shaft rod is arranged in the head sleeve, the rear ends of the two telescopic shaft rods are respectively positioned in the two shoulder sleeves, and a limit screw used for limiting the position of the telescopic shaft rod is further arranged on the side wall of the shoulder sleeve.
The utility model has the advantages and positive effects that:
The utility model provides a pre-hospital transfer device for a patient with multiple injuries, which has reasonable structural design, and compared with the prior pre-hospital transfer device, the pre-hospital transfer device provided by the utility model allows the patient to transfer in a lying posture, supports and limits the head of the patient by arranging a headrest, fixes the arms and the legs of the patient by arranging two arm fixing assemblies and two leg fixing assemblies, and fixes the chest and the abdomen of the patient by arranging chest fixing belts and abdomen fixing belts on a body supporting plate.
The shoulder support plate and the body support plate are hinged, the support assembly is arranged, the height of the shoulder and the head of a patient can be adjusted, and the telescopic assembly is arranged between the shoulder support plate and the head support plate, so that the position of the headrest can be adjusted to enable the headrest to move below the head of the patient. The two arm fixing assemblies, the two leg fixing assemblies and the underframe are hinged, so that the unfolding states of the arm fixing assemblies and the two leg fixing assemblies can be adjusted, and the limbs of a patient are unfolded and fixed in a proper state, so that the device has the adaptability adjusting function required for different patients and different illness states.
The pre-hospital transfer device is convenient for medical staff to operate, before a patient is not accepted, the arm fixing assembly and the leg fixing assembly can be completely folded into the groove of the side supporting beam, and the shoulder supporting plate and the head supporting plate can be folded together with the body supporting plate by disassembling the supporting assembly, so that occupied volume is reduced, the pre-hospital transfer device is convenient to store in an ambulance, and the pre-hospital transfer device can be unfolded to a use state through convenient operation when reaching a treatment site, so that the operation burden of medical staff is reduced.
Drawings
FIG. 1 is a schematic view of the upper viewing angle structure of the present utility model;
FIG. 2 is a schematic view of the lower view structure of the present utility model;
FIG. 3 is a schematic view of the arm fixing assembly of FIG. 1;
fig. 4 is a schematic view of the leg fixing assembly of fig. 1.
In the figure:
1. Headrest, 2, head support plate, 3, shoulder support plate, 4, hinge, 5, arm fixation assembly, 5-1, first moving plate, 5-2, first pin, 5-3, first sleeve, 5-4, first rail, 5-5, first base plate, 5-6, first locking screw, 5-7, first telescopic rod, 5-8, arm fixation strap, 6, front guide rail, 7, front bar hole, 8, side support beam, 9, rear bar hole, 10, rear guide rail, 11, chest fixation strap, 12, body support plate, 13, abdomen fixation strap, 14, leg fixation assembly, 14-1, second moving plate, 14-2, second pin, 14-3, second sleeve, 14-4, second locking screw, 14-5, second rail, 14-6, second base plate, 14-7, leg fixation strap, 14-8, second telescopic rod, 14-9, fixation strap, 14-10, foot support plate, 15, connection beam, 17, support assembly, foot support assembly.
Detailed Description
In order to further understand the summary, features and advantages of the present utility model, the following examples are set forth in detail.
Referring to fig. 1 and 2, the pre-hospital transfer device for multiple trauma patients of the present utility model includes a bottom frame composed of two opposite side support beams 8 and a connection beam 15 between the side support beams 8, and a body support plate 12 is mounted and fixed on the bottom frame. The chassis is used as the main support, as shown in the figure, all welded fastening between the both ends of tie-beam 15 and lateral part supporting beam 8, and two lateral part supporting beams 8 are C section bar and opening outside, and under the general circumstances, lateral part supporting beam 8 and tie-beam 15 can select to be the aluminum alloy section bar of lightweight, reduce overall weight as far as possible on the basis of guaranteeing sufficient structural strength.
A shoulder support plate 3 is connected to the front of the torso support plate 12 using a hinge 4 and a support assembly 17 is provided between the torso support plate 12 and the bottom of the shoulder support plate 3. In Figs. 1 and 2, which show the use of the shoulder support plate 3 fully supported, the patient's body is positioned on the body support plate 12 and the patient's shoulder is positioned on the shoulder support plate 3 when the patient is transferred to the pre-hospital transfer device.
In this embodiment, the support assembly 17 includes a first connecting seat installed at the front part of the bottom of the body support plate 12 and a second connecting seat installed at the bottom of the shoulder support plate 3, support rods with external threads at the ends are hinged on the first connecting seat and the second connecting seat, and a connecting sleeve with internal threads at the two ends is further included, and the connecting sleeve is in threaded connection with the two support rods. When the connecting sleeve is used, the connecting sleeve is combined with the two support rods, at the moment, the shoulder support plate 3 is supported, and the spiral directions of the two groups of threads are opposite, so that when the connecting sleeve is rotated, the two support rods can synchronously move in opposite directions or back to back, and the distance between the two support rods is reduced or increased, thereby realizing the adjustment of the angle between the shoulder support plate 3 and the body support plate 12 and realizing the pitching adjustment of the shoulders and the heads of patients.
When the connection sleeve and the support rod are disconnected, the support assembly 17 is disconnected from the middle, and the shoulder support plate 3 and the accessory parts thereof can be turned upwards and folded until the shoulder support plate 3 and the body support plate 12 are overlapped, so that the size of the transfer device in front of the hospital can be reduced in a non-use state, and the transfer device is easy to store in an ambulance.
A head support plate 2 is provided at the front of the shoulder support plate 3, a telescopic assembly 16 is provided between the shoulder support plate 3 and the bottom of the head support plate 2, and a headrest 1 is provided on the head support plate 2.
In this embodiment, the telescopic assembly 16 includes two left and right shoulder sleeves located at the bottom of the shoulder supporting plate 3, two left and right head sleeves located at the bottom of the head supporting plate 2, a telescopic shaft rod is disposed in the head sleeves, the rear ends of the two telescopic shaft rods are respectively located in the two shoulder sleeves, and a limit screw for limiting the position of the telescopic shaft rod is further disposed on the side wall of the shoulder sleeve. Thus, the head support plate 2 and the headrest 1 can be displaced back and forth, the distance between the shoulders and the head of different patients is different, and the aforementioned adjusting function can quickly and conveniently adjust the headrest 1 to a position suitable for the head of the patient. The headrest 1 is provided with a groove, and when in use, the head of a patient is sunk into the groove of the headrest 1, so that the head of the patient can be supported and limited.
The chest fixing belt 11 and the abdomen fixing belt 13 are arranged on the body supporting plate 12, as shown in the figure, the chest fixing belt 11 and the abdomen fixing belt 13 respectively comprise two independent elastic belts, the lower ends of the elastic belts are fixedly connected with the body supporting plate 12, quick-connection buckles are arranged between the upper ends of each group of elastic belts, when a patient lies on the body supporting plate 12, the chest fixing belt 11 is embraced at the chest position and is buckled and connected, the abdomen fixing belt 13 is embraced at the abdominal position and is buckled and connected, and the upper position and the lower position of the patient body are fixed.
The arm fixing assemblies 5 which are telescopically adjustable and can be folded into the grooves of the side support beams 8 are mounted on both sides of the front part of the chassis, and the leg fixing assemblies 7 which are telescopically adjustable and can be folded into the grooves of the side support beams 8 are mounted on both sides of the rear part of the chassis. The fully deployed state is shown in fig. 1 and 2, in which the patient's arms and legs can be supported and secured in an extended state.
Referring to fig. 3, it can be seen that:
The arm fixing assembly 5 comprises a first sleeve 5-3 and a first telescopic rod 5-7 inserted in the first sleeve 5-3, the root of the first sleeve 5-3 is hinged with the side supporting beam 8 through a first pin shaft 5-2, so that the whole arm fixing assembly 5 can rotate around the first pin shaft 5-2, the arm fixing assembly is unfolded when rotating to the outside of the profile groove, and the main body part is folded when rotating to the inside of the profile groove.
The top of the first sleeve 5-3 is provided with a first track 5-4, a first base plate 5-5 is arranged on the first track 5-4, the outer end of a first telescopic rod 5-7 is fixedly connected with the outer end of the first base plate 5-5, and an arm fixing belt 5-8 is arranged on the first base plate 5-5. When the first telescopic rod 5-7 moves telescopically in the first sleeve 5-3, the first base plate 5-5 moves translationally on the first rail 5-4. As shown in fig. 3, the cross section of the first base plate 5-5 is in an i-shape, the first rail 5-4 is combined with the sliding groove on the side of the first base plate 5-5, and the first rail 5-4 is arranged to cooperate with the first base plate 5-5 to improve the stability of the first base plate 5-5 during translational movement. The middle part of the arm fixing belt 5-8 is fixedly connected with the first base plate 5-5, quick-connection buckles are arranged at the two ends of the arm fixing belt, and the arm part of a patient falls on the first base plate 5-5 and is fixed to the forearm by adopting the arm fixing belt 5-8.
A first locking screw 5-6 for limiting the position of the first telescopic rod 5-7 is also arranged on the side wall of the first sleeve 5-3, and the first locking screw 5-6 is positioned in a threaded hole arranged on the side wall of the first sleeve 5-3, and the inner end of the first locking screw abuts against the side wall of the first telescopic rod 5-7. The first locking screw 5-6 is loosened during adjustment, and the first locking screw 5-6 is re-screwed after adjustment.
Referring to fig. 3, it can be seen that:
The leg fixing assembly 14 comprises a second sleeve 14-3 and a second telescopic rod 14-8 inserted in the second sleeve 14-3, the root of the second sleeve 14-3 is hinged with the side supporting beam 8 through a second pin 14-2, so that the whole leg fixing assembly 14 can rotate around the second pin 14-2, the leg fixing assembly is unfolded when rotating to the outside of the profile groove, and the main body part is folded when rotating to the inside of the profile groove.
The top of the second sleeve 14-3 is provided with a second track 14-5, a second base plate 14-6 is arranged on the second track 14-5, the outer end of the second telescopic rod 14-8 is fixedly connected with the outer end of the second base plate 14-6, and a leg fixing belt 14-7 is arranged on the second base plate 14-6. The second base plate 14-6 moves translationally on the second track 14-5 as the second telescoping rod 14-8 moves telescopically within the second sleeve 14-3. As shown in fig. 4, the second base plate 14-6 has an i-shaped cross section, and the second rail 14-5 is combined with a sliding groove on the side of the second base plate 14-6, so that the second rail 14-5 and the second base plate 14-6 are matched to improve the stability of the second base plate 14-6 during translational movement. The middle part of the leg fixing strap 14-7 is fixedly connected with the second base plate 14-6, quick-connection buckles are arranged at the two ends, and the leg part of the patient falls on the second base plate 14-6 and is fixed to the lower leg by the leg fixing strap 14-7.
A second locking screw 14-4 for defining the position of the second telescopic rod 14-8 is also mounted on the side wall of the second sleeve 14-3, and the second locking screw 14-4 is positioned in a threaded hole arranged on the side wall of the second sleeve 14-3, and the inner end abuts against the side wall of the second telescopic rod 14-8. The second locking screw 14-4 is loosened during adjustment, and the second locking screw 14-4 is re-tightened after adjustment.
In this embodiment, a vertical foot pad 14-10 is further provided at the outer end of the second base plate 14-6, and a foot fixing strap 14-9 is provided on the foot pad 14-10. The inner end of the foot fixing strap 14-9 is fixedly connected with the foot pad 14-10, the outer end is provided with a quick-connection buckle, and the foot of a patient treads on the foot pad 14-10 and is fixed by adopting the foot fixing strap 14-9.
In this embodiment, a front bar-shaped hole 7 is provided at the front of the bottom of the side support beam 8, a rear bar-shaped hole 9 is provided at the rear of the bottom, the first pin 5-2 of the arm fixing assembly 5 is located in the front bar-shaped hole 7, and the second pin 14-2 of the leg fixing assembly 14 is located in the rear bar-shaped hole 9. The function of the front strip-shaped hole 7 and the rear strip-shaped hole 9 is to enable the connection position between the arm fixing assembly 5 and the leg regulation assembly 14 and the underframe to be adjusted in a back-and-forth displacement manner, so that the arm fixing assembly 5 and the leg regulation assembly 14 can be favorably displaced to the position suitable for the arm and the leg of a patient.
As shown in fig. 2, the lower end of the first pin 5-2 protrudes from the front bar-shaped hole 7, the lower end of the second pin 14-2 protrudes from the rear bar-shaped hole 9, a screw part may be provided at the lower end of the first pin 5-2 and a first locking nut may be installed, a screw part may be provided at the lower end of the second pin 14-2 and a second locking nut (not shown) may be installed, and when the corresponding locking nut is screwed when the shift is adjusted to a proper position, the connection positions of the arm fixing assembly 5 and the leg fixing assembly 14 with the chassis are defined at the current position.
Further, front guide rails 6 are provided on both sides of the front bar-shaped hole 7, a first moving plate 5-1 is provided at the bottom of the root of the first sleeve 5-3 (a first shaft hole is provided at the middle of the first moving plate 5-1 and the first pin 5-2 is located in the first shaft hole) and the first moving plate 5-1 is located between the front guide rails 6, rear guide rails 10 are provided on both sides of the rear bar-shaped hole 9, a second moving plate 14-1 is provided at the bottom of the root of the second sleeve 14-3 (a second shaft hole is provided at the middle of the second moving plate 14-1 and the second pin 14-2 is located in the second shaft hole) and the second moving plate 14-1 is located between the rear guide rails 10. The provision of the front rail 6 and the first moving plate 5-1, the rear rail 10 and the second moving plate 14-1 serves to promote the stability of the displacement adjustment.
The using method comprises the following steps:
In the non-use state, the two arm fixing assemblies 5 are folded back and the main body parts thereof are put into the grooves of the side support beams 8, the two leg fixing assemblies 14 are folded forward and the main body parts thereof are put into the grooves of the side support beams 8, at this time, the arm fixing assemblies 5 and the leg fixing assemblies 14 are in a partially overlapped state on the outer side of the underframe, the support assemblies 17 are disconnected from the middle, the shoulder support plates 3 and the accessory parts thereof are turned upwards until being overlapped back on the body support plates 12, at this time, in a fully folded state, the storage and the transfer are easy to be carried out in an ambulance, for example.
In the use state, the shoulder support plate 3 and the accessory parts thereof are unfolded to be approximately straight with the body support plate 12, the connecting sleeves of the support assemblies 17 are arranged between the two support rods, the two arm fixing assemblies 5 and the two leg fixing assemblies 14 are unfolded outwards, a patient with multiple injuries is transferred to the transfer device, the body of the patient is required to fall on the body support plate 12, the chest fixing belt 11 and the abdomen fixing belt 13 are used for fixing the body in an up-down double-point mode, the head support plate 2 is adjusted to move back and forth according to the position of the head of the patient, the headrest 1 is moved below the head of the patient and the head falls into the grooves on the headrest 1, the arm fixing assemblies 5 and the leg fixing assemblies 14 are moved to be suitable positions and are unfolded to be suitable angles, then the first locking nut and the second locking nut are screwed, the arm fixing assemblies 5 and the leg fixing assemblies 14 are adjusted to stretch out and draw back, the arm of the patient is placed on the arm fixing assemblies 5 and the leg fixing belts 5-8, the legs of the patient are placed on the leg fixing assemblies 14 and the leg fixing belts 14 are used for fixing the leg pads 14 and the feet of the patient are used for fixing the feet of the patient 14-10 and the feet of the patient are fixed on the foot pads 14-10.