EA015875B1 - Resuscitation ambulance - Google Patents

Abstract

The invention relates to resuscitation ambulances, intensive medical care units and other medical facilities. The object of the invention is to deliver effective medical aid, including surgical operations, if needed, as well as an increase in the number of transported bed patients and walking cases (seating patients), and also a decrease in the number of lethal cases if the scene of an accident is located at a distance from stationary medical treatment facilities. Mobile intensive care unit (Fig.8) includes a cabin, a body 4 with doors and general lighting provisions 7, 8. Herewith, the body is manufactured in such a way that it is possible to place at least one stretcher there; the body is fitted with shelves 9 for storage of medical equipment and tools, and also equipped with a stretcher carriage 10 that moves transverse to the body and is designed for reception and placement of the stretcher. Apart from that, minimum one seat for medical personnel and at least one transformable device 18 is provided. It can be operated in two fixed positions providing seating arrangement for the patients and providing a support for the stretcher. Herewith, the transformable device can also be arranged in the third fixed position with a formation of a table with the help of a trapezoid-shaped fixed frame and a trapezoid-shaped swivel frame, interconnected with one another by hinged joints. On the one side of the trapezoid frame a seating arrangement for patients is fixed, on the other adjacent side there is a joint connection for swivel and non-swivel halves of the table; as well as collapsible supports with fixing arrangement located in the bottom part of a non-swivel half of the table and a shelf with a plane of the table stabilization device located in its upper part. The table can be used for medical surgical operations. In body 4 it is possible to place an additional transformable device that can be operated in two fixed positions, thus providing backrest of seating arrangement for patients and providing a support for the stretcher. It is desirable that at least one pair of swivel brackets with supports for stretcher placement should be mounted over the transformable device and/or the shelves in the upper part of the body 4. Apart from that, on the sides of the shelves it is reasonable to fix 2 swivel stretcher supports with the help of hinge joints. Herewith, the stretcher wheeled carriage should have telescopic bars with swivel axes with another pair of stretcher supports fixed on them.

Description

The invention relates to resuscitation vehicles, ambulances and medical devices of vehicles.

Currently operating a huge number of resuscitation vehicles and ambulances.

For example, a car [1] based on the RAF and UAZ chassis with a body, equipped with rear and side doors and a top hatch, racks for placing medical equipment, is known. At the same time, a stretcher carriage is located longitudinally to the body, as well as front and side seats and fixtures are fixed on the ceiling.

With the help of such cars, emergency medical care is provided, consisting in the fact that the resuscitation vehicle arrives with medical personnel at the location of the patient or victim, who is placed on a stretcher and brought into the resuscitation vehicle, during which they provide medical assistance to the patient or victim using resuscitation medical equipment and instruments.

Famous ambulances are intended for transportation accompanied by medical personnel of only one patient on a stretcher installed on the carriage receiving device. At the same time, medical personnel are located on the front and side seats. Such cars and the associated method of emergency medical care are unsuitable for use in emergency situations (as a result of natural disasters, accidents, terrorist attacks, military operations), when there is a need for the delivery of two or more sick or injured and when it becomes necessary to provide them emergency medical care at the scene of the incident, until the provision of qualified care in medical institutions.

The closest to the problem of eliminating the above disadvantages is the resuscitation vehicle [2], as well as the associated method of emergency medical care, selected for the prototype of the invention.

The resuscitation vehicle of the prototype [2] contains a cabin and a body, which is equipped with a retractable door on the right side and a double-leaf door at the rear. A hatch is made on the roof of the body, which serves for additional illumination of the passenger compartment. In this case, the main lighting is carried out by fixtures mounted on the ceiling of the body. On the left side of the body there is a rack for accommodating various medical equipment. In front of the body there is a seat and a chair for medical staff. On its starboard side, front and rear side seats are placed sequentially along the car, and a carriage for the main stretcher is mounted on the body floor.

The main stretchers are used to accommodate and transport a seriously ill or injured person who is receiving emergency medical care. The side seats are designed to transport sick or injured people who are able to move around. To transport the second patient, deprived of this opportunity, the backs of the side seats recline fully. One back rests on the support, and the other on the lid of the box. The brackets are turned in the transverse direction and additional soft stretchers are mounted on them.

With the help of such vehicles, a method of emergency medical care is provided, namely that the resuscitation vehicle arrives with medical personnel at the location of the sick or injured, while the medical staff determines the number of patients or victims who need emergency medical care in a medical facility, after which with the help of a stretcher, a seriously ill (injured) person is brought into the resuscitation vehicle and, if necessary, a maximum of two patients capable of movement are seated they can be seated on the seat of a transformable device or placed on a stretcher of another seriously ill (injured) support of this transformable device, while during the movement of the resuscitation vehicle they provide medical assistance to the transported patients using medical equipment and tools located in the resuscitation vehicle.

The disadvantage of the resuscitation vehicle described above, selected as a prototype [2], and the method of implementing emergency medical care with its use is the low versatility of using such a resuscitation vehicle and method due to the fact that the transformed device has only two changing positions of the side seats for two Patients or supports for extra stretchers. This limits the ability of the resuscitation vehicle to transport more victims (over two) to a medical facility. In addition, although the technical solution allows providing emergency assistance to patients (victims) on a stretcher, it does not provide qualified assistance at the scene of the incident, due to the lack of an operating table in the transported device.

These shortcomings lead to unjustified loss of life and the quality of their health due to the failure to provide them with timely medical care.

The solution to this problem is very relevant and the objective of the invention is the ability to provide effective medical care and ensure the provision of surgical intervention

- 1 015875 wa, if necessary, at the scene of the accident to prevent fatalities if the scene of the incident is significantly removed from medical facilities, as well as an increase in the number of bedridden people transported and with the ability to move (sedentary) and the possibility of adjusting the number of lying or sitting places, depending from the current situation at the scene due to transformable equipment.

This will allow, which is very important, to avoid in most cases the loss of human lives and reduce the consequences of harm to health in cases of various accidents and incidents. At present, healthcare organizations have to deal with certain difficulties: the lack of a large number of ambulances to provide general medical care and operational rescue in various regions.

Using the proposed device and method of providing emergency medical care at the scene, for example, during sabotage, accidents, military operations and disasters, will not only save lives, but also, paradoxically, reduce large financial costs due to the possibility of transportation a large number of injured by one car, instead of carrying out for these purposes the maintenance and service of many ambulances.

The problem for the invention is solved by the fact that a resuscitation vehicle comprising a cab, a body with doors and a general lighting device, while the body is configured to accommodate at least one stretcher, racks for storing medical equipment and instruments, as well as moving across carriage bodies for receiving and arranging a stretcher; in addition, at least one seat for medical personnel, as well as at least one transformable device with the possibility of creating The use of two of its fixed positions with the formation of seats for the victims and with the formation of support for a stretcher has distinctive features: the transformable device is configured to create a third fixed position with the formation of a table for first aid and / or for emergency surgery.

This will make it possible to provide effective medical care and ensure that surgical intervention is carried out, if necessary, at the scene of the accident to prevent deaths with a significant removal of the scene from medical facilities. At the same time, various layout options for seating and lying down seats will be provided.

The following implementation of the structural elements of the resuscitation vehicle for extreme situations is recommended:

the transformable device is made of pivotally fixed and rotary frames in the form of trapeziums, while on one side of the trapezoid of the rotary frame there is a patient seat, and on the other adjacent side of this trapezoid, the rotary and non-rotary halves of the table are articulated to each other, as well as attached folding supports with a mechanism for their fixation and a shelf attached to its top with a device for stabilizing the table plane are attached to the bottom of the non-rotating half of the table;

the folding supports are equipped with a threaded locking sleeve with the possibility of optionally installing the folding supports in the working position or in the folded horizontal position with closing or releasing the swivel located inside the locking sleeve;

folding supports are located with the possibility of contact at one end with the support of the frame, and the other with the bottom of the non-rotating half of the table;

the stabilization device of the table plane is made in the form of a latch of its shelf with the possibility of placing a medical instrument, while the latch is installed in the housing with the possibility of fixing the table with its latch;

the rotary and fixed frames are provided with stiffeners, the length of the stiffening ribs of the fixed frame equal to or less than the length of the stiffening ribs of the rotary frame;

the table is made with the possibility of surgical operations;

an additional transformable device is placed in the body, made with the possibility of creating two of its fixed positions with the formation of a back for the seats of the victims and with the formation of a support for the stretcher;

at least one pair of swivel arms with supports for placing a stretcher is fixed in the upper part of the body above the transformable device and / or above the racks, in addition, two hinge supports for the stretcher are hinged on the sides of the racks and the carriage is equipped with telescopic rods with rotary axes, which secured another pair of supports for stretchers;

the victim’s seats in the fixed position of the transformable device are formed with the possibility of the location of the victims facing the carriage and the medical staff;

supports for stretchers are equipped with elastic elements, as well as devices for fixing the stretcher; additional transformable device is made in the form of articulated between

- 2 015875 of the upper and lower bases, the upper of which is also pivotally mounted in the body, and in the bottom of the bottom there is a support bracket;

local lighting devices with the possibility of their articulation are located in the body;

inside the fixed frame of the transformable device there is a device for maintaining the necessary ventilation-thermal regime inside the body;

a heating element is installed in the support base of the stretcher, and / or in the chair, and / or in the chair, and / or in the transformable and additional transformable device, which is equipped with a plug for connecting it to the cord plug from the power supply system of the resuscitation vehicle.

The invention is illustrated by illustrations.

In FIG. 1 shows a plan view of a resuscitation vehicle according to one of its embodiments using one pair of upper rotary arms for stretchers;

in FIG. 2 is a rear view of FIG. 1 with the position of the transformable device to form a place for victims;

in FIG. 3 is the same as in FIG. 2, but with the position of the transformable table forming apparatus;

in FIG. 4 is a plan view of the resuscitation vehicle of FIG. 3;

in FIG. 5 is the same as in FIG. 3, but with maximum use of supports for additional stretchers;

in FIG. 6 is the same as in FIG. 2, but in another embodiment of a resuscitation vehicle using two pairs of upper stretcher support arms;

in FIG. 7 is a plan view of FIG. 6;

in FIG. 8 is the same as in FIG. 3, but using two pairs of upper swivel arms;

in FIG. 9 is a plan view of FIG. 8;

in FIG. 10 is the same as in FIG. 5, but using two pairs of upper rotary arms for stretchers;

in FIG. 11 is a view A of FIG. 3;

in FIG. 12 is a view B of FIG. 3.

The resuscitation vehicle contains (Fig. 1, 4, 7, 9) a cab 1 with driver's seats 2 and medical staff seats 3, as well as a body 4 with rear and side doors 5, 6. Side doors 6 in the shown embodiment are located on the right side of the resuscitation car in the direction of its movement forward.

On the ceiling (Fig. 2, 3, 5, 6, 8, 10) of the body 4 there is a general lighting device consisting of a transparent hatch 7 and a series of electric light shades 8.

In the body 4 there are racks 9 for storing medical equipment and instruments, as well as a carriage 10, which is moved across the body 4 (shown in dashed lines), on which the main stretchers 11 are mounted.

In the body 4, a chair 12 and a chair 13 for medical staff are also located (in Figs. 1, 4, 7, 9 shown in dashed lines). They are in the folded position (as shown by solid lines) mounted on the front wall of the body 4.

Near the shelves 9 are fixed elastic support, for example belts 14, additional stretchers 15. Depending on the volume of the body 4, there may be a different number, for example six, as shown. In the supporting base 16 of the stretcher 11 and the additional stretcher 15, a heating element (not shown) is installed, which is equipped with a plug 17 for connecting it to a cord plug (not shown) from the power supply system (not shown) of the resuscitation vehicle.

The convertible device 18 is also located in the body 4 with the formation of a passage between it and the carriage 10. The transformable device 18 is configured to install three fixed positions. In the first position, a seat can be formed for the injured (Fig. 1, 2, 6, 7). In the second position - the operating table (Fig. 3, 4, 8, 9) and in the third position - the support for any of the additional stretchers 15 (Fig. 5 and 10).

The transformable device 18 is made of pivotally fixed and rotary frames 19, 20 in the form of trapezoidal joints. At the same time, on one side of the trapezoid of the rotary frame 20, a seat 21 is fixed for the injured, and on the other adjacent side of this trapezoid, the rotatable and non-rotatable halves 22, 23 of the table 24 are pivotally connected (Fig. 3, 4, 8, 9), and the folding supports 25 with the mechanism 26 for their fixation attached to the bottom of the non-rotating half 23 of the table 24 and the shelf 27 attached to its top for the location of medical instruments (not shown). The locking mechanism 26 is made in the form of a threaded locking sleeve (not shown) with the possibility of optionally installing folding supports 24 in the working position (Fig. 3) or in the folded horizontal position (Fig. 2) with closing or releasing the articulated threaded locking sleeve connections (not shown).

According to the first embodiment of the resuscitation vehicle (Fig. 1-5), an additional transformable device 28 may be located above the transformable device 18, and according to the second

- 3 015875 variant (Fig. 2-10) - a pair of rotary brackets 29 with the possibility of forming support for any of the additional stretchers 15. In both versions, the exact same pair of rotary brackets 29 is located above the rack 9.

The additional transformable device 28 (Fig. 1-5) is made in the form of an upper and lower base 30, 31. The upper base 30 is pivotally mounted in the body 4, on which the lower base 31 is removably fixed. A support bracket 32 is located in the bottom of the upper base. As a result it is possible to form a back (Fig. 1, 2) for the patient’s seat and it is possible to create a place (Fig. 5) for the location of medical instruments and equipment (not shown), and it is also possible to form (Fig. 5) supports for any of the additional stretchers 15 .

According to the second embodiment of the resuscitation vehicle (Fig. 6-10), the upper and lower bases 30, 31 are not fastened together and are located with a removable mount (not shown) to the body and can be retracted downward behind the fixed frame 19 (Fig. 8).

In both versions, the support cushion 32 is also used (Fig. 2, 3, 5, 6, 8, 10), located depending on the use of additional stretchers 15 or on the transformable device 18 (Fig. 2, 5, 6, 10) or on an additional transformable device 28 (Fig. 3), or behind its fixed frame 19 together with the lower base 31 (Fig. 8).

The heating element (not shown) mentioned above, located inside the support base 16 of the stretcher 11 and 15 with the plug 17 and the same power supply, can also be integrated (not shown) in the chair 12, chair 13 and elements 21, 30-32 of the transformed devices 18 and 28.

On the sides of the racks 9, one additional pair of pivoting brackets 33 is pivotally fixed, and in the telescopic rods 34 of the carriage 10 there is another additional pair of pivoting brackets 35 with the possibility of forming two supports for any of the additional stretchers 15. The telescopic rods 34 of the carriage 10 are equipped with latches 36 for their position. Also on the body 4 is fixed a pair of latches 37 (Fig. 5) to hold additional stretchers 15 located on an additional transformable device 28.

In all the swivel brackets 29, 33 and 35 (Fig. 5, 10), sockets 38 are made with elastic liners 39 and clips 40 for securely fastening the arms of any of the stretchers 15.

In the body 4 are also located (Fig. 2, 5, 6, 8-10) local lighting devices 41 with the possibility of their articulation on the swivel arms 29, the support bracket 32 (Fig. 3) of the bottom of the lower base 30 of the additional transformable device 28 and shelf 27 (Fig. 3) (not shown).

Inside the fixed frame 19 of the transformable device 18, a device 42 may be located (Fig. 2, 3) for maintaining the necessary ventilation-thermal regime inside the body 4.

Perhaps the following implementation of some elements of the transformable device 18.

The stabilization device of the plane of the table 24 is made in the form of latches 43 of its rotary half 23, while the latches 43 are mounted movably in their bodies 44, mounted on the fixed half 22 of the table 24 with the possibility of their locking latch 45 on the rotary half of the table 23.

The pivoting and fixed frames of the transformable device 18 are provided with stiffeners 45 and 46 corresponding to them, and the length of the stiffeners 45 is equal to or less than the length of the stiffeners 46.

For ease of location on the seat 21 between it and the lower base 31 of the additional transformable device 28 mounted support 47.

Apply a resuscitation vehicle as follows.

On a call from the scene, a sanitary team is completed with the necessary medical specialists, placed on the seats 3 of the cab 1 and, if necessary, on the chair 12, chair 13 or even on the seat 21 (Fig. 1, 2, 6, 7) for patients. Shelves 9 are also filled with necessary medical equipment and tools.

Upon arrival at the scene, the sanitary team, having assessed the consequences of such an accident according to the number of victims and their condition, manipulates the transformed and additional transformed devices 18 and 28, as well as the main stretcher 11, additional stretchers 15, telescopic rods 34 and rotary arms 35 of the carriage 10, pivoting brackets 29 and other elements. Then a certain number of victims are loaded, which can be located in a sitting position on the seat 21, as well as on the main stretcher 11 or additional stretcher 15.

The following are examples of this arrangement.

Example 1. There is one seriously injured, which on the main stretcher 11 is placed on the carriage 10, and four lightly wounded, who are seated on the seat 21. In this case, do not use additional stretchers 15 (Fig. 1, 2).

If urgent surgery is necessary, the lightly wounded are transferred to the seat 3 in the cabin and / or on the chair 12 and in the chair 13, and the carriage 10 is pushed back and fixed to the extreme position next to the racks 9 (Fig. 3, 8).

- 4 015875

Further, for the variant with the additional transformable device 28 (Fig. 3, 4), raise its upper and lower bases 30, 31 upwards, folding them with fixation by the support pad 32 and focusing on the body on the support bracket 32. For the option without the presence in the intensive care unit the vehicle of the additional transformable device (Fig. 8, 9), the lower base 31 and the support pillow 32 are removed from the body 4 and lowered into the gap between it and the fixed frame 19 of the transformable device 18.

Then the rotary frame 20 of the transformable device 18 is lifted up, the shelf 27, the halves 22 and 23 of the table 24 are laid out, fixing its deployed position with the help of folding supports 25 with an emphasis on the floor of the body 4, as well as using the mechanism 26 for fixing these supports. On shelf 27, the necessary medical instruments and other small accessories are laid out. In the embodiment with the use of an additional transforming device 28, on its lower base 31 (Fig. 3), in addition to medical instruments, the necessary medical equipment is also removed from the shelves 9. In both cases, the lighting is adjusted by adjusting the light intensity of the electric lights 8, as well as adjusting the position and light intensity of local lighting and quartzing devices 41 or a similar device (not shown) pre-installed on shelf 27.

After that, the seriously wounded are transferred from the main stretcher 11 to the unfolded table 24 with the fixation of the seriously wounded if necessary and emergency surgery is performed.

Example 2. There is a need to transport seven non-moving patients. Along with the main stretcher 11, all additional stretchers 15 are used. The lower and upper bases 31, 30 of the additional transformable device 28 are moved upward with its fixation against the body 4 using the support bracket 32 (Fig. 5) or the swivel arms 29 are deployed over the device 18 (Fig. 10).

In both cases, the swivel arms 29 are deployed over the racks 9, the swivel arms 33 from their sides, telescopic rods 35 are extended and fixed in the raised position and the arms 35 are turned parallel to the arms 33. In addition, the carriage 10 is moved and fixed in the extreme position near the device 18 .

Then, on the main and additional stretchers 11, 15 patients are transferred to the body 4. In this case, first the main stretchers 11 with the patient are mounted on the support 10, and one of the additional stretchers 15 with the patient is mounted on the support in the form of a seat 2. Then the arms of the additional stretchers are successively laid. 15 with victims in the slots 38 of the swivel brackets 29 and swivel brackets 33, 35, fixing these handles against displacement on the elastic liners 39 with fixing with clamps 40. After that, installing on the floor under the space between the racks 9 and the carriage 10 additional stretchers 15 with the last injured. If necessary, if lightly injured are available, then they are placed in a chair 13 and / or on a chair 12. Thus, in this last mentioned embodiment of the application of a resuscitation vehicle, a maximum of lying victims can be transported in the back with service personnel.

In the described examples, on the formed table of the transformed device 18, medical assistance is possible both in the form of non-surgical intervention (treatment of wounds, dressing, application of gypsum and other first-aid measures), and in the form of emergency surgical intervention.

The application of the invention is not limited to the above options for filling the body of a resuscitation vehicle.

In all cases, the necessary microclimate inside the body 4 is installed using the device 42 (Fig. 2, 3), which supports the necessary ventilation-thermal regime. In the cold season, with the help of a heating element (not shown) inside the supporting base 16 of the stretcher 11 and 15, chair 12, chair 13 and elements 21, 30-32 of the transformed devices 18 and 28, a comfortable condition for the injured and attendant medical personnel is ensured.

The use of the invention will improve the efficiency and quality of emergency medical care in cases of a large number of victims.

The use of the proposed device at the scene of a large number of victims of accidents, sabotage, military operations, disasters and other incidents, in addition to saving lives if necessary surgical intervention, will, as already indicated, paradoxically, also reduce large financial costs due to the possibility of transporting a large number of victims with one car, which reduces the cost of acquiring, maintaining and maintaining several cars Ile ambulance, as their functions are performed by one car.

In addition, it is economically disadvantageous to maintain and concentrate a large number of cars in one place for emergency medical care, along with general medical care.

And no additional costs for re-equipment in the production of resuscitation vehicles for extreme situations or bureaucratic delays can not justify the price

- 5 015875 human lives or maintaining health as a result of the lack of the ability to provide effective qualified operational medical care.

Therefore, it is proposed that district substations, along with ordinary resuscitation vehicles and ambulances, use several vehicles according to the utility model described above for emergency situations to provide assistance both in the service area of these substations and, if necessary, in the entire city or country in emergency situations.

Information sources

1. Ambulance TAM-RO-RAF. Prospect TAMRO ambulances - access to the NATI technical library, Moscow, bibl. No. K-43, 1990

2. Patent VI 2081763 C1, IPC B60P 3/00, A616 3/00, B60X 2/34, priority 03.02.1994, published on 06.20.97 in bull. No. 17 (prototype).

Claims (15)

CLAIM 1. A resuscitation vehicle containing a cabin, a body with doors and a general lighting device, while the body is designed to accommodate at least one stretcher and shelves near its walls for storing medical equipment and tools, as well as fixed in the body floor guides and the carriage moved along them across the body for receiving and positioning the stretcher, in addition, there is at least one seat for medical personnel in the body, and also at least one convertible mouth on the floor of the body Arrangement with the possibility of creating its fixed position with the formation of seats for the injured, characterized in that the transformable device is made of fixed and pivotally hinged skeletons in the form of a trapezium, while on one side of the trapezium of the rotary cage a seat for patients is fixed, and on the other the adjacent side of this trapezium is the hinged and non-swiveling halves of the table, which are also hinged and the folding hinges attached to the bottom of the swiveling half of the table. s to generate by means of an additional locking mechanism fixed position transformable device, wherein the possible formation section for first aid and / or for emergency surgery. 2. Vehicle according to claim 1, characterized in that a shelf with a device for stabilizing the plane of the table is attached to the top of the fixed half of the table. 3. The car according to claim 2, characterized in that the device for stabilizing the plane of the table is made in the form of clamps of its rotary half, while the clamps are installed movably in their housings fixed on the non-rotary half of the table with the possibility of their locking by the latch on the rotary half of the table. 4. Vehicle according to claim 2, characterized in that the folding supports are provided with a threaded locking sleeve with the possibility of selectively ensuring their installation in the working or folded horizontal position by fixing or unlocking the hinged joint located inside it. 5. Vehicle according to claim 2, characterized in that the folding supports are located with the possibility of contacting one end with the support of the frame, and the other with the bottom of the non-rotary half of the table. 6. Vehicle according to claim 2, characterized in that the swivel and fixed frames are provided with stiffening ribs, the stiffening ribs of the fixed hull being equal to or less than the stiffening ribs of the swiveling skeleton. 7. Vehicle according to claim 1, characterized in that the table is adapted to perform surgical operations. 8. Vehicle according to claim 1, characterized in that an additional transformable device is placed in the body, capable of creating two of its fixed positions with the formation of a back for the seats of the injured and with the formation of a support for the stretchers. 9. Vehicle according to claim 1, characterized in that in the upper part of the body, above the transformable device and / or above the racks, at least one pair of pivoting brackets with supports for accommodating the stretcher is fixed, besides, two sides are articulated from the sides of the racks The hinge supports for the stretcher and the carriage are equipped with telescopic rods with swivel axes, on which another pair of supports for the stretcher is fixed. 10. Vehicle according to claim 1, characterized in that the seats for the injured in the fixed position of the transformable device are formed with the possibility of locating the injured person to the carriage and to the medical personnel. 11. Car according to any one of claims 1 or 9, characterized in that the supports for the stretchers are provided with elastic elements, as well as devices for fixing the stretchers. 12. Vehicle according to claim 8, characterized in that the additional transformable device is made in the form of an upper and lower base pivotally fastened to each other, the upper of which - 6 015875 is also hinged in the body, and a support bracket is located in the bottom of the bottom. 13. Vehicle according to claim 1, characterized in that local illumination devices are located in the body with the possibility of hinging. 14. Vehicle according to claim 2, characterized in that inside the fixed frame of the transformable device there is a device for maintaining the necessary ventilation-thermal regime inside the body. 15. Car according to any one of claims 1, or 2, or 8, or 9, characterized in that a heating element is built into the supporting base of the stretcher and / or in the seat for medical personnel and / or into a transformable and optional transformable device which is equipped with a plug for connecting it to the cord plug from the power supply system of the resuscitation vehicle.