Brancardage

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In First aid, the brancardage is the transport of a person on a Brancard. The setting on the stretcher in itself is called raising when the person is wounded except hospital medium (public thoroughfare, residence, public place, work place…), and “translation” in hospital medium (passage of the bed to the stretcher).

The brancardage must be careful in order to avoid the abrupt movements and shocks which could worsen the state of the victim. If it is about a stretcher on wheels, the brancardage can be made by one or two people depending on the state of the patient (required to carry material, to carry out a monitoring during transport). If it is about a bracard carried, the brancardage is done in general to three or four team-members, exceptionally to two.

In hospital medium, the goal of the brancardage is in general to bring a patient of a service towards another, or a room of examination. Except hospital medium, the goal is to bring the victim towards a structure of care if this one is close (Hôpital of countryside, preventive Station rescue) or towards the vehicle of evacuation (Ambulance, Hélicoptère).

General principles

The person in charge of the brancardage must initially carry out a recognition aifin to make sure that the passage is free, and to choose the route according to the difficulties of the ground (narrow doors, rough ground, obstacles to be crossed).

In general, one brancarde head ahead: that makes it possible to the stretcher-bearers to see the face of the patient and thus to supervise it, and that makes it possible to the patient to see a face rather than a corridor or the environment of the accident in addition, on the level symbolic system, the brancardage the feet in front of evokes the transport of the Mort S. However, for practical reasons, one can have to transport the feet ahead (in particular if it is necessary to ensure a artificial Ventilation).

The movements must be coordinated in order to avoid the fall or the inversion of the stretcher, the abrupt movements or the wound of one of the team-members. The foreman thus places himself at the rear of the stretcher, which makes it possible to supervise the victim and the team-members, and gives orders in order to synchronize the movements.

Notice

Dissension on the basic principles, technical Belgian.

For safety, one brancarde (Course of the Red Cross of Belgium, Urgent Medical assistance and medical departments of the army) always feet first. The movement in opposite direction can create a faintness at the patient, moreover, the most capable team-members to stumble on the ground are those of front, therefore to make fall the head the first. When with the monitoring of the patient from his position, the team-member postpones at very a good sight while remaining in the direction of the walk, contrary with the team-member before which must almost look over its shoulder.

Manual Brancardage

Rise and descent of the staircases

Passage d' a narrow door

Passage d' an obstacle

Crossing of a ditch

Access of an important slope

Crossing of a low passage

Loading in a vehicle

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