I-stretcher, udoti, noma i-pram iyithuluzi elisetshenziselwa ukuhambisa iziguli ezidinga ukunakekelwa kwezokwelapha.Uhlobo oluyisisekelo (umbhede noma udoti) kufanele luthwalwe abantu ababili noma ngaphezulu.Uhlaka olunamasondo (olwaziwa ngokuthi i-gurney, trolley, umbhede noma inqola) luvamise ukufakwa amafreyimu obude obuguquguqukayo, amasondo, amathrekhi, noma ama-skid.NgesiNgisi saseMelika, uhlaka olunamasondo lubizwa ngokuthi i-gurney.
Ama-stretcher asetshenziswa kakhulu ezimeni ezibucayi zokunakekelwa kwangaphandle kwesibhedlela yizinsizakalo zezokwelapha eziphuthumayo (EMS), amasosha, nabasebenzi bokusesha kanye nezokuhlenga.Ezifundweni zezokwelapha ingalo yesokudla yesidumbu isala ilenga ngohlaka ukuze kwaziwe abezimo eziphuthumayo ukuthi akusona isiguli esilimele.Zibuye zisetshenziselwe ukubamba iziboshwa phakathi nemijovo ebulalayo e-United States.