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A stretcher, litter, or pram is an apparatus used for moving patients who require medical care. A basic type must be carried by two or more people. A wheeled stretcher is often equipped with variable height frames, wheels, tracks, or skids. In American English, a wheeled stretcher is referred to as a gurney. The name comes from a horse-drawn cab patented in the USA by J. Theodore Gurney in 1883 which bore a similarity to early wheeled stretchers.