Bi-Directional Locking Retractor

A locking retractor is disclosed, as are stretchers and cots using the retractor to secure a patient. The retractor includes structure for locking the retractor spool to prevent rotation in both directions. However, a cam is coupled to the shaft and is arranged relative to the locking structure to prevent the spool from locking during an initial portion of the spool's rotation, until a first locking point is reached. Once the first locking point has been reached, a clutch prevents the locking structure from engaging while the spool is still rotating, but the locking structure will engage to lock the spool in both directions once active rotation stops. A user-actuatable lever is provided externally that disengages the locking structure when actuated to allow the spool to extend and retract freely.