Paramedics' working strategies while loading a stretcher into an ambulance

Prairie, Jérôme; Plamondon, André; Larouche, Dominique; Hegg-Deloye, Sandrine; Corbeil, Philippe

doi:10.1016/j.apergo.2017.06.005

Cited by 15 publications

(13 citation statements)

References 16 publications

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“…Harmful physical factors that paramedics are exposed to include volatile, adverse microclimate during departures to the patience, noise, light, musculoskeletal overload, limited work area, forced posture, mechanical vibration, or monotype movement at work [1,9,10,[24][25][26].…”

Section: Chemical and Physical Hazardsmentioning

confidence: 99%

“…In this case alike, accidents at work occur frequently, including injuries related to improper posture at work and excessive physical activity during the moving and hoisting of patients. The cause of such incidents is the lack of sufficient knowledge regarding the techniques of safe lifting and moving of patients and not posturing the body correctly during work activities [13,17,[25][26][27].…”

Section: Psychophysical Hazardsmentioning

confidence: 99%

See 1 more Smart Citation

Occupational hazards in the consciousness of the paramedic in emergency medical service

Gonczaryk¹,

Chmielewski²,

Strzelecka

et al. 2022

Disaster Emerg Med J

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Section: Chemical and Physical Hazardsmentioning

confidence: 99%

Section: Psychophysical Hazardsmentioning

confidence: 99%

Occupational hazards in the consciousness of the paramedic in emergency medical service

Gonczaryk¹,

Chmielewski²,

Strzelecka

et al. 2022

Disaster Emerg Med J

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“…Loading and unloading patients into and from ambulances is often carried out solo in urgent situations due to time pressures; and obese, non-cooperative or unconscious patients pose especial challenges during stretcher transfer. As such musculoskeletal disorders are very common amongst paramedics (eg, Fischer et al, 2017;Garus-Pakowska et al, 2017b;Prairie et al, 2017). Equally patient transport is often undertaken at high speed, involving drivers who may be tired from shift-work.…”

Section: Paramedicine As An 'Extreme' Occupationmentioning

confidence: 99%

Critical Perspectives on the Management and Organization of Emergency Services

Lin

Kelemen

Hamilton³

2019

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“…Although powered stretchers with automated loading systems may be effective for preventing musculoskeletal disorders among EMTs and fall events for patients when loading patients into ambulances, the use of manual stretchers is still the most common method of patient transport in Japan [ 6 , 7 ]. Furthermore, soft stretchers must be used in some situations because corridors and stairs inside houses in Japan are particularly narrow compared with those of other countries.…”

Section: Introductionmentioning

confidence: 99%

Use of the Airstretcher with dragging may reduce rescuers’ physical burden when transporting patients down stairs

et al. 2022

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Transporting patients down stairs by carrying is associated with a particularly high fall risk for patients and the occurrence of back pain among emergency medical technicians. The present study aimed to verify the effectiveness of the Airstretcher device, which was developed to reduce rescuers’ physical burden when transporting patients by dragging along the floor and down stairs. Forty-one paramedical students used three devices to transport a 65-kg manikin down stairs from the 3rd to the 1st floor. To verify the physical burden while carrying the stretchers, ratings of perceived exertion were measured using the Borg CR10 scale immediately after the task. Mean Borg CR10 scores (standard deviation) were 3.6 (1.7), 4.1 (1.8), 5.6 (2.4), and 4.2 (1.8) for the Airstretcher with dragging, Airstretcher with lifting, backboard with lifting, and tarpaulin with lifting conditions, respectively (p < 0.01). Multiple comparisons revealed that the Airstretcher with dragging condition was associated with significantly lower Borg CR10 scores compared with the backboard with lifting condition (p < 0.01). When the analysis was divided by handling position, estimated Borg CR10 values (standard error) for head position were 4.4 (1.3), 2.9 (0.9), 3.2 (0.8), and 4.0 (1.1) for the Airstretcher with dragging, Airstretcher with lifting, backboard with lifting, and tarpaulin with lifting conditions, respectively, after adjusting for participant and duration time (F = 1.4, p < 0.25). The estimated Borg CR10 value (standard error) for toe position in the Airstretcher with dragging condition was 2.0 (0.8), and the scores for the side position were 4.9 (0.4), 6.1 (0.3), and 4.7 (0.4) for the Airstretcher with lifting, backboard with lifting, and tarpaulin with lifting conditions, respectively, after adjusting for participant and duration time (F = 3.6, p = 0.02). Transferring a patient down stairs inside a house by dragging using the Airstretcher may reduce the physical burden for rescuers.

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Paramedics' working strategies while loading a stretcher into an ambulance

Cited by 15 publications

References 16 publications

Occupational hazards in the consciousness of the paramedic in emergency medical service

Occupational hazards in the consciousness of the paramedic in emergency medical service

Critical Perspectives on the Management and Organization of Emergency Services

Use of the Airstretcher with dragging may reduce rescuers’ physical burden when transporting patients down stairs

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