Overall risk index for patient transfers in total assistance mode executed by emergency medical technician-paramedics in real work situations.

Few studies have quantified the risk of musculoskeletal disorders during patient transfers in total assistance mode in real-life prehospital emergency care situations. An index to assess the overall risk of patient transfers was created; it makes it possible to quantify risk based on the patient's position and the height of the patient's location. An analysis of 71 transfers executed by paramedics in actual work situations showed that moving a patient from the ground was characterized by acute sagittal flexions and axial rotations, respectively, 42% and 12% of the time. When the patient was lying on a raised surface, the lifting index and perceived exertion were the lowest (2.55; easy). According to the overall risk index, patient transfers from the ground are the riskiest. Paramedics execute many risky lifts even in favorable patient handling contexts.

[1]  Thomas R. Waters,et al.  Applications manual for the revised NIOSH lifting equation , 1994 .

[2]  Marc Arial,et al.  Exploring implicit preventive strategies in prehospital emergency workers: a novel approach for preventing back problems. , 2014, Applied ergonomics.

[3]  P T Hogya,et al.  Evaluation of the injury profile of personnel in a busy urban EMS system. , 1990, The American journal of emergency medicine.

[4]  Steven A Lavender,et al.  Designing ergonomic interventions for EMS workers - part II: lateral transfers. , 2007, Applied ergonomics.

[5]  Svend Erik Mathiassen,et al.  Electromyographic activity in the shoulder-neck region according to arm position and glenohumeral torque , 2004, European Journal of Applied Physiology and Occupational Physiology.

[6]  L. M. Rodgers.  A five year study comparing early retirements on medical grounds in ambulance personnel with those in other groups of health service staff. Part II: Causes of retirements. , 1998, Occupational medicine.

[7]  Steven L Fischer,et al.  Implementing powered stretcher and load systems was a cost effective intervention to reduce the incidence rates of stretcher related injuries in a paramedic service. , 2017, Applied ergonomics.

[8]  M R Drost,et al.  Physical workload of ambulance assistants. , 1995, Ergonomics.

[9]  Thomas Waters,et al.  NIOSH Research Efforts to Prevent Musculoskeletal Disorders in the Healthcare Industry , 2006, Orthopedic nursing.

[10]  S A Lavender,et al.  Postural analysis of paramedics simulating frequently performed strenuous work tasks. , 2000, Applied ergonomics.

[11]  Steven A Lavender,et al.  Designing ergonomic interventions for EMS workers, Part I: transporting patients down the stairs. , 2007, Applied ergonomics.

[12]  B. Jonsson.  Kinesiology: with special reference to electromyographic kinesiology. , 1978, Electroencephalography and clinical neurophysiology. Supplement.

[13]  Steven A Lavender,et al.  Designing ergonomic interventions for EMS workers: concept generation of patient-handling devices. , 2008, Applied ergonomics.

[14]  T. Sterud,et al.  Health status in the ambulance services: a systematic review , 2006, BMC Health Services Research.

[15]  André Plamondon,et al.  Biomechanical risk assessment during field loading of hydraulic stretchers into ambulances , 2016 .

[16]  S A Lavender,et al.  Biomechanical analyses of paramedics simulating frequently performed strenuous work tasks. , 2000, Applied ergonomics.

[17]  W S Marras,et al.  Biomechanical risk factors for occupationally related low back disorders. , 1995, Ergonomics.

[18]  Jonathan Dropkin,et al.  A qualitative study of health problems, risk factors, and prevention among Emergency Medical Service workers. , 2015, Work.

[19]  Sue Hignett,et al.  Systematic review of patient handling activities starting in lying, sitting and standing positions. , 2003, Journal of advanced nursing.

[20]  Steven L Fischer,et al.  Identifying the critical physical demanding tasks of paramedic work: Towards the development of a physical employment standard. , 2017, Applied ergonomics.

[21]  A. Jolivet.  Pénibilité du travail : la loi de 2010 et ses usages par les acteurs sociaux , 2011 .

[22]  S H Snook,et al.  The design of manual handling tasks: revised tables of maximum acceptable weights and forces. , 1991, Ergonomics.

[23]  P. Corbeil,et al.  Paramedics on the job: dynamic trunk motion assessment at the workplace. , 2014, Applied ergonomics.

[24]  G. Borg.  Psychophysical scaling with applications in physical work and the perception of exertion. , 1990, Scandinavian journal of work, environment & health.

[25]  T. Waters,et al.  Evaluation of the revised NIOSH lifting equation. A cross-sectional epidemiologic study. , 1999, Spine.

[26]  A Garg,et al.  Revised NIOSH equation for the design and evaluation of manual lifting tasks. , 1993, Ergonomics.

[27]  Steven L. Fischer,et al.  Relative Contribution of Lower Body Work as a Biomechanical Determinant of Spine Sparing Technique During Common Paramedic Lifting Tasks. , 2017, Journal of applied biomechanics.

[28]  S A Lavender,et al.  Initiating an Ergonomic Analysis , 2000, AAOHN journal : official journal of the American Association of Occupational Health Nurses.

[29]  A Plamondon,et al.  Evaluation of a hybrid system for three-dimensional measurement of trunk posture in motion. , 2007, Applied ergonomics.

[30]  Peter Buckle,et al.  The development of the Quick Exposure Check (QEC) for assessing exposure to risk factors for work-related musculoskeletal disorders. , 2008, Applied ergonomics.

[31]  Brian Higginson.  Biomechanics of dependent transfers on an aircraft , 2007 .

[32]  A. Garg,et al.  The Strain Index: a proposed method to analyze jobs for risk of distal upper extremity disorders. , 1995, American Industrial Hygiene Association journal.