Abstract
The current design of ambulances and paramedic equipment are not conducive of a safe and efficient work environment, and it plays a role in the poor health of paramedics. There has been discussion to improve current design standards to set the bar higher. Despite the desire to include human factors and ergonomics (HFE) into a standard, the effectiveness of HFE interventions is unclear and a systematic review of these interventions is needed prior to recommending it into the standard. The objective of this study was to review all existing English peer reviewed research to identify interventions or features of the patient compartment and associated equipment that could affect paramedics performance, health, and safety.
A scoping review methodology was applied to systematically search and screen for relevant articles, and to systematically extract and chart the data. Three databases (EmBase, Scopus and PubMed) were searched and search results were screened for articles that pertained to the performance, health, and safety of paramedics within the ambulance or when using equipment. 48 relevant articles were identified. Considering the timeline of the research (predominately since 2005) and the current state of intervention development (most research still targets understanding the problem), we conclude that the overall body of research available to improve the performance, health, and safety of paramedics is limited. Evidence has improved our understanding of the ergonomic challenges faced by paramedics, but we have less evidence to inform standards or best practices. Future research efforts should fill this gap by focusing on developing, implementing and evaluating strategies to address HFE concerns within the paramedic sector.
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References
Maguire BJ, Hunting KL, Smith GS, Levick NR (2002) Occupational fatalities in emergency medical services: a hidden crisis. Ann Emerg Med 40(6):625–632
Maguire BJ, Smith S (2013) Injuries and fatalities among emergency medical technicians and paramedics in the United States. Prehosp Disaster Med 28(4):376–82. http://www.ncbi.nlm.nih.gov/pubmed/23659321
Slattery DE, Silver A (2009) The hazards of providing care in emergency vehicles: an opportunity for reform. Prehospital Emerg care 13(3):388–397
Brice JH, Studnek JR, Bigham BL, Martin-Gill C, Custalow CB, Hawkins E, et al. (2012) EMS provider and patient safety during response and transport. In: Proceedings of an ambulance safety conference. Prehospital Emerg Care, vol. 16(1), pp 3–19. http://www.tandfonline.com/doi/full/10.3109/10903127.2011.626106
Maguire BJ, O’Meara PF, Brightwell RF, O’Neill BJ, Fitzgerald GJ (2014) Occupational injury risk among Australian paramedics: an analysis of national data. Med J Aust 200(8):477–80. http://www.ncbi.nlm.nih.gov/pubmed/24794611
Maguire BJ, Hunting KL, Guidotti TL, Smith GS (2005) Occupational injuries among emergency medical services personnel. Prehospital Emerg Care 9(4):405–11. http://www.tandfonline.com/doi/full/10.1080/10903120500255065
Gilad I, Byran E (2007) Ergonomic evaluation of the ambulance interior to reduce paramedic discomfort and posture stress. Hum Factors 49(6):1019–1032
Byran E, Gilad I (2012) Design considerations to inhance the safety of patient compartments in ambulance transporters. Int J Occup Saf Ergon. 18(2):221–231
Prairie J, Plamondon A, Hegg-Deloye S, Larouche D, Corbeil P (2016) Biomechanical risk assessment during field loading of hydraulic stretchers into ambulances. Int J Ind Ergon 54:1–9
Lavender SA, Conrad KM, Reichelt PA, Meyer TF, Johnson PW (2000) Postural analysis of paramedics simulating frequently performed strenuous work tasks. Appl Ergon 31(1):45–57
Kibira D, Lee YT, Marshall J, Feeney AB, Avery L, Jacobs A (2015) Simulation-based design concept evaluation for ambulance patient compartments. Simulation 91(8):691–714. http://sim.sagepub.com/cgi/doi/10.1177/0037549715592716
Armstrong TJ, Burdorf A, Descatha A, Farioli A, Graf M, Horie S, et al. (2018) Scientific basis of ISO standards on biomechanical risk factors. Scand J Work Environ Health. http://www.sjweh.fi/show_abstract.php?abstract_id=3718
Arksey H, O’Malley L (2005) Scoping studies: towards a methodological framework. Int J Soc Res Methodol 8(1):19–32. http://www.tandfonline.com/doi/abs/10.1080/1364557032000119616
Levac D, Colquhoun H, O’Brien KK (2015) Scoping studies: advancing the methodology. Implement Sci 5(1):69. http://implementationscience.biomedcentral.com/articles/10.1186/1748-5908-5-69
Wight D, Wimbush E, Jepson R, Doi L (2015) Six steps in quality intervention development (6SQuID). J Epidemiol Community Health 70(5):520–525
Reuter E, Camba JD (2017) Understanding emergency workers’ behavior and perspectives on design and safety in the workplace. Appl Ergon 59:73–83. http://dx.doi.org/10.1016/j.apergo.2016.08.023
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Du, B., Boileau, M., Wierts, K., Fischer, S., Yazdani, A. (2019). State of Research in the Design and Development of Emergency Response Vehicles and Equipment: A Scoping Review. In: Bagnara, S., Tartaglia, R., Albolino, S., Alexander, T., Fujita, Y. (eds) Proceedings of the 20th Congress of the International Ergonomics Association (IEA 2018). IEA 2018. Advances in Intelligent Systems and Computing, vol 824. Springer, Cham. https://doi.org/10.1007/978-3-319-96071-5_122
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DOI: https://doi.org/10.1007/978-3-319-96071-5_122
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