Abstract
First responders and their patients can be exposed to high levels of whole-body vibration (WBV) during ambulance transport. Using vibration measurements over the front and rear axles of a shuttle bus, the purpose of this field-based study was to measure and compare the WBV exposures between a shuttle bus with a conventional, stock suspension and a shuttle bus with an alternative, vibration-mitigating suspension. This alternative suspension can be installed in ambulances. The WBV exposures measured from the rear of both shuttle buses were on average over 50% higher than those measured from the front of the vehicle. When comparing the floor-measured vibration levels, which were used as a surrogate measurement to compare the vehicle occupants’ potential exposures, the WBV exposures were always lower in the shuttle bus with the alternative suspension. If these results can be translated to actual ambulances, relative to the ambulance cab, it appears that patients and first responders traveling in the patient compartment in the rear of an ambulance would likely have up to 50% higher vibration exposures. The alternative suspension demonstrated it would reduce the WBV exposures of all vehicle occupants compared to a vehicle with a conventional, stock suspension.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
References
Sherwood, H.B., Donze, A., Giebe, J.: Mechanical vibration in ambulance transport. J. Obstet. Gynecol. Neonatal. Nurs. 23(6), 457–463 (1994). https://doi.org/10.1166/jnn.2012.6247
Custalow, C.B., Gravitz, C.S.: Emergency medical vehicle collisions and potential for preventive intervention. Prehosp. Emerg. Care 8(2), 175–184 (2004). https://doi.org/10.1016/s1090-3127(03)00279-x. PMID: 15060853
Slattery, D.E., Silver, A.: The hazards of providing care in emergency vehicles: an opportunity for reform. Prehosp. Emerg. Care 13(3), 388–397 (2009). https://doi.org/10.1080/10903120802706104
Lerner, E.B., Sayre, M.R., Brice, J.H., White, L.J., Santin, A.J., Billittier IV, A.J., Cloud, S.D.: Cardiac arrest patients rarely receive chest compressions before ambulance arrival despite the availability of pre-arrival CPR instructions. Resuscitation 77(1), 51–56 (2008). https://doi.org/10.1016/j.resuscitation.2007.10.020
McEachin, C.C., McDermott, J.T., Swor, R.: Few emergency medical services patients with lower-extremity fractures receive prehospital analgesia. Prehosp. Emerg. Care 6(4), 406–410 (2002). https://doi.org/10.1080/10903120290938030
Bouchut, J.C., Van Lancker, E., Chritin, V., Gueugniaud, P.Y.: Physical stressors during neonatal transport: helicopter compared with ground ambulance. Air Med. J. 30(3), 134–139 (2011). https://doi.org/10.1016/j.amj.2010.11.001
European Union. Directive 2002/44/EC of the European Parliament and of the Council of 25 June 2002 on the minimum health and safety requirements regarding the exposure of workers to the risks arising from physical agents (vibration) (sixteenth individual Directive within the meaning of Article 16(1) of Directive 89/391/EEC). Official Journal of the European Communities L, vol. 177, pp. 13–19 (2002)
Ryan, D., Lokeh, A., Hirschman, D., Spector, J., Parker, R., Johnson, P.W.: The characterization and evaluation of an intervention to reduce neonate whole body vibration exposures during ambulance transport. In: Proceedings of the 20th Triennial Congress of the International Ergonomics Association, pp. 670–677. Florence, Italy (2018). https://doi.org/10.1007/978-3-319-96083-8_84
Author information
Authors and Affiliations
Corresponding author
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2021 The Author(s), under exclusive license to Springer Nature Switzerland AG
About this paper
Cite this paper
Johnson, P.W., Kiselis, G., Ford, G., Bartolone, D. (2021). Evaluation of a Suspension System to Reduce Whole Body Vibration Exposures Which Can Be Used in Ambulances. In: Black, N.L., Neumann, W.P., Noy, I. (eds) Proceedings of the 21st Congress of the International Ergonomics Association (IEA 2021). IEA 2021. Lecture Notes in Networks and Systems, vol 222. Springer, Cham. https://doi.org/10.1007/978-3-030-74611-7_48
Download citation
DOI: https://doi.org/10.1007/978-3-030-74611-7_48
Published:
Publisher Name: Springer, Cham
Print ISBN: 978-3-030-74610-0
Online ISBN: 978-3-030-74611-7
eBook Packages: EngineeringEngineering (R0)