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Paramedics' working strategies while loading a stretcher into an ambulance
J Prairie1, A Plamondon2, D Larouche1
1Department of Kinesiology, Faculty of Medicine, Université Laval, 2300 Rue de La Terrasse, Quebec City, QC, G1V 0A6, Canada.
Paramedics often use risky techniques when loading stretchers into ambulances, increasing back injury risks. This study identifies these strategies and suggests solutions for safer equipment, training, and work organization.
Area of Science:
- Occupational Health
- Emergency Medical Services
- Ergonomics
Background:
- Loading stretchers into ambulances poses a significant risk of back injury and accidents for paramedics.
- Current loading procedures may involve strenuous and potentially harmful physical maneuvers.
Purpose of the Study:
- To document and analyze the strategies paramedics employ when loading powered stretchers into ambulances.
- To identify health risks associated with current stretcher-loading practices.
Main Methods:
- Observation of 249 stretcher loading operations by 58 paramedics.
- Analysis of 51 semistructured post-intervention interviews.
Main Results:
- Nearly three-quarters of loading operations required extra actions, such as shoulder elevation and additional lifting.
- Some necessary strategies, like repositioning the stretcher, were time-consuming and physically demanding, often performed solo.
- Identified potential negative health impacts on workers due to specific loading techniques.
Conclusions:
- Paramedic stretcher loading involves high-risk maneuvers that can negatively impact worker health.
- Recommendations include improvements in equipment, training, and work organization to mitigate injury risks.
- Further research and implementation of ergonomic solutions are needed to enhance safety in emergency medical services.
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