[The suspension trauma syndrome: preventive features.]
Giuseppe Taino1, Concetta R P Buonocore2, Maria C Mongiovi2
1Unità Operativa Ospedaliera di Medicina del Lavoro (UOOML) - IRCCS Istituti Clinici Scientifici Maugeri,Pavia.
Giornale Italiano Di Medicina Del Lavoro Ed Ergonomia
|June 20, 2018
Summary
Suspension trauma syndrome is a fatal condition. Medical surveillance and specific personal protective equipment are crucial for preventing suspension trauma in workers.
Area of Science:
- Occupational Health
- Clinical Medicine
- Safety Engineering
Background:
- Suspension trauma syndrome poses a severe, potentially fatal risk, combining suspension with loss of consciousness and multiorgan failure.
- Work in suspension presents both accidental (trauma, falls) and clinical (suspension trauma, compression injuries) health risks.
Purpose of the Study:
- To examine technical and medical measures for preventing suspension trauma syndrome.
- To align prevention strategies with Italian legislation (81/08 and 164/56) regarding personal safety equipment for work in suspension.
Main Methods:
- Mandatory use of personal safety equipment (harnesses, lanyards, etc.) when collective protection is not feasible.
- Medical surveillance for workers at height to identify conditions predisposing to suspension syndrome, such as cardiologic or musculoskeletal disorders.
Main Results:
- Occupational physicians may issue fitness-to-work judgments with specific personal protective device (PPD) requirements or time limitations for suspension work.
- These tailored assessments aim to protect worker health by minimizing suspension syndrome risks.
Conclusions:
- Permanent unfitness judgments are indicated for chronic, irreversible cardiologic or musculoskeletal conditions preventing suspension work.
- Conditional fitness with PPD or time restrictions allows suspension work while mitigating syndrome risks.
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