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Published on: November 9, 2016
Overall risk index for patient transfers in total assistance mode executed by emergency medical technician-paramedics
Dominique Larouche1, Marie Bellemare2, Jérôme Prairie1
1Université Laval, Département de Kinésiologie, 2300 rue de la Terrasse, Québec Québec, G1V 0A6, Canada.
Abstract:
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.
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