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Related Concept Videos

SBAR I: Understanding the Concept01:29

SBAR I: Understanding the Concept

Effective communication among healthcare professionals during hand-off reporting is essential to delivering safe and continuous patient care. Common professional interactions include reports to healthcare team members, hand-off, and transfer reports. Nurses routinely report information to other healthcare team members and also urgently contact healthcare providers to report changes in patient status.
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Anatomical Positions01:11

Anatomical Positions

In anatomy, several standard anatomical positions are used as references for describing the position and orientation of different body parts. These positions help provide a common frame of reference when discussing anatomical structures. The anatomical position is the standard reference point for describing the body's position and orientation. In this position:
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Acute Respiratory Failure-IV01:23

Acute Respiratory Failure-IV

Respiratory failure can manifest suddenly or gradually, characterized by a rapid decline in PaO2 and a rapid rise in PaCO2. This situation indicates a severe respiratory problem that may quickly become a life-threatening emergency. One of the early signs of hypoxemic Acute Respiratory Failure (ARF) is a change in mental status due to the brain's sensitivity to oxygen levels and changes in acid-base balance. Symptoms such as restlessness, confusion, and agitation suggest inadequate oxygen...
Cardiopulmonary Resuscitation I: Adult01:21

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Cardiopulmonary resuscitation, or CPR, is a life-saving emergency procedure performed when a person's heart has stopped beating or they are no longer breathing. The foundation of CPR is Basic Life Support (BLS), which focuses on the early recognition of cardiac arrest, the immediate start of high-quality chest compressions, and the timely use of an automated external defibrillator (AED).Assessing Responsiveness and Checking the Carotid PulseWhen approaching an unresponsive person, first ensure...
Cardiopulmonary Resuscitation II: ACLS Airway Management01:22

Cardiopulmonary Resuscitation II: ACLS Airway Management

Airway management is a key skill in emergency and critical care settings, as maintaining a clear airway is essential for adequate oxygenation and ventilation.Head Tilt-Chin Lift TechniqueThe head tilt-chin lift maneuver is an essential technique primarily used in patients without suspected cervical spine injuries. To perform this maneuver, one hand is placed on the patient’s forehead, and gentle pressure is applied backward to tilt the head. The fingertips of the other hand are positioned under...
Cardiopulmonary Resuscitation III: AED Use01:23

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Paramedics' Behavior Patterns When Transferring Non-Mobile Patients from the Ground to a Stretcher.

Maïté Tanguay1,2, Jason Bouffard1,2, Jasmin Vallée-Marcotte1,2

  • 1Department of Kinesiology, Faculty of Medicine, Université Laval, Quebec, QC G1V 0A6, Canada.

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Emergency medical technicians-paramedics (EMT-Ps) face high risks of musculoskeletal disorders when transferring patients. This study observed their real-world techniques, revealing varied approaches and adaptable safety skills during patient transfers.

Keywords:
competenceemergency medical service (EMS)field dataknow-howliftingmusculoskeletal disorderspatient transfer

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Area of Science:

  • Occupational Health and Safety
  • Emergency Medical Services
  • Ergonomics

Background:

  • Patient transfers pose significant musculoskeletal disorder risks for emergency medical technicians-paramedics (EMT-Ps).
  • Limited data exists on real-world EMT-P patient transfer techniques and associated safety practices.
  • Understanding these behaviors is crucial for improving workplace safety in emergency response.

Purpose of the Study:

  • To describe the behavioral patterns of EMT-Ps during non-mobile patient transfers from ground to stretcher.
  • To identify safe work operations and highlight areas for improvement in real-life emergency medical situations.
  • To analyze the influence of contextual factors on transfer techniques.

Main Methods:

  • Secondary analysis of 27 video recordings of EMT-Ps during live emergency calls.
  • Extraction of contextual variables including workspace and external assistance.
  • Detailed observation of preparation subtasks (patient/object manipulation, stretcher adjustment) and transfer subtask movements/postures.

Main Results:

  • EMT-P behaviors varied significantly during preparation and transfer phases, even with similar contextual factors.
  • Patient-stretcher adjustments were made to ease transfers but were not consistently optimal for safety.
  • Effective strategies like rapid loading and utilizing external assistance were observed in specific scenarios.

Conclusions:

  • EMT-Ps exhibit situational analysis, organizational skills, and adaptive behaviors during patient transfers.
  • Observed techniques highlight the dynamic nature of emergency medical work and the application of safety skills.
  • Further research can refine best practices for safe patient handling in pre-hospital settings.