Road ambulances: working conditions of paramedics – pilot studies

Objectives The article presents the results of selected pilot studies conducted in medical ambulances. Their aim was to determine the working conditions and identify troublesome factors accompanying the performance of basic medical procedures by rescue teams. Material and Methods The study of worki...

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Main Authors: Sylwia Bęczkowska, Iwona Grabarek, Sławomir Pilip, Leszek Szpakowski, Robert Gałązkowski
Format: Article
Language:English
Published: Nofer Institute of Occupational Medicine 2020-01-01
Series:International Journal of Occupational Medicine and Environmental Health
Subjects:
Online Access:http://www.journalssystem.com/ijomeh/Road-Ambulances-Working-Conditions-of-Paramedics-Pilot-Studies,113341,0,2.html
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author Sylwia Bęczkowska
Iwona Grabarek
Sławomir Pilip
Leszek Szpakowski
Robert Gałązkowski
author_facet Sylwia Bęczkowska
Iwona Grabarek
Sławomir Pilip
Leszek Szpakowski
Robert Gałązkowski
author_sort Sylwia Bęczkowska
collection DOAJ
description Objectives The article presents the results of selected pilot studies conducted in medical ambulances. Their aim was to determine the working conditions and identify troublesome factors accompanying the performance of basic medical procedures by rescue teams. Material and Methods The study of working conditions was carried out in Mercedes-Benz ambulances, type S and P. Fifty-one paramedics of the Emergency Medical Rescue Service in Siedlce took part in the research. The questionnaire expert survey method and the direct observation method were used. Results As a result of the applied research methods, knowledge was gained on the irregularities and difficulties that occur at the workplace of a paramedic, i.e., in an ambulance, including the lack of access to essential elements of medical equipment and their different location inside the vehicle, and the diversity of solutions for the spatial structure of ambulances, which all cause difficulties at work. Research has shown that paramedics take, on average, 33 min to familiarize themselves with the location of equipment in an ambulance other than the one in which they are usually on duty. There was no correlation between the lifeguard’s length of service and the time necessary for getting acquainted with the equipment, which was studied using Pearson’s correlation coefficient. In the study, rescuers also pointed to musculoskeletal ailments, mainly spinal pains resulting from taking forced positions during medical activities in an ambulance. Conclusions The results obtained constitute the basis for the author’s methodology of complex research aimed at defining the ergonomic recommendations necessary in the modification process of the operated medical fleet. The next step will be to formulate uniform guidelines for the construction of medical compartments of ambulances, the application of which will lead to the unification of their spatial structure regardless of the vehicle brand. Int J Occup Med Environ Health. 2020;33(1):91–105
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spelling doaj.art-64840baae79e43c998c1e4190dc734452022-12-22T01:23:48ZengNofer Institute of Occupational MedicineInternational Journal of Occupational Medicine and Environmental Health1232-10871896-494X2020-01-013319110510.13075/ijomeh.1896.01479113341Road ambulances: working conditions of paramedics – pilot studiesSylwia Bęczkowska0Iwona Grabarek1Sławomir Pilip2Leszek Szpakowski3Robert Gałązkowski4Warsaw University of Technology, Warsaw, Poland (Faculty of Transport, Division of Information and Mechatronic Systems in Transport)Warsaw University of Technology, Warsaw, Poland (Faculty of Transport, Division of Information and Mechatronic Systems in Transport)Medical University of Warsaw, Warsaw, Poland (Department of Emergency Medical Services)Emergency Medical Rescue Service, Siedlce, PolandMedical University of Warsaw, Warsaw, Poland (Department of Emergency Medical Services)Objectives The article presents the results of selected pilot studies conducted in medical ambulances. Their aim was to determine the working conditions and identify troublesome factors accompanying the performance of basic medical procedures by rescue teams. Material and Methods The study of working conditions was carried out in Mercedes-Benz ambulances, type S and P. Fifty-one paramedics of the Emergency Medical Rescue Service in Siedlce took part in the research. The questionnaire expert survey method and the direct observation method were used. Results As a result of the applied research methods, knowledge was gained on the irregularities and difficulties that occur at the workplace of a paramedic, i.e., in an ambulance, including the lack of access to essential elements of medical equipment and their different location inside the vehicle, and the diversity of solutions for the spatial structure of ambulances, which all cause difficulties at work. Research has shown that paramedics take, on average, 33 min to familiarize themselves with the location of equipment in an ambulance other than the one in which they are usually on duty. There was no correlation between the lifeguard’s length of service and the time necessary for getting acquainted with the equipment, which was studied using Pearson’s correlation coefficient. In the study, rescuers also pointed to musculoskeletal ailments, mainly spinal pains resulting from taking forced positions during medical activities in an ambulance. Conclusions The results obtained constitute the basis for the author’s methodology of complex research aimed at defining the ergonomic recommendations necessary in the modification process of the operated medical fleet. The next step will be to formulate uniform guidelines for the construction of medical compartments of ambulances, the application of which will lead to the unification of their spatial structure regardless of the vehicle brand. Int J Occup Med Environ Health. 2020;33(1):91–105http://www.journalssystem.com/ijomeh/Road-Ambulances-Working-Conditions-of-Paramedics-Pilot-Studies,113341,0,2.htmlquestionnaire surveyparamedicsoccupational hazardergonomicmusculoskeletal discomfortambulances
spellingShingle Sylwia Bęczkowska
Iwona Grabarek
Sławomir Pilip
Leszek Szpakowski
Robert Gałązkowski
Road ambulances: working conditions of paramedics – pilot studies
International Journal of Occupational Medicine and Environmental Health
questionnaire survey
paramedics
occupational hazard
ergonomic
musculoskeletal discomfort
ambulances
title Road ambulances: working conditions of paramedics – pilot studies
title_full Road ambulances: working conditions of paramedics – pilot studies
title_fullStr Road ambulances: working conditions of paramedics – pilot studies
title_full_unstemmed Road ambulances: working conditions of paramedics – pilot studies
title_short Road ambulances: working conditions of paramedics – pilot studies
title_sort road ambulances working conditions of paramedics pilot studies
topic questionnaire survey
paramedics
occupational hazard
ergonomic
musculoskeletal discomfort
ambulances
url http://www.journalssystem.com/ijomeh/Road-Ambulances-Working-Conditions-of-Paramedics-Pilot-Studies,113341,0,2.html
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AT sławomirpilip roadambulancesworkingconditionsofparamedicspilotstudies
AT leszekszpakowski roadambulancesworkingconditionsofparamedicspilotstudies
AT robertgałazkowski roadambulancesworkingconditionsofparamedicspilotstudies