scholarly journals Determinants of General Health, Work-Related Strain, and Burnout in Public Versus Private Emergency Medical Technicians in Istanbul

2016 ◽  
Vol 64 (7) ◽  
pp. 301-312 ◽  
Author(s):  
Verda Tunaligil ◽  
Ali Ihsan Dokucu ◽  
Mehmet Sarper Erdogan
Author(s):  
Tarek M. Esmael ◽  
Sami Fawzy ◽  
Hany Hosny ◽  
Omar Al Rashed ◽  
Anas Alnasser ◽  
...  

Emergency medical technicians (EMTs) and paramedics take immediate care of patients who are injured or unhealthy and ensure their transportation to or from the hospital. Almost 10% of all European Union employees work in health and social care systems, and a considerable number of them work in hospitals. The same is the case in Saudi Arabia, where the health care system is well developed and vibrant. With such a large workforce working in an environment where they can face accidents and injuries, accidents do happen.  According to the International Labor Organization, there are 270 million occupational accidents causing 2 million deaths annually.  The study was conducted at King Fahd Military Complex, Dhahran and Red Crescent. The study was aimed to identify the nature, frequency and causes of work-related injuries among paramedical staff. The present is among the largest studies of WRIs in EMTs in Saudi Arabia. In this study, we found a very high rate of verbal and physical violence against healthcare personnel. Physical violence negatively affects levels of satisfaction in workers. Studies indicate that exposure to both chronic and critical incident stressors increases the risk of EMS personnel developing post-traumatic stress reactions. The risk of WRIs to paramedics and EMTs is obviously high. The most common injuries were verbal/ physical violence, needle stick injuries and motor vehicle accidents. The most common cause for these WRIs was carelessness on part of EMTs.


2016 ◽  
Vol 31 (5) ◽  
pp. 505-508 ◽  
Author(s):  
Atakan Yilmaz ◽  
Mustafa Serinken ◽  
Onur Dal ◽  
Serpil Yaylacı ◽  
Ozgur Karcioglu

AbstractObjectivesEmergency medical technicians (EMTs) and paramedics are at serious risk for work-related injuries (WRIs) during work hours. Both EMTs and paramedics have higher WRI rates, according to the literature data. This study was designed to investigate causes and characteristics of WRIs involving EMTs and paramedics staffed in Western Turkey.MethodsAll health care personnel staffed in Emergency Medical Services (EMS) in the city were interviewed face-to-face in their off-duty hours to inform them about the study. Excluded from the study were those who declined to participate in the study, those who were not on duty during the two-month study period, and those who had been working in the EMS for less than one year. The subjects were asked to answer multiple-choice questions.ResultsA total of 163 personnel (117 EMTs and 46 paramedics) comprised the study sample. Eighty-three personnel (50.9%) were female and mean age was 29.7 years (SD=8.4 years). The most common mechanisms of WRI, as reported by the personnel, were motor vehicle accidents (MVAs; 31.9%), needlestick injuries (16.0%), ocular exposure to bodily fluids (15.4%), and sharp injuries (9.8%), respectively. Needlestick injuries commonly occurred during intravenous line procedures (59.4%) and inside the cruising ambulance (n=20; 62.5%). Working inside the cruising ambulance was the most commonly accused cause of the WRI (41.3%).ConclusionParamedic personnel and EMTs are under high risk of WRI. Motor vehicle accidents and needlestick injuries were the most common causes of WRI. Strict measures need to be taken to restructure the interior design to protect personnel from all kinds of WRIs.YilmazA, SerinkenM, DalO, YaylacıS, KarciogluO. Work-related injuries among emergency medical technicians in Western Turkey. Prehosp Disaster Med. 2016;31(5):505–508.


2008 ◽  
Vol 23 (5) ◽  
pp. 432-437 ◽  
Author(s):  
Jonathan R. Studnek ◽  
Antonio R. Fernandez

AbstractObjectives:This study utilizes a [US] national sample of emergency medical services (EMS) professionals to explore the hypothesis that demographic and work-related characteristics are associated with involvement in ambulance crashes.Methods:In 2004, a cohort of nationally registered EMS professionals was surveyed to determine ambulance crash involvement during a 12-month period. Involvement in an ambulance crash was the outcome variable of interest. Demographics such as age, community size, service type, call volume, time spent in an ambulance, and current sleep problems were analyzed as independent variables. A multivariate logistic regression model identified variables associated with involvement in an ambulance crash within the past year.Results:Surveys were received from 1,775/5,565 (32.0%) participants; 1,297 (73.1%) met the inclusion criteria. A total of 111 (8.6%) of participants reported being involved in an ambulance crash within the past 12 months. When controlling for call volume and time in an ambulance, the odds of involvement in an ambulance crash within the past year were significantly higher for younger EMS professionals and those reporting sleep problems.Conclusions:Results from this analysis suggest age and sleep problems are associated with involvement in an ambulance crash. Future studies should investigate interventions to minimize the effects of these associations.


2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Giti Nadim ◽  
Christian B. Laursen ◽  
Pia I. Pietersen ◽  
Daniel Wittrock ◽  
Michael K. Sørensen ◽  
...  

Abstract Introduction Crowding of the emergency departments is an increasing problem. Many patients with an exacerbation of chronic obstructive pulmonary disease (COPD) are often treated in the emergency departments for a very short period before discharged to their homes. It is possible that this treatment could take place in the patients’ homes with sufficient diagnostics supporting the treatment. In an effort to keep the diagnostics and treatment of some of these patients in their homes and thus to reduce the patient load at the emergency departments, we implemented a prehospital treat-and-release strategy based on ultrasonography and blood testing performed by emergency medical technicians (EMT) or paramedics (PM) in patients with acute exacerbation of COPD. Method EMTs and PMs were enrolled in a six-hour educational program covering ultrasonography of the lungs and point of care blood tests. During the seasonal peak of COPD exacerbations (October 2018 – May 2019) all patients who were treated by the ambulance crews for respiratory insufficiency were screened in the ambulances. If the patient had uncomplicated COPD not requiring immediate transport to the hospital, ultrasonographic examination of the lungs, measurements of C-reactive protein and venous blood gases analyses were performed. The response to the initial treatment and the results obtained were discussed via telemedical consultation with a prehospital anaesthesiologist who then decided to either release the patient at the scene or to have the patient transported to the hospital. The primary outcome was strategy feasibility. Results We included 100 EMTs and PMs in the study. During the study period, 771 patients with respiratory insufficiency were screened. Uncomplicated COPD was rare as only 41patients were treated according to the treat-and-release strategy. Twenty of these patients (49%) were released at the scene. In further ten patients, technical problems were encountered hindering release at the scene. Conclusion In a few selected patients with suspected acute exacerbations of COPD, it was technically and organisationally feasible for EMTs and PMs to perform prehospital POCT-ultrasound and laboratory testing and release the patients following treatment. None of the patients released at the scene requested a secondary ambulance within the first 48 h following the intervention.


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