Paramedics' working strategies while loading a stretcher into an ambulance. (November 2017)

• Record Type: Journal Article
• Authors: Prairie, J.; Plamondon, A.; Larouche, D.; Hegg-Deloye, S.; Corbeil, P.
• Is Part Of: Applied ergonomics. Volume 65(2017)
• Page Start: 112
• Page End: 122
• Publication Date: 2017-11
• Subjects: Cot -- Musculoskeletal disorders -- Prevention -- Ergonomics -- Emergency medical service; Human engineering -- Periodicals; 620.82
• DOI: 10.1016/j.apergo.2017.06.005
• Languages: English
• ISSNs: 0003-6870

Abstract

Abstract: For paramedics, loading a stretcher into an ambulance is an activity with a high risk of back injury and accidents. The objective of this study was to document strategies paramedics use at work while loading a powered stretcher into an ambulance. A total of 249 stretcher loading operations performed by 58 paramedics, and 51 semistructured post-intervention interviews were analyzed. Almost three quarters of loading operations required additional actions (e.g., raising the shoulders and additional lifting) to insert the stretcher into the cot fastener system in the ambulance. Some strategies that were necessary to complete the stretcher loading operation seemed to have negative impacts on the workers' health, such as repositioning the stretcher. This action wastes time and requires significant physical efforts, as it is usually done alone. This study suggests some potential solutions, related to equipment, training, workers and work organization, to reduce the risk of injury while loading stretchers. Highlights: 58 paramedics were observed in the field and 249 loading operations were analyzed. 19 operations were observed to influence loading activities. Paramedics identified 12 difficulties and 10 facilitating conditions. Training should focus on teamwork, strategies and knowledge sharing. Ambulance and/or stretcher modifications could reduce the risk of injuries.