Designing ergonomic interventions for EMS workers, Part I: Transporting patients down the stairs

Lavender, Steven A.; Conrad, Kendon J.; Reichelt, Paul A.; Gacki-Smith, Jessica; Kohok, Aniruddha K.

doi:10.1016/j.apergo.2005.12.005

Cited by 38 publications

(20 citation statements)

References 5 publications

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“…It would be beneficial to assess the powered and non-powered cots within a single study in order to conclusively determine if muscle activity differences are due to methodological differences between studies, cot design differences or some combinations of these factors. Erector spinae activity levels displayed with Cot B in the current study are similar to levels reported by Lavender et al (2007) in a study of stair descent patient-handling activities performed by EMS workers; these tasks are also commonly performed by EMS workers and are also perceived by them to be strenuous and pose a risk of injury.…”

Section: Discussionsupporting

confidence: 87%

A biomechanical and subjective comparison of two powered ambulance cots

et al. 2015

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Section: Discussionsupporting

confidence: 87%

A biomechanical and subjective comparison of two powered ambulance cots

et al. 2015

Self Cite

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“…The major muscle group in the lower back, the erector spinae (ES), has been investigated using SEMG in a large number of studies in different research fields, including ergonomics (e.g., Lavender et al, 2007;Plamondon et al, 2006;de Oliveira and Nadal, 2004;Chen et al, 2006), sports (e.g., Renkawitz et al, 2006;Chow et al, 2003;Caldwell et al, 2003;Watkins et al, 1996) and rehabilitation medicine (e.g., Marshall and Murphy, 2006;Heinonen et al, 2005). …”

Section: Introductionmentioning

confidence: 99%

Evaluating the effect of electrode location on surface EMG amplitude of the m. erector spinae p. longissimus dorsi

Nooij

Kallenberg

Hermens

2009

Journal of Electromyography and Kinesiology

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“…Existing analyses have focused primarily on lifting and moving, [50][51][52] with some research on the ergonomics of activities inside the patient care compartment of an ambulance. 56,57,85 The physical environment within the patient compartment of an ambulance can compromise a provider's ability to safely deliver care.…”

Section: Physical Environment Factorsmentioning

confidence: 99%

“…[47][48][49][50][51][52][53][54] This work highlights the success that can be achieved when rigorous scientific testing is used to develop ergonomic equipment specifically designed to meet the challenges of providing patient care in the prehospital environment. Lavender et al first utilized focus groups of firefighters and identified high self-reported rates of musculoskeletal injuries, especially during tasks working directly with patients.…”

Section: Host Factor Solutionsmentioning

confidence: 99%

EMS Provider and Patient Safety during Response and Transport: Proceedings of an Ambulance Safety Conference

Brice

Studnek

Bigham

et al. 2012

Prehospital Emergency Care

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The out-of-hospital setting is unique to health care and presents many challenges to providing safe, high-quality medical care in emergency situations. The challenges of the prehospital environment require thoughtful design of systems and processes of care. The unique challenges of ambulance safety may be met by analyzing systems and incorporating process improvements. The purposes of this paper are to 1) outline the nature of this problem, 2) introduce a framework for this discussion, 3) provide expert opinion from a two-day ambulance safety conference, and 4) propose a plan of action to address the safety issues identified in the literature and expert opinion at the conference. Utilizing the Haddon Matrix as a framework, we present the safety issues and proposed solutions for factors contributing to an injury event in the emergency medical services (EMS) transport environment: host, agent, physical environment, and social environment. Host refers to the person or persons at risk, in this case, the EMS personnel or the patient. The agent of injury refers to the energy exerted during the course of an injury, and may be modified to include unrestrained equipment that contributes to the injury. The physical environment refers to the characteristics of the setting in which the injury takes place, such as the roadway or the physical design of the ambulance. Finally, the social environment refers to the social, legal, and cultural norms and practices in the society, such as peer pressure and a culture that discourages the use of safety equipment.

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Designing ergonomic interventions for EMS workers, Part I: Transporting patients down the stairs

Cited by 38 publications

References 5 publications

A biomechanical and subjective comparison of two powered ambulance cots

A biomechanical and subjective comparison of two powered ambulance cots

Evaluating the effect of electrode location on surface EMG amplitude of the m. erector spinae p. longissimus dorsi

EMS Provider and Patient Safety during Response and Transport: Proceedings of an Ambulance Safety Conference

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