Occupational Medicine: An Asset in Time of Crisis

Guidotti, Tee L.

doi:10.1016/b978-0-323-03253-7.50030-3

Cited by 3 publications

(3 citation statements)

References 16 publications

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“…This explains why on the days with ME in the office between 30-45 minutes were dedicated to unscheduled consultations, disrupting the order of the scheduled examinations, to which almost 3 additional consultations were added on each of these days. In the past, the existence of a company office dedicated to work-related emergencies and health hazards was the rule, but industrial restructuring favored the outsourcing of these services, and their conglomeration with administrative ones, becoming secondary in favor of the company's financial profitability [5]. However, the frequency with which ME occur during work, including in the present study, even in the context of a relatively limited time interval, demonstrates that OM must become a priority in ensuring the continuity of medical care, and thus productivity will increase, employees being the main focus.…”

Section: Discussionmentioning

confidence: 99%

“…Medical emergencies (ME) in the OM office represent an increasingly frequent challenge for the OM specialist, in the context of the global increase in morbidity at younger ages, in addition to work accidents, public health emergencies or other force majeure situations that may appear during the work schedule [2,3]. Since 1986, the American College of Emergency Physicians has defined the role of the emergency physician with additional skills in OM, considering the growing interest in this category of patients since those years, but there was also the problem that OM physicians and office staff be trained in providing emergency care [4,5]. In Romania, the ages between which an individual can work are 18 to 65, for men, and 61 years and 9 months for women respectively, in 2022, with a gradual increase until 63 years in January 2030 [6].…”

Section: Introductionmentioning

confidence: 99%

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Emergencies in occupational medicine: the experience of an on-site medical office

Pârvu

2023

Romanian Journal of Occupational Medicine

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Objective : Medical emergencies (ME) in the occupational medicine (OM) office represent an increasingly frequent challenge, because they may require treatment or an ambulance, involving monitoring the patient, halting scheduled activity. The objective of this retrospective observational study was to study ME in the on-site medical office of a local pharmaceutical company, with an emphasis on the differences between major and minor emergencies, and on the factors associated with a longer duration of consultations, in order to optimize management. Methods : ME in the on-site office of a local company, January - June 2023 (109 working days), were recorded. The presentations were divided into 2 groups (G): G1 - ME that required ambulance/hospitalization/immediate treatment (etiological and/or symptomatic) and G2 - ME without immediate intervention. Results : During the 109 working days analyzed, 173 consultations involved ME (12.5% of the total presentations), with a mean of 1.6 presentations/day, On the 62 days with ME, the average was 2.7 presentations/day. The presentations, with a mean age of 40.8 years and a female predominance (69.4%), were divided into 2 groups: G1 included 95 (54.9%) presentations with immediate intervention, G2 - 78 (45.1%). In G1, 8 (8.4%) presentations required ambulance to hospital, 39 (41.1%) received etiological treatment, and 76 (81.1%) symptomatic treatment. Presentations for infectious diseases in a pandemic context ranked first This emphasizes the role of the OM physician in assessing Covid-19 contacts/patients. An ME consultation lasted on average 16.2 minutes, with a maximum of 19.4 minutes (excluding Covid-19 rapid testing). The most frequent ME complaints/humors were of cardiovascular, neurological, digestive and musculoskeletal origin. The maximum duration was in cardiovascular disease, associated with each type of intervention (p<0.0001 in the 3 cases: ambulatory/symptomatic/etiological treatment). Conclusion : ME in the OM doctor’ activity are frequent, more so in middle-aged women, especially between 12:01-16:00. They add approximately 2-3 consultations daily, in addition to the scheduled ones (30-45 additional minutes). Most ME require medical intervention: treatment in the office/ambulance. Apart from the COVID-19 context, most ME were cardiovascular (most time-consuming), digestive, neurological, and musculoskeletal. The duration of emergency consultations, additional to appointments, could require dedicated intervals, in order not to overload the physician. A systematized analysis of ME, paralleled by a good feedback towards the employer, could favor an individualized approach and an optimized endowment of the office, allowing identification of undiagnosed chronic disease, which would enhance productivity.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Emergencies in occupational medicine: the experience of an on-site medical office

Pârvu

2023

Romanian Journal of Occupational Medicine

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“…Table 1 lists some of the ways by which the occupational medicine service can assist in a true emergency. 4 The most critical part of the infrastructure of any enterprise is the people who work in that enterprise, particularly those with experience and those who occupy key production jobs. There are two levels to this.…”

Section: What Is the Role Of Emergency Management In Occupational Medmentioning

confidence: 99%