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The Prevalence of Occupational Injuries in EMTs in New England

Published online by Cambridge University Press:  28 June 2012

Robert J. Schwartz ,
Lionel Benson  and
Lenworth M. Jacobs
Robert J. Schwartz*
Affiliation:
Department of Emergency Medicine, Hartford Hospital, Hartford, Conn.
Lionel Benson
Affiliation:
Department of Emergency Medicine, Hartford Hospital, Hartford, Conn.
Lenworth M. Jacobs
Affiliation:
Department of Emergency Medicine, Hartford Hospital, Hartford, Conn.
*
Department of Emergency Medicine, Hartford Hospital, 80 Seymour Street, Hartford, CT 06115USA
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Abstract

Objective:

To characterize the prevalence and morbidity of injuries to emergency medical technicians EMTs) in New England [United States].

Design:

A survey was mailed to a 2% random sample of all registered EMTs in the six New England States. The identity of the EMTs remained anonymous, and a second mailing was used to improve return rate. The EMTs were requested to recall events that occurred during the previous six months.

Results:

A total of 439 of the 786 (56%) surveys were returned representing 13,875 hours of duty time in the six-month period. Seventy one percent of the EMTs were male with a mean age of 35 years. Sixty-six percent were basic-EMTs. Injury attack rates (number of injuries/100 EMTs/6 months) were: stress, 11.2; back, 10.5; extremity, 9.8; assault, 8.4; ambulance collision, 4.1; hearing loss, 2.5; and eye injury, 1.4. Twelve percent of the EMTs were injured more than once in the six-month period. The paramedics more frequently were involved in ambulance collisions, suffered from stress, and were less likely to injure their back. There were minor interstate differences. Disability due to back injury affected 2.5% of those surveyed, four EMTs lost duty time secondary to an assault, and 0.5% of the EMTs were out of work due to stress.

Conclusions:

This survey begins to characterize the occupational risks of EMTs. The prevalence of back injuries, assault, stress, and extremity injuries seems to be too high. Educational programs and preventive interventions should be designed to minimize back injuries, stress, and assault. There is a need for more research nationwide in order to better characterize these injuries.

Keywords

EMTmorbidityoccupational injuriesprevalencerandom samplesurvey
Type
Original Research
Information
Prehospital and Disaster Medicine , Volume 8 , Issue 1 , March 1993 , pp. 45 - 50
Copyright
Copyright © World Association for Disaster and Emergency Medicine 1993

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References

1. Schwartz, RJ: Occupational injuries in the emergency medical technician. Emerg Care Q 1990;5:29–39.Google Scholar
2. Allison, EJ, Whitley, TW, Revichi, DA, et al. : Specific occupational satisfaction and stresses that differentiate paid and volunteer EMTs. Ann Emerg Med 1987;16:676–679.Google Scholar
3. Stilwell, JA, Stilwell, PJ: Sickness absence in an ambulance service. J Soc Occup Med 1984;34:96–99.Google Scholar
4. Hoyga, PT, Ellis, L: Evaluation of the injury profile of personnel in a busy urban EMS system. Am J Emerg Med 1990;8:308–311.Google Scholar
5. State of Connecticut, Department of Health Services: What is an EMI? Hartford, Conn.: DHS, 1990.Google Scholar
6. Anderson, GBJ, Pope, MH, Frymoyer, JW: Epidemiology. In Kirkaldy Whis, WH (ed) Managing Low Back Pain. 2d Ed. New York: Churchill Livingstone, Inc., 1988.Google Scholar
7. Greco, PA: My first million. JEMS 1991;16:11–12.Google Scholar
8. Button, R, Pater, R: Pretraining is essential tool for fall and back injuries. Occup Health Safety 1988;57(7):23–25.Google Scholar
9. Dick, T: Look out behind you! JEMS 1980;2:20–27.Google Scholar
10. National Institute for Occupational Safety and Health. Work Practice Guide for Manual Lifting. Washington, D.C.: U.S. Dept. of Health and Human Services, 1981. Publication No. 81–122.Google Scholar
11. Saunders, CE: A Study of Ambulance Collisions in an Urban Environment. Presented at 1992 Annual Meeting of Society for Academic Emergency Medicine: May, 1992.Google Scholar
12. Elling, R: Dispelling myths on ambulance accidents. JEMS 1980;2:60–64.Google Scholar
13. Elling, R, Guerin, R: Ambulance Accident Prevention Seminar Student Workbook. December, 1988. NYC EMS Program Publication.Google Scholar