Küpper Thomas, Jansing Paul, Schöffl Volker, van Der Giet Simone
Institute for Occupational and Social Medicine, RWTH Aachen University, Aachen/Germany.
Ann Occup Hyg. 2013 Jan;57(1):34-42. doi: 10.1093/annhyg/mes048. Epub 2012 Sep 24.
During helicopter rescue operations the medical personnel are at high risk for hearing damage by noise exposure. There are two important factors to be taken into account: first, the extreme variability, with some days involving no exposure but other days with extreme exposure; second, the extreme noise levels during work outside the helicopter, e.g. during winch operations. The benefit of modern, less noisier constructions and the consequences for noise protection are still unknown.
We estimated the noise exposure of the personnel for different helicopter types used during rescue operations in the Alps and in other regions of the world with special regard to the advanced types like Eurocopter EC 135 to compare the benefit of modern constructions for noise protection with earlier ones.
The rescue operations over 1 year of four rescue bases in the Alps (Raron and Zermatt in Switzerland; Landeck and Innsbruck in Austria, n = 2731) were analyzed for duration of rescue operations (noise exposure). Noise levels were measured during rescue operations at defined points inside and outside the different aircraft. The setting is according to the European standard (Richtlinie 2003/10/EG Amtsblatt) and to Class 1 DIN/IEC 651. With both data sets the equivalent noise level L(eq8h) was calculated. For comparison it was assumed that all rescue operations were performed with a specific type of helicopter. Then model calculations for noise exposure by different helicopter types, such as Alouette IIIb, Alouette II 'Lama', Ecureuil AS350, Bell UH1D, Eurocopter EC135, and others were performed.
Depending on modern technologies the situation for the personnel has been improved significantly. Nevertheless noise prevention, which includes noise intermissions in spare time, is essential. Medical checks of the crews by occupational medicine (e.g. 'G20' in Germany) are still mandatory.
在直升机救援行动中,医护人员面临因噪声暴露而导致听力受损的高风险。有两个重要因素需要考虑:第一,情况变化极大,有些日子无噪声暴露,而其他日子则暴露于极强噪声中;第二,在直升机外工作时,如绞车操作期间,噪声水平极高。现代低噪声结构的益处及其对噪声防护的影响仍不明确。
我们估算了在阿尔卑斯山及世界其他地区救援行动中使用不同类型直升机时人员的噪声暴露情况,特别关注像欧洲直升机公司EC 135这样的先进机型,以比较现代结构在噪声防护方面相较于早期机型的益处。
分析了阿尔卑斯山四个救援基地(瑞士的拉龙和采尔马特;奥地利的兰德克和因斯布鲁克,n = 2731)为期1年的救援行动的持续时间(噪声暴露)。在不同飞机内部和外部的指定点测量救援行动期间的噪声水平。测量设置符合欧洲标准(Richtlinie 2003/10/EG Amtsblatt)和1类DIN/IEC 651标准。利用这两组数据集计算等效噪声水平L(eq8h)。为作比较,假设所有救援行动均使用特定类型的直升机进行。然后对不同类型直升机,如“云雀”IIIb型、“云雀”II“喇嘛”型、“松鼠”AS350型、贝尔UH1D型、欧洲直升机公司EC135型及其他机型的噪声暴露进行模型计算。
依靠现代技术,人员的情况已得到显著改善。然而,噪声预防,包括在业余时间安排噪声间歇期,至关重要。职业医学对机组人员进行医学检查(如德国的“G20”检查)仍然是强制性的。