Department of Kinesiology, Faculty of Medicine, Université Laval, 2300 Rue de La Terrasse, Quebec City, QC, G1V 0A6, Canada.
Institut de Recherche Robert Sauvé en Santé et en Sécurité du Travail (IRSST), 505 de Maisonneuve Blvd. West, Montreal, QC, H3A 3C2, Canada.
Appl Ergon. 2017 Nov;65:112-122. doi: 10.1016/j.apergo.2017.06.005. Epub 2017 Jun 13.
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.
对于急救人员来说，将担架装入救护车是一项高风险的活动，容易导致背部受伤和事故发生。本研究的目的是记录急救人员在使用动力担架将其装入救护车时所采用的策略。共分析了 58 名急救人员进行的 249 次担架装卸操作和 51 次半结构化干预后访谈。近四分之三的装卸操作需要额外的动作（例如抬起肩膀和额外的提升）才能将担架插入救护车中的快速固定系统中。一些完成担架装卸操作所必需的策略似乎对工人的健康产生负面影响，例如重新定位担架。此操作既浪费时间又需要大量体力，因为通常是单独完成的。本研究提出了一些潜在的解决方案，涉及设备、培训、工人和工作组织，以降低装卸担架时受伤的风险。
