Fratta Kyle A, Levy Matthew J, Brothers James M, Baer Gamaliel D, Scharf Becca
Emergency Medicine, Campbell University, Lillington, USA.
Emergency Medicine, Johns Hopkins University School of Medicine, Baltimore, USA.
Cureus. 2020 Sep 12;12(9):e10404. doi: 10.7759/cureus.10404.
Patient lifting injuries remain a significant hazard to Emergency Medical Services (EMS) providers despite preventative and mitigative strategies.
To better characterize the nature of occupational injury involving patient and stretcher handling.
A retrospective review of existing de-identified claims data was performed for the study period of January 1, 1999, through December 31, 2017. Independent reviewers analyzed each claim to determine if the claim was related to lifting or moving a patient. Any discrepancies between the two reviewers were analyzed by a third reviewer.
Eighty-two claims were identified as resulting from lifting or maneuvering patients. Fifty-two of these injuries (63.4%) resulted in at least one lost workday (LWD). Strains and sprains accounted for the majority of injuries with 63.4% (n=52) and 18.3% (n=15) respectively. Forty-two (51.2%) of these reports occurred when the provider was moving a patient, not involving a stretcher, while 37.8% (n=31) occurred due to lifting or maneuvering a stretcher with or without a patient. Conclusion: While the overall incidence of lifting injuries was less than reported in other occupational health data series, these injuries continue to occur, and cause significant operational and fiscal impact for EMS systems. This occurrence is despite advances in engineering controls and the organizational embracement of a culture of safety that focuses on risk identification and mitigation. Understanding the types of lifting/moving injuries, circumstances surrounding the injury, and contributing factors will help to maintain a heightened awareness of potential injuries associated with EMS work, and opportunities to reduce them.
尽管有预防和减轻风险的策略，但患者搬运损伤对紧急医疗服务（EMS）提供者来说仍然是重大危害。
更好地描述涉及患者及担架搬运的职业损伤的性质。
对1999年1月1日至2017年12月31日研究期间现有的去识别化索赔数据进行回顾性分析。独立评审员分析每项索赔，以确定该索赔是否与搬运或移动患者有关。两位评审员之间的任何差异由第三位评审员进行分析。
82项索赔被确定为因搬运或移动患者所致。其中52例损伤（63.4%）导致至少1个工作日缺勤（LWD）。拉伤和扭伤占损伤的大多数，分别为63.4%（n = 52）和18.3%（n = 15）。这些报告中有42例（51.2%）发生在提供者移动患者时，未涉及担架，而37.8%（n = 31）发生在搬运有或没有患者的担架时。结论：虽然搬运损伤的总体发生率低于其他职业健康数据系列中的报告，但这些损伤仍在发生，并对EMS系统造成重大运营和财政影响。尽管在工程控制方面取得了进展，且组织倡导注重风险识别和缓解的安全文化，但这种情况仍在发生。了解搬运/移动损伤的类型、损伤周围的情况以及促成因素，将有助于提高对与EMS工作相关的潜在损伤的认识，以及减少这些损伤的机会。
