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首页> 外文期刊>Prehospital emergency care >Occupational Injuries among Emergency Medical Services Personnel.
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Occupational Injuries among Emergency Medical Services Personnel.

机译：紧急医疗服务人员的职业伤害。

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Background. Emergency medical services (EMS) personnel treat 22 million patients a year in the United States, yet little is known of their injury risks. Objectives. To describe the epidemiology of occupational injuries among EMS personnel, calculate injury rates, and compare the findings with those for other occupational groups. Methods. This was a retrospective review of injury records kept by two urban agencies. The agencies submitted all 617 case reports for three periods between January 1, 1998, and July 15, 2002. The agency personnel worked an estimated 2,829,906 hours during the study periods. Cases were coded according to U.S. Department of Labor (DOL) criteria. Results. Four hundred eighty-nine cases met the DOL inclusion criteria. The overall injury rate was 34.6 per 100 full-time (FT) workers per year (95% confidence interval [CI] 31.5-37.6). "Sprains, strains, and tears" was the leading category of injury; the back was the body part most often injured. Of the 489 cases, 277 (57%) resulted inlost workdays, resulting in a rate of 19.6 (95% CI 17.3-21.9) per 100 FT workers; in comparison, the relative risks for EMS workers were 1.5 (95% CI 1.35-1.72) compared with firefighters, 5.8 (95% CI 5.12-6.49) compared with health services personnel, and 7.0 (95% CI 6.22-7.87) compared with the national average. Conclusions. The injury rates for EMS workers are higher than rates reported by DOL for any industry in 2000. Funding and additional research are critical to further defining the high risks to EMS workers and developing interventions to mitigate this serious problem.
机译：背景。在美国，紧急医疗服务（EMS）人员每年治疗2200万患者，但对其伤害风险知之甚少。目标。为了描述急救人员中职业伤害的流行病学，计算伤害率，并将调查结果与其他职业人群的发现进行比较。方法。这是对两个城市机构保存的伤害记录的回顾性审查。这些机构在1998年1月1日至2002年7月15日期间的三个时期内提交了全部617例病例报告。在研究期间，机构人员估计工作了2,829,906小时。根据美国劳工部（DOL）标准对案件进行编码。结果。 489例符合DOL纳入标准。总体伤害率为每年每100名全职（FT）工人34.6（95％置信区间[CI] 31.5-37.6）。 “扭伤，拉伤和眼泪”是伤害的主要类别;背部是最常受伤的身体部位。在这489个案例中，有277个（57％）导致工作日流失，每100名FT工人的比率为19.6（95％CI 17.3-21.9）;相比之下，与消防员相比，EMS工作人员的相对风险为1.5（95％CI 1.35-1.72），与卫生服务人员相比为5.8（95％CI 5.12-6.49），与7.0（95％CI 6.22-7.87）全国平均水平。结论。 EMS工人的伤害率高于DOL报告的任何行业在2000年的伤害率。资金和其他研究对于进一步确定EMS工人的高风险以及制定缓解此严重问题的干预措施至关重要。

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