Journal of the Ergonomics Society of Korea (대한인간공학회지)

Ergonomics Society of Korea (대한인간공학회)
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A Survey of Musculoskeletal Symptoms & Risk Factors for the 119 Emergency Medical Services (EMS) Activities

119 구급대원 구급활동의 근골격계 증상 및 위험실태

  • Kim, Day-Sung (Occupational Safety and Health Research Institute, KOSHA) ;
  • Moon, Myung-Kug (Department of Industrial and Management Engineering, University of Incheon) ;
  • Kim, Kyoo-Sang (Occupational Safety and Health Research Institute, KOSHA)
  • 김대성 (한국산업안전보건공단 산업안전보건연구원) ;
  • 문명국 (인천대학교 산업경영공학과) ;
  • 김규상 (한국산업안전보건공단 산업안전보건연구원)
  • Published : 2010.04.30
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Abstract

Fire service personnel and ambulance paramedics suffer musculoskeletal disorders as they lift and carry patients while performing Emergency Medical Services (EMS). The objective of the current study was performed to examine the association between working environment and musculoskeletal disorders of 119 paramedics and to analysis the EMS activities for them through basic survey (including task characteristics, risk factors, symptoms and illnesses). Observational job analysis of EMS activities indicated the squatting posture during first-aid performed on floor and the abrupt use of force during carrying heavy load including stretcher with patients on as hazard factors, and excessive low back twisting and bending during stairway transfer was observed. In addition, work-physiological assessment revealed various but rather high lumbar muscle usage rate among the study subjects, being 14.6~32.8% compared with Maximum Voluntary Contraction (MVC) during patients transfer work. Resting heart rate showed 65/min, on the other hand, heart rate on mobilization indicated maximum 124~156/min. Therefore, the results of analysis to the EMS activities, rescuer activities and medical tasks were accompanied with high possibility of accident and musculoskeletal disorders. Also, EMS activities indicated high muscle fatigue and energy consumption, and accumulated muscle fatigue with during continued work.

Keywords

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