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Assessing the risk of work-related musculoskeletal disorders in 119 EMT: a focus on patient-carrying tasks

119구급대원의 업무 관련성 근골격계 질환 위험성 평가 : 환자 운반 작업을 중심으로

  • Received : 2023.11.07
  • Accepted : 2023.12.20
  • Published : 2023.12.31

Abstract

Purpose: This study aims to evaluate the risk of work-related musculoskeletal disorders (WMSDs) in 119 EMT during patient-carrying tasks using a long backboard (LBB) and a variable stretcher. Methods: Manikins were used as patients, and 45 new 119 EMT from K Fire Academy were filmed performing patient-carrying tasks on stairs. The tasks were analyzed using Ovako working posture analysis system (OWAS) and Rapid entire body assessment (REBA). Results: In using LBB, the OWAS score was Mode 3(Mean 2.37, Maximum 3), requiring as soon as possible corrective action, the REBA score was Mode 11(Mean 9.16, Maximum 11), requiring immediate improvement. In using variable stretcher, the OWAS score was Mode 1(Mean 2.33, Maximum 3), non-necessity for corrective action, the REBA score was Mode 9(Mean 8.0, Maximum 11), requiring as soon as possible. Conclusion: In conclusion, improvement was needed in one task (carrying a patient using a LBB) in the OWAS and in two tasks (carrying a patient using a LBB, carrying a patient using a variable stretcher) in the REBA. Thereby, required attention and management of WMSDs during training. In addition, it is essential to carry out objective and quantitative assessments through ergonomic analysis by occupational health professionals when designing future training programs to prevent WMSDs.

Keywords

References

  1. National Fire Agency. 2022 Statistical yearbook. 1st ed. Gongju: Freebe, 2022. 37-112.
  2. Korea Ministry of Government Legislation. Rules on occupational safety and health standards no 656. Available at: https://www.law.go.kr/LSW/lsSc.do?dt=20201211&subMenuId=15&menuId=1&query=%EC%95%88%EC%A0%84%EB%B3%B4%EA%B1%B4%EA%B7%9C%EC%B9%99+%EC%A0%9C656%EC%A1%B0#undefined, 2023
  3. International Labor Organization. List of occupational diseases recommendation, 2002(No. 194). Available at: https://www.ilo.org/dyn/normlex/en/f?p=NORMLEXPUB:12100:0::NO:12100:P12100_ILO_CODE:R194, 2023
  4. Kwon YK. New ergonomics, 1st ed. Seoul: Design 21 Publishing Inc., 2021. 120-1.
  5. Kim DS, Moon MK, Kim KS. A survey of musculoskeletal symptoms & risk factors for the 119 emergency medical services activities. Journal of the Ergonomics Society of Korea 2010;29(2):211-6. https://doi.org/10.5143/JESK.2010.29.2.211
  6. Hong SW, Uhm DC, Jun MH. Job stress and work-related musculoskeletal symptoms of 119 emergency medical technicians. Korean Journal of Occupational Health Nursing 2010;19(2):223-35.
  7. Lavender SA, Conrad KM, Reichelt PA, Meyer FT, Johnson PW. Postural analysis of paramedics simulating frequently performed strenuous work tasks. Appl Ergon 2000;31(1):45-57. https://doi.org/10.1016/S0003-6870(99)00027-7
  8. Choi ES, Hong SG, Kwon HR, Koh BY, Lee KY, Jung HH et al. Standardization of a curriculum for paramedic students in South Korea. Korean J Emerg Med Ser 2017;21(2):32-3. https://doi.org/10.14408/KJEMS.2017.21.2.017
  9. Choi ES, Hong SG, Lee KY, Yun HW, Han ST, Ju JM et al. A study on the second standardization of the paramedic curriculum in South Korea. Korean J Emerg Med Ser 2020;24(3):7-27. https://doi.org/10.14408/KJEMS.2020.24.3.007
  10. Seoul Metropolitan Fire Academy. Available at: https://fire.seoul.go.kr/school/pages/cnts.do?id=1667, 2023
  11. Lee JW. Comparison study of ergonomic posture analysis-comparison of cross section analysis and work sampling. Unpublished master's thesis, Catholic University 2008, Seoul, Korea.
  12. Karhu O, Kansi P, Kuorinka I. Correcting working posture in industry: A practical method for analysis. Appl Ergon 1977;8(4):199-201. https://doi.org/10.1016/0003-6870(77)90164-8
  13. Hignett S, McAtamney L. Rapid entire body assessment(REBA). Appl Ergon 2000;31(1):201-5. https://doi.org/10.1016/S0003-6870(99)00039-3
  14. Myong JP, Yim HW, Kim HR, Chae JM, Jung YK, Park JI. Depression symptom features of a fire-station workers by job. Korean J Occup Health 2007;46(3):85-94.
  15. Jang YS, Lee TY, Bak SY. Analysis of the risk level of musculoskeletal disorders for workers at automative component factory using work sampling. J of Korean Society of Occupational Therapy 2008;16(4):77-88.
  16. Korea Ministry of Government Legislation. 119 rescue and first aid law no 2. Available at: https://www.law.go.kr/LSW/lsSc.do?dt=20201211&subMenuId=15&menuId=1&query=119%EA%B5%AC%EC%A1%B0%EA%B5%AC%EA%B8%89%EC%97%90%EA%B4%80%ED%95%9C%EB%B2%95%EB%A5%A0#undefined, 2023
  17. Korea Ministry of Government Legislation. Rules for classification of fire-fighting equipment no 4. Available at: https://www.law.go.kr/admRulSc.do?menuId=5&subMenuId=41&tabMenuId=183&query=%EC%86%8C%EB%B0%A9%EC%9E%A5%EB%B9%84%20%EB%B6%84%EB%A5%98%20%EB%93%B1%EC%97%90%20%EA%B4%80%ED%95%9C%20%EA%B7%9C%EC%A0%95#AJAX, 2023
  18. Hong SG. Effect on occurrence of low-back pain by duty type of fire fighting civil servant on outside duty. Unpublished master's thesis, Gacheon University 2007, Incheon, Korea.
  19. Kim JM, Seo BS, Jung GY, Kim DI, Kim WS, Jo HS et al. The study for musculoskeletal symptoms and job stress in fireman. J Korean Soc Occup Eviron Hyg 2007;17(2):111-9.
  20. Kim JT. A Study on risk prevention in different cases of occupational casualties for fire officials - focused on 119 rescue. Unpublished master's thesis, Kangwon National University 2016, Chuncheon, Korea.
  21. Hwang JY, Cho KJ. Health status and health management program participation of 119 emergency medical technicians. Korean J Emerg Med Ser 2017;21(1):45-58. https://doi.org/10.14408/KJEMS.2017.21.1.045
  22. Hong SG. The evaluation of musculoskeletal symptom and patient transport work of 119 EMTs by ergonomics tools. Fire Sci & Eng 2014;28(4):81-8. http://dx.doi.org/10.7731/KIFSE.2014.28.4.081
  23. Son JW, Park JB. Evaluation of musculoskeletal disorders risk of 119 emergency medical technicians during emergency medical services procedures in firefighter combat challenge. Korean J Emerg Med Ser 2017;21(3):59-71. https://doi.org/10.14408/KJEMS.2017.21.3.059