Occupational Health and Safety in the pre hospital environment - is prevention the cure?
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Health and Safety information for Ambulance officer and paramedic - Workplace Health and Safety Queensland

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This handy resource provides general health and safety information from the Queensland government for the management of common hazards and risks for Ambulance officers and paramedics. Good to know info if you’re getting into this scene…

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'Too few ambulances, too few paramedics'

'Too few ambulances, too few paramedics' | Occupational Health and Safety in the pre hospital environment - is prevention the cure? | Scoop.it
A paramedic working in south-east England, name withheld
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Singing that same old song...

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Caring for the Country: Fatigue, Sleep and Mental Health in Australian Rural Paramedic Shiftworkers - Regional Australia Institute

Caring for the Country: Fatigue, Sleep and Mental Health in Australian Rural Paramedic Shiftworkers - Regional Australia Institute | Occupational Health and Safety in the pre hospital environment - is prevention the cure? | Scoop.it
Nirvana Stewart's insight:

Increasing occupational demands in an already fatigued profession requires intervention from the organisation to implement safe work systems in an effort to promote a healthy workforce. This goes far beyond the responsibility of the individual. 

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We don’t want a US-style army of working poor » The Injured Workers Support Network

We don’t want a US-style army of working poor » The Injured Workers Support Network | Occupational Health and Safety in the pre hospital environment - is prevention the cure? | Scoop.it
Nirvana Stewart's insight:

The reduction in workers entitlements, pay or conditions in an increasingly stressed workplace will only ever end in tears. 

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CDC - Emergency Medical Services Workers: Injury and Illness Data (2011) - NIOSH Workplace Safety and Health Topic

CDC - Emergency Medical Services Workers: Injury and Illness Data (2011) - NIOSH Workplace Safety and Health Topic | Occupational Health and Safety in the pre hospital environment - is prevention the cure? | Scoop.it
Nirvana Stewart's insight:

The physical demands of the job are identified here as the leading cause of injuries. This is clearly a workplace that would benefit from the further development of ergonomic interventions for patient handling. Not limited by improvements to existing key equipment such as stretchers. But perhaps to innovations in how to get the patient on the stretcher in the first place.

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"“Would a Pre-hospital Practitioner model improve patient care in rural" by Peter O'Meara

Introduction Existing rural pre-hospital models have been criticised for being isolated from the health care system, and for following inflexible clinical protocols. Greater reliance on clinical judgement and informed decision-making in the pre-hospital setting offer the potential to improve patient care.
Methods Soft Systems Methodology was used to develop and critically appraise the Pre-Hospital Practitioner Model as an alternative to existing models. This approach started from the philosophical viewpoint that pre-hospital services should be patient-centred. Soft Systems Methodology was used to structure the elements of pre-hospital systems and the relationships between them into metaphors and pictures that could be analysed.
Results My analysis shows that the most powerful reason for advocating the pre-hospital practitioner model is that it places pre-hospital systems within a symbiotic relationship with the health care system. Unlike the existing emergency service models or the 'chain of survival' model, it is an integrated system that provides a range of services at multiple points during the patient-care cycle. Thus, the pre-hospital practitioner would have roles in the prevention of injury and illness, responding to emergencies, facilitating recovery, and planning future strategies for a healthy community.
Conclusions Implementing this new model would see the pre-hospital system using its available capacity more effectively to fulfil broader public health and primary care outreach roles than is currently the case. Patients would be referred or transported to the most appropriate and cost-effective facility as part of a seamless system that provides patients with well-organised and high quality care.
*The full text version of this paper has been published by Emerg. Med. Jnl., March 2003; 20: 199-203.
Nirvana Stewart's insight:

Health care models are evolving. The view that pre-hospital services should be patient centered is in line with the current direction of health care services. The role of a pre-hospital practitioner bridges the gap that exists in the current health care model. Ultimately by improving patient care.

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Are You Embracing The New Frontier in Lifesaving?

Are You Embracing The New Frontier in Lifesaving? | Occupational Health and Safety in the pre hospital environment - is prevention the cure? | Scoop.it
There are some simple steps agencies can follow to implement effective injury- and illness-prevention
programs.
Nirvana Stewart's insight:

If we measure our success or effectiveness as a pre hospital care provider by the morbidity and mortality outcomes from within our own community then this article offers some interesting insight into positive effects on long term health outcomes from various illness and injury continuous improvement prevention initiatives.   

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Injury Prevention in Pre-Hospital EMS

Injury Prevention in Pre-Hospital EMS | Occupational Health and Safety in the pre hospital environment - is prevention the cure? | Scoop.it
A functional fitness plan, with the proper assessments, can help EMS personnel avoid those injuries that could keep them out of work.
Nirvana Stewart's insight:

I believe individuals need to take more responsibility for their own health. I also believe the employer has a responsibility to ensure that the health and safety of the employees is maintained. This in part could be achieved by fitness or physical assessments and the standard maintained with ongoing assessments of functional movement tests as reported in this article. Common injuries that occur while on duty highlighted here reinforce the need within the profession to promote and maintain a safe work culture where the employees are supported in maintaining an adequate level of fitness to perform their jobs safely. 

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Preventing Injury in EMS Professionals

Preventing Injury in EMS Professionals | Occupational Health and Safety in the pre hospital environment - is prevention the cure? | Scoop.it
Nirvana Stewart's insight:

Whilst advances in equipment have improved incidence of lifting injuries in Emergency Medical Services what still remains is the ever present danger of moving the patient to the equipment. It is here that the majority of lifting injuries occur. It is here that future research, design and development is needed if we are to be proactive and prevent these injuries from occurring in the future. 

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Paramedics: Growing concern that stressful working conditions could be putting lives at risk » The Injured Workers Support Network

Paramedics: Growing concern that stressful working conditions could be putting lives at risk » The Injured Workers Support Network | Occupational Health and Safety in the pre hospital environment - is prevention the cure? | Scoop.it
Nirvana Stewart's insight:

For me this highlights the negative cycle of an overstretched under resourced service. Where providers are consequently stressed to a point of no return. Those impacts are felt not only by the individual in their professional and personal lives but by the wider community as well. Regrettably affecting those who they intend to help. 

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Designing ergonomic interventions for EMS workers: Concept generation of patient-handling devices

Nirvana Stewart's insight:

Injuries at work are costly. Considerable time and money is spent on developing ergonomic interventions to reduce these injuries. The criteria for such devices is focused on the needs of the end user. There is a need for future innovations to focus on the further reduction in patient handling. Rather, how to transfer the patient to the device. 

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Behind the mask: Paramedic occupational traumatic stress

Behind the mask: Paramedic occupational traumatic stress | Occupational Health and Safety in the pre hospital environment - is prevention the cure? | Scoop.it
Watch Behind the mask: Paramedic occupational traumatic stress and other Health and Wellness videos on EMS1
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A darker side to professionalism.

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