Article

Ambulance stretcher adverse events

Department of Emergency Medicine, University of Pittsburgh, Pittsburgh, Philadelphia 15213, USA.
Quality and Safety in Health Care (Impact Factor: 2.16). 07/2009; 18(3):213-6. DOI: 10.1136/qshc.2007.024562
Source: PubMed

ABSTRACT Introduction: Ambulance personnel use wheeled stretchers for moving patients in the out-of-hospital setting. The nature of adverse events and associated injuries occurring during ambulance stretcher operation was characterised.
Data from the United States Food and Drug Administration's Manufacturer and User Facility Device Experience Database (MAUDE) were used. All adverse events involving ambulance stretchers during the years 1996-2005 were identified. The nature of the event, the method of stretcher handling, the individuals injured and the nature of the resulting injuries were identified.
There were 671 reported adverse events. The most common adverse events were stretcher collapse (54%; 95% CI 50 to 57%), broken, missing or malfunctioning part (28%; 95% CI 25 to 32%) and dropped stretcher (7%; 95% CI 5 to 9%). Adverse events most commonly occurred during unloading of the stretcher from the ambulance (16%; 13 to 19%). Injuries occurred in 121 events (18%; 95% CI 15 to 21%), most often involving sprains/strains (29%), fractures (16%) and lacerations/avulsions (13%). There were three traumatic brain injuries and three deaths. Patients sustained injuries in 52 events (43%), and ambulance personnel sustained injuries in 64 events (53%). More than one individual sustained injuries in 12 events.
Adverse events may occur during ambulance stretcher operation and can result in significant injury to patients and ambulance personnel.

0 Followers
 · 
310 Views
  • [Show abstract] [Hide abstract]
    ABSTRACT: This paper presents a massively parallel processing array designed for the 0.13-μm 1.5-V standard CMOS base process of a commercial 3-D through-silicon via stack. The array, which will constitute one of the fundamental blocks of a smart CMOS imager currently under design, implements isotropic Gaussian filtering by means of a MOS-based RC network. Alternatively, this filtering can be turned into anisotropic by a very simple voltage comparator between neighboring nodes whose output controls the gate of the elementary MOS resistor. Anisotropic diffusion enables image enhancement by removing noise and small local variations while preserving edges. A binary edge image can also be attained by combining the output of the voltage comparators. In addition to these processing capabilities, the simulations have confirmed the robustness of the array against process variations and mismatch. The power consumption extrapolated for VGA-resolution array processing images at 30 fps is 570 μW.
    Circuits and Systems II: Express Briefs, IEEE Transactions on 11/2012; 59(11):751-755. DOI:10.1109/TCSII.2012.2228394 · 1.19 Impact Factor
  • Source
    [Show abstract] [Hide abstract]
    ABSTRACT: Purpose: This research project addressed the need to designing more safe and efficient interior of the future ambulance in Korea. Methods: The study sample contained 760 paramedics in 4 districts. Data was collected by using a revised and complemented questionnaire based on literature review. Results: In relation to the efficacy and safety of work, answers related to storage closet showed to be the highest, and the most difficult part of paramedic work in an ambulance was lurching. CPR is the most frequently used emergency care inside an ambulance, but 66% of the paramedics responded that accurate CPR is not possible during vehicle transfer. Safety belts are not worn for 82.8% of the time, because of discomfort (51.3%). 13.8% of the paramedics responded that stretchers are unstable, 29.5% had an experience of having patients fall off the stretcher inside an ambulance. There were comments on installing equipments to prevent noise, and assist communication. Conclusion: The suggested practical layout contains five main modifications 1. Developing specially designed belt is needed for paramedic safety & efficient work. 2. The seats are molded to be ergonomically friendly. 3. Equipments to secure the body and safety devices for CPR are needed. 4. System improvement for communication between the driver seat and paramedics is needed. 5. The stretchers are molded to be maximize efficiency and minimize injury.
    01/2013; 17(3).
  • Source
    [Show abstract] [Hide abstract]
    ABSTRACT: Introduction: This paper presents a review of Québec paramedic (PA) work health and safety regardless of work activities. To accomplish the aim of this study, three research questions were established: “Which musculoskeletal disorder affects PA?”, “How PA execute their work?” and “What are the variables of PA work activity?”. Method: The bibliographic research were executed in French and English using electronic databases: “Medline/Pubmed”, “Medline/Ebsco”, “Cinahl”, “ISI Web of knowledge/Current Contents” and “Google Scholar”. Keywords used for the computer searches were: technicien ambulancier, ambulance, paramédic, urgence préhospitalier, santé, trouble ou lésion musculosquelettique, travail, paramedic, responder and (first or emergency), ambulance and (assistant or officer or technician or personnel or crew), emergency service, emergency medical and (service or technician), emergency response and (vehicle or unit), paramedicine, ambulance, health, injury musculoskeletal disorder, risk factor, work and job characteristics. Results: The computer searches included more than 6000 references published between 1970 and 2011 about PA and keywords. 48 articles respected research questions and were incorporated in this review. Conclusion: More field studies are needed to characterize real PA work situations. A better understanding of the full requirements of the paramedics work may lead to solution to reduce health and safety problems observed particularly in older PA. Introduction : Cette synthèse des connaissances sur la santé et à la sécurité des techniciens ambulancier (TA) du Québec a pour objectif d’approfondir notre compréhension de l’activité de travail des TA. Pour accomplir cet objectif trois questions de recherche ont été établies : « Quels TMS affectent les TA? », « Comment se fait le travail des TA? » et « Quels sont les déterminants de l’activité de travail des TA? ». Méthode : La recherche bibliographique s’est effectuée en français et en anglais à partir des moteurs de recherche des bases de données de «« Medline/Pubmed », « Medline/Ebsco », « Cinahl », « ISI Web of knowledge/Current Contents » et « Google Scholar ». Les mots-clés utilisés en français sont : technicien ambulancier, ambulance, paramédic, urgence préhospitalier, santé, trouble ou lésion musculosquelettique, travail. Les mots-clés utilisés en anglais sont : paramedic, responder and (first or emergency), ambulance and (assistant or officer or technician or personnel or crew), emergency service, emergency medical and (service or technician), emergency response and (vehicle or unit), paramedicine, ambulance, health, injury, musculoskeletal disorder, risk factor, work and job characteristics. Résultats : Plus de 6000 références parues entre 1970 et 2011 portent sur les TA et les mots-clés choisis. 48 articles ont été retenus en lien avec les trois questions de recherche rattachées à l’objectif de cette synthèse. Conclusion : D’autres études terrains sont nécessaires afin de mieux comprendre ce qui se passe réellement sur le terrain lors de situations de travail. Une connaissance plus approfondie des exigences de l’emploi permettrait d’apporter des solutions à cette problématique de santé au travail observée particulièrement chez les techniciens ambulanciers plus âgés.

Full-text (2 Sources)

Download
853 Downloads
Available from
May 16, 2014