Prévention pour les services ambulanciers

Ambuance québécois : image par Jimmy Lavoie CC-BY-SALe personnel paramédical est sans cesse confronté à une diversité de risques. Ce billet présente quatre ressources récentes qui proposent des stratégies de prévention :

  • La santé et la sécurité psychologiques font l’objet d’une importante nouvelle norme CSA publié ce printemps et offert gratuitement.
  • Afin d’outiller les gestionnaires pour combattre la fatigue mentale et physique, un groupe d’experts a émis cinq recommandations basées sur des données probantes.
  • Les risques ergonomiques de la tâche de chargement d’une civière dans une ambulance font l’objet d’une recherche et de recommandations dans un article récent de la revue Applied ergonomics.
  • Un article dans Safety science traite de l’importance de la conscience situationnelle pour la sécurité routière de jeunes ambulanciers.

Psychological health and safety in the paramedic service organization.

This is the first edition of CSA Z1003.1, Psychological health and safety in the paramedic service organization. This Standard provides paramedic service organizations and other key stakeholders with guidance on good practice for the identification and assessment of hazards and management of psychological health and safety (PHS) risks for paramedic service organizations and the promotion of improved psychological health and safety.

Source : Association canadienne de normalisation (Éd.). (2018). Toronto: CSA.

Evidence-Based Guidelines for Fatigue Risk Management in Emergency Medical Services.

Aux États-Unis, la fatigue mentale et physique affecte un grand nombre du personnel d’assistance médicale d’urgence, mais les gestionnaires ne sont pas bien outillés pour contrer ce phénomène notamment en raison de l’absence de directives relatives à la gestion des risques associés à la fatigue. C’est pourquoi un groupe d’experts a examiné les données probantes issues de la recherche et a formulé cinq recommandations relatives à l’évaluation et la surveillance de la fatigue chez les travailleurs, aux quarts de travail, aux mesures pour atténuer la fatigue et à la formation.

Source : Patterson, P. D., et al. (2018). Prehospital Emergency Care, 22(sup1), 89‑101. https://doi.org/10.1080/10903127.2017.1376137

Paramedics’ working strategies while loading a stretcher into an ambulance.

For paramedics, loading a stretcher into an ambulance is an activity with a high risk of back injury and accidents. The objective of this study was to document strategies paramedics use at work while loading a powered stretcher into an ambulance. A total of 249 stretcher loading operations performed by 58 paramedics, and 51 semistructured post-intervention interviews were analyzed. Almost three quarters of loading operations required additional actions (e.g., raising the shoulders and additional lifting) to insert the stretcher into the cot fastener system in the ambulance. Some strategies that were necessary to complete the stretcher loading operation seemed to have negative impacts on the workers’ health, such as repositioning the stretcher. This action wastes time and requires significant physical efforts, as it is usually done alone. This study suggests some potential solutions, related to equipment, training, workers and work organization, to reduce the risk of injury while loading stretchers.

Source : Prairie, J., Plamondon, A., Larouche, D., Hegg-Deloye, S., & Corbeil, P. (2017). Applied Ergonomics, 65, 112‑122. https://doi.org/10.1016/j.apergo.2017.06.005

Situation awareness in young novice ambulance drivers: So much more than driving.

The intractable problem of young novice driver road crashes, and the critical role of emergency responders in attending road crashes, is well-recognised as is the critical role of situation awareness skills (SAS, ie. an understanding of ‘what is going on’ in a specific situation). This project explored SA demands upon young novice ambulance drivers in Queensland, Australia.

Inadequate SA is a likely contributor to risks for drivers, patients, and other road users. Complex environmental information modifies driver ‘world’ schema (eg., medical procedures) which in turn directs their actions (eg., attending to radio/pager) that in a cyclical manner relies upon complex environmental information, etc.

Emergency responder SA appears quite different to ‘ordinary drivers’, suggesting well-developed road-related schema are required before young novice ambulance drivers are behind the wheel in a highly-emotive, time-critical situation. Drivers are not simply ‘driving’; they are engaged in a breadth of tasks while driving (e.g., accessing dynamic case details) which, for safety, rely upon adequate SAS, therefore training programs should target SAS development.

Scott-Parker, B., Curran, M., Rune, K., Lord, W., & Salmon, P. M. (2018). Safety Science, 108, 48‑58. https://doi.org/10.1016/j.ssci.2018.04.016

 

 

 

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