Overall risk index for patient transfers in total assistance mode executed by emergency medical technician-paramedics in real work situations

Source avec lien : Applied Ergonomics, 74, 1/1/2019. 10.1016/j.apergo.2018.08.029

Peu d’études ont quantifié le risque de troubles musculo-squelettiques lors des transferts de patients en mode d’assistance totale dans des situations réelles de soins préhospitaliers d’urgence. Un indice permettant d’évaluer le risque global de transfert de patients a été créé; il permet de quantifier le risque en fonction de la position du patient et de la hauteur de son emplacement. Selon l’indice de risque global, les transferts de patients depuis le sol sont les plus risqués. Les ambulanciers paramédicaux exécutent de nombreuses opérations de levage risquées, même dans des contextes favorables de traitement des patients.

Few studies have quantified the risk of musculoskeletal disorders during patient transfers in total assistance mode in real-life prehospital emergency care situations. An index to assess the overall risk of patient transfers was created; it makes it possible to quantify risk based on the patient’s position and the height of the patient’s location. An analysis of 71 transfers executed by paramedics in actual work situations showed that moving a patient from the ground was characterized by acute sagittal flexions and axial rotations, respectively, 42% and 12% of the time. When the patient was lying on a raised surface, the lifting index and perceived exertion were the lowest (2.55; easy). According to the overall risk index, patient transfers from the ground are the riskiest. Paramedics execute many risky lifts even in favorable patient handling contexts.

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