Vol 7, No 3 (2022)
Research paper
Published online: 2022-09-08

open access

Page views 7472
Article views/downloads 643
Get Citation

Connect on Social Media

Connect on Social Media

Occupational hazards in the consciousness of the paramedic in emergency medical service

Agnieszka Gonczaryk1, Jaroslaw Piotr Chmielewski2, Agnieszka Strzelecka3, Jaroslaw Fiks4, Grzegorz Witkowski3, Magdalena Florek-Luszczki5
Disaster Emerg Med J 2022;7(3):182-190.

Abstract

INTRODUCTION: Due to their occupational responsibilities and volatile work environment, paramedics are in constant contact with harmful, dangerous factors, making them vulnerable to a number of occupational health risks. These include harmful biological, chemical, physical, as well as psychophysical factors (musculoskeletal system strain, stress, patient aggression, occupational burnout). The present study aims to evaluate occupational hazard prevalence among emergency medical service (EMS) paramedics, the possibility of occupational illness incidence, and related prophylaxis.
MATERIAL AND METHODS: The participant sample consisted of paramedics employed in five mobile EMS operational areas in the Masovian voivodship. The study involved 238 people, including 223 men and 15 women. The mean age was 39.03 ± 9.27 years for males, and 31.93 ± 7.76 years for females. The study took place between May and September 2019 using diagnostic survey methodology.
RESULTS: Participants ordered the following factors based on a scale of threat: biological factors (47%), psychophysical factors (41%), chemical factors (7%), and physical factors (5%). Health issues included musculoskeletal system discomfort (39%) and mental overload (33%). Participants indicated harmful biological factors to cause illnesses such as influenza (85%), tuberculosis (79%), and hepatitis B or C (70%). The study showed that 73% of the participants are occupationally exposed to patient aggression, while 15% experienced occupational burnout.
CONCLUSIONS: Paramedics are exposed to a number of occupational hazards daily. The ones most significant in terms of serious disease development are harmful biological factors, musculoskeletal risk factors, fatigue, mental overload related to occupational responsibilities.

Article available in PDF format

View PDF Download PDF file

References

  1. Chmielewski J, Dziechciaż M, Czarny-Działak M, et al. Environmental health threats in the work process [in Polish]. Environ Med. 2017; 20(2): 52–61.
  2. Corman MK. Street medicine — assessment work strategies of paramedics on the front lines of emergency health services. J Contemp Ethnogr. 2016; 46(5): 600–623.
  3. Sheridan S. Paramedic health status, fitness and physical tasks: A review of the literature. Australasian J Paramed. 2019; 16.
  4. Chomątowska B, Grzebieluch J, Janiak-Rejno I. From Learning “Doing the Work of a Paramedic” to “Being a Paramedic” – the Results of Research on Students of the Last Year of Wroclaw Medical University. Annales H Oeconomia. 2021; 55(2): 34–48.
  5. Chmielewski J, Karkowski T, Szpringer M, et al. Health education in the professional work of paramedics. Med Og Nauk Zdr. 2019; 25(3): 131–134.
  6. Rybojad B, Aftyka A, Baran M, et al. Risk factors for posttraumatic stress disorder in polish paramedics: a pilot study. J Emerg Med. 2016; 50(2): 270–276.
  7. Meadley B, Caldwell J, Perraton L, et al. The health and well-being of paramedics - a professional priority. Occup Med (Lond). 2020; 70(3): 149–151.
  8. Gonczaryk A, Chmielewski J, Dziechciaz M, et al. Occupational exposure to biological agents in Polish paramedics: a narrative review. Disaster Emerg Med J. 2021; 6(4): 194–203.
  9. Szarpak Ł. [Knowledge of aseptics and antisepsis and following their rules as elements of infection prevention in the work of paramedics]. Med Pr. 2013; 64(2): 239–243.
  10. Thomas B, O'Meara P, Spelten E. Everyday dangers - the impact infectious disease has on the health of paramedics: a scoping review. Prehosp Disaster Med. 2017; 32(2): 217–223.
  11. Chmielewski JP, Raczek M, Puścion M, et al. COVID-19 caused by the SARS-CoV-2 virus as an occupational disease of medical professionals [in Polish]. Med Og Nauk Zdr. 2021; 27(3): 235–243.
  12. Fedorczuk W, Pawlas K. Occupational risk factors of a medical rescue worker [in Polish]. Hygeia Public Health. 2011; 46(4): 437–441.
  13. Wnukowski K, Kopański Z, Sianos G. The nature of work in medical rescue [in Polish]. Journal Clinic Healthcare. 2015; 3: 2–9.
  14. Chmielewski J, Galińska EM, Nagas T, et al. Environmental biological hazards in veterinary practic [in Polish]. Życie Weterynaryjne. 2015; 90(6): 353–357.
  15. Chmielewski J, Jackowska N, et al. Nagas T. Occupational exposure to chemicals in veterinary practice [in Polish]. Życie Weterynaryjne. 2015; 90(11): 711–715.
  16. Szarpak L, Smereka J, Filipiak KJ, et al. Cloth masks versus medical masks for COVID-19 protection. Cardiol J. 2020; 27(2): 218–219.
  17. Reichard AA, Marsh SM, Tonozzi TR, et al. Occupational injuries and exposures among emergency medical services workers. Prehosp Emerg Care. 2017; 21(4): 420–431.
  18. Chmielewski J, Czarny-Działak M, Laurman-Jarząbek E. Anesthetic gases: application, environmental exposure and ways of risk reduction [in Polish]. Przem Chem. 2018; 97(10): 1760–1763.
  19. Chmielewski J, Pobereżny J, Florek-Łuszczki M, et al. Sosnowsky’s hogweed – current environmental problem. Env Protect Natural Resources. 2017; 28(3): 40–44.
  20. Chmielewski J, Nowak-Starz G, Rutkowski A. Occupational exposure to carcinogens and mutagens in the work environment [in Polish]. Przem Chem. 2020; 99(3): 397–405.
  21. Chmielewski J, Szpringer M, Łuszczki JJ. Occupational and environmental exposure to substances and chemical mixtures that are toxic to human reproduction [in Polish]. Przem Chem. 2020; 99(6): 865–874.
  22. Chmielewski J, Szpringer M, Rutkowski A. Household chemistry products as a source of environmental and health risk [in Polish]. Przem Chem. 2020; 99(3): 449–456.
  23. Chmielewski J, Żeber-Dzikowska I, Kosecka J, et al. Exposure to chemicals as an etiological agent of occupational skin diseases and related health education [in Polish]. Przem Chem. 2020; 99(8): 1254–1260.
  24. Roberts MH, Sim MR, Black O, et al. Occupational injury risk among ambulance officers and paramedics compared with other healthcare workers in Victoria, Australia: analysis of workers' compensation claims from 2003 to 2012. Occup Environ Med. 2015; 72(7): 489–495.
  25. Prairie J, Plamondon A, Larouche D, et al. Paramedics' working strategies while loading a stretcher into an ambulance. Appl Ergon. 2017; 65: 112–122.
  26. Prairie J, Corbeil P. Paramedics on the job: dynamic trunk motion assessment at the workplace. Appl Ergon. 2014; 45(4): 895–903.
  27. Friedenberg R, Kalichman L, Ezra D, et al. Work-related musculoskeletal disorders and injuries among emergency medical technicians and paramedics: A comprehensive narrative review. Arch Environ Occup Health. 2022; 77(1): 9–17.
  28. GUS Pomoc doraźna i ratownictwo medyczne w 2019 r. https://stat.gov.pl/files/gfx/portalinformacyjny/pl/defaultaktualnosci/5513/14/4/1/pomoc_dorazna_i_ratownictwo_medyczne_w_2019_r.pdf (23.01.2020).
  29. Załącznik nr 4 do rozporządzenia Ministra Zdrowia z 1 sierpnia 2002 r. w sprawie sposobu dokumentowania chorób zawodowych i skutków tych chorób (Dz.U. 2002 r., nr 132, poz. 1121)/ Annex No. 4 to the Regulation of the Minister of Health of August 1, 2002 on the selection of examination of occupational diseases and these diseases (Journal of Laws of 2002, No. 132, item 1121). https://isap.sejm.gov.pl/isap.nsf/DocDetails.xsp?id=WDU20021321121 (23.01.2020).
  30. Pękala K, Rośniak E, Lipert A, et al. Characteristics of aggressive behavior towards paramedics during performing their duties [in Polish]. Anestezjolog Rat Med. 2019; 13(1): 18–22.



Disaster and Emergency Medicine Journal