DOI QR코드

DOI QR Code

A study on improving the interior design of ambulance

구급차 내부 디자인 개선에 관한 연구

  • Shin, Dong-Min (Department of Paramedic Science, Korea National University of Transportation) ;
  • Park, Si-Eun (Department of Health Science, Graduate School, Chosun University) ;
  • Park, Shin-Hye (Osan 119 Center, Gyeonggi-do Fire Service)
  • 신동민 (한국교통대학교 응급구조학과) ;
  • 박시은 (조선대학교 대학원 보건학과) ;
  • 박신혜 (경기도소방재난본부 오산소방서)
  • Received : 2013.09.26
  • Accepted : 2013.12.17
  • Published : 2013.12.31

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.

Keywords

Ambulances;Interior design;Safety;Efficiency;Paramedics

Acknowledgement

Supported by : 한국교통대학교

References

  1. Hong SG, Son IA. A study on the factors influencing the accuracy of chest compression during cardiopulmonary resuscitation trying in a moving ambulance. J Korean Soc Emerg Med 2009;20(4):343-54.
  2. Kim KS. Health hazards in firefighters. Hanyang Med Rev 2010;30(4):296-304. https://doi.org/10.7599/hmr.2010.30.4.296
  3. Paul H. Ambulance re-design to reduce EMS injuries: Influencing design through standards development. NIOSH Division of Safety Research, 2001.
  4. Go BJ. The study of comparison between korean and unites state of america an ambulance, NREMT in USA training course project 2009;9:249-82.
  5. Coleman R, Harrow D. Ambulance design for patient safety: a comprehensive design study into how patient and ambulance staff safety can be improved. Royal College of Art, 2006.
  6. Ibraheem AO, Rand G. Extensions to emergency vehicle location models. Computers & Operations Research 2006;33(9):2725-43.
  7. Matthews E, Fusari G, Harrow D, Stevens P, Winsor R, Benger J. Redesigning the emergency ambulance: Improving Mobile Emergency Healthcare. Royal College of Art: Redlin Printing, 2011.
  8. Ferreira J, Hignett S. Reviewing ambulance design for clinical efficiency and paramedic safety. Appl Ergon 2005;36(1):97-105.
  9. Gilad I, Byran E. Ergonomic evaluation of the ambulance interior to reduce paramedic discomfort and posture stress. Hum Factors 2007;49(6):1019-32. https://doi.org/10.1518/001872007X249884
  10. NIOSH. Ambulance design could increase safety for emergency responders. Emergency Management Alert March 17, 2009.
  11. Stapleton ER. Comparing CPR during ambulance transport. Manual vs. mechanical methods. JEMS 1991;16(9):63-8.
  12. Donald C. Reducing the risk of musculoskeletal injury for paramedics. Ambulance Paramedics of British Columbia 2001.
  13. Chung TN, Kim SW, Cho YS, Chung SP, Park I, Kim SH. Effect of vehicle speed on the quality of closed-chest compression during ambulance transport. Resuscitation 2010;81(7):841-7. https://doi.org/10.1016/j.resuscitation.2010.02.024
  14. Havel C, Schreiber W, Riedmuller E, Haugk M, Richling N, Trimmel H, et al. Quality of closed chest compression in ambulance vehicles, flying helicopters and at the scene. Resuscitation 2007;73(2):264-70. https://doi.org/10.1016/j.resuscitation.2006.09.007
  15. Coleman R, Hignett S. Harrow D, Evans O, Kunur M, Halls S, et al. A designing for patient safety: Future Ambulances London: National Patient Safety Agency 2007.
  16. Makhsous M, Hendrix R, Crowther Z, Nam E, Lin F. Reducing whole-body vibration and musculoskeletal injury with a new car seat design. Ergonomics 2005;48(9): 1183- 99. https://doi.org/10.1080/00140130500226903
  17. Jones A, Hignett S. Safe access/egress systems for emergency ambulances. Emerg Med J 2007;24(3):200–5. https://doi.org/10.1136/emj.2006.041707
  18. Wang HE, Weaver MD, Abo BN, Kaliappan R, Fairbanks RJ. Ambulance stretcher adverse events. Qual Saf Health Care 2009;18(3):213–6. https://doi.org/10.1136/qshc.2007.024562