- Volume 23 Issue 1
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Evaluation of 119 emergency medical technicians' work related musculoskeletal disorders risk with regard to patient lifting procedures
119 구급대원의 업무관련성 근골격계 손상 위험성 평가 - 환자 들기 작업을 중심으로 -
- Received : 2019.03.13
- Accepted : 2019.04.14
- Published : 2019.04.30
Purpose: The purpose of the study was to contribute to the prevention of musculoskeletal disorders (MSDs) in 119 emergency medical technicians (EMTs) by evaluating ergonomic risk factors of patient lifting work-postures. Methods: Four procedures were evaluated: using long back-board (LBB) on the sitting and standing main stretcher, using variable stretcher on the sitting and standing main stretcher. Wok-postures were assessed during training. Results: In using LBB on the sitting main stretcher, the OWAS-score was Mode:3 (Mean:2.30, Maximum:3), the REBA-score was Mode:9 (Mean:7.61, Maximum:11), requiring improvement soon. In using LBB on the standing main stretcher, the OWAS-score was Mode:3 (Mean:2.33, Maximum:3), requiring as soon as possible corrective action, the REBA-score was Mode:6 (Mean:5.44, Maximum:11), requiring improvement. In using variable stretcher on the sitting main stretcher, the OWAS-score was Mode:1 (Mean:1.85, Maximum:3), not requiring corrective action, the REBA-score was Mode:6 (Mean:6.78, Maximum:11), requiring improvement. In using variable stretcher on the standing main stretcher, the OWAS-score was Mode:3 (Mean:2.84, Maximum:3), requiring as soon as possible corrective action, the REBA-score was Mode:11 (Mean:9.38, Maximum:11), requiring immediate improvement. Conclusion: All four-procedures showed improvement in work-posture. Thereby, required attention and management in training, occupational health professionals should participate in change of lifting-method, and programs aimed at preventing MSDs should be developed and implemented in fire-academy and fire-station.
119 Emergency medical technicians (119 EMTs);Musculoskeletal disorders (MSDs);Work posture;Ovako working postrue analysing system (OWAS);Rapid entire body assessment (REBA)
- National Fire Agency. Statistical Yearbook of National Fire Agency 2018. Available at: http://www.nfa.go.kr/nfa/releaseinformation/statisticalinformation/main/?boardId=bbs_0000000000000019&mode=view&cntId=16&category=&pageIdx=&searchCondition=&searchKeyword=
- Kim MG, Kim KS, Ryoo JH, Yoo SW. Relationship between occupational stress and work-related musculoskeletal disorders in Korean male firefighters. Annals of Occupational and Environmental Medicine 2013;25(9):11-7. https://doi.org/10.1186/2052-4374-25-9 https://doi.org/10.1186/2052-4374-25-11
- Regehr C, Hill J, Glancy G. Individual predictors of traumatic reactions in firefighters. J Nerv Ment Dis 2000;188(6):333-9. https://doi.org/10.1097/00005053-200006000-00003 https://doi.org/10.1097/00005053-200006000-00003
- Kim JM, Suh BS, Kim DI, Kim WS, Cho HS, Kwon J et al. The study for musculoskeletal symptoms and job stress in firemen. J Korean Soc Occup Environ Hyg 2007;17(2):111-9.
- Hong SG. The evaluation of musculoskeletal symptom and patient transport work of 119 EMTs by ergonomics tools. Fire Sci & Eng 2014;28(4):81-8. https://doi.org/10.7731/KIFSE.2014.28.4.081 https://doi.org/10.7731/KIFSE.2014.28.4.081
- Choi ES, Hong SG, Kwon HR, Koh BY, Lee KY, Jung HH et al. Standadization of a curriculum for paramedic students in South Korea. Korean J Emerg Med Ser 2017;21(2):17-37. https://doi.org/10.14408/KJEMS.2017.21.2.017 https://doi.org/10.14408/KJEMS.2017.21.1.017
- Seoul Metropolitan Fire Academy. Available at: http://fire.seoul.go.kr/school/pages/cnts.do?id=1667&type=view&srchKey=&srchVal=&s_board_cate_seqno=&page=1&board_seqno=&boardlist_seqno=23485
- Karhu O, Kansi P, Kuorinka I. Correcting working posture in industry: A practical method for analysis. Appl Ergon 1977;8(4):199-201. https://doi.org/10.1016/0003-6870(77)90164-8
- Hignett S, McAtamney L. Rapid entire body assessment(REBA). Appl Ergon 2000;31(1):201-5. PMID: 10711982 https://doi.org/10.1016/S0003-6870(99)00039-3
- Myong JP, Yim HW, Kim HR, Chae JM, Jung YK, Park JI. Depression symptom features of a fire-station workers by job. Korean J Occup Health 2007;46(3):85-94.
- Jang YS, Lee TY, Bak SY. Analysis of the risk level of musculoskeletal disorders for workers at automative component factory using work sampling. J of Korean Society of Occupational Therapy 2008;16(4):77-88.
- Lee JW. Comparison study of ergonomic posture analysis-comparison of cross section analysis and work sampling. Unpublished master's thesis, The Catholic University of Seoul 2008, Seoul, Korea.
- Fire prevention news. Available at: http://fpn119.co.kr/sub_read.html?uid=103719§ion=sc72
- Kim DS, Moon MK, Kim KS. A survey of musculoskeletal symptoms and risk factors for the 119 emergency medical services(EMS) activities. J of the Ergonomics Society of Korea 2010;29(2):211-6. https://doi.org/10.5143/JESK.2010.29.2.211 https://doi.org/10.5143/JESK.2010.29.2.211
- National Human Rights Commission. A survey on human rights situation of the fire fighter. 2015;1:36-8.
- Yoon JW. Muscuoloskeletal disorders of korean fire fighters: applicants for public worker's compensation from 2011 to 2013. Fire Sci & Eng 2016;30(3):133-7. https://doi.org/10.7731/KIFSE.2016.30.3.133
- Son JW. Assessing fire fighters' work related musculoskeletal risks. Unpublished master's thesis, Yonsei University 2014, Seoul, Korea.
- Son JW, Park JB. Evaluation of musculoskeletal disorders risk of 119 emergency medical technicians during emergency medical services procedures in firefighter combat challenge. Korean J Emerg Med Ser 2017;21(3):59-71. https://doi.org/10.14408/KJEMS.2017.21.3.059 https://doi.org/10.14408/KJEMS.2017.21.1.059