Last data update: May 13, 2024. (Total: 46773 publications since 2009)
Records 1-3 (of 3 Records) |
Query Trace: Moore PH[original query] |
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Summary of recommendations from the National Institute for Occupational Safety and Health Fire Fighter Fatality Investigation and Prevention Program, 20062014
Hard DL , Marsh SM , Merinar TR , Bowyer ME , Miles ST , Loflin ME , Moore PH . J Safety Res 2018 68 21-25 Introduction: The NIOSH Fire Fighter Fatality Investigation and Prevention Program (FFFIPP) conducts independent investigations of selected fire fighter line-of-duty deaths (LODD) and offers recommendations to prevent similar deaths. The purpose of the current study was to provide information on more recent FFFIPP recommendations and to determine if recommendations have changed over time. Methods: Fatality investigations completed from 2006 to 2014 were selected for this study with recommendations being assigned into twelve major categories when possible. The most frequently occurring recommendations were then rank ordered overall and then by medical and traumatic fire fighter LODD. Results: There were 1,067 total recommendations made in the published fire fighter investigative reports for both medical and trauma-related fire fighter fatalities for the period 2006–2014. Of these, 784 (73%) could be placed within one of the 12 categories noted previously. The top 10 recommendation categories overall were: 1. Medical screening, 2. Fitness and wellness program, 3. Training, 4. Medical clearance, 5. Standard Operating Procedures/Standard Operating Guidelines (SOPs/SOGs), 6. Incident command, 7. Strategy and tactics, 8. Communications, 9. Personal protective equipment and 10. Staffing. Conclusions: The leading recommendations from the NIOSH FFFIPP medical investigations between 2006 and 2014 did not change compared to those made between 1998 and 2005, with the exception of the addition of “medical clearance for duty”. There were changes for the traumatic injury leading recommendations for 2006–2014, with the major change being “training”, which was the leading FFFIPP recommendation for traumatic injuries for this time period. Practical applications: The intent of the FFFIPP is to influence fire departments and fire fighters to critically assess and evaluate situations/circumstances similar to those identified by NIOSH investigations and implement the recommendations offered to prevent additional fire fighter fatalities. |
Fatal and nonfatal injuries among emergency medical technicians and paramedics
Reichard AA , Marsh SM , Moore PH . Prehosp Emerg Care 2011 15 (4) 511-7 BACKGROUND: Emergency medical technicians (EMTs) and paramedics serve as primary providers of urgent medical care and are integral components in disaster response. They are at risk for fatal and nonfatal injuries during these activities. OBJECTIVES: To describe fatal and nonfatal injuries occurring to EMTs and paramedics. METHODS: We analyzed data from the Bureau of Labor Statistics (BLS) Census of Fatal Occupational Injuries (CFOI) and the occupational supplement to the National Electronic Injury Surveillance System (NEISS-Work) for the period 2003-2007. RESULTS: We identified 99,400 (95% confidence interval [CI], 71,700, 127,100) nonfatal injuries treated in emergency departments and 65 fatal injuries from the period 2003-2007. Most fatalities were related to motor vehicle incidents (45%) and aircraft crashes (31%). Among compensated EMTs and paramedics, the rate of fatal injuries was 6.3 per 100,000 full-time equivalents. Nonfatal injuries were primarily associated with stress on some part of the body from motion or overexertion (33%). Among all nonfatal injuries, the most common diagnosis was sprains and strains (38%). CONCLUSIONS: Emergency medical technicians and paramedics have higher fatal injury rates when compared with all workers. To reduce fatalities, targeted efforts should be made to prevent ground and air transportation incidents. Reducing nonfatal injuries may be accomplished by developing and evaluating interventions to prevent bodily stress and overexertion injuries. |
Assessing the performance of various restraints on ambulance patient compartment workers during crash events
Green JD , Yannaccone JR , Current RS , Sicher LA , Moore PH , Whitman GR . Int J Crashworthiness 2010 15 (5) 517 - 541 The inability of emergency medical service (EMS) workers to remain safely restrained while treating patients in the patient compartment of a moving ambulance has been identified as a key impediment to EMS worker safety in North America. It has been hypothesised that restraint systems designed to provide mobility while offering the ability to lock during an impact or sudden manoeuvre, could greatly enhance worker safety in the back of ambulances. Through a series of 33 sled and crash tests impacting the front, side, and rear of simulated and actual ambulance patient compartments, the National Institute for Occupational Safety and Health examined the biomechanical and kinematic effects of two-, four- and five-point restraints on 95th percentile male Hybrid III anthropomorphic test devices. Results indicate that the inclusion of restraint systems offering mobility have the potential to improve worker safety under many working conditions in this unique work environment. |
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