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Injury risks of EMS responders: evidence from the National Fire Fighter Near-Miss Reporting System
Journal article   Open access   Peer reviewed

Injury risks of EMS responders: evidence from the National Fire Fighter Near-Miss Reporting System

Jennifer A Taylor, Andrea L Davis, Brittany Barnes, Alicia V Lacovara and Reema Patel
BMJ open, v 5(6), pp e007562-e007562
Jun 2015
PMID: 26068510
url
https://doi.org/10.1136/bmjopen-2014-007562View
Published, Version of Record (VoR) Open

Abstract

ObjectivesWe analysed near-miss and injury events reported to the National Fire Fighter Near-Miss Reporting System (NFFNMRS) to investigate the workplace hazards and safety concerns of Emergency Medical Services (EMS) responders in the USA.MethodsWe reviewed 769 ‘non-fire emergency event’ reports from the NFFNMRS using a mixed methods approach. We identified 185 emergency medical calls and analysed their narrative text fields. We assigned Mechanism of Near-Miss/Injury and Nature of Injury codes and then tabulated frequencies (quantitative). We coded major themes regarding work hazards and safety concerns reported by the EMS responders (qualitative).ResultsOf the 185 emergency medical calls, the most commonly identified Mechanisms of Near-Miss/Injury to EMS responders was Assaults, followed by Struck-by Motor Vehicle, and Motor Vehicle Collision. The most commonly identified weapon used in an assault was a firearm. We identified 5 major domains of workplace hazards and safety concerns: Assaults by Patients, Risks from Motor Vehicles, Personal Protective Equipment, Relationships between Emergency Responders, and Policies, Procedures and Practices.ConclusionsNarrative text from the NFFNMRS is a rich source of data that can be analysed quantitatively and qualitatively to provide insight into near-misses and injuries sustained by EMS responders. Near-miss reporting systems are critical components for occupational hazard surveillance.

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24 citations in Scopus

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Collaboration types
Domestic collaboration
Web of Science research areas
Public, Environmental & Occupational Health
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