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Stretcher Injury

Andrew E Ekpenyong, Nicole Toepfner, Christine Fiddler, Maik Herbig, Wenhong Li, Gheorghe Cojoc, Charlotte Summers, Jochen Guck, Edwin R Chilvers
The transition of neutrophils from a resting state to a primed state is an essential requirement for their function as competent immune cells. This transition can be caused not only by chemical signals but also by mechanical perturbation. After cessation of either, these cells gradually revert to a quiescent state over 40 to 120 min. We use two biophysical tools, an optical stretcher and a novel microcirculation mimetic, to effect physiologically relevant mechanical deformations of single nonadherent human neutrophils...
June 2017: Science Advances
Daniel P Armstrong, Richard Ferron, Cindi Taylor, Brent McLeod, Steve Fletcher, Renée S MacPhee, Steven L Fischer
Paramedic services are considering moving towards the use of powered stretcher and load systems to reduce stretcher related injuries, but cost is perceived as a barrier. This study compared injury incidence rates, days lost, and compensation costs between Niagara Emergency Medical Service (NEMS) and Hamilton Paramedic Service (HPS) pre- (four years) and post- (one year) implementation of powered stretcher and load systems in NEMS. Prior to the intervention stretcher related musculoskeletal disorder (MSD) incidence rates averaged 20...
July 2017: Applied Ergonomics
Justin N Hall
No abstract text is available yet for this article.
June 2017: Academic Emergency Medicine: Official Journal of the Society for Academic Emergency Medicine
Andréane Richard-Denis, Cynthia Thompson, Jean-Marc Mac-Thiong
Individuals with spinal cord injury are at risk of sacral pressure ulcers due to, among other reasons, prolonged immobilisation. The effectiveness of a multi-layer foam dressing installed pre-operatively in reducing sacral pressure ulcer occurrence in spinal cord injured patients was compared to that of using a gel mattress, and stratified analyses were performed on patients with complete tetraplegia and paraplegia. Socio-demographic and clinical data were collected from 315 patients admitted in a level-I trauma centre following a spinal cord injury between April 2010 and March 2016...
January 4, 2017: International Wound Journal
John R Heberger, Jonisha P Pollard
In a mine emergency where refuge is necessary, miners may sustain injuries that will render them unable to walk or crawl. In this situation, a miner may have to rely on others for transportation into the mobile refuge alternative (RA) while on a stretcher. Since requirements for mine first-aid stations were developed before RAs, stretchers should be evaluated to determine whether they are usable in an RA and within the physical capabilities of miners in a refuge. The size of the RA airlock is a concern, as it has not been determined if current airlocks will accommodate a miner on a stretcher...
2016: Journal of safety, health and environmental research
Jonathan A Anson, Elbert J Mets, Sonia J Vaida, Tonya S King, Tim Ochoa, Vitaly Gordin
STUDY OBJECTIVE: Back injuries are a highly reported category of occupational injury in the health care setting. The daily clinical activities of an anesthesia provider, including lifting, pushing stretchers, transferring patients, and bending for procedures, are risk factors for developing low back pain. The purpose of this study is to investigate the prevalence of work related low back pain in anesthesia providers. DESIGN/SETTING: We conducted a cross-sectional survey study of anesthesia providers at an academic institution...
November 2016: Journal of Clinical Anesthesia
M Kettner
DIAGNOSTIC WORK-UP: The rescue, treatment and transport of patients with an injured spine require a systematic scheme with the subsequent rating of the findings and suspected diagnoses. In addition to the assessment of temporal urgency, the available resources and personnel, the duration and complexity of any possible technical measures that might be anticipated, the rational selection of immobilisation tools also plays a significant role. The most important medical rescue aids are the scoop stretcher and the spine board; the spine board, vacuum mattress and cervical collar are used to immobilise the patient...
August 2016: Der Radiologe
Ben Beck, Greg L Carstairs, Daniel C Billing, Joanne N Caldwell, Kane J Middleton
Beck, B, Carstairs, GL, Billing, DC, Caldwell, JN, and Middleton, KJ. Modifiable anthropometric characteristics are associated with unilateral and bilateral carry performance. J Strength Cond Res 31(2): 489-494, 2017-A mismatch between physical ability and task requirements can increase the risk of on-the-job injury. Therefore, understanding key anthropometric characteristics associated with job performance is important in developing targeted training programs and selecting employees in physically demanding occupations...
February 2017: Journal of Strength and Conditioning Research
Kåre J Karlsson, Patrik H Niemelä, Anders R Jonsson, Carl-Johan A Törnhage
BACKGROUND: Previous research has shown that paramedics are exposed to risks in the form of injuries to the musculoskeletal system. In addition, there are studies showing that they are also at increased risk of cardiovascular disease, cancer, and psychiatric diseases, which can partly be explained by their constant exposure to stress. The aim of this study is to evaluate whether the use of shoulder straps decreases physical effort in the form of decreased heart rate and cortisol concentration...
March 2016: Safety and Health At Work
Elizabeth Lutge, Nirvasha Moodley, Aida Tefera, Benn Sartorius, Timothy Hardcastle, Damian Clarke
INTRODUCTION: In response to the ongoing excessive burden of trauma in South Africa the Data Management and Epidemiology Units of the Department of Health in conjunction with a group of trauma specialists developed a number of trauma data variables for inclusion on the routine District Health Information System (DHIS). The aim of this study is to describe the process followed and review the 2012-2014 data. METHODOLOGY: The variables collected included: total patient numbers assessed in the emergency room with a diagnosis of trauma; the mechanisms of trauma (blunt assault, motor vehicle accident, pedestrian vehicle accident, stab, gunshot wound, other); any trauma patient admitted to a health facility ward/ICU for longer than 12h; and whether the patient required transfer to a higher centre of care...
January 2016: Injury
Winko W An, Vincy Wong, Roy T H Cheung
Back injury is common in rowers. Asymmetrical lower limb reaction force on the foot stretchers during rowing may compromise trunk biomechanics and lead to back injury. However, such a mechanism remains putative. Therefore, this study examined lower limb reaction force in experienced rowers with and without a history of back injury. Six rowers who suffered from back injury for more than one week in the past year and another 19 rowers who were never injured performed maximal exertion rowing on a fixed-head rowing machine for 30 strokes...
2015: Sports Biomechanics
Erica M Buckeridge, Anthony M J Bull, Alison H McGregor
Lumbar-pelvic kinematics change in response to increasing rowing stroke rates, but little is known about the effect of incremental stroke rates on changes in joint kinetics and their implications for injury. The purpose of this study was to quantify the effects of incremental rowing intensities on lower limb and lumbar-pelvic kinetics. Twelve female rowers performed an incremental test on a rowing ergometer. Kinematic data of rowers' ankle, knee, hip and lumbar-pelvic joints, as well as external forces at the handle, seat and foot-stretchers of the rowing machine were recorded...
2016: Journal of Sports Sciences
Ben Meadley, Stefan Heschl, Emily Andrew, Anthony de Wit, Stephen A Bernard, Karen Smith
Winching emergency medical care providers from a helicopter to the scene enables treatment of patients in otherwise inaccessible locations, but is not without risks. The objective of this study was to define characteristics of winch missions undertaken by Intensive Care Flight Paramedics (ICFP) in Victoria, Australia with a focus on extraction methods and clinical care delivered at the scene. A retrospective data analysis was performed to identify all winch missions between November 2010 and March 2014. Demographic data, winch characteristics, physiological parameters, and interventions undertaken on scene by the ICFP were extracted...
2016: Prehospital Emergency Care
E M Buckeridge, A M J Bull, A H McGregor
In rowing, the parameters of injury, performance, and technique are all interrelated and in dynamic equilibrium. Whilst rowing requires extreme physical strength and endurance, a high level of skill and technique is essential to enable an effective transfer of power through the rowing sequence. This study aimed to determine discrete aspects of rowing technique, which strongly influence foot force production and asymmetries at the foot-stretchers, as these are biomechanical parameters often associated with performance and injury risk...
April 2015: Scandinavian Journal of Medicine & Science in Sports
E Mayhew
Ayrshire general practitioner Charles McKerrow was appointed regimental medical officer (RMO) to the 10th Battalion Northumberland Fusiliers in 1915. At this time, fundamental restructuring of the military medical service on the Western Front had two main effects: surgical capability was moved forward as close to the front as possible and specialist stretcher bearers were trained to apply emergency first aid at the place of injury and to triage casualties appropriately. The specialist stretcher bearers were the equivalent of today's combat medical technicians...
2014: Journal of the Royal College of Physicians of Edinburgh
Erica M Buckeridge, Anthony M J Bull, Alison H McGregor
The rowing stroke is a leg-driven action, in which forces developed by the lower limbs provide a large proportion of power delivered to the oars. In terms of both performance and injury, it is important to initiate each stroke with powerful and symmetrical loading of the foot stretchers. The aims of this study were to assess the reliability of foot force measured by footplates developed for the Concept2 indoor ergometer and to examine the magnitude and symmetry of bilateral foot forces in different groups of rowers...
March 2014: Sports Biomechanics
Tomás Ballesteros, Ignacio Arana, Amaya Pérez Ezcurdia, José Ramón Alfaro
There are many stretcher models able to adequately achieve the spinal immobilization of adult patients during emergency transports but do not work well with children. A paediatric and neonatal immobilizer has been designed, constructed and tested. It is simple, radio-transparent, able to be adequately fastened to an ambulance, adaptable to a wide range of paediatric patient's size, providing a correct spinal immobilization without an excessive immobilization of the rest of the body, without impairing the aperture of an aerial way or the cardiopulmonary resuscitation (CPR) and without reducing the accessibility of the medical personnel to the paediatric patient...
May 2014: Journal of Medical Engineering & Technology
Olivier Manen, Julian Clément, Sébastien Bisconte, Eric Perrier
BACKGROUND: During an aircraft ejection, the pilot is exposed to accelerations to the point of human tolerance, which may cause spinal injuries. Many nations have reported a spinal trauma rate of about 20-30%, with plain radiography as the first-line exam. Insofar as ejection seats and diagnostic imaging have improved, the objectives of this study are to describe the spine injuries among recently ejected French aircrew, to analyze the spinal imaging used, and, if necessary, to propose a better standardized radiological procedure...
January 2014: Aviation, Space, and Environmental Medicine
Valerie J Rice, Marilyn A Sharp
Pre-placement screening for physically demanding jobs should result in better job performance and fewer injuries, if the test components reflect job demands. The purpose of this study was to determine how seven strength measures, three Army Physical Fitness Test (APFT) scores, and three physical descriptors relate to performance on two stretcher-carry tasks: 1) a repeated short-distance carry and 2) a continuous long-distance carry. Twelve men and 11 women completed both tasks with and without (hand-carry) a shoulder harness...
January 1, 1994: Work: a Journal of Prevention, Assessment, and Rehabilitation
Junaid A Bhatti, Hunniya Waseem, Junaid A Razzak, Naeem-Ul-Lah Shiekh, Ajmal Khan Khoso, L-Rachid Salmi
Interurban road crashes often result in severe Road Traffic Injuries (RTIs). Prehospital emergency care on interurban roads was rarely evaluated in the low- and middle-income countries. The study highlighted the availability and quality of prehospital care facilities on interurban roads in Pakistan, a low-income country. The study setting was a 592-km-long National highway in the province of Sindh, Pakistan. Using the questionnaires adapted from the World Health Organization prehospital care guidelines [Sasser et al...
2013: Annals of Advances in Automotive Medicine
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