Back Pain in EMS, Part 2
Risks, prevention, and how departments can help.
Upon conclusion of this course, students will be able to:
- Describe how lifting, posture, and body position can give rise to chronic pain syndromes;
- Define modifiable associated risk factors for back pain;
- Identify specific mitigation and prevention strategies;
- Understand the role of provider education and how departments can help.
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11. Armstrong DP, Ferron R, Taylor C, et al. Implementing powered stretcher and load systems was a cost effective intervention to reduce the incidence rates of stretcher related injuries in a paramedic service. Applied Ergonomics, 2017; 62: 34–42.
12. Studnek JR, Crawford JM, Wilkins JR 3rd, Pennell ML. Back problems among emergency medical services professionals: the LEADS health and wellness follow-up study. Am J Industr Med, 2010; 53(1): 12–22.
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16. U.S. Department of Health and Human Services. Physical Activity Guidelines for Americans, https://health.gov/sites/www.emsworld.com/files/2019-09/Physical_Activity_Guidelines_2nd_edition.pdf.
17. Zhang TT, Liu Z, Liu YL, et al. Obesity as a Risk Factor for Low Back Pain: A Meta-Analysis. Clin Spine Surg, 2018; 31(1): 22–7.
18. Shiri R, Karppinen J, Leino-Arjas P, et al. The association between obesity and low back pain: a meta-analysis. Am J Epidem, 2010; 171(2): 135–54.
19. Shiri R, Falah-Hassani K. Does leisure time physical activity protect against low back pain? Systematic review and meta-analysis of 36 prospective cohort studies. Br J Sports Med, 2017; 51(19): 1,410–8.
20. Patterson PD, Suffoletto BP, Kupas DF, et al. Sleep quality and fatigue among prehospital providers. Prehosp Emerg Care, 2010; 14(2): 187–93.
21. Studnek JR, Ferketich A, Crawford JM. On the job illness and injury resulting in lost work time among a national cohort of emergency medical services professionals. Am J Industr Med, 2007; 50(12): 921–31.
22. Studnek JR, Crawford JM. Factors associated with back problems among emergency medical technicians. Am J Indust Med, 2007; 50(6): 464–9.
23. Steffens D, Maher CG, Pereira LSM, et al. Prevention of Low Back Pain: A Systematic Review and Meta-analysis. JAMA Intern Med, 2016; 176(2): 199–208.
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25. Leffer M, Grizzell T. Implementation of a physician-organized wellness regime (POWR) enforcing the 2007 NFPA standard 1582: injury rate reduction and associated cost savings. J Occup Environ Med, 2010; 52(3): 336–9.
26. Jahnke SA, Poston WS, Haddock CK, Jitnarin N. Injury among a population based sample of career firefighters in the central USA. Inj Prev, 2013; 19(6): 393–8.
27. Brice JH, Cyr JM, Hnat AT, et al. Assessment of Key Health and Wellness Indicators Among North Carolina Emergency Medical Service Providers. Prehosp Emerg Care, 2019 Mar–Apr; 23(2): 179–86.
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32. Kruger J, Yore MM, Bauer DR, Kohl HW. Selected barriers and incentives for worksite health promotion services and policies. Am J Health Prom, 2007; 21(5): 439–47.
33. Sarkar S, Taylor WC, Lai D, et al. Social support for physical activity: Comparison of family, friends, and coworkers. Work, 2016; 55(4): 893–9.
34. Patterson PD. Evidence-Based Guidelines for Combatting Fatigue in EMS. J Emerg Med Serv, 2018 Feb 1; www.jems.com/operations/evidence-based-guidelines-for-combatting-fatigue-in-ems/.
After passing the course, your certificate will be available for download here.