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[Medical supervision in rescue work--systematics and personal studies].

All institutions of the organised public medical emergency services are functions of public health welfare and risk defence, hence they are subjects to the public health department in a supervisory capacity. Legal definitions and standards are the pertaining framework. Systematic and qualified improvements of areal plans, organization and realization, material and personal equipment, and hygienic standards in the public medical emergency service are Supervisory tasks that have to be tackled by public health departments. Planning requires random tests and local spatial analysis. This may be performed by the public health department itself or by external institutions. Therefore, organized public medical emergency service is part of (communal) health reports.

Emergency Medical Services↗
PubMed1997

The aftermath of an industrial disaster.

An explosion in a Danish supertanker under construction in 1994 caused the death of six workers and injured 15. Six months later 270 workers took part in this study, which analyses the relationships between objective stressors, the workers' own feelings and the reactions of their families after the explosion together with training, attitude to the workplace, general out-look, and received crisis help. Traumatisation, coping style and crisis support was assessed via the Impact of Event Scale (IES), the Coping Styles Questionnaire (CSQ) and the Crisis Support Scale (CSS). Emotionally, workers and their families were strongly affected by the explosion. The IES-score was 17.6 and the invasion score 9.1. The degree of traumatisation was higher in the group who had an 'audience position' than in the group who was directly hit by the explosion. Training in rescue work did not protect against adverse effects. Rescue work had a strong impact on the involved. Social support was a significant factor, that seems to buffer negative effects. High level of social integration, effective leadership in the situation, and professional crisis intervention characterised the disaster situation. All the same, 41 per cent of the workers reached the caseness criteria by Horowitz (IES > or = 19).

Accidents, Occupational↗
PubMed1994

Occupational meanings and coping practices of rescue workers in an earthquake disaster.

On 17 October 1989, an earthquake measuring 7.1 on the Richter scale struck the San Francisco Bay Area, causing the collapse of .76 miles of a double-decker roadway (known as the Cypress Street Viaduct), resulting in the death of 42 people. A study examined the effects of rescue work at 6 and 20 months after the event, among 42 people including: military pararescuers, firefighters, transportation workers, and coroner-investigators. The researcher explored the rescuers' motivations, actions, coping strategies, interactions, and understanding of their responses to the event, as well as the practical wisdom each acquired. This article focuses on the 6-month data, and reports the specific work meanings and practices that shaped forms of involvement, issues of stress, and sources of coping that influenced the experience of rescue work in this disaster.

Adaptation, Psychological↗
PubMed2004

Functional, postural and perceived balance for predicting the work ability of firefighters.

OBJECTIVE: The importance of balance abilities for firefighting and rescue work has already been recognized, but there are no valid balance tests available in the test batteries for the physical work capacity of firefighters. Moreover, few studies have examined the associations between balance and work ability in general. Valid work-related balance tests are needed for the purpose of screening in occupational health care and in rehabilitation for assessing the effects of balance training. This study aimed to investigate the predictive value of functional, postural and perceived balance in respect to work ability among firefighters at baseline and after a 3-year follow-up. METHODS: The subjects were 135 male firefighters aged 33-56 years. The outcome variables were the work ability index and perceived physical work ability (PWA), determined by questionnaire in 1996 and 1999. The predictors assessed in 1996 were postural balance (tested with a force platform), functional balance (measured during walking on a wooden plank), and perceived balance abilities, enquired about through a questionnaire. RESULTS: Most of the balance test results and the perceived balance ability were associated with the perceived PWA at baseline. The final logistic regression models showed that the best predictors of decreased work ability among firefighters after 3 years were poor-to-moderate perceived balance [odds ratios (ORs) 2.4, 95% confidence interval (CI) 0.9-6.6]; more than one error in the functional balance test (OR 3.6, 95% CI 1.0-12.7); and a high mean amplitude of postural sway with the eyes closed (OR 2.7, 95% CI 0.9-6.1). CONCLUSIONS: The results support the work-related and predictive validity, in terms of perceived work ability, perceived balance, errors in the functional balance test and amplitude of postural sway with the eyes closed, of measuring balance among firefighters.

Adult↗
PubMed2006

Long term health complaints following the Amsterdam Air Disaster in police officers and fire-fighters.

BACKGROUND: On 4 October 1992, a cargo aircraft crashed into apartment buildings in Amsterdam, the Netherlands. Fire-fighters and police officers assisted with the rescue work. OBJECTIVES: To examine the long term health complaints in rescue workers exposed to a disaster. METHODS: A historical cohort study was performed among police officers (n = 834) and fire-fighters (n = 334) who performed at least one disaster related task and reference groups of their non-exposed colleagues (n = 634 and n = 194, respectively). The main outcome measures included digestive, cardiovascular, musculoskeletal, nervous system, airway, skin, post-traumatic stress, fatigue, and general mental health complaints; haematological and biochemical laboratory values; and urinalysis outcomes. RESULTS: Police officers and fire-fighters who were professionally exposed to a disaster reported more physical and mental health complaints, compared to the reference groups. No clinically relevant statistically significant differences in laboratory outcomes were found. CONCLUSIONS: This study is the first to examine long term health complaints in a large sample of rescue workers exposed to a disaster in comparison to reference groups of non-exposed colleagues. Findings show that even in the long term, and in the absence of laboratory abnormalities, rescue workers report more health complaints.

Accidents, Aviation↗