Pitt study suggests risk management approach to combat EMS fatigueJanuary 12, 2018
PITTSBURGH, Jan. 12, 2018 - Extended shift work has historically been linked to interrupted sleep patterns and risk of injury, and is a persistent problem for emergency medical services (EMS) personnel who are tasked with delivering acute care under significant pressure.
New guidelines, written by a team led by University of Pittsburgh School of Medicine scientists and published this week in the journal Prehospital Emergency Care, aim to mitigate the effects of fatigue by addressing the impact of shift work and scheduling.
"The problem of fatigued EMS personnel is widespread and not isolated to one type of EMS operation or category of EMS clinician. Administrators of EMS organizations are not sufficiently equipped to address fatigue in the workplace, in part because of the absence of guidelines for fatigue risk management in the EMS setting," said Daniel Patterson, Ph.D., lead author and assistant professor of emergency medicine at the Pitt School of Medicine
After review and analysis of more than 38,000 journal articles, conference presentations and other publications, Patterson and his colleagues gathered information on fatigue and shift work to develop the evidence-based guidelines for fatigue risk management and test the impact of the findings to create a biomathematical model for use by the EMS community to aid in shift-scheduling decisions.
The guidelines consist of five recommendations:
- Use of fatigue/sleepiness surveys to measure and monitor EMS personnel fatigue.
- Limit EMS shifts to less than 24 hours in duration.
- Give EMS personnel access to caffeine to help stave off fatigue.
- Allow EMS personnel the opportunity to nap while on duty.
- Provide education and training in fatigue risk management to EMS personnel.
"Operating the ambulance is only one aspect of EMS care," said Patterson. "Most of the work EMS clinicians do is actually patient care. Fatigue affects decision-making abilities and overall performance, and with the pressure of delivering acute care, one wrong decision can be detrimental."
The research was funded by the National Association of State EMS Officials and the National Highway Traffic Safety Administration.
About the University of Pittsburgh School of Medicine
As one of the nation's leading academic centers for biomedical research, the University of Pittsburgh School of Medicine integrates advanced technology with basic science across a broad range of disciplines in a continuous quest to harness the power of new knowledge and improve the human condition. Driven mainly by the School of Medicine and its affiliates, Pitt has ranked among the top 10 recipients of funding from the National Institutes of Health since 1998. In rankings recently released by the National Science Foundation, Pitt ranked fifth among all American universities in total federal science and engineering research and development support.
Likewise, the School of Medicine is equally committed to advancing the quality and strength of its medical and graduate education programs, for which it is recognized as an innovative leader, and to training highly skilled, compassionate clinicians and creative scientists well-equipped to engage in world-class research. The School of Medicine is the academic partner of UPMC, which has collaborated with the University to raise the standard of medical excellence in Pittsburgh and to position health care as a driving force behind the region's economy. For more information about the School of Medicine, see http://www.medschool.pitt.edu.
Contact: Rick Pietzak
Contact: Stephanie Stanley
University of Pittsburgh Schools of the Health Sciences
Related Fatigue Articles:
A new type of 3-D display could solve the long-standing problem eye fatigue when using VR and AR equipment by greatly improving the viewing comfort of these wearable devices.
Scientists at the Center for Infection and Immunity (CII) at Columbia University's Mailman School of Public Health have discovered abnormal levels of specific gut bacteria related to chronic fatigue syndrome/myalgic encephalomyelitis, or ME/CFS, in patients with and without concurrent irritable bowel syndrome, or IBS.
Researchers have found a way to greatly reduce the effects of fatigue in steel by incorporating a laminated nanostructure into the material.
The anti-inflammatory biologic drug anakinra does not seem to reduce fatigue severity in women with chronic fatigue syndrome.
A new article published online by JAMA Oncology analyzed which of four commonly recommended treatments -- exercise, psychological, the combination of both, or pharmaceutical -- for cancer-related fatigue appeared to be most effective.
Doctors, pilots, air traffic controllers and bus drivers have at least one thing in common -- if they're exhausted at work, they could be putting lives at risk.
Some people adapt easily to shift work, but not everyone can handle constant disruptions to their daily rhythm.
The College of Nursing at the University of Massachusetts Amherst recently was awarded a five-year, $1.23 million grant from the National Institute of Nursing Research to create a new center where scientists will develop technologies to help people with chronic illness manage fatigue and impaired sleep.
A new study published in the ECS Journal of Solid State Science and Technology aims to take advantage of sweat's trove of medical information through the development of a sustainable, wearable sensor to detect lactate levels in your perspiration.
A patient's response to a therapeutic exercise program depends on the effectiveness of the program and the value of its delivery system.
Related Fatigue Reading:
From Fatigued to Fantastic
by Jacob Teitelbaum M.D. (Author)
The original, bestselling guide to treating chronic fatigue and fibromyalgia-now completely revised and updated.
For the more than twenty-five million Americans who suffer from chronic fatigue, fibromyalgia, and other fatigue-related illnesses, there is only one bestselling guide-From Fatigued to Fantastic. This new, completely updated third edition incorporates the latest advances in science and technology to help alleviate the baffling, often dismissed symptoms associated with severe, almost unrelenting fatigue.
Dr. Teitelbaum's integrated treatment program is based... View Details
Fix Your Fatigue: The four step process to resolving chronic fatigue, achieving abundant energy and reclaiming your life!
by Evan H. Hirsch MD (Author), Stacy Scheel Hirsch MES (Contributor)
Why am I so tired? Isn't there a protocol that I can just follow and get my life back? If you're asking these questions, then this book is for you. The truth is that there is a cause for your fatigue. There are lots of causes. The problem is that everyone with chronic fatigue has multiple causes and they all need to be addressed in order to resolve your fatigue. Hi, I'm Dr. Evan Hirsch and I suffered with chronic fatigue for 5 years before I achieved resolution using the Fix Your Fatigue Program that I pioneered in my medical practice. I have helped hundreds of people resolve their chronic... View Details
Adrenal Fatigue: The 21st Century Stress Syndrome
by James L. Wilson (Author), Jonathan V Wright (Foreword)
This is an incredibly informative and reader-friendly book about a common debilitating medical condition that goes largely undiagnosed and untreated. ADRENAL FATIGUE: The 21st Century Stress Syndrome is a very empowering work cram-packed with vital information about a condition that very likely affects millions of people. View Details
The Fatigue and Fibromyalgia Solution: The Essential Guide to Overcoming Chronic Fatigue and Fibromyalgia, Made Easy!
by Jacob Teitelbaum M.D. (Author)
The nation’s leading expert on chronic fatigue and fibromyalgia offers a practical and concise guide to restoring health and energy.
Millions of Americans have turned to Dr. Jacob Teitelbaum’s landmark From Fatigued to Fantastic, the all-time best-selling book on combating disabling fatigue and fibromyalgia. Now, The Fatigue and Fibromyalgia Solution provides the most cutting-edge research and scientific information, offering the latest advances in treating chronic fatigue syndrome, fibromyalgia, and the baffling, often dismissed symptoms associated... View Details
Diagnosis and Treatment of Chronic Fatigue Syndrome - second edition
by Dr Sarah Myhill (Author)
Since its publication in April 2014, Dr Myhill s guide to understanding and overcoming CFS/ME has become a must-read for sufferers from this poorly understood condition. As the 99 5-star reviewers on Amazon say: This is the first book I ve read that really provides hope for medical treatment of CFS/ME ; If you have CFS or ME this is the book you absolutely must read. I have been suffering from CFS for over two years and I don t know where I would have been without this goldmine of information and guidance ; Applying the advice in this book is gradually changing my life and I can t recommend... View Details
Treating and Beating Fibromyalgia and Chronic Fatigue Syndrome
by Rodger H. Murphree (Author)
Dr. Murphree exposes the medical myths, pharmaceutical propaganda and doctor ignorance that sabotages those with chronic illness. The only way to beat these illnesses is to get healthy. Dr. Murphree explains in easy to understand terms how and why using scientifically researched and clinically proven natural vitamins, minerals, amino acids, and other over the counter supplements, corrects the problems associated with these illnesses.
This isn't another book about coping with, but about eliminating fibromyalgia and chronic fatigue syndrome. Based on his eighteen plus years of specializing... View Details
The Resilient Practitioner: Burnout and Compassion Fatigue Prevention and Self-Care Strategies for the Helping Professions
by Thomas M. Skovholt (Author), Michelle Trotter-Mathison (Author)
The Resilient Practitioner, 3rd edition, gives students and practitioners the tools they need to create their own personal balance between caring for themselves and caring for others. This new edition includes a new chapter on resiliency, an updated self-care action plan, self-reflection exercises in each chapter, and a revised resiliency inventory for practitioners. Readers will find, however, that the new edition keeps its strong focus on research and accessible writing style. The new edition also retains its focus on establishing working alliances and charting a hopeful path... View Details
Overcoming Compassion Fatigue
by Martha Teater (Author), John Ludgate (Author)
Those in the helping professions are constantly at risk of compassion fatigue, yet many have little guidance on how to deal with it effectively. A fresh workbook approach for compassion fatigue, burnout and stress, providing all the tools you need to leave work at work - and let it go. Written by two practicing clinicians experienced in compassion fatigue and CBT, this manual is full of proven assessments, interventions, prevention strategies and personal experiences. You'll take away:
*Self-assessment measures to determine your level of risk
*CBT skills to overcome distress... View Details
Diagnosis and Treatment of Chronic Fatigue Syndrome and Myalgic Encephalitis: It's Mitochondria, Not Hypochondria
by Dr. Sarah Myhill (Author)
Mitochondria are the powerhouses of our cells, essential for the production and management of energy at the cell level. Dr. Sarah Myhill has spent years studying the relationship between mitochondrial malfunction and one of the most common problems that leads people to the doctor’s office: fatigue.
In Diagnosis and Treatment of Chronic Fatigue Syndrome and Myalgic Encephalitis, Dr. Myhill examines this essential role of our mitochondria in energy production and why it is key to understanding and overcoming Chronic Fatigue Syndrome (CFS) and the inflammation that often... View Details
Adrenal Fatigue Syndrome - Reclaim Your Energy and Vitality with Clinically Proven Natural Programs
by Michael Lam (Author), Dorine Lam (Author)
Every new book also come with the following Bonus Gifts worth over $75:
1. A courtesy copy of Dr.Lam's new book Advanced Symptoms of Adrenal Fatigue Syndrome with over 220 pages of latest research that every adrenal fatigue sufferer should know. Retail value $21.95. Offer is valid in the USA only
2. Dr. Lam's comprehensive Online Recovery Module (ORM) containing hours of addition exclusive audio, video, and written material to guide you in your recovery, a $20 value
3. Dr. Lam's Adrenal Quickstart Program with 2 hours of streaming content valued at $15
4. $20 off Dr.Lam's Adrenal... View Details