Current state of knowledge of post-traumatic stress, sleeping problems, obesity and cardiovascular disease in paramedics
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Purpose: The impacts of emergency work on firefighters have been well documented and summarised, but this is not the case for paramedics. This paper explores the literature regarding the impact of work stress on paramedics. Objective: To identify the literature available on the effect of paramedics’ jobs on their health status. Methods: Electronic database used: MEDLINE (Ovid, PubMed, National Library of Medicine) between 2000 and 2011. Key words used for the computer searches were: paramedics, emergency responders, emergency workers, shift workers, post-traumatic symptoms, obesity, stress, heart rate variability, physiological response, blood pressure, cardiovascular and cortisol. Exclusion criteria were: studies in which participants were not paramedics, participants without occupational exposure, physical fitness assessment in paramedics and epidemiological reports regarding death at work. Results: The electronic databases cited 42 articles, of which we excluded 17; thus, 25 articles are included in this review. It seems clear that paramedics accumulate a set of risk factors, including acute and chronic stress, which may lead to development of cardiovascular diseases. Post-traumatic disorders, sleeping disorders and obesity are prevalent among emergency workers. Moreover, their employers use no inquiry or control methods to monitor their health status and cardiorespiratory fitness. Conclusions: More studies are needed to characterise paramedics’ behaviour at work. These studies could allow the development of targeted strategies to prevent health problems reported in paramedics.
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The risk of musculoskeletal injuries among paramedics is increased further by the prevalence of obesity and lack of physical fitness compounded by fatigue of shift work.
“The risk of musculoskeletal injuries is increased further due to the prevalence of obesity, and the lack of physical fitness compounded by fatigue of shift work (Gallagher & McGilloway, 2008; Hegg-Deloye et al., 2014; MacQuarrie et al., 2018; Rice et al., 2014; Tsismenakis et al., 2009).”
From Understanding the Occupational Factors that Influence Paramedic Health and Wellbeing (2024) · cites this paper as Hegg-Deloye et al., 2014
Cites
Selye, H. (1956) · Medical Entomology and Zoology · Cited by 5,224 · see citing works
Karasek, R. A., Brisson, C., Kawakami, N., Houtman, I. L. D., Bongers, P. M., & Amick, B. C. (1998) · Journal of Occupational Health Psychology · doi:10.1037//1076-8998.3.4.322 · Cited by 4,022 · see citing works
Karasek, R. A., Brisson, C., Kawakami, N., Houtman, I. L. D., Bongers, P. M., & Amick, B. C. (1998) · Journal of Occupational Health Psychology · doi:10.1037/1076-8998.3.4.322 · Cited by 3,137 · see citing works
Metabolic consequences of sleep and sleep loss
Van Cauter, E., Spiegel, K., Tasali, E., & Leproult, R. (2008) · Sleep Medicine · doi:10.1016/s1389-9457(08)70013-3 · Cited by 812 · see citing works
Role of sleep timing in caloric intake and BMI
Baron, K. G., Reid, K. J., Kern, A. S., & Zee, P. C. (2011) · Obesity · doi:10.1038/oby.2011.100 · Cited by 549 · see citing works
Alexander, D. A., & Klein, S. (2001) · British Journal of Psychiatry · doi:10.1192/bjp.178.1.76 · Cited by 528 · see citing works
Backé, E.-M., Seidler, A., Latza, U., Rossnagel, K., & Schumann, B. (2011) · International Archives of Occupational and Environmental Health · doi:10.1007/s00420-011-0643-6 · Cited by 483 · see citing works
Germain, A., Buysse, D. J., & Nofzinger, E. (2008) · Sleep Medicine Reviews · doi:10.1016/j.smrv.2007.09.003 · Cited by 421 · see citing works
Acute and chronic job stressors among ambulance personnel: Predictors of health symptoms
van der Ploeg, E., & Kleber, R. J. (2003) · Occupational and Environmental Medicine · doi:10.1136/oem.60.suppl_1.i40 · Cited by 396 · see citing works
Occupational fatalities in emergency medical services: A hidden crisis
Maguire, B. J., Hunting, K. L., Smith, G. S., & Levick, N. R. (2002) · Annals of Emergency Medicine · doi:10.1067/mem.2002.128681 · Cited by 365 · see citing works
Health status in the ambulance services: a systematic review
Sterud, T., Ekeberg, Ø., & Hem, E. (2006) · BMC Health Services Research · doi:10.1186/1472-6963-6-82 · Cited by 266 · see citing works
Occupational Sitting Time and Overweight and Obesity in Australian Workers
Mummery, W. K., Schofield, G., Steele, R. M., Eakin, E., & Brown, W. J. (2005) · American Journal of Preventive Medicine · doi:10.1016/j.amepre.2005.04.003 · Cited by 256 · see citing works
Post-traumatic stress among Swedish ambulance personnel
Jonsson, A., Segesten, K., & Mattsson, B. (2003) · Emergency Medicine Journal · doi:10.1136/emj.20.1.79 · Cited by 224 · see citing works
Levels of mental health problems among UK emergency ambulance workers
Bennett, P. D. (2004) · Emergency Medicine Journal · doi:10.1136/emj.2003.005645 · Cited by 215 · see citing works
Blood Pressure in Firefighters, Police Officers, and Other Emergency Responders
Kales, S. N., Tsismenakis, A. J., Zhang, C., & Soteriades, E. S. (2008) · American Journal of Hypertension · doi:10.1038/ajh.2008.296 · Cited by 211 · see citing works
Jakubowicz, D., Froy, O., Wainstein, J., & Boaz, M. (2012) · Steroids · doi:10.1016/j.steroids.2011.12.006 · Cited by 167 · see citing works
Stress in obesity: Cause or consequence?
Foss, B., & Dyrstad, S. M. (2011) · Medical Hypotheses · doi:10.1016/j.mehy.2011.03.011 · Cited by 149 · see citing works
The Obesity Epidemic and Future Emergency Responders
Tsismenakis, A. J., Christophi, C. A., Burress, J. W., Kinney, A. M., Kim, M., & Kales, S. N. (2009) · Obesity · doi:10.1038/oby.2009.63 · Cited by 137 · see citing works
Bennett, P. D., Williams, Y., Page, N., Hood, K., Woollard, M., & VETTER, N. J. (2005) · British Journal of Clinical Psychology · doi:10.1348/014466505x29639 · Cited by 127 · see citing works
Aasa, U., Brulin, C., Ängquist, K., & Barnekow‐Bergkvist, M. (2005) · Scandinavian Journal of Caring Sciences · doi:10.1111/j.1471-6712.2005.00333.x · Cited by 116 · see citing works
Molecular and cellular interface between behavior and acute coronary syndromes
Gidron, Y. (2002) · Cardiovascular Research · doi:10.1016/s0008-6363(02)00537-0 · Cited by 107 · see citing works
Short Sleep Duration and Adiposity in Chinese Adolescents
Yu, Y., Lu, B. S., Wang, B., Wang, H., Yang, J., Li, Z., Wang, L., Liu, X., Tang, G., Xing, H., et al. (2007) · SLEEP · doi:10.1093/sleep/30.12.1688 · Cited by 98 · see citing works
Sterud, T., Hem, E., Ekeberg, Ø., & Lau, B. (2008) · BMC Emergency Medicine · doi:10.1186/1471-227x-8-16 · Cited by 89 · see citing works
Sterud, T., Hem, E., Lau, B., & Ekeberg, Ø. (2011) · Journal of Occupational Medicine and Toxicology · doi:10.1186/1745-6673-6-10 · Cited by 74 · see citing works
Declercq, F., Meganck, R., Deheegher, J., & Hoorde, H. V. (2011) · Journal of Traumatic Stress · doi:10.1002/jts.20609 · Cited by 71 · see citing works
Paramedics and the effects of shift work on sleep: a literature review: Table 1
Sofianopoulos, S., Williams, B., & Archer, F. (2012) · Emergency Medicine Journal · doi:10.1136/emj.2010.094342 · Cited by 71 · see citing works
Daily Stress and Concept of Self in Swedish Ambulance Personnel
Jönsson, A., & Segesten, K. M. (2004) · Prehospital and Disaster Medicine · doi:10.1017/s1049023x00001825 · Cited by 67 · see citing works
Mishra, S. K., Goebert, D. A., Char, E., DUKES, P., & Ahmed, I. (2010) · Emergency Medicine Journal · doi:10.1136/emj.2009.080622 · Cited by 62 · see citing works
Health problems and help-seeking in a nationwide sample of operational Norwegian ambulance personnel
Sterud, T., Hem, E., Ekeberg, Ø., & Lau, B. (2008) · BMC Public Health · doi:10.1186/1471-2458-8-3 · Cited by 60 · see citing works
Physical workload of ambulance assistants
DOORMAAL, M. T. A. J., DRIESSEN, A. P. A., Landeweerd, J. A., & Drost, M. R. (1995) · Ergonomics · doi:10.1080/00140139508925110 · Cited by 58 · see citing works
The meaning of traumatic events as described by nurses in ambulance service
Jönsson, A., & Segesten, K. M. (2003) · Accident and Emergency Nursing · doi:10.1016/s0965-2302(02)00217-5 · Cited by 45 · see citing works
Stress monitoring of ambulance personnel during work and leisure time
Aasa, U., Kalezic, N., Lyskov, E., Ängquist, K.-A., & Barnekow-Bergkvist, M. (2006) · International Archives of Occupational and Environmental Health · doi:10.1007/s00420-006-0103-x · Cited by 43 · see citing works
Sluiter, J. K., van der Beek, A. J., & Frings‐Dresen, M. H. W. (2003) · Occupational and Environmental Medicine · doi:10.1136/oem.60.5.373 · Cited by 39 · see citing works
Mitani, S., Fujita, M., & Shirakawa, T. (2005) · International Archives of Occupational and Environmental Health · doi:10.1007/s00420-005-0026-y · Cited by 27 · see citing works
Backé, E.-M., Kaul, G., Klußmann, A., Liebers, F., Thim, C., Maßbeck, P., & Steinberg, U. (2009) · International Archives of Occupational and Environmental Health · doi:10.1007/s00420-009-0428-3 · Cited by 26 · see citing works
Self-Reported Cardiac Risk Factors in Emergency Department Nurses and Paramedics
Barrett, T. W., Norton, V. C., Busam, M. L., Boyd, J., Maron, D. J., & Slovis, C. M. (2000) · Prehospital and Disaster Medicine · doi:10.1017/s1049023x00025036 · Cited by 21 · see citing works
Arial, M., Wild, P. P., Benoît, D., Chouanière, D., & Danuser, B. (2011) · American Journal of Industrial Medicine · doi:10.1002/ajim.20992 · Cited by 16 · see citing works
Major contributing factors of self perceived health in Hungarian ambulance personnel
Betlehem, J., Horváth, A., Göndöcs, Z., Jeges, S., Boncz, I., & Olah, A. (2010) · Orvosi Hetilap · doi:10.1556/oh.2010.28976 · Cited by 9 · see citing works
Arial, M., & Benoît, D. (2011) · IRIS · doi:10.5169/seals-283615 · Cited by 3 · see citing works
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Sorted by citations
Carmassi, C., Foghi, C., Dell'Oste, V., Cordone, A., Bertelloni, C. A., Bui, E., & Dell'Osso, L. (2020) · Psychiatry Research · doi:10.1016/j.psychres.2020.113312 · Cited by 607 · see citing works
Lawn, S., Roberts, L., Willis, E., Couzner, L., Mohammadi, L., & Goble, E. (2020) · BMC Psychiatry · doi:10.1186/s12888-020-02752-4 · Cited by 304 · see citing works
Andérson, G. S., Nota, P. M. D., Groll, D., & Carleton, R. N. (2020) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph17207645 · Cited by 132 · see citing works
Carmassi, C., Gesi, C., Corsi, M., Cremone, I. M., Bertelloni, C. A., Massimetti, E., Olivieri, M. C., Conversano, C., Santini, M., & Dell’Osso, L. (2018) · Annals of General Psychiatry · doi:10.1186/s12991-018-0184-4 · Cited by 83 · see citing works
Golding, S. E., Horsfield, C., Davies, A., Egan, B., Jones, M. C., Raleigh, M., Schofield, P., Squires, A. P., Start, K., Quinn, T., et al. (2017) · PeerJ · doi:10.7717/peerj.3735 · Cited by 71 · see citing works
Student paramedic experience of transition into the workforce: A scoping review
Kennedy, S., Kenny, A. J., & O'Meara, P. F. (2015) · Nurse Education Today · doi:10.1016/j.nedt.2015.04.015 · Cited by 67 · see citing works
Khan, W. A. A., Jackson, M. L., Kennedy, G. A., & Conduit, R. (2021) · Scientific Reports · doi:10.1038/s41598-020-79093-5 · Cited by 56 · see citing works
Hoell, A., Kourmpeli, E., & Dreßing, H. R. (2023) · Frontiers in Public Health · doi:10.3389/fpubh.2023.1151248 · Cited by 59 · see citing works
Boland, L. L., Mink, P. J., Kamrud, J. W., Jeruzal, J. N., & Stevens, A. C. (2019) · Workplace Health & Safety · doi:10.1177/2165079919829154 · Cited by 52 · see citing works
Ballesio, A., Lombardo, C., Lucidi, F., & Violani, C. (2020) · Journal of Sleep Research · doi:10.1111/jsr.13096 · Cited by 46 · see citing works
Burnout in frontline ambulance staff
Beldon, R., & Garside, J. (2021) · Journal of Paramedic Practice · doi:10.12968/jpar.2022.14.1.6 · Cited by 46 · see citing works
Exploring physical health perceptions, fatigue and stress among health care professionals
Rice, V., Glass, N., Ogle, R., & Parsian, N. (2014) · Journal of Multidisciplinary Healthcare · doi:10.2147/jmdh.s59462 · Cited by 45 · see citing works
Wankhade, P., Stokes, P. J., Tarba, S. Y., & Rodgers, P. (2019) · Public Management Review · doi:10.1080/14719037.2019.1642377 · Cited by 46 · see citing works
Interactions between home, work, and sleep among firefighters
Watkins, S. L., Shannon, M. A., Hurtado, D. A., Shea, S. A., & Bowles, N. P. (2020) · American Journal of Industrial Medicine · doi:10.1002/ajim.23194 · Cited by 44 · see citing works
Gärtner, A., Behnke, A., Conrad, D., Kolassa, I., & Rojas, R. (2019) · Frontiers in Psychology · doi:10.3389/fpsyg.2018.02744 · Cited by 43 · see citing works
The Relationship Between Grit and Resilience in Emergency Medical Service Personnel
Musso, M. W., Tatum, D. M., Hamer, D., Hammarlund, R., Son, L. S., & McMahon, P. (2019) · Ochsner Journal · doi:10.31486/toj.18.0144 · Cited by 40 · see citing works
Prevalence of risk factors for cardiovascular disease in paramedics
Hegg-Deloye, S., Brassard, P., Prairie, J., Larouche, D., Jauvin, N., Poirier, P., Tremblay, A., & Corbeil, P. (2015) · International Archives of Occupational and Environmental Health · doi:10.1007/s00420-015-1028-z · Cited by 42 · see citing works
Self-citationGouweloos, J., Tyler, M. P., Giummarra, M. J., Kassam‐Adams, N., Landolt, M. A., Kleber, R. J., & Alisic, E. (2017) · Emergency Medicine Journal · doi:10.1136/emermed-2017-206584 · Cited by 39 · see citing works
Coxon, A., Cropley, M., Schofield, P., Start, K., Horsfield, C., & Quinn, T. (2016) · Emergency Medicine Journal · doi:10.1136/emermed-2015-204841 · Cited by 38 · see citing works
Petereit-Haack, G., Bolm‐Audorff, U., Starke, K. R., & Seidler, A. (2020) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph17249369 · Cited by 37 · see citing works
Staff perceptions and changing role of pre-hospital profession in the UK ambulance services
Wankhade, P. (2016) · International Journal of Emergency Services · doi:10.1108/ijes-02-2016-0004 · Cited by 36 · see citing works
Carmassi, C., Gesi, C., Simoncini, M., Favilla, L., Massimetti, G., Olivieri, M. C., Conversano, C., Santini, M., & Dell’Osso, L. (2016) · Neuropsychiatric Disease and Treatment · doi:10.2147/ndt.s97171 · Cited by 37 · see citing works
Anstey, S., Tweedie, J., & Lord, B. (2015) · Nutrition & Dietetics · doi:10.1111/1747-0080.12237 · Cited by 33 · see citing works
Biomechanical risk assessment during field loading of hydraulic stretchers into ambulances
Prairie, J., Plamondon, A., Hegg-Deloye, S., Larouche, D., & Corbeil, P. (2015) · International Journal of Industrial Ergonomics · doi:10.1016/j.ergon.2015.11.014 · Cited by 29 · see citing works
Self-citationBehnke, A., Conrad, D., Kolassa, I.-T., & Rojas, R. (2019) · European Journal of Psychotraumatology · doi:10.1080/20008198.2019.1606628 · Cited by 26 · see citing works
Behnke, A., Karabatsiakis, A., Krumbholz, A., Karrasch, S., Schelling, G., Kolassa, I., & Rojas, R. (2020) · Scientific Reports · doi:10.1038/s41598-020-79859-x · Cited by 25 · see citing works
Paramedic Health Status, Fitness and Physical Tasks: A Review of the Literature
Sheridan, S. (2019) · Australasian Journal of Paramedicine · doi:10.33151/ajp.16.580 · Cited by 22 · see citing works
Glawing, C., Karlsson, I., Kylin, C., & Nilsson, J. (2023) · Journal of Advanced Nursing · doi:10.1111/jan.15819 · Cited by 22 · see citing works
Rojas, R., Hickmann, M., Wolf, S., Kolassa, I., & Behnke, A. (2022) · Clinical Psychology in Europe · doi:10.32872/cpe.6133 · Cited by 23 · see citing works
Near misses and presenteeism among paramedics
Ishimaru, T., Kubo, T., Honno, K., Toyokuni, Y., & Fujino, Y. (2019) · Occupational Medicine · doi:10.1093/occmed/kqz076 · Cited by 20 · see citing works
How do paramedics cope? A scoping review
Warren-James, M., Dodd, N., Perera, C., Clegg, L., & Stallman, H. M. (2022) · Australasian Emergency Care · doi:10.1016/j.auec.2021.12.003 · Cited by 19 · see citing works
The prevalence of diseases in German emergency medical services staff: A survey study
Möckel, L., Arnold, C., May, T., & Hofmann, T. (2022) · Archives of Environmental & Occupational Health · doi:10.1080/19338244.2022.2031846 · Cited by 17 · see citing works
Mental health risk factors for shift work disorder in paramedics: A longitudinal study
Harris, R., Drummond, S. P. A., Meadley, B., Rajaratnam, S. M. W., Williams, B. A., Smith, K. L., Bowles, K., Nguyen, E., Dobbie, M. L., & Wolkow, A. P. (2022) · Sleep Health · doi:10.1016/j.sleh.2022.09.009 · Cited by 17 · see citing works
Elsässer, A., Dreher, A., Pietrowsky, R., Flake, F., & Loerbroks, A. (2024) · BMC Emergency Medicine · doi:10.1186/s12873-024-00983-2 · Cited by 22 · see citing works
Berglund, E., Olsson, E. M. G., Jonsson, M. N., Svensson, L. A., Hollenberg, J., Claesson, A., Nordberg, P., Lundgren, P., Högstedt, Å., & Ringh, M. (2021) · Resuscitation · doi:10.1016/j.resuscitation.2021.11.005 · Cited by 17 · see citing works
Morales, L., McEachern, B. M., MacPhee, R. S., & Fischer, S. L. (2016) · Applied Ergonomics · doi:10.1016/j.apergo.2016.04.003 · Cited by 16 · see citing works
Alzahrani, A., Keyworth, C., Alshahrani, K. M., Alkhelaifi, R., & Johnson, J. (2024) · Social Psychiatry and Psychiatric Epidemiology · doi:10.1007/s00127-024-02755-6 · Cited by 20 · see citing works
Prehospital Stressors: A Cross-sectional Study of Norwegian Helicopter Emergency Medical Physicians
Reid, B. O., Haugland, H., Abrahamsen, H. B., Bjørnsen, L. P., Uleberg, O., & Krüger, A. (2020) · Air Medical Journal · doi:10.1016/j.amj.2020.05.016 · Cited by 15 · see citing works
EMS Perspectives on Coping with Child Death in an Out-of-Hospital Setting
Barbee, A. P., Fallat, M. E., Forest, R., McClure, M. E., Henry, K., & Cunningham, M. R. (2016) · Journal of Loss and Trauma · doi:10.1080/15325024.2015.1117929 · Cited by 15 · see citing works
Brice, J. H., Cyr, J. M., Hnat, A. T., Wei, T. L., Principe, S., Thead, S. E., Delbridge, T. R., Winslow, J. E., Studnek, J. R., Fernandez, A. R., et al. (2018) · Prehospital Emergency Care · doi:10.1080/10903127.2018.1489017 · Cited by 14 · see citing works
Eating and Physical Activity Patterns in Day and Night Shift EMS Clinicians
Mansouri, T., Hostler, D. P., Temple, J. L., & Clemency, B. M. (2021) · Prehospital Emergency Care · doi:10.1080/10903127.2021.1996662 · Cited by 14 · see citing works
Near-miss incidents owing to fatigue and irregular lifestyles in ambulance personnel
Toyokuni, Y., Ishimaru, T., Honno, K., Kubo, T., Matsuda, S., & Fujino, Y. (2020) · Archives of Environmental & Occupational Health · doi:10.1080/19338244.2020.1842312 · Cited by 13 · see citing works
McKeon, G., Wells, R., Steel, Z., Hadži-Pavlović, D., Teasdale, S. B., Vancampfort, D., & Rosenbaum, S. (2023) · Digital Health · doi:10.1177/20552076221149294 · Cited by 13 · see citing works
Carmassi, C., Dell’Oste, V., Barberi, F. M., Bertelloni, C. A., Pedrinelli, V., & Dell’Osso, L. (2022) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph19074007 · Cited by 13 · see citing works
Davis, K., MacBeth, A. M., Warwick, R., & Chan, S. W. Y. (2019) · Traumatology An International Journal · doi:10.1037/trm0000191 · Cited by 13 · see citing works
Nordquist, H., & Kouvonen, A. M. (2023) · International Emergency Nursing · doi:10.1016/j.ienj.2023.101367 · Cited by 11 · see citing works
Compassionate Options for Pediatric EMS (COPE): Addressing Communication Skills
Calhoun, A. W., Sutton, E. R. H., Barbee, A. P., McClure, B., Bohnert, C. A., Forest, R., Taillac, P. P., & Fallat, M. E. (2017) · Prehospital Emergency Care · doi:10.1080/10903127.2016.1263370 · Cited by 11 · see citing works
Sawyer, S., Cowlishaw, S., Kendrick, K., Boyle, M. J., Dicker, B. L., & Lord, B. (2022) · Prehospital Emergency Care · doi:10.1080/10903127.2022.2064019 · Cited by 10 · see citing works
Mort, A. J., Fitzpatrick, D., Schneider, A. H., Wilson, P., & Mellish, C. (2015) · Journal of Paramedic Practice · doi:10.12968/jpar.2015.7.4.184 · Cited by 9 · see citing works
Karlsson, K., Nasic, S., Lundberg, L., Mårtensson, J., & Jonsson, A. (2022) · International Journal of Occupational Safety and Ergonomics · doi:10.1080/10803548.2020.1867400 · Cited by 8 · see citing works
Drudi, L. M., D’Oria, M., Bath, J., van Nispen, J., & Smeds, M. R. (2022) · Journal of Vascular Surgery · doi:10.1016/j.jvs.2022.10.056 · Cited by 8 · see citing works
Hashemi, S., Ghazanfari, F., Merzah, M. A., Rezaei, M., Astaraki, P., & Birjandi, M. (2023) · BMJ Open · doi:10.1136/bmjopen-2022-066744 · Cited by 8 · see citing works
Hoencamp, R., Idenburg, F. J., Vermetten, E. H. G. J. M., Tan, E. C. T. H., Plat, M.-C. J., Hoencamp, E., Leenen, L. P. H., & Hamming, J. F. (2014) · Injury · doi:10.1016/j.injury.2014.12.012 · Cited by 8 · see citing works
Coyte, B., Betihavas, V., Devenish, S., & Foster, K. (2023) · Paramedicine · doi:10.1177/27536386231206501 · Cited by 8 · see citing works
Bolm‐Audorff, U., Petereit-Haack, G., & Seidler, A. (2019) · Psychiatrische Praxis · doi:10.1055/a-0822-7712 · Cited by 7 · see citing works
Carmassi, C., Porta, I., Bertelloni, C. A., Impagnatiello, P., Capone, C., Doria, A., Corsi, M., & Dell’Osso, L. (2020) · Journal of Psychiatric Research · doi:10.1016/j.jpsychires.2020.07.003 · Cited by 7 · see citing works
Stress Response in Swedish Ambulance Personnel during Priority-1 Alarms
Karlsson, K., Niemelä, P., Jönsson, A., & Törnhage, C. (2020) · Australasian Journal of Paramedicine · doi:10.33151/ajp.17.776 · Cited by 7 · see citing works
MacQuarrie, A., Hunter, J. R., Sheridan, S., Hlushak, A., Sutton, C., & Wickham, J. B. (2021) · Simulation in Healthcare The Journal of the Society for Simulation in Healthcare · doi:10.1097/sih.0000000000000613 · Cited by 7 · see citing works
Mansouri, T., Ghanatios, G. E., Hatzinger, L. A., Barich, R., Dampha, E., Temple, J. L., Clemency, B. M., & Hostler, D. P. (2022) · Nutrients · doi:10.3390/nu14224884 · Cited by 10 · see citing works
Chronic and Traumatic Stress Among Emergency Medical Services Personnel
Karrasch, S., Hitzler, M., Behnke, A., Tumani, V., Kolassa, I., & Rojas, R. (2020) · Zeitschrift für Klinische Psychologie und Psychotherapie · doi:10.1026/1616-3443/a000600 · Cited by 7 · see citing works
Psychosocial occupational risk factors present in the work environment of paramedics
Gonczaryk, A., Sady, N., Kosoń, A., Motyl, M., Chojnowska-Ćwiąkała, I., & Bartyzel, M. (2023) · Environmental Medicine · doi:10.26444/ms/161596 · Cited by 7 · see citing works
PTSD, available support and development of services in the UK Ambulance Service
Dodd, G. (2017) · Journal of Paramedic Practice · doi:10.12968/jpar.2017.9.6.258 · Cited by 6 · see citing works
Prevalence of sleep disturbances among emergency response team paramedics working in shift systems
Gonczaryk, A., Sady, N., Motyl, M., Strzelecka, A., Chojnowska-Ćwiąkała, I., Florek-Łuszczki, M., & Chmielewski, J. P. (2023) · Disaster and Emergency Medicine Journal · doi:10.5603/demj.a2023.0009 · Cited by 5 · see citing works
How do paramedics and student paramedics cope? A cross-sectional study
Dodd, N., Warren-James, M., & Stallman, H. M. (2022) · Australasian Emergency Care · doi:10.1016/j.auec.2022.04.001 · Cited by 8 · see citing works
Pietkiewicz, I. J., Duszkiewicz, R., & Tomalski, R. (2023) · European Journal of Trauma & Dissociation · doi:10.1016/j.ejtd.2023.100329 · Cited by 5 · see citing works
Braun, D., Theiler, L. G., Brähler, E., & Petrowski, K. (2021) · Journal of Clinical Psychology in Medical Settings · doi:10.1007/s10880-021-09767-3 · Cited by 4 · see citing works
Johnsen, A. M., Theodorsson, E., Broström, A., Wagman, P., & Fransson, E. I. (2023) · Scientific Reports · doi:10.1038/s41598-023-40076-x · Cited by 4 · see citing works
Johnsen, A. M., Wagman, P., Broström, A., & Fransson, E. I. (2024) · International Journal of Occupational Safety and Ergonomics · doi:10.1080/10803548.2024.2332115 · Cited by 4 · see citing works
The Effect of Shift Work on Sleep Patterns of Paramedics in Saudi Arabia
Alruwaili, A., & Alanazy, A. R. M. (2024) · Journal of Multidisciplinary Healthcare · doi:10.2147/jmdh.s458512 · Cited by 4 · see citing works
Kłosiewicz, T., Zalewski, R., Dąbrowski, M., Kłosiewicz, K., Rut, A., Sip, M., Dabrowska, A. H., Mandecki, M., Stec, R., Nowicki, M. M., et al. (2019) · Disaster and Emergency Medicine Journal · doi:10.5603/demj.a2019.0030 · Cited by 4 · see citing works
Karimi, L., & Oakman, J. (2020) · International Journal of Evidence-Based Healthcare · doi:10.1097/xeb.0000000000000222 · Cited by 4 · see citing works
Organizational strategies to address posttraumatic stress injuries among Canadian paramedics
Du, B., Yung, M., Gruber, J., & Yazdani, A. (2022) · Work · doi:10.3233/wor-210614 · Cited by 4 · see citing works
Ambulance personnel’s perceptions on their workplace well-being: A descriptive interpretative study
Osmančević, B., Karnjuš, I., & Prosen, M. (2023) · Work · doi:10.3233/wor-230056 · Cited by 4 · see citing works
Portrait global de l’exposition aux contraintes psychosociales au travail des paramédics québécois
Hegg-Deloye, S., Brassard, P., Prairie, J., Larouche, D., Jauvin, N., Tremblay, A., & Corbeil, P. (2014) · Perspectives interdisciplinaires sur le travail et la santé · doi:10.4000/pistes.3859 · Cited by 4 · see citing works
Self-citationSmith, E., & Burkle, F. M. (2018) · Australasian Journal of Paramedicine · doi:10.33151/ajp.15.4.592 · Cited by 4 · see citing works
Understanding the Occupational Factors that Influence Paramedic Health and Wellbeing
Betts, C., Stoneley, A., Anderson, J., & Sutton, C. (2024) · International Journal of Paramedicine · doi:10.56068/mnrg8307 · Cited by 2 · see citing works
Nørby, K. D., Melander-Nyboe, P., Pihl‐Thingvad, J., Steinmetz, J., & Gehrt, T. B. (2025) · Air Medical Journal · doi:10.1016/j.amj.2025.06.019 · Cited by 4 · see citing works
A Strategy for Managing Quality in Ambulance Services
Peters, M., Barnard, S., Dorrian, M., & Mackway-Jones, K. C. (2015) · Springer eBooks · doi:10.1007/978-3-319-18642-9_3 · Cited by 3 · see citing works
Stress Response in Swedish Ambulance Personnel Evaluated by Trier Social Stress Test
Karlsson, K. (2019) · Journal of Health and Environmental Research · doi:10.11648/j.jher.20190501.13 · Cited by 3 · see citing works
Screening for Comorbidity of Sleep Disorders in Career Firefighters
Hamilton, N. A., Russell, J. A., Hamadah, K., Youngren, W. A., Toon, A., Nguyen, T. A., & Joles, K. (2023) · Journal of Occupational and Environmental Medicine · doi:10.1097/jom.0000000000002993 · Cited by 4 · see citing works
Chapa, O., & Triana, M. D. C. (2014) · The International Journal of Human Resource Management · doi:10.1080/09585192.2014.958515 · Cited by 3 · see citing works
Lifestyle risk behaviour of Emergency Medical Care workers in Nelson Mandela Bay, South Africa
Gresse, A., Winfield, C., Slabbert, E., Bolke, P., Aucamp, R., & Jaga, R. (2020) · South African Journal of Pre-hospital Emergency Care · doi:10.24213/1-1-3626 · Cited by 3 · see citing works
Tow, K. E., Caputi, P., Zentrich, G., Deane, F. P., Thyer, L., Simpson, P., & Risi, A. (2025) · Cogent Psychology · doi:10.1080/23311908.2025.2594286 · Cited by 2 · see citing works
The physical preparation of paramedicine students for the paramedic role: A scoping review
Sheridan, S., Pope, R., MacQuarrie, A., MacPhee, R. S., Rayner, R., Stack, H., Rose, L., & Fischer, S. L. (2025) · Paramedicine · doi:10.1177/27536386251405917 · Cited by 2 · see citing works
Johansson, U. E. (2014) · American Journal of Nursing Science · doi:10.11648/j.ajns.20140305.11 · Cited by 2 · see citing works
Kerkez, M., & Öztürk, M. H. (2023) · International Emergency Nursing · doi:10.1016/j.ienj.2023.101354 · Cited by 2 · see citing works
Psychological effects of COVID-19 outbreak in hospital workers during the Italian third phase
Sterpone, R., Manfredi, V., Cassinari, A., Franscini, M., Betti, M., Bertolotti, M., Pelazza, C., Giribone, S., Pepoli, A., Valorio, P., et al. (2021) · Working Paper of Public Health · doi:10.4081/wpph.2021.9457 · Cited by 2 · see citing works
I'm Fine: Systemic Affect of Critical Incidents in Emergency Medical Service Personnel Communication
Deason, A. S. (2020) · IUScholarWorks (Indiana University) · doi:10.7912/c2/494 · Cited by 2 · see citing works
Mental Health and Well-Being of the Emergency Services Workforce
Wankhade, P., & Patnaik, S. (2019) · Springer eBooks · doi:10.1007/978-3-030-21329-9_5 · Cited by 1 · see citing works
Thielmann, B., Voß, L., Zavgorodnii, I., Schumann, H., & Böckelmann, I. (2023) · Ukrainian Journal of Occupational Health · doi:10.33573/ujoh2023.01.051 · Cited by 1 · see citing works
Posttraumatische Belastungsstörung bei Beschäftigten im Rettungsdienst
Seidler, A., Höckel, A.-L., Büttner, T., Kämpf, D., Reißig, D., Mauer, R., Bolm‐Audorff, U., Petereit-Haack, G., Nienhaus, A., Höllmer, H., et al. (2025) · Zentralblatt für Arbeitsmedizin Arbeitsschutz und Ergonomie · doi:10.1007/s40664-025-00587-y · Cited by 1 · see citing works
Chapter 15 Emergency Medical Service Occupational Safety
Maguire, B. J. (2017) · CRC Press eBooks · doi:10.1201/9781315280172-16 · Cited by 1 · see citing works
Tremblay, M., Albert, W. J., Fischer, S. L., Beairsto, E., & Johnson, M. J. (2022) · Work · doi:10.3233/wor-211033 · Cited by 1 · see citing works
Sitko-Dominik, M. M., Jakubowski, T. D., & Mandal, E. (2025) · International Journal of Occupational Medicine and Environmental Health · doi:10.13075/ijomeh.1896.02545 · Cited by 3 · see citing works
Flanagan, B., Warren-James, M., & Young, J. (2022) · Prehospital Emergency Care · doi:10.1080/10903127.2022.2125136 · Cited by 2 · see citing works
Eating Habits of Paramedics Working in the City of Québec: A Pilot Study
Sandrine, H.-D. (2015) · Obesity Open Access · doi:10.16966/2380-5528.107
Coffey, B. (2014) · QSpace (Queen's University Library)
Exploration of handover communication in military and NHS emergency care settings
Slope, R. (2017) · ePrints Soton (University of Southampton)
Fit for duty: context and correlates of paramedic health status and job performance
MacQuarrie, S. (2019) · Charles Sturt University Research Output (CRO)
- Authors
- Hegg-Deloye, S., Brassard, P., Jauvin, N., Prairie, J., Larouche, D., Poirier, P., Tremblay, A., & Corbeil, P.
- Affiliations
- Centre de Santé et de Services Sociaux de la Vieille-Capitale (CA)
- Université Laval (CA)
- Institut universitaire de cardiologie et de pneumologie de Québec (CA)
- Corresponding author
- Corbeil, Philippe
- ORCID
- Venue
- Emergency Medicine Journal
- Publisher
- BMJ
- Published
- 2013-01-12
- Volume
- 31
- Issue
- 3
- Pages
- 242-247
- ISSN
- 1351-0622 (ISSN-L)
- 1472-0205
- 1472-0213
- OpenAlex
- W2114998365
- Cited by
- 121
- References
- 39
- Citations by year
- 2026: 5 · 2025: 7 · 2024: 6 · 2023: 18 · 2022: 16 · 2021: 9 · 2020: 16 · 2019: 14 · 2018: 5 · 2017: 6 · 2016: 5 · 2015: 7 · 2014: 6 · 2013: 1
- FWCI
- 1.75
- Type
- journal article
- Language
- en
- Open access
- green
- pharesst.irsst.qc.ca
- Locations
- Emergency Medicine Journal (publishedVersion)
- PubMed (publishedVersion)
- HighWire Press Open Archive (submittedVersion)
- PhareSST (submittedVersion)
- Funders
- Institut de Recherche Robert-Sauvé en Santé et en Sécurité du Travail
- Topics
- Health Sciences › Health Professions › Occupational Therapy › Occupational Health and Performance
- Health Sciences › Health Professions › Occupational Therapy › Occupational Health and Burnout
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Sleep and Work-Related Fatigue
- Keywords
- paramedics, occupational stress, post-traumatic stress, sleep disorders, obesity, cardiovascular disease, first responders, shift work, heart rate variability, blood pressure, cortisol, cardiorespiratory fitness, occupational health surveillance
- MeSH terms
- Cardiovascular Diseases, Emergency Medical Services, Emergency Medical Technicians, Humans, Health Knowledge, Attitudes, Practice, Obesity, Sleep Wake Disorders, Stress Disorders, Post-Traumatic, Occupational Exposure
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