The DOI matches its Crossref record; 38 of the 39 references it cites were found in a registry or an index.
Current state of knowledge of post-traumatic stress, sleeping problems, obesity and cardiovascular disease in paramedics
Open accessAbstract
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 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
Citations
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疋田, 茂., & 照夫, 坂. (2013) · doi:10.11382/jjast.27.2_01
McKeon, G., Wells, R., Steel, Z., Hadži-Pavlović, D., Teasdale, S. B., Vancampfort, D., & Rosenbaum, S. (2021) · doi:10.2196/preprints.35524
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CBT‐I Adaptation for Health Professionals under Stress Conditions
Ballesio, A., Lombardo, C., & Violani, C. (2022) · doi:10.1002/9781119891192.ch11
Paramedik öğrencilerinin kaygı düzeyleri ile yaşam nedenleri arasındaki ilişki
Kaplan, M., Kerkez, M., & Çetkin, T. (2022) · Anatolian Journal of Health Research · doi:10.29228/anatoljhr.62412
Effect of shift length on paramedic anxiety
Korn, C. R., & Wilfong, D. A. (2023) · Journal of Paramedic Practice · doi:10.12968/jpar.2023.15.5.184
Factors associated with asthma and allergies in prehospital practitioners
Möckel, L., Arnold, C., May, T., Maaß, L., Hofmann, T., & Möckel, C. (2023) · International Paramedic Practice · doi:10.12968/ippr.2023.13.2.33
Mendoza, M. D. M. L., Fernandez-Alonso, J., Ballesteros-Peña, S., & Gravina, L. (2023) · PubMed Central
Perception levels of organizational performance of employees in a healthcare organization
Jolić, S., Mirosavljev, S., Turkulov, V., Jolić, J., Mitrović, S., & Raut, J. (2022) · Izzivi prihodnosti · doi:10.37886/ip.2022.008
Laying the foundation: exploring the family impact of public safety personnel sleep health
Cox, M., & Cramm, H. A. (2025) · FACETS · doi:10.1139/facets-2025-0081 · Cited by 1
Aslantürk, H., & Özkan, E. U. (2025) · Social Work in Mental Health · doi:10.1080/15332985.2025.2594022
Elsässer, A., Dreher, A., Pietrowsky, R., Flake, F., & Loerbroks, A. (2024) · Figshare · doi:10.6084/m9.figshare.25602552
Ferguson, S. A., Canney, A., Rebar, A. L., Paterson, J. L., Bowen, H., Hooff, M. V., McFARLANE, A. C., Bryant, R. A., Sim, M. R., Marcus, A. L., et al. (2026) · International Journal of Emergency Services · doi:10.1108/ijes-02-2026-0013
PARAMEDİKLERİN PERSPEKTİFİNDEN İŞ TALEPLERİ VE İŞ KAYNAKLARI
Yıldız, D., Bedir, R. N. T., & Kişi, M. (2026) · Uluslararası İktisadi ve İdari İncelemeler Dergisi · doi:10.18092/ulikidince.1820712
Paramedic Physical Fitness Requirements, Standards and Preparation: A Scoping Review
Sheridan, S., Pope, R., MacQuarrie, S., MacPhee, R. S., Rayner, R., Stack, H., Rose, L., & Fischer, S. (2026) · Safety · doi:10.3390/safety12050137
The Role of Alcohol in EMS Culture: Perspectives from Frontline Providers
Koeppel, M. D. H., Shlansky, B., Jitnarin, N., Haddock, C. K., & Jahnke, S. A. (2026) · Occupational Health · doi:10.3390/occuphealth1030041
Koeppel, M. D. H., Shlansky, B., & Jahnke, S. A. (2026) · American Journal of Qualitative Research · doi:10.66815/ajqr/19659
Metadata
- 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 › Medicine › Public Health, Environmental and Occupational Health › Occupational Health and Performance
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › 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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