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.
Overview
Integrity signals
Registry
Cites
Statistics
Verification
Claims the paper makes
Claims other papers make about this one
Each is checked against this paper’s own text: does it say what the citing paper says it does?
In the citing paper
“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
Cites
Selye, H. (1956) · Medical Entomology and Zoology · Cited by 5,224
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 4,196
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
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
Alexander, D. A., & Klein, S. (2001) · British Journal of Psychiatry · doi:10.1192/bjp.178.1.76 · Cited by 528
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
Germain, A., Buysse, D. J., & Nofzinger, E. (2008) · Sleep Medicine Reviews · doi:10.1016/j.smrv.2007.09.003 · Cited by 421
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
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
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
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
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
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 219
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
Jakubowicz, D., Froy, O., Wainstein, J., & Boaz, M. (2012) · Steroids · doi:10.1016/j.steroids.2011.12.006 · Cited by 167
Stress in obesity: Cause or consequence?
Foss, B., & Dyrstad, S. M. (2011) · Medical Hypotheses · doi:10.1016/j.mehy.2011.03.011 · Cited by 166
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
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
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
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 109
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
Sterud, T., Hem, E., Lau, B., & Ekeberg, Ø. (2011) · Journal of Occupational Medicine and Toxicology · doi:10.1186/1745-6673-6-10 · Cited by 90
Sterud, T., Hem, E., Ekeberg, Ø., & Lau, B. (2008) · BMC Emergency Medicine · doi:10.1186/1471-227x-8-16 · Cited by 89
Declercq, F., Meganck, R., Deheegher, J., & Hoorde, H. V. (2011) · Journal of Traumatic Stress · doi:10.1002/jts.20609 · Cited by 71
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
Mishra, S. K., Goebert, D. A., Char, E., DUKES, P., & Ahmed, I. (2010) · Emergency Medicine Journal · doi:10.1136/emj.2009.080622 · Cited by 68
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
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
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
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
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
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
Mitani, S., Fujita, M., & Shirakawa, T. (2005) · International Archives of Occupational and Environmental Health · doi:10.1007/s00420-005-0026-y · Cited by 27
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
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
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
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
Arial, M., & Benoît, D. (2011) · IRIS · doi:10.5169/seals-283615 · Cited by 3
Cited by
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
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
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
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
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
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
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
Are you an author, or do you see a problem with this page? Request a review
