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PP29 Improving buckle up in EMS study (iBEST)
  1. Maneeporn Thavaravej,
  2. Dhanadol Rojanasarntikul
  1. Department of Emergency Medicine, King Chulalongkorn Memorial Hospital, The Thai Red Cross Society, Bangkok, Thailand


Background According to NHTSA (National Highway Traffic Safety Administration), data collected from 1992-2011 showed that 84 percent of EMS provider was not restrained while working; increasing the severity of injury when an ambulance crashes or abruptly stop.

Objectives To increase the awareness of EMS providers focusing on safety belt usage during their work.

Method The study design is a prospective study including fifteen of physicians, nurses, paramedics, ambulance driver, and nurse aid from King Chulalongkorn Memorial Hospital, whom went on duty from April to October 2020. The collected data includes demographic data, occupation and its safety, reasons for not using seat belt. The data related to seat belt usage collected were then described and analysed by Mixed-effects Poisson Regression method and interpreted as Incident Rate Ratio (IRR) with 95% confidence interval (95% CI) and p-value.

Result 3 out of 15 (20%) did not use seat belt in the period before warning stickers were posted in the ambulance. When compared to 1 month after warning stickers were posted, the number of sample using seatbelt while working/travelling in the ambulance elevated to 11 out of 15 (73.33%) [IRR (95%CI) =3.66 (95% CI: 1.02, 13.13), p = 0.046].While at 3 months and 6 months, 10 out of 15 (66.77%) and 6 out of 15 (40%) still adhere to seat belt use, respectively. There is no statistical significance with the rate of seatbelt usage comparing between one, three, and six months after the warning stickers were posted. The most common reason for not using seatbelt is 1) seat cover covering the seatbelt 2) obstructing work 3) cannot reach equipment.

Conclusion Warning stickers posted in the ambulance can increase awareness for seatbelt use of King Chulalongkorn Hospital’s EMS personnel while working.

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