Prevalence of risk factors for cardiovascular disease in paramedics.

PURPOSE: Occupational stress and obesity are very prevalent in emergency workers. Some studies have also associated high tobacco consumption rates with occupational stress. Each of these factors is known to increase cardiovascular risk. The aim of this study was to evaluate the prevalence of occupational stress, overweight and tobacco consumption in paramedics. METHODS: This cross-sectional study of paramedics consisted in a self-report survey of 44 questions divided into two sections. The first section collected demographic information and the second evaluated occupational stressors. The questions were designed to determine the prevalence of work-related psychosocial factors, overweight (body mass index ≥ 25 kg/m(2)) and tobacco consumption (cig/day ≥ 1). The demand-control-social support model and the effort-reward model were used to estimate job strain, iso-strain and imbalance in effort and reward. RESULTS: More than 88 % of paramedics reported at least one cardiovascular risk factor, with males reporting more risk factors than females. Ninety percent of male paramedics reported occupational stress, 12 % reported smoking, and 79 % were overweight or obese by self-report. The prevalence of occupational stress and smoking was similar for female paramedics, but with a lower prevalence of overweight (37 %). CONCLUSION: By self-report, nine out of ten paramedics are at risk of developing cardiovascular disease. Both individual and organizational efforts should be made to educate and support paramedics and their organizations in reducing these workers' cardiovascular risk.

Ability and Nonability Predictors of Real-World Skill Acquisition: The Case of Rubik's Cube Solving.

Most research on skilled performance is correlational, with skill and predictors measured at a single point in time, making it difficult to draw conclusions about the acquisition of skill. By contrast, in this study, we trained novice participants (N = 79) to solve Rubik's Cubes using a 7-step solution method. Participants also completed measures of fluid intelligence (Gf), working memory capacity (WMC), and nonability factors (grit, growth mindset, NFC, and the "big five"). Overall, higher Gf (but not WMC) was predictive of efficient and accurate Rubik's cube skill. No nonability variables were associated with skill. Our results provide compelling evidence for the importance of intellectual talent (cognitive ability) in developing expertise in a complex task.

Paramedics' working strategies while loading a stretcher into an ambulance.

For paramedics, loading a stretcher into an ambulance is an activity with a high risk of back injury and accidents. The objective of this study was to document strategies paramedics use at work while loading a powered stretcher into an ambulance. A total of 249 stretcher loading operations performed by 58 paramedics, and 51 semistructured post-intervention interviews were analyzed. Almost three quarters of loading operations required additional actions (e.g., raising the shoulders and additional lifting) to insert the stretcher into the cot fastener system in the ambulance. Some strategies that were necessary to complete the stretcher loading operation seemed to have negative impacts on the workers' health, such as repositioning the stretcher. This action wastes time and requires significant physical efforts, as it is usually done alone. This study suggests some potential solutions, related to equipment, training, workers and work organization, to reduce the risk of injury while loading stretchers.