Experiencing Extreme Height for The First Time: The Influence of Height, Self-Judgment of Fear and a Moving Structural Beam on the Heart Rate and Postural Sway During the Quiet Stance

Falling from elevated surfaces is the main cause of death and injury at construction sites. Based on the Bureau of Labor Statistics (BLS) reports, an average of nearly three workers per day suffer fatal injuries from falling. Studies show that postural instability is the foremost cause of this disproportional falling rate. To study what affects the postural stability of construction workers, we conducted a series of experiments in the virtual reality (VR). Twelve healthy adults—all students at the University of Nebraska-Lincoln—were recruited for this study. During each trial, participants’ heart rates and postural sways were measured as the dependent factors. The independent factors included a moving structural beam (MB) coming directly at the participants, the presence of VR, height, the participants’ self-judgment of fear, and their level of acrophobia. The former was designed in an attempt to simulate some part of the steel erection procedure, which is one of the key tasks of ironworkers. The results of this study indicate that height increase the postural sway. Self-judged fear significantly was found to decrease postural sway, more specifically the normalized total excursion of the center of pressure (TE), both in the presence and absence of height. Also, participants’ heart rates significantly increase once they are confronted by a moving beam in the virtual environment (VE), even though they are informed that the beam will not ‘hit’ them. The findings of this study can be useful for training novice ironworkers that will be subjected to height and/or steel erection for the first time

Need for Aeromedical Evacuation High-Level Containment Transport Guidelines

Circumstances exist that call for the aeromedical evacuation high-level containment transport (AE-HLCT) of patients with highly hazardous communicable diseases. A small number of organizations maintain AE-HLCT capabilities, and little is publicly available regarding the practices. The time is ripe for the development of standards and consensus guidelines involving AE-HLCT

Need for Aeromedical Evacuation High-Level Containment Transport Guidelines

Circumstances exist that call for the aeromedical evacuation high-level containment transport (AE-HLCT) of patients with highly hazardous communicable diseases. A small number of organizations maintain AE-HLCT capabilities, and little is publicly available regarding the practices. The time is ripe for the development of standards and consensus guidelines involving AE-HLCT

A case-crossover study of laceration injuries in pork processing

Objectives— The authors estimated the associations between transient risk factors and laceration injuries in workers at two meatpacking plants in the Midwest. Methods— The case-crossover design was used to collect within-subject transient work task and personal-level exposure information. RRs of laceration injuries were estimated by comparing exposures during the ‘hazard’ period (just before the laceration injury) with exposures in the ‘control’ period (the previous workweek). Stratified analyses were utilized to estimate the effects of gender, ethnicity, training and the number of adjacent coworkers on each transient risk factor. Results— The authors interviewed 295 meatpacking workers with laceration injuries (mean age 36.6 years, SD 11.2, 75% men, 48% Hispanic). Recent tool sharpening (RR 5.3, 95% CI 3.8 to 7.4) and equipment malfunction (RR 5.3, 95% CI 3.9 to 7.3) were associated with the highest RR for laceration injury, followed by using an unusual work method to accomplish a task (RR 4.1, 95% CI 2.6 to 6.4) and performing an unusual task (RR 2.3, 95% CI 1.8 to 3.0). Rushing and being distracted were not significantly associated with an elevated RR of a laceration injury. In stratified analyses, there were a number of significant differences in laceration risk factors by gender, ethnicity, training, and number of workers on the line. Conclusions— Sharpening tools, equipment malfunction, using an unusual work method to accomplish a task and performing an unusual task were all associated with increased risk of lacerations. Expanded training in atypical work circumstances and evaluation of tool sharpening procedures are intervention areas in meatpacking that need examination

Experiencing Extreme Height for The First Time: The Influence of Height, Self-Judgment of Fear and a Moving Structural Beam on the Heart Rate and Postural Sway During the Quiet Stance

Falling from elevated surfaces is the main cause of death and injury at construction sites. Based on the Bureau of Labor Statistics (BLS) reports, an average of nearly three workers per day suffer fatal injuries from falling. Studies show that postural instability is the foremost cause of this disproportional falling rate. To study what affects the postural stability of construction workers, we conducted a series of experiments in the virtual reality (VR). Twelve healthy adults—all students at the University of Nebraska-Lincoln—were recruited for this study. During each trial, participants’ heart rates and postural sways were measured as the dependent factors. The independent factors included a moving structural beam (MB) coming directly at the participants, the presence of VR, height, the participants’ self-judgment of fear, and their level of acrophobia. The former was designed in an attempt to simulate some part of the steel erection procedure, which is one of the key tasks of ironworkers. The results of this study indicate that height increase the postural sway. Self-judged fear significantly was found to decrease postural sway, more specifically the normalized total excursion of the center of pressure (TE), both in the presence and absence of height. Also, participants’ heart rates significantly increase once they are confronted by a moving beam in the virtual environment (VE), even though they are informed that the beam will not ‘hit’ them. The findings of this study can be useful for training novice ironworkers that will be subjected to height and/or steel erection for the first time

Review of Literature for Air Medical Evacuation High-Level Containment Transport

Introduction Aeromedical evacuation (AE) is a challenging process, further complicated when a patient has a highly hazardous communicable disease (HHCD). We conducted a review of the literature to evaluate the processes and procedures utilized for safe AE high-level containment transport (AE-HLCT) of patients with HHCDs. Methods A literature search was performed in PubMed/MEDLINE (from 1966 through January 2019). Authors screened abstracts for inclusion criteria and full articles were reviewed if the abstract was deemed to contain information related to the aim. Results Our search criteria yielded 14 publications and were separated based upon publication dates, with the natural break point being the beginning of the 2013-2016 Ebola virus disease epidemic. Best practices and recommendations from identified articles are subdivided into pre-flight preparations, inflight operations, and post-flight procedures. Conclusions Limited peer-reviewed literature exists on AE-HLCT, including important aspects related to healthcare worker fatigue, alertness, shift scheduling, and clinical care performance. This hinders the sharing of best practices to inform evacuations and equip teams for future outbreaks. Despite the successful use of different aircraft and technologies, the unique nature of the mission opens the opportunity for greater coordination and development of consensus standards for AE-HLCT operations

Need for Aeromedical Evacuation High-Level Containment Transport Guidelines

Circumstances exist that call for the aeromedical evacuation high-level containment transport (AE-HLCT) of patients with highly hazardous communicable diseases. A small number of organizations maintain AE-HLCT capabilities, and little is publicly available regarding the practices. The time is ripe for the development of standards and consensus guidelines involving AE-HLCT