Physical fitness and occupational demands of the Belfast ambulance service

The objectives of this study were to evaluate the current fitness of an area ambulance service based in Belfast and to quantify the physiological demands of accident and emergency work. From a total staff of 230, 105 (46%) volunteered to undergo a series of fitness tests subject to health state. Res...

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Bibliographic Details
Published in:British Journal of Industrial Medicine 1991-09, Vol.48 (9), p.592-596
Main Authors: Gamble, R P, Stevens, A B, McBrien, H, Black, A, Cran, G W, Boreham, C A
Format: Article
Language:English
Subjects:
Adult
Age
Ambulances
Biological and medical sciences
Body Mass Index
Cross-Sectional Studies
Emergency departments
Emergency Medical Technicians
Ergonomics. Workplace layout
Ergonomics. Workplace layout. Occupational psychology
Exercise
Female
Heart rate
Heart Rate - physiology
Humans
Lactates
Male
Medical sciences
Northern Ireland
Obesity
Occupational Health
Occupational medicine
Oxygen Consumption - physiology
Physical Fitness
Public health. Hygiene-occupational medicine
Volunteerism
Walking
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Summary:The objectives of this study were to evaluate the current fitness of an area ambulance service based in Belfast and to quantify the physiological demands of accident and emergency work. From a total staff of 230, 105 (46%) volunteered to undergo a series of fitness tests subject to health state. Results based on body mass indices showed that 52% of subjects could be classified as overweight and 10% of subjects as obese. Fitness levels were similar to other comparable samples and showed the expected but not inevitable decrease with age. A simple work related task (walking at 6 km/h) performed in the laboratory showed that 54% of men over 40 years of age and 24% under 40 found it taxing. This would favour selection for accident and emergency work on the basis of functional capacity rather than chronological age. Accident and emergency work consisted of long periods of inactivity interspersed with shorter periods of relatively intense activity, often above the anaerobic threshold. Lactate concentrations measured during a staged emergency incident also suggested that personnel may work at intensities exceeding their anaerobic threshold. The incorporation of physical fitness standards in the ambulance service may be appropriate and consideration should be given to a reduced age of retirement.
ISSN:0007-1072
1351-0711
1470-7926
DOI:10.1136/oem.48.9.592