Literature DB >> 21838062

Heart rate as a marker of stress in ambulance personnel: a pilot study of the body's response to the ambulance alarm.

Kåre Karlsson1, Patrik Niemelä, Anders Jonsson.   

Abstract

INTRODUCTION: Studies have demonstrated the presence of stress and post-traumatic stress among ambulance personnel, but no previous research has focused on the body's reaction in the form of the change in heart rate of ambulance staff in association with specific occupational stress. HYPOTHESIS: The purpose of this study is to investigate whether work as an ambulance professional generates prolonged physiological arousal that can be measured by heart rate in different situations.
METHODS: Twenty participants carried a pulse-meter in the form of a wristwatch, which continuously measured and stored their heart rate 24 hours per day for a period of seven days. All ambulance alarms that occurred during the test period were recorded in journals, and the participants completed diaries and a questionnaire describing their experiences. The alarms were divided into different phases. Correlations between heart rate in the different phases were computed.
RESULTS: Analysis of study data indicated a significant rise of heart rate unrelated to physical effort during an emergency alarm and response. This increased heart rate was noticed throughout the mission and it was not related to the length of experience the staff had in the ambulance profession. In addition, a non-significant trend suggested that alarms involving acutely ill children lead to an even higher increase in heart rate. In addition, this research showed that constant tension existed during sleep, while available for an emergency, indicated by a noticeable increase in heart rate during sleep at work compared to sleeping at home.
CONCLUSIONS: A rise in heart rate was experienced during all acute emergency missions, regardless of a subject's experience, education, and gender. Missions by themselves generated a rate increase that did not seem to correlate with physical effort required during an emergency response. This study shows that working on an ambulance that responds to medical emergencies is associated with a prolonged physiological arousal.

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Year:  2011        PMID: 21838062     DOI: 10.1017/s1049023x10000129

Source DB:  PubMed          Journal:  Prehosp Disaster Med        ISSN: 1049-023X            Impact factor:   2.040


  4 in total

1.  Using Shoulder Straps Decreases Heart Rate Variability and Salivary Cortisol Concentration in Swedish Ambulance Personnel.

Authors:  Kåre J Karlsson; Patrik H Niemelä; Anders R Jonsson; Carl-Johan A Törnhage
Journal:  Saf Health Work       Date:  2015-10-28

2.  The acute physiological stress response to an emergency alarm and mobilization during the day and at night.

Authors:  Sarah J Hall; Brad Aisbett; Jamie L Tait; Anne I Turner; Sally A Ferguson; Luana C Main
Journal:  Noise Health       Date:  2016 May-Jun       Impact factor: 0.867

3.  Low self-reported stress despite immune-physiological changes in paramedics during rescue operations.

Authors:  Corinna Peifer; Vera Hagemann; Maren Claus; Mauro F Larra; Fabienne Aust; Marvin Kühn; Monika Owczarek; Peter Bröde; Marlene Pacharra; Holger Steffens; Carsten Watzl; Edmund Wascher; Silvia Capellino
Journal:  EXCLI J       Date:  2021-04-16       Impact factor: 4.068

4.  Work environment risk factors causing day-to-day stress in occupational settings: a systematic review.

Authors:  Junoš Lukan; Larissa Bolliger; Nele S Pauwels; Mitja Luštrek; Dirk De Bacquer; Els Clays
Journal:  BMC Public Health       Date:  2022-02-05       Impact factor: 3.295

  4 in total

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