A study on sAFety
Seating/restraint and communications systems
1. The provider is able to reach common and critical equipment/supplies from a restrained
and/or seated position.
2. The provider is able to operate equipment controls from a seated and/or restrained position.
3. The provider is able to reach and treat the patient from a restrained position.
4. Communication systems support the provider’s ability to continue providing safe and
effective patient care. Means for communicating bet ween the EMS provider, the driver and
third parties are provided and accessible from all EMS provider workstations.
5. EMS providers in the patient compartment are able to establish communications quickly
with the driver or other third party.
1. Workspace has appropriate space for secure and safe placement and use of equipment,
papers and supplies.
2.Providers are able to exit the patient compartment with a patient loaded on a
transport device from the main patient loading and unloading doors and one
3. Safety mechanisms (e.g., padding, nets and airbags) are included in the patient compartment to reduce the likelihood of injury to EMS providers and patients during crashes
or evasive maneuvers. This priority was seen as also subsuming three additional items:
>> No head strike obstacles;
>> Pathways clear of obstacles (no portable patient care equipment); and
>> Doors do not intrude into workspace or provide strike risk.
General equipment and storage
1. The location of the equipment while in use in the patient compartment minimizes the likelihood of introducing additional risks to EMS provider and patient safety.
2. Placement of equipment that requires EMS provider interaction, including the monitor, allows EMS providers to complete
this interaction from a restrained and/or seated position.
3. Equipment stored outside of a cabinet is secured such that it
does not become a hazard to the EMS provider or patient.
Special equipment and storage
1. The cot guidance and securing mechanism allows for the cot to
be secured in a safe and efficient manner.
2. The cot loading system allows for the patient to be loaded
or unloaded safely with minimal risk of injury to patient or
3. When being used for patient care, the placement of secured
jump bags allows EMS providers to quickly and safely
4. Secure storage is available for patient and staff belongings.
5. Cot allows for the patient (including aggressive/violent ones) to
be securely restrained without hindering the ability of the EMS
provider to provide safe and effective patient care.
ConClusions & Future Work
The results of the ambulance patient compartment workshop confirmed and prioritized the needs and requirements the project team
gathered from other research efforts. These results will be further
reviewed, enhanced and evaluated.
The workshop participants were asked to continue sending any
further needs, requirements and suggestions about future ambulance patient compartment design.
The next step is to focus on modeling potential designs for
the patient compartment. 9 These designs will be based on the
prioritized requirements. The selected requirements will be
used to develop a set of design concepts that represent three-dimensional graphical models. Clinical-care experiments with