

Ambulances: from history to the present
https://doi.org/10.33667/2078-5631-2024-23-37-43
Abstract
This literature review is devoted to the emergence and development of ambulances. The stage of the emergence and phased modernization of sanitary transport is considered separately. Foreign historical experience is widely represented. The main material of the article concerns the problems of ergonomics and safety of emergency medical vehicles (EMS), while modern recommendations are carefully considered. Close attention is paid to the issues of standardization in the field of designing transport for the transportation of patients. The authors conclude that currently there are a number of requests for changes in ambulances, namely: intensification of the process of providing emergency medical care and the need for it when moving sanitary transport; fixation of the patient and employee during work to ensure safety; requirements for ergonomics of space; free access from the workplace to the zones comfortable conditions of the transportation process for the patient and labor for the medical worker, and others. It is concluded that it is necessary to create a scheme for the innovative interior of a Russian ambulance as an autonomous medical and diagnostic complex, with its inclusion in regulatory documents of the federal level.
About the Authors
N. F. PlavunovRussian Federation
Plavunov Nikolay F., DM Sci (habil.), professor, chief physician, head of Emergency Medical Care Dept of the Faculty of Medicine, chief specialist of the Ministry of Health of the Russian Federation for Emergency Medical Care in the Central Federal District of the Russian Federation, chief specialist for Emergency Medical Care of the Moscow Department of Health
Moscow
V. S. Filimonov
Russian Federation
Filimonov Vladimir S., deputy chief physician for Medicine, assistant at Dept of Emergency Medical Care
Moscow
M. I. Klyukin
Russian Federation
Klyukin Mikhail I., anesthesiologist-resuscitator of the Specialized Mobile Team of Emergency Medical Care of Anesthesiology-Resuscitation of the Anesthesiology and Resuscitation Group
Moscow
References
1. Vakhrameev A. V. Moscow ambulance 1919–1994. Moscow, 1994. (In Russ.).
2. Anokhin V. I. Domestic cars. Mechanical engineering. 2nd edition, 1964; 780. (In Russ.).
3. Dementiev D., Markov N., Petrov Yu. Buses of the X five-year plan (1976–1980). Buses of five-year plans. 2013; 120. (In Russ.). ISBN 978-5-905241-04-8.
4. Snook R. Medical aspects of ambulance design. British Medical Journal. 1972; (5826): 574–578. https://doi.org/10.1136/bmj.3.5826.574.
5. Gilad I., Byran E. Ergonomic evaluation of the ambulance interior to reduce paramedic discomfort and posture stress. Human factors. 2007; (6): 1019–1032. https://doi.org/10.1518/001872007X249884.
6. Ferreira J., Hignett S. Reviewing ambulance design for clinical efficiency and paramedic safety. Applied ergonomics. 2005; (1): 97–105. https://doi.org/10.1016/j.apergo.2004.07.003.
7. Lee Y. T., Kibira D., Feeney A. B., Marshall J. Ambulance design survey 2011: a summary report. Journal of research of the National Institute of Standards and Technology. 2013; 381–395. https://doi.org/10.6028/jres.118.019.
8. Reuter E., Camba J. D. Understanding emergency workers’ behavior and perspectives on design and safety in the workplace. Applied Ergonomics. 2017; (59): 73–83. https://doi.org/10.1016/j.apergo.2016.08.023.
9. Brice J. H., Studnek J. R., Bigham B. L., Martin-Gill C., Custalow C. B., Hawkins E., Morrison L. J. EMS provider and patient safety during response and transport: proceedings of an ambulance safety conference. Prehospital Emergency Care. 2012; (1): 3–19. https://doi.org/10.3109/10903127.2011.626106.
10. Green J. D., Yannacconeb J. R., Currenta R. S., Sicherc L. A., Moorea P. H. and Whitmanc G. R. Assessing the performance of various restraints on ambulance patient compartment workers during crash events. International journal of crashworthiness. 2010; (5): 517–541. https://doi.org/10.1080/13588265.2010.489402.
11. Byran E., Gilad I. Design considerations to enhance the safety of patient compartments in ambulance transporters. International journal of occupational safety and ergonomics. 2012; (2): 221–231. https://doi.org/10.1080/10803548.2012.11076930.
12. Gilad I., Byran E. Ergonomic evaluation of the ambulance interior to reduce paramedic discomfort and posture stress. Human factors. 2007; (6): 1019–1032. https://doi.org/10.1518/001872007X249884.
13. Kibira D., Lee Y. T., Marshall J., Feeney A. B., Avery L., Jacobs A. Simulation-based design concept evaluation for ambulance patient compartments. Simulation. 2015; (8): 691–714. https://doi.org/10.1177/0037549715592716.
14. Lavender S. A., Conrad K. M., Reichelt P. A., Meyer F. T., Johnson P. W. Postural analysis of paramedics simulating frequently performed strenuous work tasks. Applied Ergonomics. 2000; (1): 45–57. https://doi.org/10.1016/s0003–6870(99)00027-7.
15. Maguire B. J., O’Meara P. F., Brightwell R. F., O’Neill B. J., Fitzgerald G. J. Occupational injury risk among Australian paramedics: an analysis of national data. Medical journal of Australia. 2014; (8): 477–480. https://doi.org/10.5694/mja13.10941.
16. Prairie J., Plamondon A., Hegg-Deloye S., Larouche D., Corbeil P. Biomechanical risk assessment during field loading of hydraulic stretchers into ambulances. International Journal of Industrial Ergonomics. 2016; (54): 1–9. https://doi.org/10.1016/j.ergon.2015.11.014.
17. Du B., Boileau M., Wierts K., Karch S. B., Yung M., Fischer S., Yazdani A. Exploring the need for and application of human factors and ergonomics in ambulance design: Overcoming the barriers with technical standards. Applied ergonomics. 2020; (88): 1–9. https://doi.org/10.1016/j.apergo.2020.103144.
18. Lee Y. T. Design Requirements for Ambulance Patient Compartments. Journal of emergency medical services. 2012. Интернет издание https://www.jems.com/equipment-gear/design-requirements-ambulance-patient-co/
19. Crestline is the first manufacturer to have certified aproduct, the Summit 150 – Type 3 Ambulance, to the new BNQ-1013-110-2014 standard for the province of Quebec, Canada. Journal of emergency medical services. 2016. Интернет издание https://www.jems.com/operations/crestline-is-first-manufacturer-with-bnq-standard-certified-ambulance/
20. Dadfarnia M., Lee Y. T., Feeney A. B., Kibira D. Requirements analysis for safer ambulance patient compartments. Procedia Computer Science. 2013; (16): 601–610. https://doi.org/10.1016/j.procs.2013.01.063.
21. Hignett S., Crumpton E., Coleman R. Designing emergency ambulances for the 21st century. Emergency Medicine Journal. 2009; (2): 135–140. https://doi.org/10.1136/emj.2007.056580.
22. Norme BNQ 1013–110Ambulances – Caractéristiques du véhicule. Интернет источник https://www.bnq.qc.ca/fr/certification/protection-et-surete/ambulances.html
23. Fischer S. L., Sinden K. E., MacPhee R. S. Identifying the critical physical demanding tasks of paramedic work: Towards the development of a physical employment standard. Applied ergonomics. 2017; (65): 233–239. https://doi.org/10.1016/j.apergo.2017.06.021.
24. Ambulances. Technical requirements and test methods. Interstate standard 33665–2015. Standartinform. 2016; 35. (In Russ.).
25. Cars, buses and motorcycles of emergency services. Colour schemes, identification marks, inscriptions, special light and sound signals. Interstate standard R50574–2019. Standartinform. 2019; 77. (In Russ.).
Review
For citations:
Plavunov N.F., Filimonov V.S., Klyukin M.I. Ambulances: from history to the present. Medical alphabet. 2024;(23):37-43. (In Russ.) https://doi.org/10.33667/2078-5631-2024-23-37-43