Ergonomic design and efficiency of the innovative ambulance cabin for emergency medical services: operational indicators and impact on the quality of emergency care

The relevance of improving the efficiency of emergency medical care in the context of emergency medical services (EMS) necessitates the implementation of modern solutions. As part of the study, the ambulance cabin was optimized, ergonomic zoning was introduced, equipment placement was standardized, and standard operating procedures (SOPs) were developed.
The purpose of the study. To compare the efficiency of emergency medical care provided in standard and optimized ambulance cabins, assessing the impact of ergonomic and zoning modifications on the time required for procedures, the quality of care, and the working conditions of medical personnel.
Research objectives. An analysis of the impact of ambulance cabin ergonomics on the speed and quality of medical procedures, as well as an examination of the working conditions of medical personnel in the updated cabin to identify the advantages of implementing a systematic approach to space design.
Materials and methods. The study focuses on designing a new ambulance cabin with an emphasis on ergonomics, zoning, and optimal equipment placement to enhance the efficiency of medical procedures. Methods of ergonomic and demographic analysis were applied to evaluate the functionality of cabin zones, alongside statistical data processing using Excel, specialized software packages, and Python.
Results. Test data revealed that the use of the optimized ambulance cabin enhances the efficiency of emergency medical care. The time required for medical procedures in the updated cabin was reduced, improving the response speed of the team. A decrease in personnel fatigue and increased equipment accessibility were noted due to ergonomic zoning. The results also confirmed more comfortable working conditions for the medical team and a reduction in response times compared to the standard cabin.
Conclusion. The results of the study hold significant scientific and practical value for emergency medical service professionals. The data obtained confirm the potential of implementing innovative solutions in ambulance design, enabling recommendations to improve working conditions for medical personnel and enhance the efficiency of emergency medical care delivery.

1. Plavunov N. F., Filimonov V. S., Klyukin M. I. Ambulances: from the history of the. Emergency medicine. Medical alphabet. 2024, 23 (3): pp. 37–43, 2019. 46 p. (In Russ.).

2. 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.

3. 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/

4. 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/

5. 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.

6. 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.

7. Ambulances. Technical requirements and test methods. Interstate standard 33665–2015. Standartinform. 2016; 35. (In Russ.).

8. Emergency services vehicles, buses and motorcycles. Color schemes, identification marks, inscriptions, special light and sound signals. Interstate standard R 50574–2019. Standartinform. 2019; 77. (In Russ.).