• Bedia Gülen, Mustafa Serinken, Celile Hatipoğlu, Derya Özaşır, Ertan Sönmez, Gökhan Kaya, and Güleser Akpınar.
• Department of Emergency Medicine, Bezmialem Vakıf University Faculty of Medicine, İstanbul-Turkey. drbediagulen@yahoo.com.
• Ulus Travma Acil Cer. 2016 Mar 1; 22 (2): 145-9.

BackgroundEvaluated in the present study were locations, descriptions, and results of work-related injuries (WRIs) sustained by emergency medical technicians (EMTs) and paramedics in Turkey's most crowded city, İstanbul.MethodsAfter the present study had been accepted by the urban health authority, a questionnaire was emailed to the healthcare personnel of İstanbul's 195 ambulance stations.ResultsIncluded in the present study were the responses of 901 members of staff (660 EMTs and 241 paramedics), with a mean age of 29.5±6.1 (min: 18; max: 61). The majority of participants (94.9%) had encountered verbal abuse from the public, and 39.8% had encountered physical violence from patients' relatives. Levels of satisfaction with work in emergency medical services (EMS) was also evaluated, and 510 participants (57.6%) were unhappy. Regarding gender, female employees were more likely to be verbally attacked (p=0.01), while males were more likely to be physically attacked (p=0.001). It was reported that motor vehicle accidents (MVAs) were the most common cause of WRIs (81.4%), followed by needle-stick injuries (52.2%), ocular exposure to blood and other fluids (30.9%), and sharp injuries (22.5%). Only 10.5% (n=95) of WRIs were reported to authorities; 488 (54.2%) of participants just attended to the practice to prevent possible WRIs.ConclusionFor paramedics and EMTs, risk of WRI is obviously high. Strategies to decrease and prevent verbal and physical violence should be developed.

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