A Pilot Study: Emergency Medical Services-Related Violence in the Out-of-Hospital Setting in Southeast Michigan.
Journal of Emergency Medicine
BACKGROUND: Emergency Medical Services (EMS) personnel in the out-of-hospital setting continue to be at high risk for violence, in spite of continued research on a national scale.
OBJECTIVE: Our aim was to determine the prevalence and type of violence perpetrated against Southeast Michigan EMS personnel, and characteristics of victims in the out-of-hospital setting.
METHODS: EMS personnel from urban and suburban counties in Southeastern Michigan were surveyed online about their experience with violence, including description and outcomes, while working in the out-of-hospital setting within the previous 6 months. Gift card incentive and recruitment scripts were provided and read to participants. This was a pilot study that was limited to 150 respondents and ran for 3 months. Descriptive statistical analysis was done with an odds ratio, p value, and two-sample independent t-test analysis.
RESULTS: There were 137 surveys respondents. Most respondents, 75 of 128 (58.6%) reported being a victim of violence within the previous 6 months. Perpetrators were primarily patients and occasionally family members. Substance abuse or mental health issues were frequently associated with violence. Although not common, women reported violence perpetrated by a coworker more often than men (odds ratio 5.17; 95% confidence interval 1.67-16.0). Only 55 of 117 respondents (47.0%) felt that the training did an adequate job protecting them from violence.
CONCLUSIONS: More than one-half of responding EMS personnel experienced work-related violence within the previous 6 months in Southeast Michigan. This high rate of violence supports the need for additional research and policies that ensure the safety of EMS providers in this region.
Touriel R, Dunne R, Swor R, Kowalenko T. A Pilot Study: Emergency Medical Services-Related Violence in the Out-of-Hospital Setting in Southeast Michigan. J Emerg Med. 2021 Apr;60(4):554-559. doi: 10.1016/j.jemermed.2020.12.007. Epub 2021 Jan 21. PMID: 33485743.