Appendix C

Appendix C.pdf

Occupational injuries and illnesses among emergency medical services (EMS) workers: A NEISS-Work telephone interview survey

Appendix C

OMB: 0920-0834

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APPENDIX C

EMS Pilot Study—Case Identification
If OCCUPATION (job type) =
• Ambulance driver
• Emergency medical services (EMS)
• Emergency medical technician (EMT)
• First responder
• Paramedic

Yes

OR
If BUSINESS (business name or type) =
• Ambulance service
• Emergency medical services (EMS)

Yes

Complete the
EMS Pilot Study
Second Screen

OR
If OCCUPATION or BUSINESS =
• Emergency personnel
• Fire (Fireman or Fire Dept)
• Rescue

Yes

AND
Worker was injured while:
• Administering first aid/medical care
• Moving/transporting a patient
• Riding in/working in an ambulance
• Patient rescue or extrication

Yes

OR
If Business and Occupation is not
stated, but the worker was injured
while:
• Administering first aid/medical care in a
location other than a healthcare facility
• Moving/transporting a patient
• Riding in/working in an ambulance
• Patient rescue or extrication
GOAL: Capture all Emergency Medical Service providers. EMS functions
include:
• Provision of first aid/medical care
• Patient rescue or extrication
• Patient transport
• Riding in/working in an ambulance
• Non-emergency activities conducted at EMS or fire/EMS base/station (including
training and physical fitness activities)


File Typeapplication/pdf
File TitleMicrosoft Word - Attachment C.doc
Authorakr5
File Modified2009-03-27
File Created2009-03-27

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