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Emergency Medical Services clinician injury data for years 2016 - 2020.

2020

The NEISS-Work data in the tables below include all nonfatal injuries that occurred during the performance of paid or volunteer EMS duties. “Firefighters” were included when they were injured while performing EMS duties such as patient care, patient transport, patient rescue, or working in an ambulance.

Table 1: Among EMS clinicians treated in emergency departments (EDs) for an occupational injury, the majority of clinicians were men. More than half of the injured EMS clinicians were less than 35 years of age.

Number of injuries a95% confidence intervalPercent
Total16,900(9,200, 24,700)100
Sex
Male9,900(4,900, 14,900)59
Female7,000(3,800, 10,200)41
Age group (in yrs)
443,300(1,800, 4,900)20

a Numbers do not add to totals or 100 because of rounding.
b This estimate is provided for information only as the variance does not meet NEISS-Work reporting requirements. Use this number with caution as the higher variance indicates it is less stable than other reported estimates.

**Table 2: **Among EMS clinician injuries, sprains and strains were the most common diagnosis. Most injuries affected the hand and upper trunk. The greatest portion of injuries involved overexertions and bodily reactions. The second most common injury event was violence. For all of the EMS injuries, the most common sources which directly produced the injury were the EMS clinician themselves or another person such as a patient.

Number of injuries a95% confidence intervalPercent a
Total16,900(9,200, 24,700)100
Diagnosis
Sprains & strains4,000(1,900, 6,200)24
Contusions/abrasions2,600(1,000, 4,100)15
Body part affected
Leg, including foot3,200 b(1,000, 5,300)19
Upper trunk, inc. neck & shoulder3,000(1,300, 4,700)18
Arm2,200(1,000, 3,500)13
Lower trunk2,200 b(700, 3,600)13
Hand & finger1,900(1,000, 2,800)11
Event c
Overexertion & bodily reaction (7)5,200 b(2,000, 8,400)31
Violence (1)3,000(1,300, 4,700)18
Harmful exposures (5)2,500(1,300, 3,600)15
Transportation incidents2,500 b(800, 4,300)15
Contact with objects & equipment (6)2,100(1,100, 3,100)12
Falls, slips, trips (4)1,600 b(500, 2,700)10
Source c
Persons, plants, animals, & minerals (5) d9,000(4,800, 13,300)53
Vehicles (8)4,100(1,800, 6,300)24
Tools, instruments, and equipment (7)1,800(800, 2,900)11
Discharge disposition from ED
Treated and released16,600(9,000, 24,300)98

a Numbers and percentages do not add to totals or 100 because of rounding and omission of data not meeting NEISS-Work reporting requirements.
b This estimate is provided for information only as the variance does not meet NEISS-Work reporting requirements. Use this number with caution as the higher variance indicates it is less stable than other reported estimates.
c Events and sources are coded using Occupational Injury and Illness Classification System (OIICS) (version 2.01). The numbers in parentheses after each category represent major division codes in the OIICS hierarchical coding structure.
d The majority of these injuries involved other people or bodily motion of the injured worker themselves.

Table 3: More than one-third of sprain and strain injuries involved the EMS clinician’s upper trunk. Many sprains and strains, but not all, were noted in connection with bodily reactions or exertion. Falls and various other injury events were occasionally related to sprains or strains but were not reportable in 2020.

Number of injuries a95% confidence intervalPercent a
Total sprain and strain injuries4,000(1,900, 6,200)24
Body part affected
Lower and upper trunk, inc. neck & shoulder1,800(800, 2,700)44
Lower extremity1,600 b(400, 2,800)40
Event b
Overexertion & bodily reaction2,300 c(800, 3,800)56
Source b
Persons, plants, animals, and minerals d2,300 c(800, 3,700)57

a Numbers and percentages do not add to totals or 100 because of rounding and omission of data not meeting NEISS-Work reporting requirements.
b Events and sources are coded using Occupational Injury and Illness Classification System (OIICS) (version 2.01). The numbers in parentheses after each category represent codes in the OIICS hierarchical coding structure.
c This estimate is provided for information only as the variance does not meet NEISS-Work reporting requirements. Use this number with caution as the higher variance indicates it is less stable than other reported estimates.
d The majority of these injuries involved other people or bodily motion of the injured worker themselves.

2019

Note: These data were updated on March 11, 2022 due to an analysis error.

Table 1: Among EMS clinicians treated in emergency departments (EDs) for an occupational injury, the majority of clinicians were men. About half of the injured EMS clinicians were less than 35 years of age.

Number of injuries a95% confidence intervalPercent
Total17,500(9,600, 25,300)100
Sex
Male10,600(5,500, 15,600)61
Female6,900(3,400, 10,300)39
Age group (in yrs)
443,900(2,200, 5,600)22

a Numbers do not add to totals or 100 because of rounding.

**Table 2: **Among EMS clinician injuries, sprains and strains were the most common diagnosis. Most injuries affected the hand and upper trunk. The greatest portion of injuries involved overexertions and bodily reactions. The second most common injury event was violence. For all of the EMS injuries, the most common sources which directly produced the injury were the EMS clinician themselves or another person such as a patient.

Number of injuries a95% confidence intervalPercent a
Total17,500(9,600, 25,300)100
Diagnosis
Sprains & strains3,600 b(1,400, 5,800)21
Contusions/abrasions3,400(1,300, 5,400)19
Body part affected
Hand & finger3,000(1,700, 4,200)17
Upper trunk, inc. neck & shoulder2,900 b(1,100, 4,700)17
Lower trunk2,800(1,400, 4,300)16
Leg, including foot2,400(1,000, 3,700)13
Arm2,200 b(800, 3,600)13
Event c
Overexertion & bodily reaction (7)4,600(2,100, 7,100)27
Violence (1)3,600(1,600, 5,500)20
Harmful exposures (5)3,300(1,600, 4,900)19
Contact with objects & equipment (6)2,700(1,200, 4,200)16
Falls, slips, trips (4)2,000(900, 3,100)12
Source c
Persons, plants, animals, & minerals (5) d10,200(5,300, 15,000)58
Tools, instruments, and equipment (7)2,000 b(600, 3,300)11
Structures and surfaces (6)1,900 b(700, 3,100)11
Vehicles (8)1,800(800, 2,900)11
Discharge disposition from ED
Treated and released17,000(9,000, 24,800)97

a Numbers and percentages do not add to totals or 100 because of rounding and omission of data not meeting NEISS-Work reporting requirements.
b This estimate is provided for information only as the variance does not meet NEISS-Work reporting requirements. Use this number with caution as the higher variance indicates it is less stable than other reported estimates.
c Events and sources are coded using Occupational Injury and Illness Classification System (OIICS) (version 2.01). The numbers in parentheses after each category represent major division codes in the OIICS hierarchical coding structure.
d The majority of these injuries involved other people or bodily motion of the injured worker themselves.

Table 3: More than one-third of sprain and strain injuries involved the EMS clinician’s upper trunk. Many sprains and strains, but not all, were noted in connection with bodily reactions or exertion. Falls and various other injury events were occasionally related to sprains or strains but were not reportable in 2019. Almost 50% of all sprain and strain injuries were related to interactions with another person.

Number of injuries a95% confidence intervalPercent a
Total sprain and strain injuries3,600 c(1,400, 5,800)21
Body part affected
Lower and upper trunk, inc. neck & shoulder2,300(1,000, 3,600)63
Event b
Overexertion & bodily reaction2,600 c(1,000, 4,100)70
Source b
Person other than the worker (57)2,000 c(700, 3,300)56

a Numbers and percentages do not add to totals or 100 because of rounding and omission of data not meeting NEISS-Work reporting requirements.
b Events and sources are coded using Occupational Injury and Illness Classification System (OIICS) (version 2.01). The numbers in parentheses after each category represent codes in the OIICS hierarchical coding structure.
c This estimate is provided for information only as the variance does not meet NEISS-Work reporting requirements. Use this number with caution as the higher variance indicates it is less stable than other reported estimates.

2018

Note: These data were updated on March 11, 2022 due to an analysis error.

Table 1: Among EMS clinicians treated in emergency departments (EDs) for an occupational injury, the majority of clinicians were men. More than half of the injured EMS clinicians were less than 35 years of age.

Number of injuries a95% confidence intervalPercent
Total19,800(9,600, 30,100)100
Sex
Male12,300(5,900, 18,800)62
Female7,500(3,300, 11,700)38
Age group (in yrs)
443,500(1,800, 5,100)17

a Numbers do not add to totals or 100 because of rounding.
b This estimate is provided for information only as the variance does not meet NEISS-Work reporting requirements. Use this number with caution as the higher variance indicates it is less stable than other reported estimates.

**Table 2: **Among EMS clinician injuries, sprains and strains were the most common diagnosis. Most injuries affected the upper trunk and leg. The greatest portion of injuries involved overexertions and bodily reactions. The second most common injury event was exposures to harmful substances such as potentially infectious materials (e.g., body fluids). For all of the EMS injuries, the most common sources which directly produced the injury were the EMS clinician themselves or another person such as a patient.

Number of injuries a95% confidence intervalPercent a
Total19,800(9,600, 30,100)100
Diagnosis
Sprains & strains5,800 b(1,700, 9,800)29
Contusions/abrasions2,300(1,100, 3,600)12
Body part affected
Upper trunk, inc. neck & shoulder3,200 b(500, 5,900)16
Leg, including foot3,200(1,500, 4,800)16
Hand & finger2,900(1,600, 4,100)15
Lower trunk2,700 b(1,100, 4,400)14
Arm1,700 b(400, 3,000)9
Event c
Overexertion & bodily reaction (7)5,500 b(1,700, 9,200)28
Harmful exposures (5)4,700(2,500, 6,900)23
Violence (1)3,300 b(200, 6,400)17
Contact with objects & equipment (6)2,600(1,500, 3,800)13
Transportation incidents (2)2,200 b(700, 3,600)11
Source c
Persons, plants, animals, & minerals (5) d12,300 b(4,700, 19,900)62
Vehicles (8)3,400(1,700, 5,200)17
Discharge disposition from ED
Treated and released19,500(9,200, 29,700)98

a Numbers and percentages do not add to totals or 100 because of rounding and omission of data not meeting NEISS-Work reporting requirements.
b This estimate is provided for information only as the variance does not meet NEISS-Work reporting requirements. Use this number with caution as the higher variance indicates it is less stable than other reported estimates.
c Events and sources are coded using Occupational Injury and Illness Classification System (OIICS) (version 2.01). The numbers in parentheses after each category represent major division codes in the OIICS hierarchical coding structure.
d The majority of these injuries involved other people or bodily motion of the injured worker themselves.

Table 3: The majority of sprain and strain injuries involved the EMS clinician’s trunk. Many sprains and strains, but not all, were noted in connection with bodily reactions or exertion. Falls and various other injury events were occasionally related to sprains or strains.

Number of injuries a95% confidence intervalPercent a
Total sprain and strain injuries5,800 b(1,700, 9,800)29
Body part affected
Lower trunk1,600 b(600, 2,600)28
Event c
Overexertion & bodily reaction3,800 b(900, 6,600)65
Source c
Person, plants, animals, and minerals d3,700 b(600, 6,700)63

a Numbers and percentages do not add to totals or 100 because of rounding and omission of data not meeting NEISS-Work reporting requirements.
b This estimate is provided for information only as the variance does not meet NEISS-Work reporting requirements. Use this number with caution as the higher variance indicates it is less stable than other reported estimates.
c Events and sources are coded using Occupational Injury and Illness Classification System (OIICS) (version 2.01). The numbers in parentheses after each category represent codes in the OIICS hierarchical coding structure.
d The majority of these injuries involved other people or bodily motion of the injured worker themselves.

2017

Table 1: Among EMS clinicians treated in emergency departments (EDs) for an occupational injury, the majority of clinicians were men. More than half of the injured EMS clinicians were less than 35 years of age.

Number of injuries95% confidence intervalPercent
Total21,200(12,800, 29,700)100
Sex
Male14,800(8,900, 20,600)70
Female6,500(3,300, 9,600)30
Age group (in yrs)
443,800(2,400, 5,200)18

**Table 2: **Among EMS clinician injuries, sprains and strains were the most common diagnosis. Most injuries affected the hands and fingers and upper trunk. The greatest portion of injuries involved overexertions and bodily reactions. About 40% of the overexertion and bodily reaction events were specifically identified as overexertion during lifting. The second most common event related to injuries was exposures to harmful substances such as potentially infectious materials (e.g., body fluids). For all of the EMS injuries, the most common sources which directly produced the injury were the EMS clinician themselves or another person such as a patient.

Number of injuries a95% confidence intervalPercent a
Total21,200(12,800, 29,700)100
Diagnosis
Sprains & strains5,700(3,400, 8,100)27
Contusions/abrasions2,700 b(900, 4,600)13
Puncture and laceration1,600(700, 2,500)8
Body part affected
Hand & finger4,100(2,500, 5,700)19
Upper trunk, inc. neck & shoulder3,500(1,800, 5,200)17
Lower trunk3,100(2,000, 4,300)15
Leg, including foot3,100(1,700, 4,600)15
Arm2,200 b(800, 3,500)10
Event c
Overexertion & bodily reaction (7)5,800(3,500, 8,100)27
Harmful exposures (5)5,500(3,300, 6,200)26
Violence (1)3,500 b(800, 5,800)17
Contact with objects & equipment (6)2,200(1,100, 3,300)10
Falls, slips, trips (4)1,700 b(700, 2,700)8
Source c
Persons, plants, animals, & minerals (5) d12,000(6,300, 17,700)57
Vehicles (8)4,000(2,200, 5,800)19
Tools, instruments, and equipment (7)2,300(1,200, 3,400)11
Discharge disposition from ED
Treated and released21,000(12,600, 29,600)99

a Numbers and percentages do not add to totals or 100 because of rounding and omission of data not meeting NEISS-Work reporting requirements.
b This estimate is provided for information only as the variance does not meet NEISS-Work reporting requirements. Use this number with caution as the higher variance indicates it is less stable than other reported estimates.
c Events and sources are coded using Occupational Injury and Illness Classification System (OIICS) (version 2.01). The numbers in parentheses after each category represent major division codes in the OIICS hierarchical coding structure.
d The majority of these injuries involved other people or bodily motion of the injured worker themselves.

Table 3: The majority of sprain and strain injuries involved the EMS clinician’s trunk. Many sprains and strains, but not all, were noted in connection with bodily reactions or exertion. Falls and various other injury events were occasionally related to sprains or strains. Almost 40% of all sprain and strain injuries were related to interactions with a patient.

Number of injuries a95% confidence intervalPercent a
Total5,800(3,500, 8,100)27
Body part affected
Lower trunk1,800(1,000, 2,600)32
Lower extremity1,800(900, 2,700)32
Upper trunk, inc. neck & shoulder1,400(600, 2,200)24
Event c
Overexertion & bodily reaction3,900(2,100, 5,700)69
Source b
Patient (574)2,100(1,100, 3,200)37

a Numbers and percentages do not add to totals or 100 because of rounding and omission of data not meeting NEISS-Work reporting requirements.
b Events and sources are coded using Occupational Injury and Illness Classification System (OIICS). The numbers in parentheses after each category represent codes in the OIICS hierarchical coding structure.

2016

Table 1: Among EMS clinicians treated in emergency departments (EDs) for an occupational injury, the majority of clinicians were men. Just over half of the injured EMS clinicians were less than 35 years of age.

Number of injuries95% confidence intervalPercent a
Total21,900(13,900, 29,800)100
Sex
Male13,900(8,100, 19,700)64
Female8,000(4,900, 11,000)36
Age group (in yrs)
444,800(2,900, 6,700)22

a Percentages do not add to 100 because of rounding.

**Table 2: **Among EMS clinician injuries, sprains and strains were the most common diagnosis. Most injuries affected the upper trunk and hands and fingers. The greatest portion of injuries involved overexertions and bodily reactions. More than 40% of the overexertion and bodily reaction events were specifically identified as overexertion during lifting. The second most common event related to injuries was exposures to harmful substances such as potentially infectious materials (e.g., body fluids). For all of the EMS injuries, the most common sources which directly produced the injury were the EMS clinician themselves or another person such as a patient.

Number of injuries a95% confidence intervalPercent a
Total21,900(13,900, 29,800)100
Diagnosis
Sprains & strains7,500(4,800, 10,100)34
Puncture and laceration2,400 b(500, 4,200)11
Contusions/abrasions1,800(800, 2,800)8
Body part affected
Upper trunk, inc. neck & shoulder4,500(2,100, 7,000)21
Lower trunk3,900(1,900, 5,900)18
Leg, including foot3,300(1,900, 4,800)15
Hand & finger3,100(1,700, 4,400)14
Arm2,200(1,000, 3,400)10
Event c
Overexertion & bodily reaction (7)8,000(4,900, 11,100)36
Harmful exposures (5)4,200(2,500, 6,200)19
Violence (1)3,500 b(1,200, 5,800)16
Contact with objects & equipment (6)2,500(1,500, 3,500)11
Falls, slips, trips (4)1,800 b(700, 3,000)8
Source c
Persons, plants, animals, & minerals (5) d13,500(7,900, 19,200)62
Vehicles (8)2,600(1,400, 3,800)12
Tools, instruments, and equipment (7)2,300(1,100, 3,500)11
Structures & surfaces (6)1,400(700, 2,200)7
Discharge disposition from ED
Treated and released21,700(13,800, 29,600)99

a Numbers and percentages do not add to totals or 100 because of rounding and omission of data not meeting NEISS-Work reporting requirements.
b This estimate is provided for information only as the variance does not meet NEISS-Work reporting requirements. Use this number with caution as the higher variance indicates it is less stable than other reported estimates.
c Events and sources are coded using Occupational Injury and Illness Classification System (OIICS) (version 2.01). The numbers in parentheses after each category represent major division codes in the OIICS hierarchical coding structure.
d The majority of these injuries involved other people or bodily motion of the injured worker themselves.

Table 3: The majority of sprain and strain injuries involved the EMS clinician’s trunk. Many sprains and strains, but not all, were noted in connection with bodily reactions or exertion. Falls and various other injury events were occasionally related to sprains or strains. Almost 40% of all sprain and strain injuries were related to interactions with a patient.

Number of injuries a95% confidence intervalPercent a
Total7,500(4,800, 10,100)34
Body part affected
Lower trunk2,600(1,300, 3,900)35
Upper trunk, inc. neck & shoulder2,500 b(1,000, 3,900)33
Lower extremity1,800(1,000, 2,600)24
Event c
Overexertion & bodily reaction5,400(3,200, 7,600)72
Source c
Patient (574)3,000(1,500, 4,500)40

a Numbers and percentages do not add to totals or 100 because of rounding and omission of data not meeting NEISS-Work reporting requirements.
b This estimate is provided for information only as the variance does not meet NEISS-Work reporting requirements. Use this number with caution as the higher variance indicates it is less stable than other reported estimates.
c Events and sources are coded using Occupational Injury and Illness Classification System (OIICS). The numbers in parentheses after each category represent codes in the OIICS hierarchical coding structure.

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