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=== Environmental and operational hazards === Paramedics are confronted with many challenges exhibited in the form of environmental and [[operational risk]]s, primarily during transportation. These transportation-related hazards should be considered and addressed in [[Emergency medical services|prehospital care]].<ref>{{Cite journal |last1=Becker |first1=Julia |last2=Hugelius |first2=Karin |date=2021-12-18 |title=Driving the ambulance: an essential component of emergency medical services: an integrative review |journal=BMC Emergency Medicine |volume=21 |issue=1 |pages=160 |doi=10.1186/s12873-021-00554-9 |doi-access=free |issn=1471-227X |pmc=8684175 |pmid=34922453}}</ref> Slips, trips, and falls; [[Traffic collision|motor vehicle incidents]]; and [[violence]] or [[assault]]s have huge impact on paramedics' [[occupational hazard]]s, resulting to thousands of paramedics impacted annually.<ref>{{Cite journal |last1=Reichard |first1=Audrey A. |last2=Marsh |first2=Suzanne M. |last3=Tonozzi |first3=Theresa R. |last4=Konda |first4=Srinivas |last5=Gormley |first5=Mirinda A. |date=2017-07-04 |title=Occupational Injuries and Exposures among Emergency Medical Services Workers |journal=Prehospital Emergency Care |language=en |volume=21 |issue=4 |pages=420β431 |doi=10.1080/10903127.2016.1274350 |issn=1090-3127 |pmc=10227644 |pmid=28121261}}</ref><ref name=":03" /> Vehicle safety features need to be known by paramedics, and so must undergo exhaustive emergency driving training, which looks into curbing the provisions that are the peril of transportation. Paramedics are frequently assaulted by patients or bystanders affecting around 2,000 EMS workers annually, which further hammers the need for training on de-escalation.<ref name=":03" /><ref name=":2" /> [[National Institute for Occupational Safety and Health|NIOSH]] and the [[United States Department of Homeland Security|Department of Homeland Security]] have conducted ambulance crash testing, resulting in the development of 10 test methods published by the [[Society of Automotive Engineers|Society of Automotive Engineers (SAE)]] to reduce and eliminate crash-related injuries to EMS workers.<ref name=":03" /> Through effective training, the threat cases are more likely to be mitigated, and the paramedics will have a better chance to provide services as required.
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