Emergency Medical Technician (EMT): The risks and solutions

As an emergency medical Technician (EMT), your critical role in responding to medical emergencies may expose you to potential carcinogenic risks associated with specific occupational hazards. While the primary focus is on providing life-saving care, it’s important to be aware of potential risks to your health and safety.

One significant concern is the risk of exposure to infectious diseases, which is inherent in the nature of emergency medical response. While infectious diseases may not be directly carcinogenic, they pose significant health risks. Adhering to strict infection control protocols, using personal protective equipment (PPE), and practicing proper hand hygiene are crucial to minimize the risk of infections.

In certain emergency situations, EMTs may encounter hazardous materials, including those that could be carcinogenic. Exposure to chemicals and toxins can have long-term health effects, potentially contributing to an increased risk of developing cancers over time. Proper training in hazardous material handling, including the use of appropriate PPE, is critical to minimizing these potential health risks.

By prioritizing safety measures, staying informed about infectious disease and hazardous material protocols, and adopting proper handling techniques, EMTs can ensure a healthier and more sustainable career, safeguarding both their professional well-being and long-term health. Regular health check-ups and continuous training contribute to maintaining a safe and resilient workforce in emergency medical services.

Note: The CarcCheck is based on data collected for the EU. Therefore, uses of a substance might not be of equal relevance in all member states. The CarcCheck indicates were a carcinogen can potentially be involved or released; exposure potential will also vary in different sectors. Only the risk assessment will show whether this is the case in a real workplace or in a user situation.

Emergency Medical Technician (EMT): The risks and solutions

As an emergency medical Technician (EMT), your critical role in responding to medical emergencies may expose you to potential carcinogenic risks associated with specific occupational hazards. While the primary focus is on providing life-saving care, it’s important to be aware of potential risks to your health and safety.

One significant concern is the risk of exposure to infectious diseases, which is inherent in the nature of emergency medical response. While infectious diseases may not be directly carcinogenic, they pose significant health risks. Adhering to strict infection control protocols, using personal protective equipment (PPE), and practicing proper hand hygiene are crucial to minimize the risk of infections.

In certain emergency situations, EMTs may encounter hazardous materials, including those that could be carcinogenic. Exposure to chemicals and toxins can have long-term health effects, potentially contributing to an increased risk of developing cancers over time. Proper training in hazardous material handling, including the use of appropriate PPE, is critical to minimizing these potential health risks.

By prioritizing safety measures, staying informed about infectious disease and hazardous material protocols, and adopting proper handling techniques, EMTs can ensure a healthier and more sustainable career, safeguarding both their professional well-being and long-term health. Regular health check-ups and continuous training contribute to maintaining a safe and resilient workforce in emergency medical services.

Note: The CarcCheck is based on data collected for the EU. Therefore, uses of a substance might not be of equal relevance in all member states. The CarcCheck indicates were a carcinogen can potentially be involved or released; exposure potential will also vary in different sectors. Only the risk assessment will show whether this is the case in a real workplace or in a user situation.

Important information

Work safely in events of fire and with fire by-products

When fighting fires, firefighters and other first-aiders (policemen, ambulance) are exposed to potentially hazardous fire by-products that may contain PAHs or other volatile organic compounds, or released fibres (asbestos, CFRP, GRP), dust and other particles. To protect your health, it is important to be aware of these risks and take appropriate protective measures.

This information will help you to better understand the dangers and take the necessary precautions. This is because combustion processes generally produce substances that are hazardous to health and are contained in fire smoke/fire by-products. Several aspects make fire incidents in housings, vegetation or vehicle particularly risky! These risks remain relevant also for everyone that is involved in fire clean-up and fire damage repair activities.

Things you should know!

Numerous materials

In everyday life, we come into contact with numerous materials that however release toxic gases or particles when burned. This applies to residential buildings, vehicles and even nature (vegetation). These include plastics, chemicals and other synthetic materials as well as organic substances.

Unpredictability

The circumstances of any fire-event are unpredictable. The intensity and way of burning may vary, which highly influences the generation of specific toxic substances

Smoke fumes

Smoke fume contains always hazardous substances. Among these can be carbon monoxide, tar, soot and other particles which may lead to respiratory and other health issues.

A matter of time

In many cases the exposure against particles can strongly increase in a very short time thus increasing the danger and necessitating quick and immediate reactions.

Long-term after effects

Although the acute danger during the actual fire event is obvious, the remaining hazardous residuals in the air and materials can also negatively impact your health long after exposure. Particles released during combustion and after the fire event always pose a non-visible long-term threat for your health and represent a major challenge for firefighting and related activities. This is why special care is taken to highlight these risks in action plannings.

Protective measures

Only use purpose-built and correctly fitted personal protection equipment (PPE) to minimise potential exposure to hazardous substances. Removing contaminated PPE as soon as possible reduces the risk of transmission by up to 90%. Accordingly, change your PPE timely and introduce it to proper cleaning and maintenance.

Convenience and routine

Standardised procedures are important but they should not become overly automated or carried out uncritically simply because they have become routine. They should also be practices regularly. A quick check or putting things off until tomorrow can exactly be what lead to increased and unnecessary additional risk.

Your employer’s or your chief’s duties to protect you!

  1. Training: Your employer has to train you and your colleagues regularly how to safely work with fire by-products.
  2. Documentation: Your employer has to document which substances you have been exposed to and for how long. They have to keep record for 40 years and provide the documentation to you when you change your workplace or retire.
  3. Protection: The PPE your employer acquires has to be state of the art. This is one of your employers’ general duties. The officer in charge has to decide on the PPE depending on the activity, considering proportionality aspect and after assessing the risk. They have to take care that the PPE is in perfect shape, authorised and tested for fire services and regularly maintained and cleaned. This is prerequisite to participate in any fire-fighting activity.

Your own duties to support your protection!

  1. Personal protection: Always check your PPE. Wear them completely and correctly not only during an incident but also during training session. Train as you fight!
  2. Respiratory protection: A full beard in particular but already stubble hampers the tightness and consequently the protection effect of face masks. When wearing a respirator, smoothly shaved skin guarantees the desired protection.
  3. Personal hygiene: Clean your hands, arms, face and neck after ever fire-fighting incident with special care to avoid any exposure through your skin. Take a shower within an hour! A timely and warm shower opens your skin pores and supports the removal of hazardous substances from your body. Avoid using soap-based cleaning and skin-care products.
  4. General organisational hygiene: To avoid spreading hazardous substance, never take contaminated working clothes home with you. It is of utmost importance to take the training and information provided by your employer seriously and to actively ask questions whenever you feel insecure. Avoid to eat, drink and smoke at the event of fire. If necessary, keep a safety distance and clean your hand thoroughly before ingestion.

Take-home message

Exposure to carcinogenic fire by-products is a serious health risk no firefighter or anyone first-aiding or restoring should take lightly. With your active support and by adhering to compulsory safety measure, safety can be warranted and risks minimised: for yourself and for your comrades. Consider your employers instructions carefully and actively ask for support in situations in which you think that your health may be at risk. Stay clean and healthy – your safety comes first!

loading

Which carcinogen(s) are present?

The following (process-generated) carcinogens in your occupation could be a potential risk for your health.

Can the carcinogen(s) or process(es) be replaced?

Substitution is the first and top prevention measure to avoid exposure to carcinogens. The following substances or processes are considered safer alternatives for these carcinogens or represent less exposure potential.

Are technical prevention measures in place?

Technical measures have to be used first, when substitution was not possible. The first technical measure of choice is the use of a closed, encapsulated systemVarious possibilities and technical solutions are available that might be suitable to reduce exposure to as low as technically possible. These risk reduction measures vary in their effectiveness and need to be assessed for your working environment individually.

Furthermore, the following list provides you with general or technically targeted solutions provided by others within your occupation.

Are organisational prevention measures in place?

Organisational measures can support your exposure reduction strategy. Organisational measures must be used only when substitution was not possible, and all technical measures have been exhausted. Various organisational measures are available that might be suitable to reduce exposure. These risk reduction measures vary in their effectiveness and need to be assessed for your working environment individually.
 
Furthermore, the following list provides you with general or organisational targeted solutions provided by others within your occupation/branch.

Are limit values in place?

Limit values for carcinogens are one mean to assess the exposure situation and to assess whether minimum requirements are met, or further risk reduction strategies have to be applied. The links provided above can support assessment whether technical and organisational measures have been sufficiently exhausted to minimise exposure. Please be aware that you can also assess internal exposure by biomonitoring.

Independent whether there is an European limit value in place or not, it is mandatory to minimise exposure to carcinogens as low as technically achievable. Please refer to your national legislation how to comply with minimisations duties.

As Emergency Medical Technician (EMT), the following (process-generated) carcinogens could be a potential risk for your health and the following EU limit values are in place.

Is exposure determined?

If you come to the conclusion that exposure is likely, there are multiple options to assess your exposure situation.

Descriptions by the occupational prevention organisation or insurances, in practice approved control guidance sheets, REACH exposure scenarios or exposure modelling are further and eligible sources that help assessing the exposure situation as well as by comparing workplace situations. This must be documented in the risk assessment. Finally, if these methods do not allow for a conclusive exposure assessment, exposure measurements with the help of your respective insurance organisation or an external company can be performed.

Furthermore, you might want to check exposure data sources compiled here.

Is personal protective equipment provided?

You should be aware that personal protection equipment (PPE) should be used only after technical and organisational measures have been used to reduce exposure as much as possible.

Furthermore, there are strict rules for the use of PPE. For respiratory protection equipment (RPE), the filter class needs to fit the purpose, the size of the mask needs to fit the individual worker, maximal wearing time needs to be defined and workers need training for correctly equipping/un-equipping RPE.

For dermal protective equipment, adequate glove material and size needs to be assessed. Commonly, there are very rare situation when handling carcinogens, that PPE is not necessary to fulfil minimisation duties. When you decide to not use PPE, this has to be well-documented.

Furthermore, the following list provides you with solutions provided by others:

Further duties and additional helpful measures

Ensuring the well-being of your employees is further guaranteed by certain duties laid down in the Carcinogens, Mutagens and Reprotoxicants Directive (CMRD). Additionally, other measures have a positive impact on workplace safety and workers health by boosting awareness of all involved actors.

The following list provides support for these important aspects. However, national requirements might deviate from the Directive and therefore, please consult with your national authorities about regulatory requirements for hazardous substances:

  • Performing a risk assessment is mandatory.
  • Instructing and training before workers start a task is mandatory.
  • Documentation of tasks involving carcinogens is mandatory.
  • Offering medical surveillance is mandatory.
  • Organising the chemicals within a substance inventory is regarded as very helpful.
  • Getting ‘external expertise’ from occupational physician or safety experts is regarded as very helpful.

Your well-being is further guaranteed by certain duties of your employer laid down in the Carcinogens, Mutagens and Reprotoxicants Directive (CMRD). However, it is also important that you act according to i.e. workplace instructions.

  • Performing a risk assessment is mandatory for your employer and serves to identify all potential health risks and install countermeasures to prevent or reduce these risks.
  • You have to be instructed and trained before you start a task. Repetition of training and adaption of operational instructions help you to stay alert to the risks.
  • Should you ever experience health problems that might be work-related even after changing the company or retirement, the documentation duty for tasks involving carcinogens will ensure that you receive recognition for an occupational disease.
  • Offering medical surveillance to you is your employers duty and serves to inform you about potential health risks related to your task.
  • Please be aware that cooperation with your employer is your duty as well. Workplace and personal hygiene protocols (for example, do not carry work clothes home) are one key factor to ensure your health and that of your family and should be followed at any time.
Relevance

Carcinogens involved

Sector(s) involved

Table of contents
Sign up for our newsletter to become part of our community. Or follow us on LinkedIn and join the conversation!