[Suspension trauma syndrome (sling syndrome): preventive peculiarities]

Sindrome da sospensione inerte (sindrome da imbracatura): peculiarità preventive

Published: March 4 2025
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Authors

The suspension trauma syndrome is a clinical condition that could lead to death, also in short time, by coupling the suspension with loss of consciousness and multiorgan failure. Health risks linked to temporary work in suspension are characterized both by infortunistic ones (for instance: trauma, falls, etc.) and by clinical ones, like the suspension trauma syndrome or compressive issues due to different fall protection systems.
This study deal with the technical and medical meseasures devoted to the prevention of the suspension trauma syndrome. Italian 81/08 and 164/56 laws prescribes that, when no collective protection systems could be used, any single worker has to used personal safety equipment like energy absorbers, anchoring devices, lanyards, retractable devices, flexible life guides or lines, guides or rigid life lines, harnesses. Persons working in height have to undergo a medical surveillance, devoted in particular to identify such illnesses (frequently cardiologic or muscleskeletal disorders, both temporary or chronical) that prevent the exposures possibly leading to the suspension syndrome. In some cases, the occupational physician could express a judgement of fitness to work in which only specific personal protection devices are allowed and/or the time to dedicate to work in suspension is limited, to efficiently protect the workers' health.

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Citations

1) Ashkenazi 1, Isakovich B, Kluger Y, et al. Prehospital management of Earthquake Casualties Buried Under Rubble. Prehosp Disaster Med 2005; 20(2): 122-33. DOI: https://doi.org/10.1017/S1049023X00002302
2) Lee C, Porter KM. Suspension trauma. Emerg Med J. 2007; 24(4): 237-8. DOI: https://doi.org/10.1136/emj.2007.046391
3) Raynovich B, Rwaili FT, Bishop P. Dangerous suspension. Understanding suspension syndrome and prehospital treatment for those at risk. JEMS 2009; 34(8): 44-51 4) Mortimer RB. Risks and management of prolonged suspension in an Alpine harness. Wilderness Environ Med 2011; 22(1): 77-86. DOI: https://doi.org/10.1016/j.wem.2010.10.008
5) Thomassen O, Skaiaa SC, Brattebo G, et al. Does the horizontal position increas risk of rescue death following suspension trauma? Emerg Med J 2009; 26(12): 896-8. DOI: https://doi.org/10.1136/emj.2008.064931
6) Milani M. La sindrome da sospensione inerte. Mensile italiano del soccorso, Anno 18°, Vol. 198, Aprile 2009.
7) Bacchetta AP, Melloni R, Collino F, et al. Health surveillance for employees who work in "areas suspected of pollution" or confined. G Ital Med Lav Ergon 2015; 37(2): 90-100.
8) Pisati G, Cerri S, Achille G, et al. Attività fisica con utilizzo di imbracatura in sospensione su funi e trombosi vasale. G Ital Med Lav Ergon 2007; 98(5): 415-421.
9) Bussienne F, Boyet P, Manteaux E, et al. La syndrome du harnais. Urgence Pratique 2007, 85: 49-52.
10) Decreto legislativo n° 235 del 8 luglio 2003 - Linea guida per l'esecuzione di lavori temporanei in quota con l'impiego di sistemi di accesso e posizionamento mediante funi - Ministero del Lavoro e Ministero della Salute (ISPESL).
11) Hsiao H, Whitestone J, Kau TY. Evaluation of fall arrest harness sizing schemes. Hum Factors 2007; 49(3): 447-64. DOI: https://doi.org/10.1518/001872007X200094
12) Adisesh A, Lee C, Porter K. Harness suspension and first aid management: development of an evidence-based guideline. Emerg Med J 2011; 28(4): 265-8. DOI: https://doi.org/10.1136/emj.2010.097246
13) Seddon P. Harness suspension: review and evaluation of existing information. HSE, research report 451, 2002.
14) Seddon P, Harness suspension: review and evaluation of existing information. Contract Reserch Report (for the Health and Safety Executive), 2002.
15) Pasquier M, Yersin B, Vallotton L, et al. Clinical update: suspension trauma. Wilderness Environ Med 2011; 22(2): 167-71. DOI: https://doi.org/10.1016/j.wem.2010.12.006
16) D. Lgs. 9 aprile 2008, n. 81- Attuazione dell'articolo 1 della Legge 3 agosto 2007, n. 123 in materia di tutela della salute e della sicurezza nei luoghi di lavoro. (Gazzetta Ufficiale n. 101 del 30 aprile 2008 - Suppl. Ordinario n. 108).
17) Turner NL, Wassel JT, Whisler R, et al. Suspension tolerance in a full-body safety harness and a prototype harness accessory. J Occ Env Hygiene 2008; 5(4): 227-231. DOI: https://doi.org/10.1080/15459620801894386
18) Linea guida per la sorveglianza sanitaria degli addetti a lavori temporanei in quota con impiego di sistemi di accesso e posizionamento mediante funi - Coordinamento tecnico interregionale della prevenzione nei luoghi di lavoro - 2007.
19) Progetto di ricerca "Sospesi 2", 2015 - Università degli studi di Milano Bicocca - Facoltà di Medicina - Dipartimento di Medicina e Chirurgia. Consultabile on line all'indirizzo www.cantierepro.com/upload/fefd38 d73ff566d519216dbd861eab9d.pdf (Ultimo accesso settembre 2017). 20) Taino G, Gazzoldi T, Brevi M, et al. Sindrome metabolica e lavoro a turni: studio dell'associazione in una popolazione di lavoratori di un'industria chimica. G Ital Med Lav Ergon 2011; 33(4): 456-461. 21) Taino G, Giardini G, Pecchio O, Brevi M, Giorgi M, Verardo M.G, Detragiache E, Imbriani M. Il lavoro in alta quota: nozioni di fisiopatologia, fattori di rischio, sorveglianza sanitaria e criteri per l'elaborazione del giudizio di idoneità. G Ital Med Lav Erg 2012; 34(2): 101-140. 22) Weems P., Bishop P. Will your satety harness kill you? Occup Health Saf 2003; 72(3): 86-90.

How to Cite



[Suspension trauma syndrome (sling syndrome): preventive peculiarities]: Sindrome da sospensione inerte (sindrome da imbracatura): peculiarità preventive. (2025). Giornale Italiano Di Medicina Del Lavoro Ed Ergonomia, 39(4), 224-229. https://doi.org/10.4081/gimle.637