title: [Exposure to hand-arm vibrations in orthopaedic plaster room: risk management].
abstract: BACKGROUND
  In hospitals, the use of vibrating tools, such as oscillating saws to cut plaster, can expose the staff to hand-arm vibrations.
  
  
  OBJECTIVE
  The aim of the study was to assess the exposure of workers to vibrations in the plaster room and then  identify the most appropriate  intervention for  prevention and protection to be implemented in order to minimize  exposure and  protect  workers' health, considering different individual hyper-susceptibility conditions.
  
  
  METHODS
  Four different models of plaster saws were examined for the evaluation.  Various measurements were made in normal working conditions of the operators.
  
  
  CONCLUSIONS
  The values of acceleration and noise detected on the instruments  were  in line with those reported in the literature. The preventive measure adopted (replacing plaster saws currently used in the hospital with similar ones with lower vibration emission) was an adequate means of protection. Health surveillance activities  recorded a higher level of wellbeing, both environmentally and individually and, specifically, an increased protection level for the hyper-susceptibility conditions observed during health checks of exposed personnel  which will be monitored regularly by the Occupational Health Service.
authors.affiliation: Enterprise Risk Management, Ospedale Pediatrico Bambino Gesù - IRCCS, Roma, Italia. marco.lembo@opbg.net.
authors.forename: Marco
authors.initials: M
authors.lastname: Lembo
authors.forename: Alessandro
authors.initials: A
authors.lastname: Lunghi
authors.forename: Erica
authors.initials: E
authors.lastname: Leo
authors.forename: Matteo
authors.initials: M
authors.lastname: Ritrovato
authors.forename: Vittorio
authors.initials: V
authors.lastname: Cannatà
authors.forename: Carlo
authors.initials: C
authors.lastname: Capussotto
authors.forename: Angelo
authors.initials: A
authors.lastname: Tirabasso
authors.forename: Salvatore
authors.initials: S
authors.lastname: Zaffina
authors.forename: Vincenzo
authors.initials: V
authors.lastname: Camisa
authors.forename: Pietro
authors.initials: P
authors.lastname: Derrico
authors.forename: Mauro
authors.initials: M
authors.lastname: Martella
authors.forename: Enrico
authors.initials: E
authors.lastname: Marchetti
mesh_terms: D002370:Casts, Surgical; D004784:Environmental Monitoring; D053421:Hand-Arm Vibration Syndrome / Q000175:diagnosis / Q000209:etiology* / Q000517:prevention & control*; D006306:Health Surveys; D006761:Hospitals; D006801:Humans; D016273:Occupational Exposure / Q000009:adverse effects*; D015203:Reproducibility of Results; D018570:Risk Assessment; D012307:Risk Factors; D011795:Surveys and Questionnaires; D014732:Vibration / Q000009:adverse effects*