الفهرس 
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Abstract
Aim of work: This research was done to assess the possibility of higher levels of psychosocial stressors and related psychosocial hazards such as burnout, depression and post-traumatic stress disorder) among EMR. Also, studying some physical health hazards linked to job stress such as cardiovascular disorders in particular hypertension among EMR. The occupational accidents and injuries profile was also assessed for EMR. Methods: A comparative cross sectional study was conducted upon (140) emergency medical responders (EMR) and a matched control group composed of (140) non-emergency workers. The groups studied were subjected to semi-structured questionnaire, ECG, spirometry, urine catecholamines analysis and lipid profile in blood. Results: EMR are at increases risk of acute and chronic stressors. EMR had higher prevalence of high levels of emotional exhaustion (20%) and depersonalization compared to comparative group. More than tenth of EMR had clinical level of PTSD compared to 3% only of comparison group. The mean levels of epinephrine and Nor epinephrine were significantly higher among EMR compared to comparative group (p<0.05). The SBP and DBP were significantly higher among EMR than comparative group. Although, there was no statistically significant difference between the two groups as regards electrocardiographic changes, but T wave inversion and ST segment changes were more common among EMR. Twenty percent of EMT have been through motor crash accidents with or without consequent injuries and more than tenth (13.8%) were physically abused from patients and/or their relatives. Drivers suffered mainly from physical assault (23.3%) due to late arrival to accident scene followed by motor vehicle crash (13.3%). Musculoskeletal injury was the most commonly found injury among EMT. Conclusion: EMR had higher prevalence of both acute and chronic work- related stressors than comparative groups.EMR had higher levels of burnout and PTSD compared to control group. The prevalence of hypertension, left ventricular hypertrophy and coronary heart disease were higher among EMR compared to comparative group with no statistically significant difference. Average SBP and DBP were statistically significantly higher among EMR compared to comparative group respectively.