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And that could boost their risk for accidental injuries or take a toll on the quality of care they offer to patients, the researchers said. To investigate how extended hours could affect EMS workers, the researchers analyzed 1 million shift schedules completed by 4,000 employees over the course of three years. They also examined 950 occupational health records for 14 huge U.S. Emergency medical services firms. The risk of sustaining a personal injury or developing a sickness increased as the distance of EMS workers’ shifts grew, the scholarly study published online Sept.