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Nr opisu: January 1st, 2021 - December 31st, 2022. The data comes from the departure documentation of teams intervening in the State Emergency Medical Services system: the departure order card and the emergency medical response card. Results: There were 177 EMSTs' interventions selected, representing 1.27% of the total medical interventions made in the operational area during the indicated two-year period. In the analyzed group of subjects, it was evidenced that age had a statistically significant impact on the reason for calling the EMST (p<0.001). The highest mean age was for neurological disorders (77ą18 years), while the lowest was for consciousness disorders (44ą18 years). No association was shown between the location of the patient's residence (NCF vs. RCF) with reason for call (p=0.393), gender (p=0.279), type of facility (p=0.245), use of pharmacotherapy (p=0.524) and reason for call (p=0.813). Conclusions: In the group under study, interventions due to circulatory and respiratory disorders dominate. Transport to the hospital was necessary in the group of trauma rventions due to circulatory and respiratory disorders dominate. Transport to the hospital was necessary in the group of trauma patients, which is related to the lack of surgical procedures and the limited possibility of imaging diagnosis of the injury at the site of the call. The demand for medical procedures that exceed the capacity of care facilities is high (69% of cases transport to the ED, 44% of interventions with pharmacotherapy by the EMST).^aopieka instytucjonalna^ainstitutional care^aCelem pracy była analiza interwencji zespołów ratownictwa medycznego (ZRM) do pacjentów przebywających w zakładach opiekuńczo-leczniczych (ZOL) i pielęgnacyjno-opiekuńczych (ZPO) z uwzględnieniem płci pacjenta, wieku, przyczyny wezwania, czasu interwencji oraz decyzji ZRM. Materiał i metody: Badanie obejmowało 2 letnią retrospektywną analizę wyjazdów ZRM w województwie lubelskim (północna część) w okresie 1.01.2021-31.12.2022. Dane pochodzą z dokumentacji wyjazdowej zespołów interweniujących w systemie Państwowe Ratownictwo Medyczne (PRM): karty zlecenia wyjazdu i karty medycznych czynności ratunkowych. Wyniki: Wybrano 177 interwencji ZRM stanowiących 1,27% ogółu wyjazdów medycznych zrealizowanych w rejonie operacyjnym we wskazanym dwuletnim okresie. W analizowanej grupie badanych wykazano, że wiek miał istotny statystycznie wpływ na przyczynę wezwania ZRM (p<0,001). Najwyższa średnia wieku dotyczyła zaburzeń neurologicznych (77ą18 lat), zaś najniższa zaburzeń świadomości (44ą18 lat). Nie wykazano związku lokalizacji pobytu pacjenta (ZOL vs. ZPO) z przyczyną wezwania (p=0,393), płci (p=0,279), rodzaju placówki (p=0,245), stosowania farmakoterapii (p=0,524) i przyczyny wezwania (p=0,813). Większość interwencji ZRM była w godzinach dziennych od 6 do 19 (n=135), w porze wieczornej od 19 do 22 (n=18), w porze nocnej od 22 do 6 (n=24). Wnioski: Interwencje z powodu zaburzeń układu krwionośnego i oddechowego dominują w obserwowanej grupie. Transport do szpitala konieczny był w grupie pacjentów urazowych, co związane jest wer study, interventions due to circulatory and respiratory disorders dominate. Transport to the hospital was necessary in the group of trauma patients, which is related to the lack of surgical procedures and the limited possibility of imaging diagnosis of the injury at the site of the call. The demand for medical procedures that exceed the capacity of care facilities is high (69% of cases transport to the ED, 44% of interventions with pharmacotherapy by the EMST).^aopieka instytucjonalna^ainstitutional care^aCelem pracy była analiza interwencji zespołów ratownictwa medycznego (ZRM) do pacjentów przebywających w zakładach opiekuńczo-leczniczych (ZOL) i pielęgnacyjno-opiekuńczych (ZPO) z uwzględnieniem płci pacjenta, wieku, przyczyny wezwania, czasu interwencji oraz decyzji ZRM. Materiał i metody: Badanie obejmowało 2 letnią retrospektywną analizę wyjazdów ZRM w województwie lubelskim (północna część) w okresie 1.01.2021-31.12.2022. Dane pochodzą z dokumentacji wyjazdowej zespołów interweniujących w systemie Państwowe Ratownictwo Medyczne (PRM): karty zlecenia wyjazdu i karty medycznych czynności ratunkowych. Wyniki: Wybrano 177 interwencji ZRM stanowiących 1,27% ogółu wyjazdów medycznych zrealizowanych w rejonie operacyjnym we wskazanym dwuletnim okresie. W analizowanej grupie badanych wykazano, że wiek miał istotny statystycznie wpływ na przyczynę wezwania ZRM (p<0,001). Najwyższa średnia wieku dotyczyła zaburzeń neurologicznych (77ą18 lat), zaś najniższa zaburzeń świadomości (44ą18 lat). Nie wykazano związku lokalizacji pobytu pacjenta (ZOL vs. ZPO) z przyczyną wezwania (p=0,393), płci (p=0,279), rodzaju placówki (p=0,245), stosowania farmakoterapii (p=0,524) i przyczyny wezwania (p=0,813). Większość interwencji ZRM była w godzinach dziennych od 6 do 19 (n=135), w porze wieczornej od 19 do 22 (n=18), w porze nocnej od 22 do 6 (n=24). Wnioski: Interwencje z powodu zaburzeń układu krwionośnego i oddechowego dominują w obserwowanej grupie. Transport do szpitala konieczny był w grupie pacjentów urazowych, co związane jest w brakiem procedur zabiegowych i ograniczoną Autorzy: , . Tytuł równoległy: Charakterystyka merytoryczna: Język publikacji: Wskaźnik Impact Factor ISI: Punktacja ministerstwa: from the departure documentation of teams intervening in the State Emergency Medical Services system: the departure order card and the emergency medical response card. Results: There were 177 EMSTs' interventions selected, representing 1.27% of the total medical interventions made in the operational area during the indicated two-year period. In the analyzed group of subjects, it was evidenced that age had a statistically significant impact on the reason for calling the EMST (p<0.001). The highest mean age was for neurological disorders (77ą18 years), while the lowest was for consciousness disorders (44ą18 years). No association was shown between the location of the patient's residence (NCF vs. RCF) with reason for call (p=0.393), gender (p=0.279), type of facility (p=0.245), use of pharmacotherapy (p=0.524) and reason for call (p=0.813). Conclusions: In the group under study, Praca recenzowana Słowa kluczowe: ; Słowa kluczowe ang.: ; ;
all interventions of firefighters have been archived. In the SFS databases for the period 2020-2022, firefighters were dispatched to 8085 life-threatening interventions for causes classified according to the observation objective, and namely cardiovascular disorders. Those interventions accounted for 1.39% of all Medical Rescue Operations. In the Lesser Poland Province, the highest number of interventions concerned sudden cardiac arrest/ cardiopulmonary resuscitation (SCA/CPR) (69%). Calls for collapsing were most frequent in the Varmian-Mazurian Province (54%). The use of specialized equipment held by NRFS entities provides a variety of possibilities to support medical rescue entities. The SFS is the main service cooperating with the National Medical Rescue System during MRO. A faster arrival of firefighters in the case of incidents classified as Isolated Medical Emergency Incidents (IMEI) can contribute to improving the prognosis of the victims, mainly in the SCA/CPR category, owing to a possibility of performing rapid defibrillation.^amedical rescue operations^arescue and fire-fighting activities^asudden cardiac arrest^asupport for medical entities
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Nr opisu: tonomicznego układu nerwowego funkcjonariuszy Państwowej Straży Pożarnej na podstawie testu w komorze dymowej z wykorzystaniem analizy zmienności zatokowego rytmu serca^bAkademia Bialska im. Jana Pawła II w ramach Regulaminu wsparcia rozwoju zawodowego pracowników uczelni^cPB/10/2022^aFINAL_PUBLISHED^bCC-BY^cAT_PUBLICATION^eOPEN_JOURNAL^aMeasurement and analysis of heart rate variability in a population of professional firefighters based on heart rate (RR) recording. Assessment based on a smoke chamber test in correlation with age, length of service, body mass index. Materials and methods: The smoke chamber test for the officers of the State Fire Service (SFS) is aimed at improving the skills and techniques of working in special clothing and in a respiratory protection set (RPS) under high psychophysical burden. The study was divided into 3 stages: 1. measurement of parameters at rest - sitting position for 5 min, 2. measurement of parameters during the firefighter's activity, effort related to the training path and the test in the smoke chamber, indefinite time (different for each firefighter), 3. measurement of parameters at rest after exercise - sitting position for 5 min. Each firefighter included in the study had fitted onto his chest a Polar H10 band with a sensor (size XXL) that measures parameters HR, HRV (sensor connected via Blue Autorzy: . Tytuł czasopisma: Charakterystyka merytoryczna: Język publikacji: Wskaźnik Impact Factor ISI: Punktacja ministerstwa: Praca recenzowana Słowa kluczowe ang.: ; Projekt/grant:
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Autorzy: , . Szczegóły: Rok: 20241538-9588, Vol. 25, issue 6 Charakterystyka wg MNiSW: Wskaźnik Impact Factor ISI: e analysis of intervention time and factors conditioning the use of the eCall system, it was shown that this time was significantly statistically dependent on the number of cars involved in the incident (p < 0.001), the number of injured persons (p < 0.001), the type of intervention (p < 0.001),), and the occurrence of fuel leakage (p < 0.001). Conclusions ECall is a relevant system for reporting accidents and collisions on the road. While it proves reliable in road incidents, a significantly high number of false alarms initiated from eCall requires system refinement to avoid accidental alarms and user education about the possibility of unintentionally sending an alarm signal. The authors predict that as the number of vehicles with the eCall system introduced to the roads increases, so will the number of notifications from this system. Data from the analysis of false reports suggest that mechanics and electricians in facilities performing repairs and maintenance of vehicles with the eCall system may lack the necessary knowledge of the need to deactivate the system before starting work. The number of injured people had no impact on the intervention time, which may prove that the rescue services were properly prepared.^afirefighter^aintervention^anew technologies^aState Fire Service Słowa kluczowe ang.: ; DOI:
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Nr opisu: -article^bOryginalny artykuł naukowy^aF00^bpublikacja bezkosztowa^a0.00^01ACPartykuł w czasopiśmie polskim^a998899^b99959940.0000040.000PUNKTACJA KBNPUNKTACJA MINISTERSTWA40.000PUNKTACJA UWM^a009999.000^b009959.000^c009999.000^d009959.000202420242024Evaluation of ventilation quality conducted by firefighters during simulated cardiopulmonary resu00000468680000000077AOartykuł oryginalny naukowyPUBLIKACJAPEŁNA PUBLIKACJAABartykuł w czasopiśmie bez IF (wykaz MNiSW)AFILIACJA PODANAENGhttps://journals.viamedica.pl/disaster_and_emergency_medicine/article/view/97341100^a2451-4691^bQ^e2543-5957^iX^jXY^kQ200459^a003^b003^c2024-01-22, 13:46^d2024-04-02, 11:40^e3029828893^f3027029099^aEvaluation of ventilation quality conducted by firefighters during simulated cardiopulmonary resuscitation^aDisaster and Emergency Medicine Journal^a2024^bVol. 9^cno. 1^dp. 51--57^a2451-4691^b2543-5957^a2023/2024^a10.5603/demj.97341^aDudziński, Łukasz^cy^aairway patency^aFINAL_PUBLISHED^bCC-BY-NC-ND^cBEFORE_PUBLICATION^eOPEN_JOURNAL^aHigh-quality ventilation in unconscious victims is a priority action for first responders at the scene. Firefighters often arrive first at the scene, providing medical assistance at the level of qualified first aid (QFA). This research aimed to evaluate the quality of ventilation using supraglottic methods with and without visual feedback and self-inflating bags during simulated cardiopulmonary resuscitation (CPR) performed by members of the State Fire Service (SFS). Materials and method: A cross-sectional study was conducted in organizational units of the State Fire Service (SFS) in the Lubelskie and Warmińsko-Mazurskie voivodeships (24-hour duty officers). 112 firefighters aged 26-48 years (Mean 33.1; SD 6.7), with service duration of 1-20 years (Mean 7.3; SD 4.7) participated in the study. The study involved a 2-minute supraglottic ventilation (self-expanding bag + I-gel mask, size 4: 50-90 kg). Subsequently, 2-minute ventilation was conducted with the effectiveness visible on the monitor in real-time. The following ventilation variables were recorded: frequency (per minute), the volume of each inhalation (mL), and the ratio of correct to incorrect single inhalations (%). Results: It was shown that in stage 1, firefighters more often (P < 0.001) performed ventilation at an excessively high frequency (max rate = 14 ą 4) compared to stage 2 (max rate = 11 ą 1). A statistically significant influence of the possibility of assessment and correction of rescue actions in real-time on the correct frequency (% correct - rate = 52.3 ą 30.1 vs 91.4 ą 12.1; P < 0.001) and ventilation volume (% correct - V = 40.6 ą 28.2 vs 85.3 ą 15.0; P < 0.001) was demonsj.97341^aDudziński, Łukasz^cy^aairway patency^aFINAL_PUBLISHED^bCC-BY-NC-ND^cBEFORE_PUBLICATION^eOPEN_JOURNAL^aHigh-quality ventilation in unconscious victims is a priority action for first responders at the scene. Firefighters often arrive first at the scene, providing medical assistance at the level of qualified first aid (QFA). This research aimed to evaluate the quality of ventilation using supraglottic methods with and without visual feedback and self-inflating bags during simulated cardiopulmonary resuscitation (CPR) performed by members of the State Fire Service (SFS). Materials and method: A cross-sectional study was conducted in organizational units of the State Fire Service (SFS) in the Lubelskie and Warmińsko-Mazurskie voivodeships (24-hour duty officers). 112 firefighters aged 26-48 years (Mean 33.1; SD 6.7), with service duration of 1-20 years (Mean 7.3; SD 4.7) participated in the study. The study involved a 2-minute supraglottic ventilation (self-expanding bag + I-gel mask, size 4: 50-90 kg). Subsequently, 2-minute ventilation was conducted with the effectiveness visible on the monitor in real-time. The following ventilation variables were recorded: frequency (per minute), the volume of each inhalation (mL), and the ratio of correct to incorrect single inhalations (%). Results: It was shown that in stage 1, firefighters more often (P < 0.001) performed ventilation at an excessively high frequency (max rate = 14 ą 4) compared to stage 2 (max rate = 11 ą 1). A statistically significant influence of the possibility of assessment and correction of rescue actions in real-time on the correct frequency (% correct - rate = 52.3 ą 30.1 vs 91.4 ą 12.1; P < 0.001) and ventilation volume (% correct - V = 40.6 ą 28.2 vs 85.3 ą 15.0; P < 0.001) was demonstrated. No statistically significant impact of service duration and age on evaluating parameters in stages 1 and 2 was shown. Conclusion: Software assistance and the possibility of real-time feedback significantly improve the quality of ventilation conducted by firefighters using SAD. More training using elements of medical simulation with visual feedback should be introduced so that firefighters improve ventilation quality under realistic conditions. Consideration should be given to including tools for assessing CPR quality in CPR rescue kits, especially in units that, according to statistics, handle a larger number of EMS interventions.^aemergency medical rescue^afirefighting operations^arescue operations^aventilation^a10.5603/demj.97341^aDudziński, Łukasz^cy^aairway patency^aFINAL_PUBLISHED^bCC-BY-NC-ND^cBEFORE_PUBLICATION^eOPEN_JOURNAL^aHigh-quality ventilation in unconscious victims is a priority action for first responders at the scene. Firefighters often arrive first at the scene, providing medical assistance at the level of qualified first aid (QFA). This research aimed to evaluate the quality of ventilation using supraglottic methods with and without visual feedback and self-inflating bags during simulated cardiopulmonary resuscitation (CPR) performed by members of the State Fire Service (SFS). Materials and method: A cross-sectional study was conducted in organizational units of the State Fire Service (SFS) in the Lubelskie and Warmińsko-Mazurskie voivodeships (24-hour duty officers). 112 firefighters aged 26-48 years (Mean 33.1; SD 6.7), with service duration of 1-20 years (Mean 7.3; SD 4.7) participated in the study. The study involved a 2-minute supraglottic ventilation (self-expanding bag + I-gel mask, size 4: 50-90 kg). Subsequently, 2-minute ventilation was conducted with the effectiveness visible on the monitor in real-time. The following ventilation variables were recorded: frequency (per minute), the volume of each inhalation (mL), and the ratio of correct to incorrect single inhalations (%). Results: It was shown that in stage 1, firefighters more often (P < 0.001) performed ventilation at an excessively high frequency (max rate = 14 ą 4) compared to stage 2 (max rate = 11 ą 1). A statistically significant influence of the possibility of assessment and correction of rescue actions in real-time on the correct frequency (% correct - rate = 52.3 ą 30.1 vs 91.4 ą 12.1; P < 0.001) and ventilation volume (% correct - V = 40.6 ą 28.2 vs 85.3 ą 15.0; P < 0.001) was demonstrated. No statistically significant impact of service duration and age on evaluating parameters in stages 1 and 2 was shown. Conclusion: Software assistance and the possibility of real-time feedback significantly improve the quality of ventilation conducted by firefighters using SAD. More training using elements of medical simulation with visual feedback should be introduced so that firefighters improve ventilation quality under realistic conditions. Consideration should be given to including tools for assessing CPR quality in CPR rescue kits, especially in units that, according to statistics, handle a larger number of EMS interventions.^aemergency medical rescue^afirefighting operations^arescue operations^aventilation Autorzy: , , Oryginalny artykuł naukowy publikacja bezkosztowa 99959940.0000040.000PUNKTACJA KBNPUNKTACJA MINISTERSTWA40.000PUNKTACJA UWM 009959.000 Q 003 Vol. 9 2543-5957 CC-BY-NC-ND original-articleF000.00998899009999.0002451-4691003Evaluation of ventilation quality conducted by firefighters during simulated cardiopulmonary resuscitationDisaster and Emergency Medicine Journal20242451-46912023/202410.5603/demj.97341Dudziński, Łukaszairway patencyFINAL_PUBLISHEDHigh-quality ventilation in unconscious victims is a priority action for first responders at the scene. Firefighters often arrive first at the scene, providing medical assistance at the level of qualified first aid (QFA). This research aimed to evaluate the quality of ventilation using supraglottic methods with and without visual feedback and self-inflating bags during simulated cardiopulmonary resuscitation (CPR) performed by members of the State Fire Service (SFS). Materials and method: A cross-sectional study was conducted in organizational units of the State Fire Service (SFS) in the Lubelskie and Warmińsko-Mazurskie voivodeships (24-hour duty officers). 112 firefighters aged 26-48 years (Mean 33.1; SD 6.7), with service duration of 1-20 years (Mean 7.3; SD 4.7) participated in the study. The study involved a 2-minute supraglottic ventilation (self-expanding bag + I-gel mask, size 4: 50-90 kg). Subsequently, 2-minute ventilation was conducted with the effectiveness visible on the monitor in real-time. The following ventilation variables were recorded: frequency (per minute), the volume of each inhalation (mL), and the ratio of correct to incorrect single inhalations (%). Results: It was shown that in stage 1, firefighters more often (P < 0.001) performed ventilation at an excessively high frequency (max rate = 14 ą 4) compared to stage 2 (max rate = 11 ą 1). A statistically significant influence of the possibility of assessment and correction of rescue actions in real-time on the correct frequency (% correct - rate = 52.3 ą 30.1 vs 91.4 ą 12.1; P < 0.0. Tytuł pracy: Tytuł pracy w innym języku: original-articleF000.00998899009999.0002451-4691003Evaluation of ventilation quality conducted by firefighters during simulated cardiopulmonary resuscitationDisaster and Emergency Medicine Journal20242451-46912023/202410.5603/demj.97341Dudziński, Łukaszairway patencyFINAL_PUBLISHEDHigh-quality ventilation in unconscious victims is a priority action for first responders at the scene. Firefighters often arrive first at the scene, providing medical assistance at the level of qualified first aid (QFA). This research aimed to evaluate the quality of ventilation using supraglottic methods with and without visual feedback and self-inflating bags during simulated cardiopulmonary resuscitation (CPR) performed by members of the State Fire Service (SFS). Materials and method: A cross-sectional study was conducted in organizational units of the State Fire Service (SFS) in the Lubelskie and Warmińsko-Mazurskie voivodeships (24-hour duty officers). 112 firefighters aged 26-48 years (Mean 33.1; SD 6.7), with service duration of 1-20 years (Mean 7.3; SD 4.7) participated in the study. The study involved a 2-minute supraglottic ventilation (self-expanding bag + I-gel mask, size 4: 50-90 kg). Subsequently, 2-minute ventilation was conducted with the effectiveness visible on the monitor in real-time. The following ventilation variables were recorded: frequency (per minute), the volume of each inhalation (mL), and the ratio of correct to incorrect single inhalations (%). Results: It was shown that in stage 1, firefighters more often (P < 0.001) performed ventilation at an excessively high frequency (max rate = 14 ą 4) compared to stage 2 (max rate = 11 ą 1). A statistically significant influence of the possibility of assessment and correction of rescue actions in real-time on the correct frequency (% correct - rate = 52.3 ą 30.1 vs 91.4 ą 12.1; P < 0.001) and ventilation volume (% correct - V = 40.6 ą 28.2 vs 85.3 ą 15.0; P < 0.001) was demonstrated. No statistically significant impact of service duration and age on evaluating parameters in stages 1 and 2 : Oryginalny artykuł naukowy : publikacja bezkosztowa : 99959940.0000040.000PUNKTACJA KBNPUNKTACJA MINISTERSTWA40.000PUNKTACJA UWM : 009959.000 : Q : 003 : Vol. 9 : 2543-5957 : CC-BY-NC-ND Cykl: F000.00998899009999.0002451-4691003Evaluation of ventilation quality conducted by firefighters during simulated cardiopulmonary resuscitationDisaster and Emergency Medicine Journal20242451-46912023/202410.5603/demj.97341Dudziński, Łukaszairway patencyFINAL_PUBLISHEDHigh-quality ventilation in unconscious victims is a priority action for first responders at the scene. Firefighters often arrive first at the scene, providing medical assistance at the level of qualified first aid (QFA). This research aimed to evaluate the quality of ventilation using supraglottic methods with and without visual feedback and self-inflating bags during simulated cardiopulmonary resuscitation (CPR) performed by members of the State Fire Service (SFS). Materials and method: A cross-sectional study was conducted in organizational units of the State Fire Service (SFS) in the Lubelskie and Warmińsko-Mazurskie voivodeships (24-hour duty officers). 112 firefighters aged 26-48 years (Mean 33.1; SD 6.7), with service duration of 1-20 years (Mean 7.3; SD 4.7) participated in the study. The study involved a 2-minute supraglottic ventilation (self-expanding bag + I-gel mask, size 4: 50-90 kg). Subsequently, 2-minute ventilation was conducted with the effectiveness visible on the monitor in real-time. The following ventilation variables were recorded: frequency (per minute), the volume of each inhalation (mL), and the ratio of correct to incorrect single inhalations (%). Results: It was shown that in stage 1, firefighters more often (P < 0.001) performed ventilation at an excessively high frequency (max rate = 14 ą 4) compared to stage 2 (max rate = 11 ą 1). A statistically significant influence of the possibility of assessment and correction of rescue actions in real-time on the correct frequency (% correct - rate = 52.3 ą 30.1 vs 91.4 ą 12.1; P < 0.001) and ventilation volume (% correct - V = 40.6 ą 28.2 vs 85.3 ą 15.0; P < 0.001) was demonstrated. No statistically significant impact of service duration and age on evaluating parameters in stages 1 and 2 was shown. Conclusion: Software assistance and the possibility of real-time feedback significantly improve the quality of ventilation conducted by firefighters using SAD. More training using elements of medical simulation with visual feedback should be introduced so that firefighters improve ventilation quality under realistic conditions. Consideration should be given to including tools for assessing CPR quality in CPR rescue kits, especially in units that, according to statistics, handle a larger number of EMS int Punktacja ministerstwa: Słowa kluczowe ang.: Streszczenie:
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Autorzy: . Szczegóły: Charakterystyka wg MNiSW: Język publikacji: frequency of the following: restoring or maintaining airway patency (p < 0.001), restoring airway patency (p < 0.001), use of a resuscitator (p < 0.001), and use of a ventilator (p = 0.016). Conclusions: The data obtained (annual totals) on the use of medical rescue equipment (resuscitator, ventilator) and emergency procedures (restoring and maintaining airway patency) indicate frequent dispatching of firefighters to medical incidents. Firefighters' involvement underscores their importance as a complementary force in medical emergencies, bridging gaps in EMS coverage and providing life-saving interventions in critical situations^amedical rescue^aNational Firefighting and Rescue System^aqualified first aid^asupraglottic methods Słowa kluczowe ang.: DOI:
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Nr opisu: im: Analysis of interventions by emergency medical teams (EMT) for alcohol-related patients in 2021-2022. Material and methods: The study involved a 2-year retrospective analysis of dispatches by the Emergency Medical Services (EMS) from a part of the Lublin Voivodeship. The analysis covers the period from 01.01.2021 to 31.12.2022. Data were obtained from the medical documentation of the dispatch units of the National Medical Rescue System. The study included interventions based on the reason for the call communicated to the medical dispatcher (MD) by the reporter, diagnosis code according to ICD-10 (International Classification of Diseases). Results: Using the inclusion and exclusion criteria, 820 interventions (303 in 2021, 517 in 2022) related to the study's objective were selected, accounting for 5.92% of all interventions in the analyzed area (2021- N=7069, 2022- N=6769). The one-way ANOVA confirmed the existence of statistically significant differences (all P for trend<0.05) between procedures (Detox/psych vs. Remained vs. Transfer ED) and time of the intervention, type of medical rescue team, location of the incident, pharmacotherapy, police co-participated, ICD -10. Conclusions: Most EMT interventions (both single and multiple to the same patient) concern men. Hospital transport was mainly necessary in the group of causes: mental disorders and injuries. The longest intone-way ANOVA confirmed the existence of statistically significant differences (all P for trend<0.05) between procedures (Detox/psych vs. Remained vs. Transfer ED) and time of the intervention, type of medical rescue team, location of the incident, pharmacotherapy, police co-participated, ICD -10. Conclusions: Most EMT interventions (both single and multiple to the same patient) concern men. Hospital transport was mainly necessary in the group of causes: mental disorders and injuries. The longest intervention time was in the "mental disorders" group calls, which may be related to the necessity of hospital transport. Health risks were mainly identified from groups F, S, and Y.^aemergency medical services^aEMT interventions^ahealth threats Autorzy: , CC-BY-NC-ND Aim: Analysis of interventions by emergency medical teams (EMT) for alcohol-related patients in 2021-2022. Material and methods: The study involved a 2-year retrospective analysis of dispatches by the Emergency Medical Services (EMS) from a part of the Lublin Voivodeship. The analysis covers the period from 01.01.2021 to 31.12.2022. Data were obtained from the medical documentation of the dispatch units of the National Medical Rescue System. The study included interventions based on the reason for the call communicated to the medical dispatcher (MD) by the reporter, diagnosis code according to ICD-10 (International Classification of Diseases). Results: Using the inclusion and exclusion criteria, 820 interventions (303 in 2021, 517 in 2022) related to the study's objective were selected, accounting for 5.92% of all interventions in the analyzed area (2021- N=7069, 2022- N=6769). The one-way ANOVA confirmed the existence of statistically significant differences (all P for trend<0.05) between procedures (Detox/psych vs. Remained vs. Transfer ED) and time of the intervention, type of medical rescue team, location of the incident, pharmacotherapy, police co-participated, ICD -10. Conclusions: Most EMT interventions (both single and multiple to the same patient) concern men. Hospital transpor. Tytuł pracy: Aim: Analysis of interventions by emergency medical teams (EMT) for alcohol-related patients in 2021-2022. Material and methods: The study involved a 2-year retrospective analysis of dispatches by the Emergency Medical Services (EMS) from a part of the Lublin Voivodeship. The analysis covers the period from 01.01.2021 to 31.12.2022. Data were obtained from the medical documentation of the dispatch units of the National Medical Rescue System. The study included interventions based on the reason for the call communicated to the medical dispatcher (MD) by the reporter, diagnosis code according to ICD-10 (International Classification of Diseases). Results: Using the inclusion and exclusion criteria, 820 interventions (303 in 2021, 517 in 2022) related to the study's objective were selected, accounting for 5.92% of all interventions in the analyzed area (2021- N=7069, 2022- N=6769). The one-way ANOVA confirmed the existence of statistically significant differences (all P for trend<0.05) between procedures (Detox/psych vs. Remained vs. Transfer ED) and time of the intervention, type of medical rescue team, location of the incident, pharmacotherapy, police co-participated, ICD -10. Conclusions: Most EMT interventions (both single and multiple to the same patient) concern men. Hospital transport was mainly necessary in the group of causes: mental disorders and injuries. The longest intervention time was in the "mental disorders" group calls, which may be related to the necessity of hospital trans : CC-BY-NC-ND, OPEN_JOURNAL Tytuł pracy: Miejsce wydania: Aim: Analysis of interventions by emergency medical teams (EMT) for alcohol-related patients in 2021-2022. Material and methods: The study involved a 2-year retrospective analysis of dispatches by the Emergency Medical Services (EMS) from a part of the Lublin Voivodeship. The analysis covers the period from 01.01.2021 to 31.12.2022. Data were obtained from the medical documentation of the dispatch units of the National Medical Rescue System. The study included interventions based on the reason for the call communicated to the medical dispatcher (MD) by th Wydawca: Rok wydania: Punktacja ministerstwa: Słowa kluczowe ang.: Streszczenie:
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Nr opisu: Autorzy: , State Fire Servicewarfare. Tytuł pracy w innym języku: State Fire Servicewarfare Tytuł czasopisma: Wskaźnik Impact Factor ISI: am^p930600^t0000014137^w ^31^41;1^6tak^70000000228funau1^0^a1^bWNSH:1;0:1;0:1;0^cUNIT:1;0:1;0:1;0^d1^e1^f1^gtak^aZdunkiewicz Punktacja ministerstwa: Słowa kluczowe ang.: ; ;
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Autorzy: . Tytuł pracy: Tytuł pracy w innym języku: 003Use of unmanned aerial vehicles by the entities of National Firefighting and Rescue System in Poland to search for peopleInternational Journal of Emergency Services2024Online first.2047-08942024/202510.1108/IJES-05-2024-0037Dudziński, Łukaszxdronemissing personnew technologiessearch operationsState Fire Serviceunmanned aerial vehicle : Z : 003 : a review of interventions performed in the years 2021-2023 : 2047-0908 Uwagi: Oznaczenie wydania: 003Use of unmanned aerial vehicles by the entities of National Firefighting and Rescue System in Poland to search for peopleInternational Journal of Emergency Services2024Online first.2047-08942024/202510.1108/IJES-05-2024-0037Dudziński, Łukaszxdronemissing personnew technologiessearch op Charakterystyka formalna: Wskaźnik Impact Factor ISI: /doi/10.1108/ijes-05-2024-0037/full/html?skipTracking=true100^bZ^a003^b003^c2024-12-16, 14:48^d2024-12-16, 14:48^e3018888791^f3018888791^aUse of unmanned aerial vehicles by the entities of National Firefighting and Rescue System in Poland to search for people^ba review of interventions performed in the years 2021-2023^aInternational Journal of Emergency Services^a2024^aOnline first.^a2047-0894^b2047-0908^a2024/2025^a10.1108/IJES-05-2024-0037^aDudziński, Łukasz^cy^ax^adrone^amissing person^anew technologies^asearch operations^aState Fire Service^aunmanned aerial vehicle Słowa kluczowe ang.: ; Inne bazy podające opis:
DOI:
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Nr opisu: 048). A statistically significant influence of the type of threat on the time of intervention was demonstrated; for dog hazards 39ą25 min, insects 40ą17 min; cattle 56ą15 min; P = 0.015. There was a statistically significant difference in the use of pharmacology compared to the procedures described by ICD 10 codes (P<0.001). The impact of the type of threat on the need to transport the patient to the Emergency Department was not demonstrated. Hymenopterous insects are the most common type of zoonotic hazard on an annual basis, with an increase for the spring-summer months. There was a statistically significant difference in age for each type of hazard, the youngest of those injured were harmed by dogs, while the eldest were by insects. There was no statistically significant effect of place of residence (urban-rural) on the type of zoonotic injury.^aemergency medical service^ahealth hazards^astings^azoonotic injuries vs 39% (p=0.048). A statistically significant influence of the type of threat on the time of intervention was demonstrated; for dog hazards 39ą25 min, insects 40ą17 min; cattle 56ą15 min; P = 0.015. There was a statistically significant difference in the use of pharmacology compared to the procedures described by ICD 10 codes (P<0.001). The impact of the type of threat on the need to transport the patient to the Emergency Department was not demonstrated. Hymenopterous insects are the most common type of zoonotic hazard on an annual basis, with an increase for the spring-summer months. There was a statistically significant difference in age for each type of hazard, the youngest of those injured were harmed by dogs, while the eldest were by insects. There was no statistically significant effect of place of residence (urban-rural) on the type of zoonotic injury.^aemergency medical service^ahealth hazards^astings^azoonotic injuries Autorzy: . Tytuł pracy: Tytuł pracy w innym języku: 10.15244/pjoes/173128Dudziński, ŁukaszbitesFINAL_PUBLISHEDThe study comprised a 3-year retrospective analysis of trips by the MRTs from the northern part of the Lubelskie Province. The data was taken from records functioning in the State Medical Rescue Service (SMRS) system. Analysis period: 1.01.2020- 31.12.2022. It is the analysis of emergency medical services calls justified by threat to health, life, or injury of the victim due to the action of insects, birds, reptiles, mammals as a result of direct contact with them (stinging, biting, scratching, hitting, kicking). Applying the inclusion and exclusion criteria, 72 emergency medical services trips representing 0.34% of the total interventions in local area. The population was divided according to the cause of the threat: insects n = 45, dogs n = 12, cattle (bull, cow) n = 15Men statistically more often suffered injuries than women 61% vs 39% (p=0.048). A statistically significant influence of the type of threat on the time of intervention was demonstrated; for dog hazards 39ą25 min, insects 40ą17 min; cattle 56ą15 min; P = 0.015. There was a statistically significant difference in the use of pharmacology compared to the procedures described by ICD 10 codes (P<0.001). The impact of the type of threat on the need to transport the patient to the Emergency Department was not demonstrated. Hymenopterous insects are the most common type of zoonotic hazard on an annual basis, with an increase for the spring-summer months. There was a statistically significant difference in age for each type of hazard, the youngest of those injured were harmed by dogs, while the eldest were by insects. There was no statistically significan : OTHER Szczegóły: The study comprised a 3-year retrospective analysis of trips by the MRTs from the northern part of the Lubelskie Province. The data was taken from records functioning in the State Medical Rescue Service (SMRS) system. Analysis period: 1.01.2020- 31.12.2022. It is the analysis of emergency medical services calls justified by threat to health, life, or injury of the victim due to the action of insects, birds, reptiles, mammals as a result of direct contact with them (stinging, biting, scratching, hitting, kicking). Applying the inclusion and exclusion criteria, 72 emergency medical services trips representing 0.34% of the total interventions in local area. The population was divided according to the cause of the threat: insects n = 45, dogs n = 12, cattle (bull, cow) n = 15Men statistically more often suffered injuries than women 61% vs 39% (p=0.048). A statistically significant influence of the type of threat on the time of intervention was demonstrated; for dog hazards 39ą25 min, insects 40ą17 min; cattle 56ą15 min; P = 0.015. There was a statistically significant difference in the use of pharmacology compared to the procedures described by ICD 10 codes (P<0.001). The impact of the type of threat on the need to transport the patient to the Emergency Department was not demonstrated. Hymenopterous insects are the most common type of zoonotic hazard on an annual basis, with an increase for the spring-summer months. There was a statistically significant difference in age for each type of hazard, the youngest of those injured were harmed by dogs, while the eldest were by insects. There was no statistically significant effect of place of residence (urban-rural) on the type of zoonotic injury.emergency medical servicehealth hazardsstingszoonotic injuriesOPEN_JOURNAL Charakterystyka formalna: Słowa kluczowe ang.: Streszczenie:
form of an annual analysis of the accident rate. For the purposes of further analysis and calculations, several definitions were adopted: animal evacuation, animal relocation, access to animals. Results: In the years 2020-2022, 67 firefighter injuries of animal origin were registered: animals, birds, as well as hymenopteran insects (stings), and ticks (bites). Interventions involving animals accounted for 8.8% of all firefighter operations. An analysis was conducted to identify the most common cause (species) and location (body area) of firefighter injuries in rescue and firefighting operations with animals. The most common cause of injuries was identified (species): dog (13%), cat (31%), hymenoptera (25%) and the location of injury to firefighters (body area): hand (55%), head (16%). Conclusions: The overall number of injuries is small compared to the number of incidents with animals, which may be related to good firefighter protection and effective procedures. To avoid zoonotic injuries to the palm area, fire trucks should be provided with a set of general-use veterinary gloves + disposable nitrile gloves that will ensure hygiene when used by many people. The interventions towards animals throughout Poland are on a large scale, which creates a health risk for firefighters, as rescued animals under stress and towards strangers behave in an unpredictable manner, adequate to a given stress reaction.^aenvironmental hazards^afirefighters^afire operations^ahealth hazards^arescue operations^ascratch^azoonotic injuries
DOI: Streszczenie:
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Nr opisu: ividual and group accidents in various circumstances. Most firefighter accidents occurred during rescue and firefighting operations, as well as during sports activities which dominate as the cause of injuries among firefighters in the observed period (37.8%), and injuries related to rescue and fire-fighting activities constitute 28.5%. Other work activities of firefighters cause 33.7% of injuries. In 2020 was a clear reduction in the number of accidents per 1000 employed firefighters in each observed parameter (total, interventions, sport) while maintaining the average level of firefighter employment (MąSD 30 099ą224). Conclusions: The most frequent circumstances of injury are slippery and challenging spaces, surfaces, and carelessness. The most common type of body injury is a dislocation and sprain concerning the ankle joint, foot. The most frequent causes of work-related injuries for firefighters, as the results indicate, are participation in team sports and fire-fighting and rescue operations. The most commonly occurring medical consequences resulting from a firefighter's injury are fractures, sprains, and contusions of various body areas. Firefighters are most burdened with injuries in the age group 26-35 years old.^afire and rescue operations^ahealth hazadrs^ainjuries^aintervention^aState Fire Servicere 12 588 individual and group accidents in various circumstances. Most firefighter accidents occurred during rescue and firefighting operations, as well as during sports activities which dominate as the cause of injuries among firefighters in the observed period (37.8%), and injuries related to rescue and fire-fighting activities constitute 28.5%. Other work activities of firefighters cause 33.7% of injuries. In 2020 was a clear reduction in the number of accidents per 1000 employed firefighters in each observed parameter (total, interventions, sport) while maintaining the average level of firefighter employment (MąSD 30 099ą224). Conclusions: The most frequent circumstances of injury are slippery and challenging spaces, surfaces, and carelessness. The most common type of body injury is a dislocation and sprain concerning the ankle joint, foot. The most frequent causes of work-related injuries for firefighters, as the results indicate, are participation in team sports and fire-fighting and rescue operations. The most commonly occurring medical consequences resulting from a firefighter's injury are fractures, sprains, and contusions of various body areas. Firefighters are most burdened with injuries in the age group 26-35 years old.^afire and rescue operations^ahealth hazadrs^ainjuries^aintervention^aState Fire Service Autorzy: , . Tytuł pracy: Charakterystyka formalna: Słowa kluczowe ang.: Streszczenie:
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Autorzy: . Szczegóły: Tytuł monografii: FINAL_PUBLISHEDIn recent years, there has been increasing interest in firearms in Poland, which may be related to the armed conflict in the territory of our eastern neighbors. Programs are being implemented to familiarise and promote sport shooting in society. The aim of this research was to obtain information on the knowledge of persons serving in Fire Protection Units (FPU) in safety in incidents with firearms and firearms ammunition, the risk of their use, their use or effects of such use. Material and method : CC-BY-NC-ND, OPEN_JOURNAL / AT_PUBLICATION Charakterystyka wg MNiSW: Słowa kluczowe ang.: DOI:
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Nr opisu: SFS firefighters per year during the study period was n=1.617.During the study period (2015-2022), there were seven incidents in which a total of 11 firefighters suffered acoustic trauma affecting the CNS and the organ of hearing. Conclusions: To prevent on-duty accidents, both practical and theoretical training sessions are provided, covering measures aimed at reducing accident rates to minimum levels. Other important activities include hearing prophylaxis; medical examinations; breaks during work, appropriate organisation of work and the working environment; compliance with the applicable regulations, internal procedures and safety instructions; the use of personal protective equipment, and the good technical condition of vehicles and equipment.^afirefighters^aoccupational health^aState Fire Service^atraumacidents among SFS firefighters per year during the study period was n=1.617.During the study period (2015-2022), there were seven incidents in which a total of 11 firefighters suffered acoustic trauma affecting the CNS and the organ of hearing. Conclusions: To prevent on-duty accidents, both practical and theoretical training sessions are provided, covering measures aimed at reducing accident rates to minimum levels. Other important activities include hearing prophylaxis; medical examinations; breaks during work, appropriate organisation of work and the working environment; compliance with the applicable regulations, internal procedures and safety instructions; the use of personal protective equipment, and the good technical condition of vehicles and equipment.^afirefighters^aoccupational health^aState Fire Service^atrauma Autorzy: , . Tytuł pracy: Tytuł pracy w innym języku: 20231730-75032022/202310.5604/01.3001.0053.4194Dudziński, ŁukaszacousticIntroduction: A rare type of risk associated with firefighting activities and affecting the central nervous system (CNS) is acoustic trauma. The main causes of acoustic trauma in professional firefighters include long-term exposure to noise from fire engine sirens, emergency call alarms in the fire stations (fire halls), and the operation of equipment used during rescue and firefighting operations. Material and methods: The study was based on an analysis of data obtained from the HR Department of the National Headquarters of the State Fire Service (NHSFS). The analysis included cases of acoustic trauma suffered by firefighters while on duty, which were reported to the control room of their firefighting units as rescuer accidents, and followed up with medical interventions. Results: The average number of accidents among SFS firefighters per year during the study period was n=1.617.During the study period (2015-2022), there were seven incidents in which a total of 11 firefighters suffered acoustic trauma affecting the CNS and the organ of hearing. Conclusions: To prevent on-duty accidents, both practical and theoretical training sessions are provided, covering measures aimed at reducing accident rates to minimum levels. Other important activities include hearing prophylaxis; medical examinations; breaks during work, appropriate organisation of work and the working environment; compliance with the applicable regulations, internal procedures and safety instructions; the use of personal protective equipment, and the good technical condition of vehicles and equipment.firefightersoccupational healthState Fire Servicetrauma : Vol. 21 : 2084-4298 Tryb dostępu: Dudziński, ŁukaszacousticIntroduction: A rare type of risk associated with firefighting activities and affecting the central nervous system (CNS) is acoustic trauma. The main causes of acoustic trauma in professional firefighters include long-term exposure to noise from fire engine sirens, emergency call alarms in the fire stations (fire halls), and the operation of equipment used during rescue and firefighting operations. Material and methods: The study was based on an analysis of data obtained from the HR Department of the National Headquarters of the State Fire Service (NHSFS). The analysis included cases of acoustic trauma suffered by firefighters while on duty, which were reported to the control room of their firefighting units as rescuer accidents, and followed up with medical interventions. Results: The average number of accidents among SFS firefighters per year during the study period was n=1.617.During the study period (2015-2022), there were seven incidents in which a total of 11 firefighters suffered acoustic trauma affecting the CNS and the organ of hearing. Conclusions: To prevent on-duty accidents, both practical and theoretical training sessions are provided, covering measures aimed at reducing accident rates to minimum levels. Other important activities include hearing prophylaxis; medical examinations; breaks during work, appropriate organisation of work and the working environment; compliance with the applicable regulations, internal procedures and safety instructions; the use of personal protective equipment, and the good technical condition of vehicles and equipment.firefightersoccupational healthState Fire Servicetrauma Charakterystyka formalna: Słowa kluczowe ang.: ;
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Nr opisu: ion Support System of State Fire Brigade made accessible by the State Fire Bureau of the Operation Planning was analyzed concerning cooling the burns among the children between 1.01.2019-31.12.2020. 49 incidents were analyzed in terms of the mechanism, localization, depth, extend of the burns, season of the year and day. Results: Burns were cooled in 1211 out of 126241 casualties, including 1023 of 7616 in fires and 188 of 118625 in local threats. Burn were cooled in 49 children out of 1211 casualties- 23 in local threats and 26 in fires. Cooling burns more often concerned in thermal (45), contact burns (27), I/II (48), up to 10% TBSA (32), in boys (25), 14-17 years (18), in October (9), from 1-11 p.m. (27) and in IV quarter of the year (19). Conclusions: 1. Among the injured the minor ones with the burns are not often cases. 2. Cooling the burns is more often associated with those ones injured in the fires and in boys. 3. Among the injured up to 17 years cooling the burns is more often seen during afternoon and autumn-winter season. 4. The firefighters more often cool thermal, contact, superficial ones of minor burns and concerning different parts of the body within the upper its parts^achildren^acooling^afirefighters Autorzy: , childrencoolingfirefighters. Tytuł pracy: Punktacja ministerstwa: Słowa kluczowe ang.: ;
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Autorzy: . Szczegóły: Tytuł monografii: Charakterystyka formalna: s shown that pharmacological agents were used statistically significantly more often in respiratory disorders (83%) compared to neurology disorders (47%, p < 0.001). It was also shown that patients whose call was caused by neurology disorders were statistically more often transported to the emergency department (N = 76, 76%, p < 0.001). Conclusion: The causes of calls regarding disorders of the circulatory and respiratory systems most often require the implementation of pharmacology during EMT interventions, mainly short-term and symptomatic drugs. Interventions to rural areas dominate in the presented analysis in each year of the analysis and in each group of reasons for calls, which may be associated with more difficult access to a primary care physician. Most EMT interventions concern exacerbation of chronic diseases. Transport to the hospital was necessary mainly due to neurological and traumatic calls.^ageriatric patient^ahealth risks^amedical interventions Charakterystyka wg MNiSW: Słowa kluczowe ang.: Inne bazy podające opis:
ical agents were used statistically significantly more often in respiratory disorders (83%) compared to neurology disorders (47%, p < 0.001). It was also shown that patients whose call was caused by neurology disorders were statistically more often transported to the emergency department (N = 76, 76%, p < 0.001). Conclusion: The causes of calls regarding disorders of the circulatory and respiratory systems most often require the implementation of pharmacology during EMT interventions, mainly short-term and symptomatic drugs. Interventions to rural areas dominate in the presented analysis in each year of the analysis and in each group of reasons for calls, which may be associated with more difficult access to a primary care physician. Most EMT interventions concern exacerbation of chronic diseases. Transport to the hospital was necessary mainly due to neurological and traumatic calls.^ageriatric patient^ahealth risks^amedical interventions
DOI:
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Nr opisu: 2022 (n=6). Conclusions: Loneliness and lack of care from the family affects the condition of chronic diseases. The frequency of EMS calls in the described case was higher at night. An increase in the frequency of interventions corresponded with the period of the beginning of the SARS-CoV-2 epidemic in Poland as a new unknown threat. Predominantly pharmacology in the form of sedatives, analgesics and drugs lowering hypertension, was used which was a response to the needs of the patient's clinical condition.^anagły wypadek^aemergency^aSamotność jest powszechnym zjawiskiem wśród populacji ludzkich na całym świecie. Problemem samotności szczególnie dotknięte są osoby starsze, ze względu na trudności w posługiwaniu się komunikatorami (telefon, media społecznościowe) zapewniającymi kontakt zdalny. Podmioty Państwowego Ratownictwa Medycznego (ZRM) to jednostki odpowiedzialne za podjęcie medycznych czynności ratunkowych na miejscu zdarzenia oraz kwalifikowany transport pacjenta. Wyposażenie ambulansu, w tym aparatura pomiarowo-monitorująca, artykuły opatrunkowe, farmaceutyki oraz procedury stosowane przez zespoły ratownictwa medycznego dedykowane są głównie do stanów nagłych. Materiał i metody: Badanie obejmowało 3-letnią retrospektywną analizę wyjazdów RM w okresie od 1 stycznia 2020 r. do 31 grudnia 2022 r. do pacjentki mieszkającej samotnie. W celu scharakteryzowania zmiennych wykorzystano następujące miary: liczbę (n) i częstość (%), dodatkowo Min, Max, Średnia i Odchylenie Standardowe (SD). Wyniki: W okresie objętym obserwacją wykonano 49 interwencji ZRM. Pomiędzy pierwszą a ostatnią obserwowaną interwencją upłynęło 1085 dni (2 lata; 11 miesięcy; 21 dni). Największe natężenie wezwań wystąpiło w marcu 2020 r. (n=9) oraz w maju 2020 r. (n=10); największe przerwy między wezwaniami wystąpiły w drugiej połowie 2022 r. Udział zdarzeń w poszczególnych latach: 2020 (n=33), 2021 (n=10), 2022 (n=6). Wnioski: Samotność i brak opieki ze strony rodziny może pogłębić dolegliwości rozpoznanych chorób. Częstotliwość wezwań ZRM w opisywanym przypadku większa jest w porze nocnej. Wzrost częstotliwość interwencji koreluje z okresem początku epidemii SARS-CoV-2 w Polsce jako nowego nieznanego zagrożenia. W prezentowanym przypadku stosowano farmakologię w postaci leków uspokajających, przeciwbólowych i obniżających nadciśnienie tętnicze, co jest odpowiedzią na zapotrzebowanie stanu klinicznego pacjentki.^aosoby starsze^aemergency medical services^aratownictwo medyczne^ainterventions^asamotność^aloneliness Autorzy: . Tytuł czasopisma: Charakterystyka wg MNiSW: Punktacja ministerstwa: g articles, pharmaceuticals and procedures used by medical rescue teams are dedicated mainly to urgent cases. Material and methods: The study comprised a 3-year retrospective analysis of trips performed by the EMS between Jan. 1, 2020, and Dec. 31, 2022, to a female patient living alone. The following measures were calculated to characterize the variables: number (n) and frequency (%), in addition Min, Max, Mean and Standard Deviation (SD). Results: In the period under observation, 49 EMS interventions were performed. There were 1085 days (2 years; 11 months; 21 days) between the first and last intervention under observation. The highest intensity of calls occurred in March 2020 (n=9), and May 2020 (n=10); the largest intervals between the calls occurred in the second half of 2022. The share of events in particular years was as follows: 2020 (n=33), 2021 (n=10), 2022 (n=6). Conclusions: Loneliness and lack of care from the family affects the condition of chronic diseases. The frequency of EMS calls in the described case was higher at night. An increase in the frequency of interventions corresponded with the period of the beginning of the SARS-CoV-2 epidemic in Poland as a new unknown threat. Predominantly pharmacology in the form of sedatives, analgesics and drugs lowering hypertension, was used which was a response to the needs of the patient's clinical condition.^anagły wypadek^aemergency^aSamotność jest powszechnym zjawiskiem wśród populacji ludzkich na całym świecie. Problemem samotności szczególnie dotknięte są osoby starsze, ze względu na trudności w posługiwaniu się komunikatorami (telefon, media społecznościowe) zapewniającymi kontakt zdalny. Podmioty Państwowego Ratownictwa Medycznego (ZRM) to jednostki odpowiedzialne za podjęcie medycznych czynności ratunkowych na miejscu zdarzenia oraz kwalifikowany transport pacjenta. Wyposażenie ambulansu, w tym aparatura pomiarowo-monitorująca, artykuły opatrunkowe, farmaceutyki oraz procedury stosowane przez zespoły ratownictwa medycznego dedykowane są głównie do stanów nagłych. Słowa kluczowe: ; Słowa kluczowe ang.: Streszczenie: Streszczenie:
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Nr opisu: D 6.79) and female (N = 144) aged 0-24 month (mean 11.09; SD 7.31). The most frequently entered ICD-10 diagnosis was R50 (fever) n = 40 interventions. Pharmacology was most frequently used in the doagnosis group R (N = 29; p < 0.01). The most common reason for calling EMS was a foreign body in the respiratory tract N = 48. Conclusions. The most common reason for calling MRT for the 0-24 months patient group is an infection manifested by fever. Among injuries in this age group, thermal burns predominate. Specialist teams are more likely to use pharmacology, which may be related to the greater knowledge, practice gropu, which may by related to the difficulty in choosing the route of administration and converting the drug dose to body weight.^ainterventions^amedical rescue teams^aneonatology^apediatrics(mean 11.4; SD 6.79) and female (N = 144) aged 0-24 month (mean 11.09; SD 7.31). The most frequently entered ICD-10 diagnosis was R50 (fever) n = 40 interventions. Pharmacology was most frequently used in the doagnosis group R (N = 29; p < 0.01). The most common reason for calling EMS was a foreign body in the respiratory tract N = 48. Conclusions. The most common reason for calling MRT for the 0-24 months patient group is an infection manifested by fever. Among injuries in this age group, thermal burns predominate. Specialist teams are more likely to use pharmacology, which may be related to the greater knowledge, practice gropu, which may by related to the difficulty in choosing the route of administration and converting the drug dose to body weight.^ainterventions^amedical rescue teams^aneonatology^apediatrics Tytuł pracy: Charakterystyka wg MNiSW: Punktacja ministerstwa: and skills to assist such a patient. Aim: Analysis of medical rescue teams interventions to paediatric patients in the age group to 24 months (0-2 years). Matherial and methods: The study comprised a 4-year retrospective analysis of trips by the MRTs from the northern part of the Lubelskie Province between 1.01.2019 and 31.12.2022. 257 MRT interventions were qualified for the analysis (2019-50, 2020-59, 2021-90, 2022-58) representing 0,9% of all interventions carried out in the operational area. The data was taken from the dispatch order card (DOC)-filled out by the medical dispatcher (MD), a medical emergency response card (MERC)-filled out by the manager (leader) of the medical rescue team (MRT). Interventions caused by a health threat in the age group 0-24 months were qualified as events. Results: Patients included in the study were male (N = 113) aged 0-24 months (mean 11. Słowa kluczowe: Słowa kluczowe ang.: Streszczenie:
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Nr opisu: vs. 0.032 ą 0.082 vs. 0.034 ą 0.121 ng/mL; P = 0.718). Comparing the periods of the pandemic and the time before the pandemic, the length of the hospitalization period was statistically significantly extended (8 ą 4 vs. 10 ą 7 vs. 12 ą 7 days; P<0.001). Conclusions: Diagnostics consisting in monitoring the level of d-dimer in patients with COVID-19 allows to reduce the risk of complications, including hospital death. Determining the level of d-dimer and troponin-T allows for the implementation of appropriate treatment in patients with COVID-19. Testing the level of d-dimer is important in making clinical decisions against the risk of flordembolism in adult COVID-19 patients.^ad-dimer^amyocarditis^apulmonary embolism^atroponin-T Autorzy: . Szczegóły: Tytuł monografii: Aim: Assessment of the risk of pulmonary embolism and myocardial dysfunction based on the measured levels of d-dimer and troponin-T in patients treated in the hospital for COVID-19. Material and methods: The study included a 3-year retrospective analysis of medical records of patients treated at the Independent Public Healthcare Institution. The authors compared the 12 months preceding the epidemic treating this group of patients (without COVID-19) as a control (comparative), and the 24 months of the epidemic in Poland (patients w, OPEN_JOURNAL Charakterystyka wg MNiSW: Słowa kluczowe ang.: Streszczenie:
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Nr opisu: rgency patients transferred by emergency medical services. Material and methods: Data provided by the National Health Fund on the number and mode of hospital admissions and diagnoses according to Uniform Patient Group sections A C D E F G H J K L M Q S for patients admitted in an emergency after being transferred by emergency medical services between March 1 and December 31, 2020 were assessed. The data were analysed by month and compared with the report for the period of March 1 to December 31, 2019. Results: In the analysed period in 2020, the number of hospital admissions dropped by 79,867 cases (17.90%), including by 72,784 (21.14%) for conservative cases and by 7,083 (6.96%) for invasive cases. The highest number of hospital admissions was recorded in March (41,505, 11.33%), including conservative cases (32,005, 11.79%), and the highest number of surgical admissions was seen in July (10,799, 11.39%). In November, the largest decrease in the number of admissions (28,763, 7,85%), including conservative (21,140, 7.78%) and surgical (7,623, 8.04%) admissions, and the number of ICD-10 diagnoses in sections A, C, E, F, G, H , J, K, L, Q, and in sections D and S was recorded in April. Conclusions: The number of conservative and surgical hospital admissions decreased in the investigated period^aemergency hospital admissions^aICD-10^apandemicn July (10,799, 11.39%). In November, the largest decrease in the number of admissions (28,763, 7,85%), including conservative (21,140, 7.78%) and surgical (7,623, 8.04%) admissions, and the number of ICD-10 diagnoses in sections A, C, E, F, G, H , J, K, L, Q, and in sections D and S was recorded in April. Conclusions: The number of conservative and surgical hospital admissions decreased in the investigated period^aemergency hospital admissions^aICD-10^apandemic^aSARS-CoV-2 Autorzy: , . Tytuł pracy: Tytuł monografii: Punktacja ministerstwa: Słowa kluczowe ang.: Streszczenie:
