Bibliografia publikacji pracowników
Państwowej Szkoły Wyższej w Białej Podlaskiej
Baza tworzona przez Bibliotekę Akademii Bialskiej im. Jana Pawła II.
Zapytanie:
CZYŻEWSKI ŁUKASZ Liczba odnalezionych rekordów: 17
Przejście do opcji zmiany formatu | Wyświetl/ukryj etykiety | Wyświetlenie wyników w wersji do druku | Pobranie pliku do edytora | Nowe wyszukiwanie Streszczenie: High-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.
2/17
Nr opisu: 0000047122 Autorzy: Łukasz Dudziński, Jan Stefan Bihałowicz, Łukasz Czyżewski, Rafał Kasperczyk, Tomasz Kubiak. Tytuł pracy: Exposure of firefighters to carbon monoxide during rescue and fire fighting interventions - a 6-year analysis Tytuł czasopisma: Szczegóły: 2024, Vol. 22, no. 1, p. 81--93 p-ISSN: 1730-7503 e-ISSN: 2084-4298 Charakterystyka formalna: artykuł w czasopiśmie polskim Charakterystyka merytoryczna: artykuł oryginalny naukowy Charakterystyka wg MNiSW: artykuł w czasopiśmie z IF (wykaz MEiN) Język publikacji: ENG Wskaźnik Impact Factor ISI: 0.700 Punktacja ministerstwa: 70.000 Słowa kluczowe ang.: carbon monoxide ; CO exposure ; health hazards ; interventions ; officers ; rescue and firefighting units https://actaneuropsychologica.com/resources/html/article/details?id=620241 Streszczenie: Background. Exposure to carbon monoxide is a common hazard in firefighting practice throughout the year, regardless of the winter heating season. Therefore this analysis of the interventions of fire protection units in incidents related to carbon monoxide exposure of a non-fire origin. The objectives include two risk groups: people affected by the intervention and the health risks to fire officers themselves. Material and Methods. The analysed material covers the years 2017-2022 and interventions of fire protection units in incidents related to carbon monoxide exposure of a non-fire origin (chemical hazard events). Data from the Decision Support System of the State Fire Service (DSSSFS), provided to the authors by the Operational Planning Office at the Headquarters of the State Fire Service, were used in the study. Results. According to the records of the State Fire Service (SFS) in the years 2017-2022, there were 28,766 (Mean 4794; SD 413) chemical hazard events: carbon monoxide was the cause. There were only 5724 reports of symptoms with a known CO concentration and 1974 reports with clinical symptoms. Statistically significant differences were demonstrated in exposure time (p= 0.028) and average CO concentration in the analysed years (p<0.001). Noteworthy is the sudden reduction in the exposure time following the year 2020. Conclusions. The actual exposure of firefighters to carbonmonoxide is greater than in the above analysis, in addition, there are exposures from fire incidents. Procedures, measuring equipment, and personal protective equipment protect firefighters from absorbing harmful substances into the body, but the large number of incidents and the visible clinical symptoms in victims should prompt firefighters with many years of service to observe even the smallest worrying neurological changes in themselves.
3/17
Nr opisu: 0000047424 Autorzy: Łukasz Dudziński, Łukasz Czyżewski, Krzysztof Oczkoś. Tytuł pracy: Interventions of Emergency Medical Teams for health threats caused by ethyl alcohol intoxicatio in 2021-2022 Tytuł czasopisma: Szczegóły: 2024, Vol. 11, nr 1, s. 21--27 p-ISSN: 2391-7822 Charakterystyka formalna: artykuł w czasopiśmie polskim Charakterystyka merytoryczna: artykuł oryginalny naukowy Charakterystyka wg MNiSW: artykuł w czasopiśmie bez IF (wykaz MEiN) Język publikacji: ENG Punktacja ministerstwa: 40.000 Słowa kluczowe ang.: alcohol intoxication ; emergency medical services ; EMT interventions ; health threats https://emergencymedicalservice.pl/wp-content/uploads/archive/EmeMS2024i1net.pdf DOI: 10.36740/EmeMS202401103 Streszczenie: 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 transport. Health risks were mainly identified from groups F, S, and Y.
4/17
Nr opisu: 0000047242 Autorzy: Łukasz Dudziński, Łukasz Czyżewski. Tytuł pracy: Patients from nursing and residential care facilities in the practice of emergency medical teams : two-years study Tytuł równoległy: Pacjent z placówek opiekuńczo-leczniczych i pielęgnacyjno-opiekuńczych w praktyce zespołów ratownictwa medycznego : obserwacja dwuletnia Tytuł czasopisma: Szczegóły: 2024 p-ISSN: 2353-6942 e-ISSN: 2354-0265 Uwagi: Online first. Charakterystyka formalna: artykuł w czasopiśmie polskim Charakterystyka merytoryczna: artykuł oryginalny naukowy Charakterystyka wg MNiSW: artykuł w czasopiśmie z IF (wykaz MEiN) Język publikacji: ENG Wskaźnik Impact Factor ISI: 0.400 Słowa kluczowe: interwencje medyczne ; opieka instytucjonalna ; pacjent ; Państwowe Ratownictwo Medyczne ; zakład opiekuńczo-leczniczy ; zespół ratownictwa medycznego Słowa kluczowe ang.: emergency medical services team ; institutional care ; medical interventions ; nursing care facility ; patient ; State Emergency Medical Services https://www.termedia.pl/PATIENTS-FROM-NURSING-AND-RESIDENTIAL-CARE-FACILITIES-r-nIN-THE-PRACTICE-OF-EMERGENCY-MEDICAL-TEAMS-TWO-YEAR-STUDY,99,52636,0,1.html DOI: 10.5114/hpc.2024.136259 Streszczenie: Background: The aim of the study was to analyze Emergency Medical Services Team's (EMSTs) interventions to patients residing in nursing care (NCF) and residential care facilities (RCF), taking into account the patient's sex, age, reasons for the call, time of intervention, and the decision of the EMSTs. Material and methods: The study included a 2-year retrospective analysis of the EMSTs' interventions in Lubelskie Province (northern part) for the period 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 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). Streszczenie: Celem 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 możliwością diagnostyki obrazowej urazu w miejscu wezwania. Zapotrzebowanie na procedury medyczne przekraczające możliwości placówek opiekuńczych jest duże (69% przypadków transport na SOR, 44% interwencji z zastosowaniem farmakoterapii przez ZRM).
5/17
Nr opisu: 0000046697 Autorzy: Łukasz Dudziński, Łukasz Czyżewski, Marcin Weiner. Tytuł pracy: Zoonotic Health Hazards in the Practice of Emergency Medical Service Teams - a Three-Year Observation Tytuł czasopisma: Szczegóły: 2024, Vol. 33, issue 2, p. 1643--1650 p-ISSN: 1230-1485 e-ISSN: 2083-5906 Charakterystyka formalna: artykuł w czasopiśmie polskim Charakterystyka merytoryczna: artykuł oryginalny naukowy Charakterystyka wg MNiSW: artykuł w czasopiśmie z IF (wykaz MEiN) Język publikacji: ENG Wskaźnik Impact Factor ISI: 1.800 Punktacja ministerstwa: 40.000 Słowa kluczowe ang.: bites ; emergency medical service ; health hazards ; stings ; zoonotic injuries http://www.pjoes.com/Zoonotic-Health-Hazards-in-the-Practice-nof-Emergency-Medical-Service-Teams-n-a-Three,173128,0,2.html DOI: 10.15244/pjoes/173128 Streszczenie: 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.
6/17
Nr opisu: 0000046686 Autorzy: Łukasz Dudziński, Łukasz Czyżewski, Tomasz Kubiak, Tomasz Milczarczyk. Tytuł pracy: Accidents rate of the Polish State Fire Service officers during service in the years 2015-2022 Tytuł czasopisma: Szczegóły: 2023, Vol. 74, no 6, p. 469--477 p-ISSN: 0465-5893 e-ISSN: 2353-1339 Charakterystyka formalna: artykuł w czasopiśmie polskim Charakterystyka merytoryczna: artykuł oryginalny naukowy Charakterystyka wg MNiSW: artykuł w czasopiśmie z IF (wykaz MEiN) Język publikacji: ENG Wskaźnik Impact Factor ISI: 1.000 Punktacja ministerstwa: 200.000 Słowa kluczowe ang.: accident ; fire and rescue operations ; health hazadrs ; injuries ; intervention ; State Fire Service http://medpr.imp.lodz.pl/Accidents-rate-of-the-Polish-State-Fire-Service-officers-during-service-in-the-years,176128,0,1.html DOI: 10.13075/mp.5893.01457 Streszczenie: The profession of a firefighter is fraught with a significant risk of injuries. Firefighters operate in hazardous zones to mitigate threats and combat fires. Aim of work is to evaluate the accident rate of the officers of the Polish State Fire Service in connection with their service, considering direct participation in rescue operations, and other official duties between the years 2015-2022. Material and Methods: An 8-year analysis was conducted from reports covered the number of accidents, the number of injured firefighters, the age of the officers, the circumstances of the event, and the type and location of the injury. This includes fire and rescue operations, exercises, training, official trips, sports activities, and technical work related to equipment. Results: Between 2015 and 2022, there were 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.
7/17
Nr opisu: 0000046533 Autorzy: Rafał Kasperczyk, Łukasz Dudziński, Łukasz Czyżewski. Tytuł pracy: Assessing the knowledge of firefighters from fire protection units on the risks associated with firearms and ammunition during rescue and firefighting operations Tytuł czasopisma: Szczegóły: 2023, Vol. 8, no. 4, p. 216--225 p-ISSN: 2451-4691 e-ISSN: 2543-5957 Charakterystyka formalna: artykuł w czasopiśmie polskim Charakterystyka merytoryczna: artykuł oryginalny naukowy Charakterystyka wg MNiSW: artykuł w czasopiśmie bez IF (wykaz MEiN) Język publikacji: ENG Punktacja ministerstwa: 200.000 Słowa kluczowe ang.: firearm ; Fire Brigade ; rescue ; shot ; tactics https://journals.viamedica.pl/disaster_and_emergency_medicine/article/view/97017 DOI: 10.5603/demj.97017 Streszczenie: In 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 methods: 228 people took part in an anonymous survey. The study was addressed to both: professional firefighters in State Fire Service (SFS) and Volunteer Fire Brigade (VFB). The research tool was a proprietary questionnaire composed of 10 questions. The questionnaire was made available to respondents online using Google Forms. Results: Professional firefighters more often indicated the correct answer, i.e. "Strategy for dealing with the casualty on the battlefield" (61% vs 64%, p = 0.020). In the question checking the knowledge of the possibility of sending firearms and ammunition, volunteer firefighters more often indicated the answer that it is absolutely forbidden (79% vs 58%, p = 0.032). In the question regarding the self-assessment of the ability to secure a potentially loaded firearm, it was shown that the assessed skill improved statistically significantly with age (p = 0.030). Conclusions: Firefighters' knowledge of safety rules in incidents involving firearms is insufficient. Completion of a course in qualified first aid, professional development covering only Tactical Combat Casualty Care (TCCC) issues, and military service for firefighters are insufficient during activities where there is a risk of contact with firearms and ammunition. Firefighters do not use TCCC safety considerations against an armed casualty when the event is a fire incident. Firefighters presented a low level of knowledge of current legal regulations with regard to the possession, transport, and protection of firearms and ammunition.
8/17
Nr opisu: 0000045373 Autorzy: Łukasz Dudziński, Łukasz Czyżewski, Tomasz Kubiak, Tomasz Milczarczyk. Tytuł pracy: Causes of acoustic trauma among Polish State Fire Service officers: a review of incidents in 2015-2022 Tytuł czasopisma: Szczegóły: 2023, Vol. 21, no. 2, p. 117--124 p-ISSN: 1730-7503 e-ISSN: 2084-4298 Charakterystyka formalna: artykuł w czasopiśmie polskim Charakterystyka merytoryczna: artykuł oryginalny naukowy Charakterystyka wg MNiSW: artykuł w czasopiśmie z IF (wykaz MEiN) Język publikacji: ENG Wskaźnik Impact Factor ISI: 0.700 Punktacja ministerstwa: 200.000 Słowa kluczowe ang.: acoustic ; firefighters ; occupational health ; State Fire Service ; trauma https://actaneuropsychologica.com/resources/html/article/details?id=608004 DOI: 10.5604/01.3001.0053.4194 Streszczenie: Introduction: 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.
9/17
Nr opisu: 0000045365 Autorzy: Leszek Marzec, Łukasz Czyżewski, Łukasz Dudziński. Tytuł pracy: Cooling the burn wound among the children and teenagers in the firefighter practice Tytuł czasopisma: Szczegóły: 2023, Vol. 10, nr 1, s. 35--40 p-ISSN: 2391-7822 Charakterystyka formalna: artykuł w czasopiśmie polskim Charakterystyka merytoryczna: artykuł oryginalny naukowy Charakterystyka wg MNiSW: artykuł w czasopiśmie bez IF (wykaz MEiN) Język publikacji: ENG Punktacja ministerstwa: 70.000 Słowa kluczowe ang.: burns ; children ; cooling ; firefighters https://emergencymedicalservice.pl/01-2023/ DOI: 10.36740/EmeMS202301105 Streszczenie: Aim: The analysis of the cases of cooling the burns by NFRS firefighters. Material and methods: The data of Decision 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
10/17
Nr opisu: 0000045386 Autorzy: Łukasz Dudziński, Łukasz Czyżewski, Tomasz Kubiak. Tytuł pracy: Długotrwały rozwój nowotworu fibrosarcoma w praktyce Zespołów Ratownictwa Medycznego: opis przypadku Tytuł pracy w innym języku: Long-term Development of Fibrosarcoma in the Practice of Emergency Medical Teams: a Case Report Tytuł czasopisma: Szczegóły: 2023, Vol. 25, no. 2, p. p-ISSN: 1509-3492 e-ISSN: 2084-4336 Charakterystyka formalna: artykuł w czasopiśmie polskim Charakterystyka merytoryczna: artykuł oryginalny naukowy Charakterystyka wg MNiSW: artykuł w czasopiśmie bez IF (wykaz MEiN) Język publikacji: POL, ENG Punktacja ministerstwa: 40.000 Słowa kluczowe: fibrosarcoma ; podudzie ; włókniakomięsak ; zespół ratownictwa medycznego Słowa kluczowe ang.: emergency medical team ; fibrosarcoma ; lower leg https://ortopedia.com.pl/resources/html/article/details?id=608588 Streszczenie: Fibrosarcoma (włókniakomięsak) jest względnie szybko rosnącym, słabo ograniczonym guzem wrzecionowatokomórkowym o ogólnie dobrym rokowaniu, biorąc pod uwagę fakt, że rzadko daje przerzuty. Mięsaki tkanek miękkich stanowią poniżej 1% wszystkich nowotworów złośliwych diagnozowanych u dorosłych. Częste występowanie mięsaków związane jest z np. ze stwardnieniem guzowatym. W artykule przedstawiono przypadek pacjenta z destrukcją stawu kolanowego spowodowanego zmianą fibrosarcoma do którego interweniował kilkukrotnie zespół ratownictwa medycznego. Obserwacja obejmowała trzy interwencje Zespołów Ratownic-twa Medycznego do pacjentki z nowotworem podudzia lewego. Dane pochodzą z dokumentacji sporządzonej w trakcie interwencji ZRM: karty zlecenia wyjazdu (KZW), oraz karty medycznych czynności ratunkowych (KMCR). Pacjentka obciążona chorobami przewlekłymi wg ICD-10: E11.8, I50.9, I10, M15. Dwie interwencje zakończyły się transportem chorej do szpitala, interwencja trzecia zakończona w domu pacjentki. Rozwinięta zmiana fibrosarcoma, w opisywanym przypadku powoduje nieznaczne dolegliwości bólowe. Największym problemem opisywanego przypadku były częste krwawienia z otwartej rany nowotworowej. Trudności w gojeniu się rany mogły być spowodowane powikłaniem cukrzycy i zaawansowanym wiekiem pacjentki. Streszczenie: Fibrosarcoma is a relatively rapidly growing, poorly delineated spindle cell tumour. It has generally good prognosis and rarely metastasizes. Soft tissue sarcomas account for less than 1% of all malignancies in adults. High rates of sarcomas are, for example, seen in patients with tuberous sclerosis complex. This paper presents the case of a patient with knee joint destruction caused by a fibrosarcoma, on account of which an emergency medical team was summoned several times. We present data from three medical rescue team interventions to a patient with a tumour in the left lower leg. The data was obtained from the documentation generated during the interventions: dispatch order record (DOR) and medical emergency treatment report (METR). The patient had a history of the following chronic diseases (ICD-10): E11.8, I50.9, I10, and M15. Two interventions in-volved patient transportation to a hospital, whereas the third intervention was completed in the patient's home. The fibrosarcoma caused only slight pain. Frequent bleeding from an open cancerous wound was the main problem in this patient. Difficulty in wound healing could have been related to complications of diabetes mellitus and the patient's advanced age.
11/17
Nr opisu: 0000046397 Autorzy: Łukasz Dudziński, Łukasz Czyżewski, Leszek Marzec, Tomasz Kubiak, Krzysztof Maczulski. Tytuł pracy: Firefighters' knowledge about advanced first aid in thermal burns in children : survey research Tytuł równoległy: Wiedza strażaków na temat kwalifikowanej pierwszej pomocy w urazach termicznych w grupie wiekowej dzieci : badanie ankietowe Tytuł czasopisma: Szczegóły: 2023, Vol. 17, issue 4, p. 399--407 p-ISSN: 2353-6942 e-ISSN: 2354-0265 Charakterystyka formalna: artykuł w czasopiśmie polskim Charakterystyka merytoryczna: artykuł oryginalny naukowy Charakterystyka wg MNiSW: artykuł w czasopiśmie z IF (wykaz MEiN) Język publikacji: ENG Wskaźnik Impact Factor ISI: 0.400 Punktacja ministerstwa: 40.000 Słowa kluczowe: dzieci ; kwalifikowana pierwsza pomoc ; oparzenie ; poziom wiedzy ; strażak Słowa kluczowe ang.: advanced first aid ; burn ; children ; fire service ; knowledge https://www.termedia.pl/FIREFIGHTERS-KNOWLEDGE-ABOUT-ADVANCED-FIRST-AID-r-nIN-THERMAL-BURNS-IN-CHILDREN-SURVEY-RESEARCH,99,51371,0,1.html DOI: 10.5114/hpc.2023.131126 Streszczenie: Background: The aim of the study was the assessment of the level of firefighters' knowledge about the principles of helping injured minors (children of no specific age) with thermal burns. Material and methods: An anonymous survey was conducted in the period 01.02.2023-30.04.2023 among firefighters in the three Polish voivodships: Lublin, Świętokrzyskie and Warmian-Masurian. The study included 346 people who agreed to participate in the study and completed the questionnaire. The original questionnaire included 17 questions regarding demographics and checking the knowledge of emergency medical services including the issue of thermal burns. Results: In the study group, the average length of service was 11ą7 years. People with longer work experience were statistically significantly more likely to provide aid to burn victims (45% vs. 58%, p=0.022), but there was no statistically significant impact of work experience on the level of knowledge about: the influence of the burn surface area on the risk of developing hypothermia in a child (p=0.880; p=0.482), the severe burn surface area in a child (p=0.478; p=0.143), and calculating the burn surface area in a child (p=0.408; p=0.168). Conclusions: The level of firefighters' knowledge about helping minors injured due to thermal burns is insufficient. The frequency of helping burn victims did not have a significant impact on the level of knowledge about the burn surface area and the risk of shock. Child's reactions to stress and pain, as well as the emotions of parents are indicated as the most frequent difficulties while providing advanced first aid. Streszczenie: Wprowadzenie: Celem badania była ocena poziomu wiedzy strażaków z zakresu zasad udzielania pomocy poszkodowanym małoletnim (dzieciom bez określenia konkretnego wieku) z oparzeniem termicznym. Materiał i metody: Anonimową ankietę przeprowadzono w okresie od 01.02.2023 r. do 30.04.2023 r. wśród strażaków w trzech województwach: lubelskim, świętokrzyskim i warmińsko-mazurskim. Do badania włączono 346 osób, które zgodziły się na udział w badaniu i wypełniły w kwestionariusz. Autorski kwestionariusz obejmował 17 pytań - w tym metryczkę - oraz pytania sprawdzające wiedzę z zakresu ratownictwa medycznego, w tym oparzeń termicznych. Wyniki: Średni staż pracy w grupie badanej wynosił 11ą7 lat. Osoby z dłuższym stażem pracy istotnie statystycznie częściej udzielały pomocy oparzonym (45% vs 58%, p=0,022), nie wykazano istotnego statystycznie wpływu stażu pracy strażaków na wiedzę dotyczącą: wpływu powierzchni oparzenia na wystąpienie hipotermii u dziecka (p=0,880; p=0,482), powierzchni oparzenia w stopniu ciężkim u dziecka (p=0,478; p=0,143), wyliczania powierzchni oparzenia u dziecka (p=0,408; p=0,168). Wnioski: Stan wiedzy strażaków z zakresu zasad udzielania pomocy poszkodowanym małoletnim z powodu oparzenia termicznego jest niewystarczający. Częstotliwość udzielania pomocy poszkodowanym nie wpłynęła istotnie na stan wiedzy badanych z zakresu znajomości powierzchni oparzenia oraz ryzyka wystąpienia wstrząsu. Reakcje dziecka na stres i ból oraz emocje rodziców strażacy wskazują jako najczęstsze trudności podczas udzielania kwalifikowanej pierwszej pomocy.
12/17
Nr opisu: 0000046687 Autorzy: Łukasz Czyżewski, Łukasz Dudziński, Janusz Wyzgał. Tytuł pracy: Geriatric patient in the practice of emergency medical teams - observation in 2020-2022 Tytuł czasopisma: Szczegóły: 2023, Vol. 10, article number 1270486 p-ISSN: 2296-858X Charakterystyka formalna: artykuł w czasopiśmie zagranicznym Charakterystyka merytoryczna: artykuł oryginalny naukowy Charakterystyka wg MNiSW: artykuł w czasopiśmie z IF (wykaz MEiN) Język publikacji: ENG Wskaźnik Impact Factor ISI: 3.900 Punktacja ministerstwa: 100.000 Słowa kluczowe ang.: emergency medical team ; geriatric patient ; health risks ; medical interventions https://www.frontiersin.org/articles/10.3389/fmed.2023.1270486/full DOI: 10.3389/fmed.2023.1270486 Streszczenie: Purpose: Analysis of interventions of medical rescue teams for geriatric patients in a three-year period, taking into account the causes, circumstances, medical management, pharmacology. Materials and methods: The study included a 3-year retrospective analysis of the trips of medical rescue teams in the northern part of the Lubelskie Voivodeship in the period from January 1, 2020 to December 31, 2022. The data comes from medical documentation. Interventions caused by a health risk in a patient in the 90+ age group were qualified as events. 897 EMT interventions were qualified (2020-327, 2021-269, 2022-301) constituting 4.29% of all interventions carried out in the operational area. In addition, a quantitative analysis of a comparative group of patients aged 80-89 was performed. Results: It was shown that the time of rescue activities was the longest for injuries and the shortest for mental disorders (60 ą 31 vs. 43 ą 21 min). It was shown that specialist EMT teams (S) were statistically significantly more often called for cardiology disorders (63%). It was 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.
13/17
Nr opisu: 0000046037 Autorzy: Łukasz Dudziński, Łukasz Czyżewski, Tomasz Kubiak. Tytuł pracy: Loneliness in the practice of emergency medical teams : a case study Tytuł równoległy: Samotność w praktyce zespołów ratownictwa medycznego : studium przypadku Tytuł czasopisma: Szczegóły: 2023, Vol. 17, issue 3, p. 207--216 p-ISSN: 2353-6942 e-ISSN: 2354-0265 Charakterystyka formalna: artykuł w czasopiśmie polskim Charakterystyka merytoryczna: opis przypadku Charakterystyka wg MNiSW: artykuł w czasopiśmie z IF (wykaz MEiN) Język publikacji: ENG Wskaźnik Impact Factor ISI: 0.400 Punktacja ministerstwa: 40.000 Słowa kluczowe: interwencje ; nagły wypadek ; osoby starsze ; ratownictwo medyczne ; samotność Słowa kluczowe ang.: elderly ; emergency ; emergency medical services ; interventions ; loneliness https://www.termedia.pl/LONELINESS-IN-THE-PRACTICE-OF-EMERGENCY-MEDICAL-TEAMS-r-nA-CASE-STUDY,99,51033,0,1.html DOI: 10.5114/hpc.2023.129259 Streszczenie: Loneliness is a common phenomenon among human populations worldwide. Elderly people are particularly affected by loneliness due to difficulties in using communicators (telephone, social media) providing remote contact. National Emergency Medical Service (EMS) entities are the units responsible for undertaking medical rescue operations on the scene of an incident and qualified patient transport. The ambulance equipment, including measuring and monitoring devices, dressing 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. Streszczenie: Samotność 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.
14/17
Nr opisu: 0000047121 Autorzy: Łukasz Dudziński, Łukasz Czyżewski. Tytuł pracy: Paediatric interventions in the practice of Medical Rescue Teams - observation 2019-2022 Tytuł czasopisma: Szczegóły: 2023, Vol. 27 c no. 1$, p. 17--23 p-ISSN: 1427-0994 e-ISSN: 1731-2507 Charakterystyka formalna: artykuł w czasopiśmie polskim Charakterystyka merytoryczna: artykuł oryginalny naukowy Charakterystyka wg MNiSW: artykuł w czasopiśmie bez IF (wykaz MEiN) Język publikacji: ENG Punktacja ministerstwa: 140.000 Słowa kluczowe ang.: health risks ; interventions ; medical rescue teams ; neonatology ; pediatrics DOI: 10.25121/NewMed.2023.27.1.17 Streszczenie: Medical Rescue Teams (MRTs) are responsible for interventions with respect to people in a medical emergency. A certain proportion of interventions concern health risk to the youngest part of the population (newborns, infants). A child in a life-threatening condition requires medical assistance in a rapid and preciser manner. This is only possible if medical personel have up-to-date knowsledge 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 11.4; 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.
15/17
Nr opisu: 0000046446 Autorzy: Rafał Zalewski, Łukasz Dudziński, Łukasz Czyżewski. Tytuł pracy: Risk assessment of cardiovascular complications in patients treated for SARS-CoV-2 in the observation in infectious disease department Tytuł czasopisma: Szczegóły: 2023, Vol. 10, nr 3, s. 167--172 p-ISSN: 2391-7822 Charakterystyka formalna: artykuł w czasopiśmie polskim Charakterystyka merytoryczna: artykuł oryginalny naukowy Charakterystyka wg MNiSW: artykuł w czasopiśmie bez IF (wykaz MEiN) Język publikacji: ENG Punktacja ministerstwa: 70.000 Słowa kluczowe ang.: COVID-19 ; d-dimer ; myocarditis ; pulmonary embolism ; troponin-T https://emergencymedicalservice.pl/wp-content/uploads/archive/EmergMedServ2023i3.pdf Streszczenie: 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 with COVID-19 infection). Results: Statistically significant differences in d-dimer concentrations before and during the pandemic were found (2.150 ą 3.892 vs. 4.990 ą 15.244 vs. 5.032 ą 13.426 ľg/ml; P = 0.046). However, there were no statistically significant differences before and during the pandemic in troponin T concentrations (0.027 ą 0.049 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.
16/17
Nr opisu: 0000046710 Autorzy: Łukasz Dudziński, Łukasz Czyżewski, Rafał Kasperczyk, Janusz Wyzgał. Tytuł pracy: Risk of contact with firearms and ammunition during fire and rescue operations in practice of fire protection units - observations from 2017-2022 Tytuł czasopisma: Szczegóły: 2023, Vol. 10, nr 4, s. 237--242 p-ISSN: 2391-7822 Charakterystyka formalna: artykuł w czasopiśmie polskim Charakterystyka merytoryczna: artykuł oryginalny naukowy Charakterystyka wg MNiSW: artykuł w czasopiśmie bez IF (wykaz MEiN) Język publikacji: ENG Punktacja ministerstwa: 70.000 Słowa kluczowe ang.: ammunition ; firearms ; Fire Brigade ; gunshot wound ; health hazards https://emergencymedicalservice.pl/wp-content/uploads/archive/EmergMedServ2023i4.pdf DOI: 10.36740/EmeMS202304106 Streszczenie: Aim: Analysis the interventions of fire protection units during fires and local threats involving firearms and ammunition from 2017-2022. Material and methods: The study utilized data from the Decision Support System of the National Fire Service (DSS NFS) provided by the Operational Planning Office. Events from January 1, 2017, 00:00 to December 31, 2022, 23:59 were analyzed. Quantitative data were described using the Mean and standard deviation (SD). The analysis is anonymous for both the victims and the officers involved in the operations. Results: Between 2017 and 2022, firefighters carried out 248 (Mean 41.3; SD 7.3) interventions, of which local threats (LC) were n=191 and fires (F) were n=57, during which firefighters came into contact with firearms and ammunition. These were primarily fires in rooms with firearms inside n=57, collisions of civilian and military vehicles transporting weapons n=26, assistance other services n=84, other n=81. Conclusions: Weapons and ammunition in the context of firefighter interventions are infrequently encountered hazards. However, they add to the extensive list of dangers faced by this unit. The presence of such threats during operations did not translate to tangible risks of gunfire or explosion. This may be attributed to effective collaboration with other units and well-established procedures. Firefighters' personal protective equipment is not designed to address the risk of gunshot wounds, but within the studied group, no such risk was observed. Firefighter medical protocols and kits are equipped to handle hemorrhages resulting from injuries.
17/17
Nr opisu: 0000046033 Autorzy: Leszek Marzec, Łukasz Dudziński, Łukasz Czyżewski. Tytuł pracy: The impact of the SARS-CoV-2 pandemic on hospital admissions and diagnosis of emergency patients Tytuł czasopisma: Szczegóły: 2023, Vol. 10, nr 2, s. 92--99 p-ISSN: 2391-7822 Charakterystyka formalna: artykuł w czasopiśmie polskim Charakterystyka merytoryczna: artykuł oryginalny naukowy Charakterystyka wg MNiSW: artykuł w czasopiśmie bez IF (wykaz MEiN) Język publikacji: ENG Punktacja ministerstwa: 70.000 Słowa kluczowe ang.: diagnostics ; emergency hospital admissions ; ICD-10 ; pandemic ; SARS-CoV-2 https://emergencymedicalservice.pl/wp-content/uploads/archive/EmergMedServ2023i2net.pdf DOI: 10.36740/EmeMS202301204 Streszczenie: Aim: To assess the impact of the pandemic on the number and mode of admissions and diagnoses in emergency 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
