{"title":"LIFEGUARDS’ KNOWLEDGE RETENTION FOLLOWING AIRWAY MANAGEMENT, VENTILATION AND OXYGEN ADMINISTRATION TRAINING","authors":"Jakub Bieliński, Filip Jaśkiewicz","doi":"10.36740/emems202104104","DOIUrl":"https://doi.org/10.36740/emems202104104","url":null,"abstract":"Aim: To assess the retention of lifeguards’ knowledge after Qualified First Aid Course and its recertification in 3 essential categories: airway management, ventilation and oxygen administration.\u0000Material and methods: The study was performed from August 2020 to November 2020. The online survey addressed to lifeguards from 16 provinces of Poland was used as the evaluation method. Analysis of knowledge retention depending on the time that has passed since Qualified First Aid Course or its recertification was carried out on basis of 312 collected questionnaires.\u0000Results: Participants obtained the mean score of 7.9 ± 2.5 out of 15 points. Statistically significant difference was found between mean scores achieved by respondents who attended in the full course (n = 171) and those (n = 141) who have taken part in at least 1 recertification (respectively 7.6 ± 2.53 vs. 8.3 ± 2.7 points; p = 0.018). Although data analysis did not show a statistically significant downward trend depending on the time that has passed since Qualified First Aid Course, mean scores obtained by the study group in specific periods of time that has passed since recertification differ significantly (p = 0.026). The study identified 6 areas of knowledge least assimilated by lifeguards respectively: 2 in airway management, 3 in ventilation and 1 in oxygen administration category.\u0000Conclusions: Significant downtrend over time after Qualified First Aid Course recertification and detected areas of insufficient knowledge relating to key issues of life support indicates that the lifeguards’ training should be reanalyzed and redesigned carefully.","PeriodicalId":433523,"journal":{"name":"Emergency Medical Service","volume":"2014 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125690062","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
K. Marczewski, N. Gospodarczyk, A. Gospodarczyk, Dagmara Galle, M. Tkocz, K. Sosada
{"title":"STRESS IN THE WORK OF PARAMEDICS DURING THE COVID-19 PANDEMIC","authors":"K. Marczewski, N. Gospodarczyk, A. Gospodarczyk, Dagmara Galle, M. Tkocz, K. Sosada","doi":"10.36740/emems202204107","DOIUrl":"https://doi.org/10.36740/emems202204107","url":null,"abstract":"On March 11, 2020, the World Health Organization (WHO) announced the COVID-19 pandemic, caused by the SARS-CoV-2 virus. It caused chaos in public spaces in almost every country, and the public was forced to reorganize their daily functioning. People began to experience severe stress due to the risk of infection from an unexplored and dangerous pathogen. During this specific period, working in health care became extremely difficult. One of the groups particularly exposed to stress factors turned out to be paramedics. Having daily contact with an infected person, they became the first link in the fight against this virus. Therefore, it was extremely important to develop appropriate ways to cope with stress. The following strategies proved to be effective: active coping strategy, learning, and acceptance, understood as acceptance of the situation. A significant factor in mitigating the effects of traumatic events was the ability to respond to stress in a healthy way, which depended on many factors, i.e. personality dispositions, defense mechanisms, and health-promoting behaviors.","PeriodicalId":433523,"journal":{"name":"Emergency Medical Service","volume":"218 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134523656","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Szymon Wit, Paweł Więch, Marta Kłęk, Marek Muster, Grzegorz Kucaba
{"title":"Effectiveness of Supraglottic Airways Management Among Paramedics","authors":"Szymon Wit, Paweł Więch, Marta Kłęk, Marek Muster, Grzegorz Kucaba","doi":"10.36740/emems202103105","DOIUrl":"https://doi.org/10.36740/emems202103105","url":null,"abstract":"Aim: The aim of the study was to evaluate the effectiveness of supraglottic airways management by paramedics using selected methods in simulated conditions.\u0000Material and methods: The study included a group of 115 professionally active paramedics working in various health care facilities in the Podkarpackie Province. Each subject was asked to open the airways using a laryngeal mask airway (LMA) and a disposable laryngeal tube (LT-D) in simulated conditions. The study assessed the effectiveness of the airway opening taking into account: average tidal volume of a single breath in ml, average minute tidal volume in ml, time of insertion in seconds, the need for a second attempt, pressure on incisors in N. The obtained results were statistically analysed, p<0.05 was considered statistically significant. The calculations were performed with the SPSS 20 software.\u0000results: The study showed that the time of inserting of LT-D is the same as the time of LMA (LT-D: 25.95s ± 7.89s vs. LMA: 24.78s ± 8.32s; p>0.05). The mean tidal volume of a single breath was significantly higher with the LMA com-pared to LT-D (LMA 633.24 ml vs. LT-D 579.68 ml, p<0.05). During LMA insertion, the pressure on incisors of 11.41N ± 6.22N was used, while in case of LT-D this pressure amounted to 13.15N ± 3.68N. Every fourth examined paramedic had problems with correct insertion of LT-D tube in accordance with the adopted algorithm.\u0000Conclusions: The supralottic LMA and LT-D tools seem to be an effective and safe alternative of the airway management in case of life emergency","PeriodicalId":433523,"journal":{"name":"Emergency Medical Service","volume":"25 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128087037","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"PERIPHERAL CIRCULATION STAT US AND ITS CORRECTION IN PATIENTS\u0000WITH PYODERMA","authors":"Y. Andrashko, M. Alarqan","doi":"10.36740/emems201902102","DOIUrl":"https://doi.org/10.36740/emems201902102","url":null,"abstract":"","PeriodicalId":433523,"journal":{"name":"Emergency Medical Service","volume":"156 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121877594","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}