Emergency Medical Service最新文献

{"title":"Knowledge of basic life support among police officers and the impact of short reminder training on the increase of these skills","authors":"D. Gałuszka, Magdalena Jarek, Angelika Poznańska, Krystian Wolanin, K. Nadolny, J. Ładny","doi":"10.36740/emems201903101","DOIUrl":"https://doi.org/10.36740/emems201903101","url":null,"abstract":"","PeriodicalId":433523,"journal":{"name":"Emergency Medical Service","volume":"36 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-10-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116654597","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":"THE EFFECTIVENESS OF USING ECG TELETRANSMISSION DURING EMERGENCY MEDICAL TEAM INTERVENTIONS","authors":"Tomasz P Ilczak, M. Kawecki, M. Mikulska, R. Bobiński, Michał Ćwiertnia, Wioletta Waksmańska","doi":"10.21203/rs.2.11350/v1","DOIUrl":"https://doi.org/10.21203/rs.2.11350/v1","url":null,"abstract":"Aim: To determine the importance of electrocardiogram (ECG) teletransmission on the time required for decisions on diagnosis and treatment and the transport of patients with myocardial infarction.\u0000Material and methods: This study is retrospective in character and concerns the regional activities of the Bielsko Emergency Medical Services and the possibility of sending medical data electronically from a patient’s location to the clinic of interventional cardiology (CIC). Group A (n=237) included patients in whom the Medical Response Team (MRT) confirmed ST-Elevation Myocardial Infarction (STEMI) and carried out an ECG with data teletransmission to the CIC. Group B (n=101)\u0000included patients in whom the MRT confirmed STEMI and carried out an ECG without teletransmission. For both groups, the MRT recorded the time of arrival at the patient’s location and the time when the patient was handed over to the CIC.\u0000Results: A group of 638 patients were identified in whom the chest pain was of cardiac origin. Of these patients, 338 were identified as patients with diagnosed STEMI. A significant dependence was demonstrated of the time t [mins] of teletransmission (p=0.00308). A significant dependence was demonstrated of the effect of distance s [kms] (p=0.00000). A significant dependence was demonstrated of the time t from the place of residence, taking into account the distance s (p=0.00929).\u0000Conclusions: Using ECG teletransmission in pre-hospital procedures shortens the time for diagnosis and transport of patients with STEMI, and thus improves the results of treatment.","PeriodicalId":433523,"journal":{"name":"Emergency Medical Service","volume":"12 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-07-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130542673","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":"ASSESSMENT OF PHYSICA L ACT IVITY OF MEMBERS OF THE\u0000HELICO PTER EMERGENCY MEDICA L SERVICE (HEMS)","authors":"A. Gaździńska, P. Jagielski, Robert Gałązkowski","doi":"10.36740/emems202002103","DOIUrl":"https://doi.org/10.36740/emems202002103","url":null,"abstract":"The aim: Assessment of physical activity of members of the Helicopter Emergency Medical Service.\u0000Material and methods: The study was conducted in a group of 131 people (65 paramedics, 66 pilots), members of\u0000HEMS teams from all bases in Poland, aged 27-59. The characteristics of physical activity was obtained using the author’s\u0000questionnaire.\u0000Results: The mean age of the study population was 42.73 ± 9.58 years. Pilots were significantly older than paramedics\u0000and had significantly higher BMI values (p < 0.05). No significant relationship between the age and BMI in the\u0000analyzed groups was found (p > 0.05), while the relationship between the frequency of physical activity and BMI was\u0000demonstrated. 70% of subjects undertook physical activity less than three times a week. The most frequently chosen\u0000forms were cycling, walking and swimming. Paramedics statistically significant more often than pilots chose wall climbing\u0000(p = 0.001). Downhill skiing (61%) was the most common declared winter sport played by pilots, while hiking in\u0000the mountains – by paramedics (49%). The most important reason for pilots to take up physical activity was concern\u0000for their health (47%), while for paramedics – the pleasure (63%). Paramedics statistically significant more often than\u0000pilots indicated a large number of other activities (90.6 vs. 74.2%) and financial issues (18.8 vs. 6.1%) as barriers that\u0000prevented more involvement in physical activities.\u0000Conclusions: The frequency of physical activity undertaken by HEMS members is insufficient. Low physical activity of\u0000HEMS team members has an adverse effect on their nutritional status. It is necessary to take initiatives to promote physical\u0000activity in this professional group.","PeriodicalId":433523,"journal":{"name":"Emergency Medical Service","volume":"77 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132231597","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":"Attitudes towards the COVID-19 pandemic and the level of knowledge about the pandemic among the patients in the opinion of medical personnel – an international study","authors":"Michał Ćwiertnia, Tomasz P Ilczak, Kacper Sumera, E. Navarro-Illana, Mieczysław Dutka, M. Szlagor, Arkadiusz Stasicki, P. Białoń, M. Hajduga, M. Mikulska, R. Bobiński, Marek Kawecki","doi":"10.36740/emems202302102","DOIUrl":"https://doi.org/10.36740/emems202302102","url":null,"abstract":"Aim: To assess knowledge of the SARS-CoV-2 virus and attitudes toward the pandemic among patients in seven European countries in the opinion of medical personnel. \u0000Material and methods: The research was conducted across seven European countries. The questionnaire included questions relating to the Covid-19 pan¬demic regarding medical personnel’s opinions on the level of patient education, the sharing of incorrect information by patients, the following of quarantine procedures by patients, and the necessity of introducing tighter sanitary restrictions. \u0000Results: The research indicated significant differences between countries in the answers provided by medical personnel. Medical personnel encountered the sharing of incorrect information by patients most often in Poland, and most seldom in Norway. Staff in the United Kingdom and Poland had the lowest as¬sessment of patients following quarantine procedures, while personnel in Norway had the most positive assessment in this area. Education of the patients on the SARS-CoV-2 virus was most positively assessed by personnel in Finland, and the most poorly by staff from Poland. The necessity to impose tighter sanitary restrictions was indicated by the greatest number of personnel in Poland and the United Kingdom, and by the lowest number in Spain. \u0000Conclusions: The research indicated significant differences between countries in the provided answers. The study also demonstrated that as a rule the sanitary restrictions were supported.","PeriodicalId":433523,"journal":{"name":"Emergency Medical Service","volume":"7 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":"121212332","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":"MASS CASUALTY INCIDENT – TRAINING BASED ANALYSIS OF STATE EMERGENCY MEDICAL SYSTEM","authors":"Grzegorz Witkowski, Klaudia Perończyk, Paweł Siedlis, Igor Plewiński, K. Nadolny","doi":"10.36740/emems202301108","DOIUrl":"https://doi.org/10.36740/emems202301108","url":null,"abstract":"Aim: Mass casualty incident is a challenge for the whole Emergency Medical System. The training had been prepared in order to optimize the readiness and to implement and practice the procedures issued by the ministry regarding mass casualty incidents. \u0000Material and method: The article analyzes the response capabilities of Emergency Medical System along with cooperating units, in case of mass casualty road traffic accident. Proper allocation of patients, following the procedure and the availability of forces and resources within the operational area were analyzed. Accident involved 30 casualties and was responded by numerous emergency units, such as Emergency Medical Teams, State Fire Service, Voluntary Fire Service, Police and City Guard. Emergency Medical System units implemented the procedures issued by the Ministry of Health regarding mass casualty incidents correctly. The leader of the first Emergency Medical Team to arrive served as the Action Medic in Charge. Further Emergency Medical Teams to arrive undertook proper cooperation with Medic in Charge. Allocation of patients to hospitals was correct. After the accident one casualty left the scene, which made the rescue action more complex. \u0000Conclusions: Simulating such incidents may prepare the medical personnel for real-life action. Regular training is the best form of gathering knowledge and increasing patients’ safety. Communication during incidents of this kind is problematic and requires high-priority improvement.","PeriodicalId":433523,"journal":{"name":"Emergency Medical Service","volume":"18 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":"123700683","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":"PEDIATRIC PATIENT DURING EMERGENCY MEDICAL TEAM INTERVENTION","authors":"Michał Kucap, K. Biały, K. Nadolny, J. Ładny, Robert Gałązkowski","doi":"10.36740/emems202204104","DOIUrl":"https://doi.org/10.36740/emems202204104","url":null,"abstract":"Aim: Analysis of Emergency Medical Teams’ responses to patients below 18 years of age in operational region of Kato¬wice Emergency Service between January 1st, 2014 and December 31st, 2017. \u0000Material and methods: Retrospective analysis of medical documentation issued by the dispatcher and by the P and S type EMS teams of Katowice Emergency Service between January 1st, 2014 and December 31st, 2017 (n = 974839). Documents regarding response to patients below 18 years of age were included in research (n = 53643). \u0000Results: EMS teams’ responses to patients below 18 years of age were selected by patients’ date of birth. These came out to be 5,38% of all responses in the defined time period. P-type EMS teams were dispatched to pediatric patients most frequently. This number decreased in months of summer vacation (July and August). The average number of re¬sponses was calculated for 10 months, January-June and September-December (n = 2322,75) and for July and August (n = 1797). Comparing the average results revealed decrease of responses in summer vacation period by n = 22.63%. \u0000Further patients below 18 years of age were divided into 4 age groups. It has been observed that among group I and III there is no statistical significance regarding responses in given daytime interval and given year in the time of research. However among group II and IV significance is high (p = 0.016) for group II and (p = 0.028) for group IV. Distribution between responses by EMS-S teams and EMS-P teams in daytime intervals shows that at night (12:00 am-5:59 am) EMS-S team is most frequently dispatched to patients from first three age groups: group I (69% vs. 31%), group II (64% vs. 36%) and group III (57% vs. 43%). In each age group there is high statistical significance. \u0000Conclusions: Patient below 18 years of age is a problem for Emergency Medical Team because of very few responses, leading to lack of experience in examining such patients and undertaking emergency medical procedures. Research revealed relationship between EMS team responses in given months, daytime intervals, age and gender. Number of responses to patients aged 8-13 and 13-18 decreases during summer vacation months and also decreases at night; there are more responses to male patients.","PeriodicalId":433523,"journal":{"name":"Emergency Medical Service","volume":"23 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":"125475501","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":"Assessment of knowledge of selected uniformed services on the field of basic issues related to cardiopulmonary resuscitation","authors":"D. Ślęzak, P. Jarzynkowski, W. Mędrzycka-Dąbrowska, R. Piotrkowska, Daria Prymus","doi":"10.36740/emems201901104","DOIUrl":"https://doi.org/10.36740/emems201901104","url":null,"abstract":"","PeriodicalId":433523,"journal":{"name":"Emergency Medical Service","volume":"64 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":"129795263","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":"Ataxia in children in the practice of a paramedic","authors":"D. Zawadzki, Mariusz Ciastkowski, Agnieszka Ciastkowska-Berlikowska","doi":"10.36740/emems202302108","DOIUrl":"https://doi.org/10.36740/emems202302108","url":null,"abstract":"The term ataxia includes impaired coordination and balance, and a lack of muscle control over intended movements. The most common signs and symptoms of cerebellar ataxia are ataxic gait (shaky, broad-based), movement disorders resulting from lack of proper muscular coordination, dysmetria, movement decomposition, intention tremor, and dysdiadachokinesia (disorder of alternating movements). Clinical symptoms vary depending on the damaged element: cerebellar hemisphere, cerebellar vermis, damage to the deep sensory pathways or damage to the cerebellar-frontal tracts and frontal centers. The most common causes of acute ataxia in children are drug overdoses, poisoning, and post-infectious cerebellitis. It is worth remembering that many causes of ataxia are metabolic and immunological. There are acute ataxias, intermittent and recurrent ataxias, chronic progressive and non-progressive ataxias. It should be remembered that each child with acute ataxia requires diagnosis and hospitalization. It is necessary to conduct a detailed interview regarding the time and circumstances of the onset of ataxia, accompanying symptoms, continuously and temporarily taken medications, possible previous episodes of these the symptoms themselves and the current state of health.","PeriodicalId":433523,"journal":{"name":"Emergency Medical Service","volume":"80 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":"128260700","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":"PROPOFOL AND PRIAPISM. HOW MUCH RISK IS THERE – CURRENT LITERATURE REVIEW","authors":"Aleksandra Kuć, Daria Kubik, Katarzyna Krzyżak, Wojciech Szymanek, Klaudia Kwaśniak, T. Męcik-Kronenberg","doi":"10.36740/emems202202109","DOIUrl":"https://doi.org/10.36740/emems202202109","url":null,"abstract":"Priapism is one of the most common conditions requiring urgent medical intervention. There are several types of priapism, including pharmacologically induced priapism. The authors focused on reviewing articles related to propofol-induced priapism and presented all cases described so far. Propofol is a fast-acting, short-acting drug used by physicians in many specialties for both children and adults. The mechanism of action is poorly understood. Recognizing the type of priapism will allow medics to determine the cause and implement appropriate treatment as soon as possible. It includes several regimens, depending on the type of priapism. Prolonged complication can cause very serious and sometimes irreversible consequences, such as penile shortening. Although priapism is not recognized as one of the side effects of propofol, this review is relevant to the entire medical community, including emergency physicians and those working in hospital emergency departments and emergency rooms because of the high frequency of propofol use for most medical procedures.","PeriodicalId":433523,"journal":{"name":"Emergency Medical Service","volume":"1 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":"130360208","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":"THE IMPACT OF STAYING AT A HEIGHT ON THE HUMAN BODY","authors":"M. Chmielewski, Krystyna Zackiewicz, J. Ładny, K. Nadolny","doi":"10.36740/emems201903105","DOIUrl":"https://doi.org/10.36740/emems201903105","url":null,"abstract":"","PeriodicalId":433523,"journal":{"name":"Emergency Medical Service","volume":"19 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":"126510153","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}