Emergency Medical Service最新文献_第6页

Emergency Medical Service Pub Date : 1900-01-01 DOI: 10.36740/emems201903106

D. Gałuszka, Angelika Poznańska, Marcin Kunecki, Robert Gałązkowski, K. Nadolny

引用次数: 1

“MINI-MIDLINE”: VASCULAR ACCESS IN SPECIFIC SITUATIONS “迷你中线”:特定情况下的血管通路

Emergency Medical Service Pub Date : 1900-01-01 DOI: 10.36740/emems202301107

Maciej Latos, Marceli Solecki, Artur Szymczak, Grzegorz Cichowlas, D. Kosson

{"title":"“MINI-MIDLINE”: VASCULAR ACCESS IN SPECIFIC SITUATIONS","authors":"Maciej Latos, Marceli Solecki, Artur Szymczak, Grzegorz Cichowlas, D. Kosson","doi":"10.36740/emems202301107","DOIUrl":"https://doi.org/10.36740/emems202301107","url":null,"abstract":"Peripheral intravenous catheters (PIVCs) play a particularly important role in Emergency Departments (ED), during the administration of anesthesia in the operating room, in post-operative and monitored wards of various specialties, in cases when the patient requires access to the vein due to intensive and varied intravenous therapy. Using short peripheral intravenous catheters carries a high risk of complications, despite their prevalence and staff experience. Patients with DIVA require a comprehensive approach not only during elective (scheduled) intravenous therapy, but also in the aforementioned departments and during emergency interventions in case of deterioration in Non-Intensive-Care-Units. Emergency intravenous access is required for the implementation of many procedures, so it is reasonable to introduce methods that increase the safety and quality of therapy. Midline catheters (MCs) are becoming increas¬ingly popular in Poland. However, based on our experience, they are not the optimal solution in every situation. “Mini-midlines” can be clinically useful in patients with DIVA whose therapy is expected to exceed 5 days. They may be applied in patients who require a secure and rapid insertion of the cannula into the vein and greater fluid flow than via a classic MC. Regardless of the equipment used, the ultrasound-guided mini-midline implantation procedure is simple and quick. Based on available research and experience at our centres, we follow a management regimen for patients who arrive in the ED, have no intravenous access and the team is faced with the clinical dilemma of choosing which cannulation method should be used. Proper patient enrollment and subsequent cannula maintenance increases the quality of care and patient satisfaction. It is advisable to introduce local protocols for selecting appropriate intravenous access and to run prospective studies regarding the topic under discussion.","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":"114225527","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}

引用次数: 0

FOURNIER’S GANGRENE – A LIFE THREATENING UROLOGICAL EMERGENCY 富尼耶坏疽——危及生命的泌尿急症

Emergency Medical Service Pub Date : 1900-01-01 DOI: 10.36740/emems202204101

N. Gębka, J. Głogowska-Szeląg, J. Adamczyk, Dorota Gębka

引用次数: 0

TOCOPHOBIA – SHORT REVIEW OF CURRENT LITERATURE 生育恐惧症——对当前文献的简短回顾

Emergency Medical Service Pub Date : 1900-01-01 DOI: 10.36740/emems202204105

Daria Kubik-Machura, Aleksandra Kuć, Klaudia Kościelecka, T. Męcik-Kronenberg

引用次数: 0

ABSTRACT BOOK 抽象的书

Emergency Medical Service Pub Date : 1900-01-01 DOI: 10.36740/emems202102108

D. Heylen

引用次数: 0

PAIN TREATMENT IN THE PRACTICE OF PARAMEDICS 护理人员治疗疼痛的实践

Emergency Medical Service Pub Date : 1900-01-01 DOI: 10.36740/emems202204106

N. Gospodarczyk, A. Gospodarczyk, K. Marczewski, Michał Widuch

{"title":"PAIN TREATMENT IN THE PRACTICE OF PARAMEDICS","authors":"N. Gospodarczyk, A. Gospodarczyk, K. Marczewski, Michał Widuch","doi":"10.36740/emems202204106","DOIUrl":"https://doi.org/10.36740/emems202204106","url":null,"abstract":"The feeling of pain accompanies a significant proportion of Medical Emergency Teams (METs) and emergency depart¬ment patients, especially those with trauma. Modern medicine focuses on combating this unpleasant sensation, as it can negatively affect the patient’s condition. Paramedics, who are the first on the scene, in today’s emergency care system work in primary teams, i.e. without a doctor, so it is their responsibility to implement appropriate pharmacotherapy. Assessment and treatment of pain in the pre-hospital care setting are among the key aspects of the role of paramedics. In view of the scarcity of diagnostic tools, decisions are made on the basis of simple clinical tests, so the knowledge and experience of medical personnel seem to be paramount here. It is important to keep in mind the current state of the pa¬tient, as well as potential disorders that may occur during transport to the hospital. Massive injuries to organs, multiple areas of the body, as well as an advanced stage of disease, require the administration of strong analgesics. The use of appropriate analgesia in the prehospital setting, significantly improves the patient’s comfort and often contributes to a huge improvement in the clinical condition. Undertaking pain management from an ethical and moral point of view is one of the essential tasks of medical personnel, and also demonstrates commitment and professionalism.","PeriodicalId":433523,"journal":{"name":"Emergency Medical Service","volume":"35 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":"128320621","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}

引用次数: 0

Effectiveness of performing cardiopulmonary resuscitationby officer cadets after actions of a tactical nature 军官学员在战术行动后实施心肺复苏的有效性

Emergency Medical Service Pub Date : 1900-01-01 DOI: 10.36740/emems201901101

Beata Zysiak-Christ

引用次数: 1

CHARACTERISTICS OF PATIENTS WITH PROCALCITONIN MEASUREMENTS DURING EARLY DIAGNOSIS PROCESS 早期诊断过程中患者降钙素原测量的特点

Emergency Medical Service Pub Date : 1900-01-01 DOI: 10.36740/emems202202102

Małgorzata Timler, Katarzyna Szwabe, Wojciech Timler, D. Timler

{"title":"CHARACTERISTICS OF PATIENTS WITH PROCALCITONIN MEASUREMENTS DURING EARLY DIAGNOSIS PROCESS","authors":"Małgorzata Timler, Katarzyna Szwabe, Wojciech Timler, D. Timler","doi":"10.36740/emems202202102","DOIUrl":"https://doi.org/10.36740/emems202202102","url":null,"abstract":"Aim: To present the population of patients admitted to the Emergency Department in whom their attending physician decided to assess PCT level. \u0000Material and methods: All data were collected between 01/04/2022 and 30/04/2022. The inclusion criterion was performed PCT measurement at admission to the Emergency Department. The following data were noted: age, gender, temperature, blood pressure, heart rate, SpO2, respiratory rate, Glasgow Coma Scale, the diagnosis: pneumonia, infection tractus urinary, diabetes, SARS-Cov-2 infection, PCT level, C-reactive protein level, leucocyte level, glomerular filtration rate. PCT upper normal limit was 0.05 μg/L, C- reactive protein upper limit was 5 mg/dL and leucite number was between 4 and 10 G/dL. \u0000Results: PCT level was increased in 68 (83%) of the studied group. The patients with increased PCT level are older, have lower blood pressure and more often increased C-reactive protein concentration. These patients tended to have increased in-hospital mortality. \u0000Conclusions: PCT level was increased in the majority of patients in whom this parameter was assessed by emergency physicians. Abnormal leucocyte number and the presence of temperature above 37 Celsius degree had no prediction value of presence of increased PCT. Increased PCT level may indicate the increased risk of the in hospital death. Simple guidelines for PCT usage need to be created and implemented in everyday clinical practice.","PeriodicalId":433523,"journal":{"name":"Emergency Medical Service","volume":"161 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":"133433193","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}

引用次数: 0

Long Term Outcome Prediction in Stemi/Nstemi Patients By Means of the Model Consisting of Simple Clinical Parameters 基于简单临床参数模型的Stemi/Nstemi患者远期预后预测

Emergency Medical Service Pub Date : 1900-01-01 DOI: 10.36740/emems202103101

Paweł Korczyc, J. Chrzanowski, A. Stasiak, J. Stasiak, A. Bissinger, Wojciech Timler, D. Timler, G. Piotrowski

{"title":"Long Term Outcome Prediction in Stemi/Nstemi Patients By Means of the Model Consisting of Simple Clinical Parameters","authors":"Paweł Korczyc, J. Chrzanowski, A. Stasiak, J. Stasiak, A. Bissinger, Wojciech Timler, D. Timler, G. Piotrowski","doi":"10.36740/emems202103101","DOIUrl":"https://doi.org/10.36740/emems202103101","url":null,"abstract":"Aim: Our study aimed to identify the clinical variables associated with long-term mortality after MI and to construct a simple, easy to use clinical practice model for the prediction of 5 year mortality after MI.\u0000Material and Methods: This is a prospective 5-year observation study of MI patients admitted to the Department of Cardiology at the Copernicus Memorial Hospital in Lodz in 2010 and 2011. The data were collected during hospitalization and again after a period of 1 and 5 years. A multi-factor multi-level Cox regression model was constructed to investigate the impact of clinical factors on long-term survival.results: 92 patients (39 STEMI, 53 NSTEMI) were included in the study and their data were used to construct a Cox regression model with satisfactory fit (R 2 =0.7945). Factors associated with a decrease in 5-year risk are: age (1.06, 95%CI: 1.01-1.11), SYNTAX score (1.05, 95%CI: 1.02-1.08), WBC level (1.16, 95%CI: 1.08-1.26), and glycemia at enrollment (1.01, 95%CI: 1.01-1.01). Higher values of HDL at enrollment were associated with a decrease in 5-year risk (HR=0.97, 95%CI: 0.93-0.99).conclusion: The model we created is a valuable tool that is useful and easy to employ in everyday practice for assessing the 5-year prognosis of patients after MI.\u0000What is new: The study presents the new model for prediction of 5-year mortality after myocardial infarction. This model is based on simple clinical parameters and may by applied in everyday practice.","PeriodicalId":433523,"journal":{"name":"Emergency Medical Service","volume":"34 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":"116659443","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}

引用次数: 0

LIFE-SAVING PROCEDURES AND CARDIOPULMONARY RESUSCITATION FROM THE ANCIENT HISTORY TO THE PRESENT DAY 救生程序和心肺复苏术从古至今

Emergency Medical Service Pub Date : 1900-01-01 DOI: 10.36740/emems202104112

K. Mitura, Daniel Celiński, Agnieszka Hawrylewicz-Łuka, S. Pilip, Leszek Szpakowski, Marta Jarzębowska, P. Jastrzębski, S. Szajda

引用次数: 1