{"title":"AWARENESS OF LEGAL REGULATIONS ON SELF-DEFENCE AMONG PARAMEDICS AND THEIR USEFULNESS IN PROFESSIONAL WORK","authors":"Marcin Łubek, Robert Gałązkowski","doi":"10.36740/emems201902104","DOIUrl":"https://doi.org/10.36740/emems201902104","url":null,"abstract":"","PeriodicalId":433523,"journal":{"name":"Emergency Medical Service","volume":"52 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":"115070351","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}
M. Robakowska, A. Tyrańska-Fobke, Maciej Walkiewicz, M. Tartas, D. Ślęzak, Wioleta Tomczak, Ł. Balwicki, K. Zorena, Sylwia Jałtuszewska
{"title":"PERFECTIONISM AND BURNOUT IN HEALTH CARE PROFESSIONALS","authors":"M. Robakowska, A. Tyrańska-Fobke, Maciej Walkiewicz, M. Tartas, D. Ślęzak, Wioleta Tomczak, Ł. Balwicki, K. Zorena, Sylwia Jałtuszewska","doi":"10.36740/emems202104103","DOIUrl":"https://doi.org/10.36740/emems202104103","url":null,"abstract":"Aim: To discover the relationship between adaptive and maladaptive perfectionism and professional burnout in laboratory diagnosticians in the Pomorskie [Pomeranian] Voivodship, Poland.\u0000Material and methods: The Oldenburg Burnout Inventory (OLBI) and the Adaptive and Maladaptive Perfectionism Questionnaire (PAD) were used in the descriptive cross-sectional study.\u0000Results: Previous research suggests that the phenomenon of occupational burnout among the professional group of laboratory diagnosticians seems to have a specific nature, different from burnout in other medical professionals. It is believed that extremely high job demands, insufficient personal resources, as well as certain personality characteristics (which can alter the perceptions and responses to job demands as well as the perception and use of resources), are essential to the development of professional burnout.\u0000Conclusions: In the age of the SARS-CoV-2 coronavirus pandemic, strict compliance with safety procedures when performing tests for virus infection through laboratory diagnostics is of especially great importance to the entire epidemiological situation.","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":"116752753","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 clinical characteristics of patients admitted to the emergency department because of implantable cardioverter defibrillator shock","authors":"P. Skoczyński","doi":"10.36740/emems202201103","DOIUrl":"https://doi.org/10.36740/emems202201103","url":null,"abstract":"Aim: To present the clinical spectrum of the Emergency Department (ED) patients with presumed electrical shocks. \u0000Material and methods: The electronic recordings of the patients admitted to the ED of Unversity Hospital in Wroclaw between April 2020 and June 2021 were searched for the words: discharge, electrical storm, syncope, con¬vulsions. The received patients recordings were checked and all patients with electrical shocks from implantable cardioverter defibrillators (ICDs) both real and presumed were included into the study. Patients were divided into three groups: patients hospitalized due to adequate ICD discharges, patients hospitalized for other reason who had adequate interventions in the ICD memory and patients with incorrectly diagnosed ICD interventions. \u0000Results: The study group consisted of 26 patients. There was 18 men aged 65.9±10.9 and 8 women aged 68.1±12.4 (p=0.66). A total of 20 patients had electrical shocks confirmed by ICD memory checking and 6 patients had no ICD shocks. \u0000Conclusions: ED visits due to discharges of ICDs are rare. The medical history of ICD discharge could be misleading, because some patients interpret different symptoms or acoustic signals of the ICDs as a discharge. The ICD patients with syncope, unconsciousness, history of seizures should have their ICD checked for the possible discharges.","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":"130187852","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":"MANAGEMENT OF THE EMERGENCY DEPARTMENT PATIENT WITH TOXIC ALCOHOL POISONING","authors":"Barbara Porębska, M. Kaczmarek-Fojtar","doi":"10.36740/emems202104108","DOIUrl":"https://doi.org/10.36740/emems202104108","url":null,"abstract":"The aim of the study is to present the process of diagnosis and treatment of the patients poisoned with toxic alcohols. Furthermore, the suicide risk assessment was presented. The role of supportive cure and the importance of the treatment with alcohol dehydrogenase blockade with fomepizole or ethanol hemodialysis for severe intoxicated patients were presented. The differences in the treatment of poisoning with particular toxic alcohols were presented. Moreover, the important psychological factors in the management of this group of patients were also discussed. The paper was illustrated with typical case studies of patients suffering from methanol and ethylene glycol intoxication. Conclusions: 1. The recognition of toxic alcohol poisoning remains a challenge for the clinician, because nonspecific symptoms are similar in many other conditions. 2. Proper management of the poisoned patients requires thorough analysis of many aspects: circumstances of the event, laboratory findings, response to the treatment, and the patient’s psychological problems.","PeriodicalId":433523,"journal":{"name":"Emergency Medical Service","volume":"27 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":"121178546","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 Role of Physical Therapy in the Intensive Care Unit","authors":"Zofia Kosson, M. Paśnicki, M. Kolacz","doi":"10.36740/emems202103108","DOIUrl":"https://doi.org/10.36740/emems202103108","url":null,"abstract":"Recent years have seen intensive development of ICU treatment protocols. Today it is possible to treat patients who in the past would not have had a chance of survival. People under the care of the unit typically suffer from cardiovascular or respiratory failure. Therefore, the aim of this paper is to discuss the basic techniques used by physiotherapeutic staff and the contribution they make to the treatment of patients at the ICU. In our article, we analyzed the risks associated with long-term hospitalization and the characteristics of the ICU patient, and presented the ways in which a physical therapist can improve the patient’s health. We have identified the main goals of ICU physical therapy and specified the intention with which specific physiotherapeutic procedures are introduced. The physical therapist should be part of a medical team whose goal is for the patient recover as quickly as possible. The role of the physical therapist in the ICU is not only to help the patient to improve in the shortest time possible, but also to prevent the undesirable effects of hypokinesia and long-term treatment in the ICU.","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":"121189840","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}
Monika Prokurat, K. Grudnik, Stanisław Niemczyk, Wojciech Niemczyk, K. Lau, Janusz Kasperczyk
{"title":"The use of drones in emergency medicine","authors":"Monika Prokurat, K. Grudnik, Stanisław Niemczyk, Wojciech Niemczyk, K. Lau, Janusz Kasperczyk","doi":"10.36740/emems202302109","DOIUrl":"https://doi.org/10.36740/emems202302109","url":null,"abstract":"In the 21st century, we are experiencing the widespread use of new technologies that are designed to make work and daily life easier. The emergence of unmanned aerial vehicles (UAVs) has also opened up new opportunities for medical rescue support. This paper explores the various aspects of using medical drones to aid rescue operations. These devices can move at high speeds, traverse difficult terrain that ground vehicles cannot, and have many capabilities depending on their equipment. Currently, the use of UAVs is limited to rescue operations of an extreme nature, such as searching for missing individuals in dangerous or vast areas, or providing support during mass events.The paper describes the potential possibilities of using drones in rescue operations, such as delivering critical medicines, first aid equipment, or collecting information on hazards relevant to rescue planning. It is important to note that UAVs are still a relatively new technology that requires reliable safety systems, especially in the context of medical use. Possible threats, such as hacking attacks, collision risks in different environments, and the level of training of personnel involved in UAVs management, were also presented. Additionally, the paper addresses current legal and systemic issues in Poland and the European Union. Lastly, the results of public opinion polls on confi¬dentiality and consent to the use of medical drones were mentioned.","PeriodicalId":433523,"journal":{"name":"Emergency Medical Service","volume":"36 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":"129351375","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":"Nutrition in the prevention and management of endometriosis symptoms - a current literature review","authors":"Aleksandra Kuć, Wojciech Szymanek","doi":"10.36740/emems202302106","DOIUrl":"https://doi.org/10.36740/emems202302106","url":null,"abstract":"Endometriosis is a chronic hormone-dependent inflammatory condition whose growth and maintenance depends on oestrogen. Treatment options are limited until its aetiology is established. The following literature review provides an extensive discussion of the relationship between diet and endometriosis and iden¬tifies the importance of nutrition in relation to symptoms. An extensive manual search of the main electronic databases (PubMed, EMBASE, Web of Science and Google Scholar) was conducted in March 2023 to identify relevant studies published on the relationship between diet and endometriosis. \u0000The anti-inflammatory properties of a plant-based diet may be beneficial for women with endometriosis. The Mediterranean diet shows similar properties in reducing many persistent symptoms. Dairy products, on the other hand, are a source of calcium, vitamin D, oestrogens, progesterone and anti-cancer and anti-inflammatory components. A decrease in endometrial implants can be observed in women supplementing with omega 3 and 6 acids. Vitamins D, C and E are also essential dietary components, as they are sources of antioxidants that strongly reduce free radicals. An inverse correlation was observed with red meat consumption. The treatment of endometriosis requires a holistic approach focused on reducing bothersome symptoms and inflammation, and therefore the inclusion of a dietitian in the treatment may be of great benefit to endometriosis patients. Further research is needed, especially randomised clinical trials to clarify the role of diet in endometriosis.","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":"130546398","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":"SELF-ASSESSMENT OF KNOWLEDGE OF EMERGENCY MEDICAL SERVICES SYSTEM EMPLOYEES ON NEW PSYCHOACTIVE SUBSTANCES – CURRENT STATUS AND DEVELOPMENT PROSPECTS","authors":"Łukasz Kacprzak, J. Zawilska","doi":"10.36740/emems202104105","DOIUrl":"https://doi.org/10.36740/emems202104105","url":null,"abstract":"Aim: To examine the level of knowledge on new psychoactive substances (NPS) among health care profesionals (HCPs) working within the Emergency Medical Services (EMS) system in Poland, and to assess how they would like to improve it.\u0000Material and methods: The study involved 602 HCPs working within the EMS system and was carried out using a survey questionnaire. Both online and paper-copy surveys were utilized. The collected data were statistically analyzed using the STATISTICA 12.5PL computer program (StatSoft, Inc., USA).\u0000Results: Most responders perceived themselves as having a “sufficient” (49%) or a “weak” level (40.5%) of knowledge of NPS, while only 10.5% as “good”. The Internet was a main source of information on NPS. In the 4-year period covered by the study, only less than 22% of HCPs took part in any training courses on NPS. Most participants expressed a need to learn more about “pharmacological treatment”, “legal provisions” and “qualification for hospital treatment”.\u0000Conclusions: An inadequacy in essential knowledge of NPS by HCPs working within the EMS system highlights the need for education on these novel molecules.","PeriodicalId":433523,"journal":{"name":"Emergency Medical Service","volume":"76 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":"133968439","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}
Olexandr O. Starchuk, I. Okhrimenko, N. A. Lyakhova, Oleksandr L. Martenko, Taras G. Nagaynik
{"title":"EVACUATION OF THE WOUNDED FROM THE BATTLEFIELD AS AN IMPORTANT COMPONENT OF EMERGENCY MEDICAL CARE","authors":"Olexandr O. Starchuk, I. Okhrimenko, N. A. Lyakhova, Oleksandr L. Martenko, Taras G. Nagaynik","doi":"10.36740/emems202301106","DOIUrl":"https://doi.org/10.36740/emems202301106","url":null,"abstract":"Aim: To reveal the main ways and means of evacuating the wounded from the battlefield. \u0000Materials and methods: Research methods: analysis and generalization of scientific and educational literature, data from the Internet; study and gen¬eralization of the experience of combat operations in Ukraine in 2014-2022, the experience of the armies of the leading countries of the world and NATO on ways and means of evacuating the wounded from the battlefield. It was found that any evacuation is carried out only under cover, with high speed and minimizing the time and visibility of rescuers. The main ways and means of evacuating the wounded from the battlefield, which are used in the red, yellow, and green zones, were revealed. Their advantages and disadvantages were presented. \u0000Conclusions: Providing timely emergency pre-medical care saves the lives of the wounded and sick, and timely evacuation from the battlefield prevents re-injury or death.","PeriodicalId":433523,"journal":{"name":"Emergency Medical Service","volume":"14 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":"133730934","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}