Disaster and Emergency Medicine Journal最新文献_第9页

Communication skills learning during medical studies in Poland: opinions of final-year medical students 在波兰医学学习期间的沟通技巧学习:最后一年医科学生的意见

Disaster and Emergency Medicine Journal Pub Date : 2021-12-30 DOI: 10.5603/demj.a2021.0035

P. Przymuszała, Magdalena Cerbin-Koczorowska, P. Marciniak-Stępak, Lidia Szlanga, Lucja Zielinska-Tomczak, M. Dąbrowski, Ryszard Marciniak

{"title":"Communication skills learning during medical studies in Poland: opinions of final-year medical students","authors":"P. Przymuszała, Magdalena Cerbin-Koczorowska, P. Marciniak-Stępak, Lidia Szlanga, Lucja Zielinska-Tomczak, M. Dąbrowski, Ryszard Marciniak","doi":"10.5603/demj.a2021.0035","DOIUrl":"https://doi.org/10.5603/demj.a2021.0035","url":null,"abstract":"InTrodUcTIon: Despite the increasing emphasis on the medical curriculum, students’ empathy and communication skills decline with time. As students’ attitudes and experiences may influence the effectiveness of communication training and their future communication style, this study aimed to evaluate the opinions of last-year medical students on communication skills learning. MATerIAL And MeTHods: Following the fully mixed concurrent equal status design methodology, we invited sixth-year medical students of our university to fill a paper questionnaire with closed and open questions on their perspectives on communication skills learning. resULTs: Questionnaires were completed by a representative sample of 166 students. The majority of them recognized the importance and benefits of communication training, and the need to increase its signifi cance in the medical curriculum. They noticed that students with low communication skills lack motivation for improvement. Students also underlined the significance of the hidden curriculum, reporting a contrast between communication classes and the behavior of some physicians. Moreover, students less positively in clined towards communication training doubted its effectiveness and importance, suggesting that it should be offered for volunteers. concLUsIons: In order to meet the expectations of students with positive opinions and overcome the lack of motivation or engagement of negatively inclined students, more emphasis should be placed on commu nication training. Changes in communication training should include increasing its practical character and intensity, emphasizing its importance and benefits, and paying more attention to hidden curriculum as -pects. Revisions to the medical school application system should be considered to underline the importance of interpersonal competencies already at the admission stage.","PeriodicalId":52339,"journal":{"name":"Disaster and Emergency Medicine Journal","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-12-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49126459","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

Place of tranexamic acid in traumatic brain injury: a systematic review and meta-analysis of randomized controlled trials 氨甲环酸在外伤性脑损伤中的作用:随机对照试验的系统回顾和荟萃分析

Disaster and Emergency Medicine Journal Pub Date : 2021-11-03 DOI: 10.5603/DEMJ.A2021.0029

Mahdi Al-Jeabory, L. Szarpak, Z. Rafique, N. Vasan, Kecskés Attila, A. Gąsecka, W. Gaweł, M. Pruc, M. Malysz, M. Jaguszewski, I. Savytskyi, Natasza Blek, K. Filipiak, F. Peacock

{"title":"Place of tranexamic acid in traumatic brain injury: a systematic review and meta-analysis of randomized controlled trials","authors":"Mahdi Al-Jeabory, L. Szarpak, Z. Rafique, N. Vasan, Kecskés Attila, A. Gąsecka, W. Gaweł, M. Pruc, M. Malysz, M. Jaguszewski, I. Savytskyi, Natasza Blek, K. Filipiak, F. Peacock","doi":"10.5603/DEMJ.A2021.0029","DOIUrl":"https://doi.org/10.5603/DEMJ.A2021.0029","url":null,"abstract":"BACKGROUND: Traumatic brain injury (TBI) is a leading cause of death and disability. In many cases of TBI-related intracranial hemorrhage (ICH) is associated with a high risk of coagulopathy and may lead to an increased risk of hemorrhage growth. Therefore, tranexamic acid (TXA), which is known as an antifibrinolytic agent that reduces bleeding by inhibiting the breakdown of blood clots, might limit ICH expansion. MATERIAL AND METHODS: We aimed to quantify the effects of TXA in brain injury and thus performed a literature search using PubMed, Web of Science, Scopus, EMBASE, and Cochrane Center Register of Controlled Trials (CENTRAL) for studies that were published between the respective database inception, and April 10, 2021. RESULTS: A total of nine studies were identified; these included 5845 patients treated with, and 5380 treated without TXA. The 28-day or in-hospital mortality was 17.8% for the TXA group, compared with 19.3% for the no-TXA group (OR = 0.92; 95% CI: 0.83, 1.01; p = 0.08). At 6-months follow-up, mortality was 18.3% vs 19.9% (OR = 0.91; 95% CI: 0.63–1.31; p = 0.60), with and without TXA, respectively. A Glasgow Outcome Scale less than 4 points at 28-days follow-up was reported in 3 studies and was 29.8% vs 34.8% (OR = 0.91; 95% CI: 0.45, 1.82; p = 0.78), with and without TXA, respectively. No differences were found in adverse events between TXA and non-TXA groups. CONCLUSION: Our analysis found showed no statistical significance between TXA and non-TXA treatment of TBI patients, however, in the TXA group a trend to decrease 28-day mortality compared to non-TXA treatment was observed. More high-quality studies are needed to show the significant benefit of using TXA, especially in moderate and severe TBI patient groups.","PeriodicalId":52339,"journal":{"name":"Disaster and Emergency Medicine Journal","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-11-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43581526","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

Impact of COVID-19 on pediatric out-of-hospital cardiac arrest in the Masovian region 2019冠状病毒病对马佐夫地区儿童院外心脏骤停的影响

Disaster and Emergency Medicine Journal Pub Date : 2021-11-02 DOI: 10.5603/DEMJ.A2021.0028

Jarosław Meyer-Szary, M. Jaguszewski, J. Smereka, A. Gąsecka, M. Emam, I. John, Z. Rafique, F. Peacock, Francesco Chirico, Dorota Sagan, Marta Jachowicz, L. Szarpak

引用次数: 6

Risk of spreading delta coronavirus to operating room personnel after COVID-19 vaccination 接种新冠肺炎疫苗后，德尔塔冠状病毒传播给手术室人员的风险

Disaster and Emergency Medicine Journal Pub Date : 2021-10-28 DOI: 10.5603/DEMJ.A2021.0026

A. Merajikhah, A. Beigi-Khoozani, M. Soleimani

引用次数: 4

SARS-CoV-2 virus mutation and loss of treatment and preventive measures as we know it now 正如我们现在所知，SARS-CoV-2病毒突变以及治疗和预防措施的丧失

Disaster and Emergency Medicine Journal Pub Date : 2021-10-22 DOI: 10.5603/DEMJ.A2021.0025

Francesco Chirico, Dorota Sagan, A. Markiewicz, Julia Popieluch, M. Pruc, K. Bielski, Maciej Cyran

引用次数: 4

Relationship between serum 25-hydroxyvitamin D concentration and acute inflammatory markers in hospitalized patients with SARS-CoV-2 infection 严重急性呼吸系统综合征冠状病毒2型感染住院患者血清25-羟基维生素D浓度与急性炎症标志物的关系

Disaster and Emergency Medicine Journal Pub Date : 2021-08-09 DOI: 10.5603/DEMJ.A2021.0024

T. Oscanoa, J. Amado, Rawia A Ghashut, R. Romero-Ortuño

{"title":"Relationship between serum 25-hydroxyvitamin D concentration and acute inflammatory markers in hospitalized patients with SARS-CoV-2 infection","authors":"T. Oscanoa, J. Amado, Rawia A Ghashut, R. Romero-Ortuño","doi":"10.5603/DEMJ.A2021.0024","DOIUrl":"https://doi.org/10.5603/DEMJ.A2021.0024","url":null,"abstract":"INTRODUCTION: There is experimental and clinical evidence that the serum concentration of 25-hydroxyvitamin D [25(OH)D)] may decrease in acute systemic inflammatory responses; in this context, low values may not necessarily indicate a pre-existing deficiency. This may also apply to low 25(OH)D levels found in the context of the systemic inflammatory response caused by SARS-CoV-2 infection. To conduct a systematic review of the relationship between serum 25(OH)D and the concentrations of C-reactive protein (CRP), interleukin 6 (IL-6) and tumour necrosis factor a (TNF-a) in acutely hospitalized patients with SARS-CoV-2 infection. MATERIAL AND METHODS: We searched PubMed, EMBASE, Google Scholar and the Cochrane Database of Systematic Reviews for studies published between January 2020 and February 2021. In each study, the authors compared levels of inflammatory markers between patients reported as having low levels of 25(OH) D and those above the study cut-off. RESULTS: 18 studies were included (n = 3482, mean age 63.5 ± 9.3 years, 56.9% men). The cut-off for the definition of low 25(OH)D varied across studies. In all studies, mean values for inflammatory markers were higher in the low 25(OH)D groups. These differences were statistically significant (p < 0.05) in 6/15 studies with CRP, 4/8 with IL-6 and 0/1 with TNF-a. CONCLUSIONS: Markers of acute systemic inflammatory response were elevated in patients with SARS-CoV-2 infection and low concentrations of 25(OH)D. Therefore, the vitamin D status in those patients should be interpreted with caution, and studies should be designed to assess whether hypovitaminosis D could be an epiphenomenon.","PeriodicalId":52339,"journal":{"name":"Disaster and Emergency Medicine Journal","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-08-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44238693","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: 2

Retrospective evaluation of laboratory findings of suspected paediatric COVID-19 patients with positive and negative RT-PCR RT-PCR阳性和阴性疑似小儿COVID-19患者实验室结果的回顾性评价

Disaster and Emergency Medicine Journal Pub Date : 2021-08-09 DOI: 10.5603/DEMJ.A2021.0023

Eda Yaman, B. Demirel, Abdurrahman Yılmaz, S. Avci, L. Szarpak

{"title":"Retrospective evaluation of laboratory findings of suspected paediatric COVID-19 patients with positive and negative RT-PCR","authors":"Eda Yaman, B. Demirel, Abdurrahman Yılmaz, S. Avci, L. Szarpak","doi":"10.5603/DEMJ.A2021.0023","DOIUrl":"https://doi.org/10.5603/DEMJ.A2021.0023","url":null,"abstract":"INTRODUCTION: It was observed that the new coronavirus disease had a different clinical course in children compared to adults. Fewer cases and deaths have been reported in children. MATERIAL AND METHODS: All children with suspected COVID-19 who applied to a secondary health care centre were included in this study and blood parameters were compared according to Reverse Transcriptase Polymerase Chain Reaction (RT-PCR) results. This study is a retrospective, cross-sectional study and was conducted by accessing the hospital records of 40 paediatric patients aged 0–16 years. RT-PCR test was performed by isolating Viral RNA with RNA Isolation System after oropharyngeal and nasopharyngeal samples were taken from patients with appropriate sterile swabs and transferred to tubes containing SNP Viral Inactivation Solution. All statistical calculations were done with SPSS 23.0 (SPSS for Windows, Chicago, IL, SA). Mean values of continuous variables were compared between groups using the Mann-Whitney U test. RESULTS: The results were evaluated as 95% confidence interval and p-value < 0.05 and were considered statistically significant. In the light of the blood results of a small number of paediatric cases who applied, the authors tried to determine the parameters that could increase the success in diagnosis in asymptomatic paediatric cases. C-Reactive Protein, ID-dimer (quantitative), leukocytes, monocytes, sodium, mean platelet volume levels were found to be significantly different between the patients with positive and negative COVID test results. CONCLUSIONS: The results of this study reveal that the use of leukocytopenia, monocytopenia and mean platelet volume elevation as diagnostic markers may increase diagnostic success, especially in asymptomatic paediatric COVID-19 patients.","PeriodicalId":52339,"journal":{"name":"Disaster and Emergency Medicine Journal","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-08-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43290641","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: 6

Effect of physical fatigue and smoking cigarettes on the CPR effectiveness performed by soldiers 身体疲劳和吸烟对军人心肺复苏效果的影响

Disaster and Emergency Medicine Journal Pub Date : 2021-08-09 DOI: 10.5603/DEMJ.A2021.0022

Beata Zysiak-Christ, J. Pieczyńska

{"title":"Effect of physical fatigue and smoking cigarettes on the CPR effectiveness performed by soldiers","authors":"Beata Zysiak-Christ, J. Pieczyńska","doi":"10.5603/DEMJ.A2021.0022","DOIUrl":"https://doi.org/10.5603/DEMJ.A2021.0022","url":null,"abstract":"INTRODUCTION: The witness of the event plays an important role in the diagnosis of cardiac arrest in the victim. Taking quick actions to restore basic life functions is the essence of pre-hospital assistance, and this applies not only to civilian conditions but also to combat operations. During extraordinary occurrences and civil-military cooperation, the soldier’s physical fitness and the ability to perform cardiopulmonary resuscitation effectively give a better chance to save the cardiac arrest victim’s life. The study aimed to assess the quality of cardiopulmonary resuscitation (CPR) performed by soldiers before and after physical activity, taking account of smoking by the examined persons. MATERIAL AND METHODS: Fifty-four soldiers took part in the study. The assessment included a 2-minute CPR performance by the soldier before and after physical activity in the Tactical Field Care zone. The Little Anne phantom was used to record CPR quality. Among the examined soldiers, 20% were active smokers. RESULTS: The research showed that the average CPR effectiveness before exercise was significantly higher than after combat operations (75% vs. 73%). The research also demonstrated that, physical fatigue significantly reduced the rate of chest compressions and the percentage of full chest recoil during CPR. Smoking had no significant effect on the quality of CPR performance. The quality of performance of the CPR components correlated with Body Mass Index (BMI), age, and time since the last training completion. CONCLUSIONS: The quality of CPR performance after combat exercise is lower than before the physical fatigue. While smoking does not affect CPR performance quality, other factors such as BMI, age, and time since the last training completion are relevant in this context.","PeriodicalId":52339,"journal":{"name":"Disaster and Emergency Medicine Journal","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-08-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45103202","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

Effect of rocuronium on the heart rate and arterial blood pressure during combined general anaesthesia 罗库对全麻期间心率和动脉血压的影响

Disaster and Emergency Medicine Journal Pub Date : 2021-07-20 DOI: 10.5603/DEMJ.A2021.0020

U. Kosciuczuk, Paulina Woźniewska, Inna Diemieszczyk, A. Lukaszewicz, Krzysztof Bauer, M. Kokoszko, L. Szarpak, J. R. Ladny, H. R. Hady

{"title":"Effect of rocuronium on the heart rate and arterial blood pressure during combined general anaesthesia","authors":"U. Kosciuczuk, Paulina Woźniewska, Inna Diemieszczyk, A. Lukaszewicz, Krzysztof Bauer, M. Kokoszko, L. Szarpak, J. R. Ladny, H. R. Hady","doi":"10.5603/DEMJ.A2021.0020","DOIUrl":"https://doi.org/10.5603/DEMJ.A2021.0020","url":null,"abstract":"INTRODUCTION: Additional mechanisms of neuromuscular blocking agents action create the haemodynamic condition during general anaesthesia. The aim was to investigate the effect of rocuronium on haemodynamic parameters during combined general anaesthesia. MATERIAL AND METHODS: The study was conducted in two groups: Group I underwent combined anaesthesia with rocuronium and Group II — combined anaesthesia without any muscle relaxants. Haemodynamic parameters: heart rate, systolic, diastolic and mean arterial blood pressure were recorded before anaesthesia, at the end of rocuronium infusion, and after recovery from anaesthesia. RESULTS: In both groups, the values of the median heart rate, systolic, diastolic and mean arterial blood pressure recorded before and after anaesthesia were similar and did not differ significantly. In Group I, significant reduction in heart rate in the end of rocuronium infusion [74 (61–103)], (p = 0.01) and after recovery from anesthesia [71 (53–100)], (p = 0.03), compared to the value before anesthesia [81 (56–104)], were demonstrated. Additionally, significant reduction in systolic [130 (96–169); 114 (92–144)], (p = 0.04), diastolic [80 (54–109); 73 (47–99)], (p = 0.01), and mean [95 (72–106); 85 (68–109)], (p = 0.02) arterial blood pressure in the end of rocuronium infusion were noticed. The values of systolic, diastolic and mean blood pressure after recovery from anaesthesia significantly increased in relation to the values observed in the end of the rocuronium infusion [129 (96–181)], (p = 0.01); [78 (47–107)], (p = 0.03); [93 (63–107)], (p = 0.03). CONCLUSIONS: The vagolytic effect was not observed during general anaesthesia with rocuronium. The changes in heart rate and blood pressure were associated with the rocuronium infusion and were normalized after recovery from anaesthesia.","PeriodicalId":52339,"journal":{"name":"Disaster and Emergency Medicine Journal","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-07-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45970666","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

Warming the oxygen with the rescuer’s body as a possible method of heat loss prevention in a prehospital setting. Initial report 在院前环境中，用救援者的身体加热氧气作为防止热损失的一种可能的方法。初步报告

Disaster and Emergency Medicine Journal Pub Date : 2021-07-20 DOI: 10.5603/DEMJ.A2021.0021

T. Kłosiewicz, Radosław Zalewski, M. Wieczorek, Joanna Faferek, M. Sip, L. Różański, E. Stachowska

{"title":"Warming the oxygen with the rescuer’s body as a possible method of heat loss prevention in a prehospital setting. Initial report","authors":"T. Kłosiewicz, Radosław Zalewski, M. Wieczorek, Joanna Faferek, M. Sip, L. Różański, E. Stachowska","doi":"10.5603/DEMJ.A2021.0021","DOIUrl":"https://doi.org/10.5603/DEMJ.A2021.0021","url":null,"abstract":"INTRODUCTION: Discomfort from cold is a significant problem for trauma victims. Prehospital treatment of a hypothermic patient is hugely challenging for medical rescue teams. Preventing heat loss is a basic treatment in all levels of care. The main aim objective of this report was to examine the influence of low ambient temperature on cooling oxygen in a rescue set and to check whether heating the oxygen tube with the rescuer’s body is a legitimate method. MATERIAL AND METHODS: In the control test, an oxygen tube was disposed of across a styrofoam board, whereas a study group was an oxygen tube hidden underneath the paramedic’s jacket. A thermographic camera was used to define oxygen’s temperature in different parts of the medical setting. The research was carried out in the winter season in the natural environment, which was comparable to the regular work conditions of the services. RESULTS: In a control group, the oxygen temperature in an oxygen mask was similar to the ambient temperature. This research has found that warming up an oxygen tube underneath the paramedic’s jacket resulted in a 12.9 degree increase in temperature in an oxygen mask. CONCLUSIONS: Keeping the oxygen tube underneath a jacket may serve as an additional method of preventing patients’ heat loss. The authors express the need for further research on providing hypothermic patients with warm oxygen. The authors believe that introducing such an easy method of warming up the oxygen may positively influence treatment results and give rise to a discussion on the presented method.","PeriodicalId":52339,"journal":{"name":"Disaster and Emergency Medicine Journal","volume":"28 6","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-07-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41273220","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