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Mass Thermal Injuries in Perspective of Safety of Patients in the European Union 从欧盟患者安全的角度看群体热损伤
Pub Date : 2023-01-13 DOI: 10.36682/sss_2022_1
Mass disasters with multiple thermal injuries are an actual topic of safety management of patients in an actual safety situation in Eastern Europe. Availability of highly specialized burn centers complies with geographic borders of countries, but from an international perspective it is reasonable usage of nearby burn centers in neighboring countries.The aim of the report is to describe the actual needs of coordinating national programs for mass burn disasters. Actual situation reflects recommendations of WHO and European Union authorities and allows to ratify them to national plans. But it is also needed step-back coordination of individual national plans to set the highest possible safety of management of burned patients in the European Union despite geographical borders of countries.
多发热伤群体性灾害是东欧地区实际安全形势下患者安全管理的现实课题。高度专业化烧伤中心的可用性符合国家的地理边界,但从国际角度来看,邻近国家就近使用烧伤中心是合理的。该报告的目的是描述协调国家大规模烧伤灾害项目的实际需求。实际情况反映了世卫组织和欧洲联盟当局的建议,并允许将其批准为国家计划。但也需要对个别国家的计划进行退后协调,以便在欧盟内建立尽可能高的烧伤患者管理安全性,尽管各国的地理边界。
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引用次数: 0
Requirements for Ensuring the Safety of Firefighters of FRS CR When Responding to a Fire in Buildings with the Potential Presence of Radioactive Substances 在可能存在放射性物质的建筑物中应对火灾时,确保FRS CR消防员安全的要求
Pub Date : 2023-01-13 DOI: 10.36682/sss_2022_11
The Fire and Rescue Service of the Czech Republic occasionally intervenes in buildings and objects where radioactive or nuclear materials are stored or used. In such cases, special care must be taken to ensure adequate protection of all persons from possible exposure to ionizing radiation. This is especially important for rescuers in the vicinity of the fire and radioactively contaminated environments. To minimize their exposure, it is necessary to monitor the radiation levels and the concentration of radioactivity in the air using suitable detectors and other special monitoring devices. The results of these measurements should be expressed in recognized quantities and units, the level of which continuously reflects the radiation risk in a given location. This needs to be constantly monitored and maintained within certain limits or benchmarks in accordance with relevant standards and regulatory requirements. The paper discusses the approach of firefighters to ensure sufficient radiation protection in line with national regulations.
捷克共和国消防和救援处偶尔会对储存或使用放射性或核材料的建筑物和物体进行干预。在这种情况下,必须特别注意确保充分保护所有人免受可能的电离辐射照射。这对火灾和放射性污染环境附近的救援人员尤其重要。为了尽量减少他们的接触,有必要使用适当的探测器和其他特殊监测装置监测空气中的辐射水平和放射性浓度。这些测量的结果应以公认的数量和单位表示,其水平应持续反映某一地点的辐射危险。这需要根据相关标准和管理要求不断监测并保持在一定限度或基准内。本文讨论了消防人员如何确保充分的辐射防护符合国家规定。
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引用次数: 0
Reflection on the Centralization of Health Care and Its Threats 对卫生保健集中化及其威胁的思考
Pub Date : 2023-01-13 DOI: 10.36682/sss_2022_3
The necessity of reorganizing the provision of health care has been discussed atboth the regional and central levels in recent years. This article deals with the possibility of centralization of health care provided in inpatient facilities. Assesses the need to apply different decision-making mechanisms, to delegate enormous responsibilities to individual managers, and to be influenced by external threats. The article aims to analyze the possible threats of centralization of healthcare care in general terms, taking into account the situation affected by the COVID-19 pandemic and the current energy crisis. The methods of scientific work - retrospective analysis of legal documents, scientific and professional publications, synthesis of mainly foreign data on the results of centralization and decentralization of health care - were used in the work. Modified risk management was used to assess potential threats. Based on the investigation, it can be concluded that centralization of health care facilities providing standardhealth care would have a significant impact on a wider part of the population. At the same time, there is a significant increase in the risk of turnover of health workers. On the other hand, highly specialized centers need to be operated regionally, but with the need for sufficient professional infrastructure. Changes in centralization and decentralization need to be implemented systematically and systematically on the basis of expert studies focused on the specific needs of a particular area.
近年来,在区域和中央两级都讨论了改组保健服务的必要性。本文讨论在住院设施中集中提供医疗保健的可能性。评估应用不同决策机制的需要,将巨大的责任委派给个别管理人员,并受到外部威胁的影响。本文旨在综合考虑受COVID-19大流行和当前能源危机影响的情况,分析医疗保健集中化可能带来的威胁。在工作中使用了科学工作方法————对法律文件、科学和专业出版物进行回顾性分析,主要综合国外关于保健集中和分散结果的数据。采用改进的风险管理来评估潜在威胁。根据调查,可以得出结论,集中提供标准医疗保健的卫生保健设施将对更广泛的人口产生重大影响。与此同时,卫生工作者更替的风险显著增加。另一方面,高度专业化的中心需要按区域运作,但需要足够的专业基础设施。必须根据集中于某一特定领域的具体需要的专家研究,有系统地和有系统地执行中央集权和权力下放方面的改革。
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引用次数: 0
Increasing the Level of Procedures to Improve the Preparation of Rescue Units of the Integrated Rescue System During an Adverse Event 提高程序水平,改善综合救援系统中救援单位在不良事件中的准备工作
Pub Date : 2023-01-13 DOI: 10.36682/sss_2022_2
With the growing volume of technology modernization of various types of transport, the number of traffic accidents and incidents also increases. In most cases of these adverse events, the human factor is the cause. Rescuers of the Integrated Rescue System musttherefore respond flexibly to these changes in traffic and, above all, must make changes in the field of tactics when dealing with adverse events and accidents, thereby increasing the level of theoretical and practical training for dealing with such adverse events. The article deals with the change in tactical procedures of rescuers of the integrated rescue system and discusses individual points of additional theoretical and practical training. Of course, the number of accidents for rescue services is also increasing when transporting bicycles or battery scooters. Let's imagine that such a type of transport can reach a speed of up to 50 km/h and more. Such interventions also increase stress, so it is very important to practice these activities during the intervention in order to reduce the effect of stress on the responding paramedic. Abroad, there are various types of simulation centers where rescuers practice various adverse events.
随着各类交通工具技术现代化程度的不断提高,交通事故和事故的数量也在不断增加。在这些不良事件的大多数情况下,人为因素是原因。因此,综合救援系统的救援人员必须灵活应对这些交通变化,最重要的是,在处理不利事件和事故时必须改变战术领域,从而提高处理此类不利事件的理论和实践培训水平。本文论述了综合救援体系中救援人员战术程序的变化,探讨了附加理论和实践训练的个别要点。当然,在运输自行车或电动滑板车时,救援服务的事故数量也在增加。让我们想象一下,这样一种交通工具的速度可以达到50公里/小时甚至更高。这样的干预也会增加压力,所以在干预期间练习这些活动是非常重要的,以减少压力对护理人员的影响。在国外,有各种类型的模拟中心,救援人员在那里练习各种不良事件。
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引用次数: 0
Internal Fires 内部火灾
Pub Date : 2023-01-13 DOI: 10.36682/sss_2022_5
Fires have been a problem for every community since time immemorial. Fire chooses victims of human lives, of their health, of their property, threatening entire cities, butalso ecosystems. For sufficient prevention, since perfect prevention is almost impossible, it is necessary to have as much knowledge about fires as possible and to know their behavior in the room and in the open. If we understand the spread of the fire, we can limit its consequences. An internal fire can be defined as a fire that occurred in an enclosed area of the building, in which persons, animals were killed or their health was directly threatened. An internal fire can also be considered to be a fire in which material damage has occurred. Slovak legal standards are focused on the development of fire safety of buildings on the basis of technical standards and decrees. This method is elaborate and functional and, in general, it can be stated that it covers almost all situations. The subject of the research are areas of fire origin, ie buildings.
自古以来,火灾一直是每个社区的问题。火灾选择了人类生命、健康和财产的受害者,威胁着整个城市,也威胁着生态系统。为了充分预防,因为完美的预防几乎是不可能的,所以有必要尽可能多地了解火灾,了解它们在室内和室外的行为。如果我们了解火势的蔓延,我们就能限制其后果。内部火灾可以定义为发生在建筑物封闭区域的火灾,其中人员,动物死亡或其健康受到直接威胁。内部火灾也可以被认为是发生了物质损害的火灾。斯洛伐克的法律标准侧重于在技术标准和法令的基础上发展建筑物的消防安全。这种方法是详细的和功能性的,总的来说,可以说它涵盖了几乎所有的情况。研究的对象是起火区域,即建筑物。
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引用次数: 0
The Current State of Information Systems of Public Administration for Solving Security Risks 公共管理信息系统解决安全风险的现状
Pub Date : 2023-01-13 DOI: 10.36682/sss_2022_9
We focus on the analysis and assessment of the availability of information on crisis situations on the websites of public administration structures. The periods from 2020 to2022, with their global and regional crisis events, gave us the opportunities to examine how public administration systems are prepared to deal with crisis events. Crisis events that need to be managed on public administration information pages are not only flood, fire, natural disasters, industrial and ecological accidents, but also migration, epidemic, energy crisis, unemployment or labor shortage and the danger of war.
我们的重点是分析和评估公共行政机构网站上关于危机局势信息的可用性。从2020年到2022年,随着全球和区域危机事件的发生,我们有机会研究公共行政系统如何准备应对危机事件。公共行政信息页面需要管理的危机事件不仅包括洪水、火灾、自然灾害、工业和生态事故,还包括移民、流行病、能源危机、失业或劳动力短缺、战争危险等。
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引用次数: 0
The Issue of Security in the Education System of Ukraine in Connection with the Russian-Ukrainian War 与俄乌战争相关的乌克兰教育体系安全问题
Pub Date : 2023-01-13 DOI: 10.36682/sss_2022_14
The article is devoted to security issues that arose in the Ukrainian education system in connection with the Russian-Ukrainian war. The main problems are the safety of participants in the educational process. These problems are most often solved by theintroduction of distance education and the minimization of mass events. The article analyzes the changes introduced in the Ukrainian education system during the war. The second block of questions is related to the strengthening of education on issues of personal and public safety in educational institutions of Ukraine.
这篇文章专门讨论与俄乌战争有关的乌克兰教育系统中出现的安全问题。主要问题是教育过程中参与者的安全问题。这些问题通常通过引入远程教育和尽量减少群众活动来解决。本文分析了战争期间乌克兰教育制度的变化。第二组问题是关于加强乌克兰教育机构关于个人和公共安全问题的教育。
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引用次数: 0
African Emigration to Europe 非洲移民到欧洲
Pub Date : 2023-01-13 DOI: 10.36682/sss_2022_6
From the 1960s onwards , the main source countries for migration from Africa to Europe were Morocco, Algeria and Tunisia, which led to the emergence of large diasporas originating in these countries at the end of the 20th century. In the aftermath of the 1973 oil crisis, immigration controls in Europe were tightened. The result was not a reduction in migration from North Africa, but rather support for the permanent settlement of previously temporary migrants and related family migration. Much of this migration was from the Maghreb to France, the Netherlands, Belgium and Germany. Since the second half of the 1980s, destination countries for Maghreb migrants have expanded to include Spain and Italy due to increased demand for low-skilled labor in these countries. Spain and Italy imposed a visa requirement on migrants from the Maghreb in the early 1990s, resulting in an increase in illegal migration across the Mediterranean.
从20世纪60年代起,非洲移民到欧洲的主要来源国是摩洛哥、阿尔及利亚和突尼斯,这导致了在20世纪末起源于这些国家的大量散居者的出现。1973年石油危机之后,欧洲加强了对移民的控制。其结果不是减少来自北非的移民,而是支持以前临时移民的永久定居和相关的家庭移民。这些移民大部分是从马格里布到法国、荷兰、比利时和德国的。自1980年代后半期以来,马格里布移民的目的地国已扩大到包括西班牙和意大利,因为这些国家对低技能劳动力的需求增加。西班牙和意大利在20世纪90年代初对来自马格里布的移民实行签证要求,导致穿越地中海的非法移民增加。
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引用次数: 0
Evacuation Management of the Anaesthesiology and Resuscitation Department 麻醉与复苏科的疏散管理
Pub Date : 2023-01-13 DOI: 10.36682/sss_2022_4
The unexpectedly announced evacuation of a medical facility brings a number of complications and steps that must be managed in a very short period of time. The presented qualitative research was solved with the help of content retrospective analyzes of available scientific documents by means of a set keyword. Subsequently, from the proven analyzes, a system of evacuation groups and management of prioritization of patient evacuation was compiled using a significance tree. The result of the work is a unique decision-making mechanism for prioritizing patients who have a selection of patients in case of insufficient time to evacuate the entire ward. The proposed decision-making mechanism tries to eliminate the common paradigm of planned evacuation and applies elements of management of mental prioritization of patients from disaster medicine and war medicine to civilian crisis planning in healthcare.
出人意料地宣布撤离医疗设施带来了一些并发症和必须在极短时间内处理的步骤。本文的定性研究是通过对现有科学文献的内容回溯分析,通过设定关键词来解决的。随后,根据已证实的分析,使用显著性树编制了疏散组和患者疏散优先级管理系统。这项工作的结果是一种独特的决策机制,在没有足够的时间撤离整个病房的情况下,优先考虑有选择的患者。拟议的决策机制试图消除计划疏散的常见范例,并将灾害医学和战争医学中患者心理优先次序管理的要素应用于医疗保健中的平民危机规划。
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引用次数: 0
Emergency Management and Possibilities of Involvement of Non-Governmental Organizations 紧急情况管理和非政府组织参与的可能性
Pub Date : 2023-01-13 DOI: 10.36682/sss_2022_7
The study focuses on the issue of extraordinary events such as disruptions in society and the involvement of non-governmental non-profit organizations. The goal is to describe the possibility of involving non-governmental non-profit organizations in dealing with extraordinary events and crisis situations. Rescue and security forces are established in the Czech Republic to deal with emergencies, whose priority mission is to save life, health, property and the environment. In addition to the state-guaranteed components, non-state nonprofit organizations are also involved in the preparation and solution of extraordinary events. The rules of cooperation and coordination according to the Act on the Integrated Rescue System, as amended, apply primarily to their coordination during emergencies. Nongovernmental non-profit organizations, which prepare for longer and systematically and are involved in the solution of extraordinary events, create platforms for cooperation and coordination focused on follow-up activities after rescue work, e.g. monitoring of the affected area, humanitarian, psychosocial, material and financial assistance, consulting and other professional assistance.
这项研究的重点是特别事件的问题,如社会混乱和非政府非营利组织的参与。其目标是描述让非政府非营利组织参与处理特别事件和危机情况的可能性。捷克共和国设立了救援和安全部队以处理紧急情况,其优先任务是拯救生命、健康、财产和环境。除了国家担保的部分,非国家非营利组织也参与了特别事件的准备和解决。经修订的《综合救援制度法》所规定的合作与协调规则主要适用于紧急情况下的协调。非政府非营利组织的准备时间更长、更有系统,并参与了特殊事件的解决,它们为救援工作后的后续活动创造了合作和协调平台,例如受灾地区监测、人道主义、社会心理、物质和财政援助、咨询和其他专业援助。
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引用次数: 0
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International Conference on Safe and Secure Society
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