{"title":"THE USE OF OTC DRUGS IN POLISH SOCIETY AND AWARENESS OF THE RISK\u0000RESULTING FROM THEIR ABUSE","authors":"I. Siwek, A. Ślifirczyk, K. Chomicz","doi":"10.36740/emems201902103","DOIUrl":"https://doi.org/10.36740/emems201902103","url":null,"abstract":"","PeriodicalId":433523,"journal":{"name":"Emergency Medical Service","volume":"87 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":"133673462","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
Aim: To reveal the main ways and means of evacuating the wounded from the battlefield. Materials 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. Conclusions: 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.
{"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}
K. Marczewski, N. Gospodarczyk, A. Gospodarczyk, Dagmara Galle, M. Tkocz, K. Sosada
On March 11, 2020, the World Health Organization (WHO) announced the COVID-19 pandemic, caused by the SARS-CoV-2 virus. It caused chaos in public spaces in almost every country, and the public was forced to reorganize their daily functioning. People began to experience severe stress due to the risk of infection from an unexplored and dangerous pathogen. During this specific period, working in health care became extremely difficult. One of the groups particularly exposed to stress factors turned out to be paramedics. Having daily contact with an infected person, they became the first link in the fight against this virus. Therefore, it was extremely important to develop appropriate ways to cope with stress. The following strategies proved to be effective: active coping strategy, learning, and acceptance, understood as acceptance of the situation. A significant factor in mitigating the effects of traumatic events was the ability to respond to stress in a healthy way, which depended on many factors, i.e. personality dispositions, defense mechanisms, and health-promoting behaviors.
{"title":"STRESS IN THE WORK OF PARAMEDICS DURING THE COVID-19 PANDEMIC","authors":"K. Marczewski, N. Gospodarczyk, A. Gospodarczyk, Dagmara Galle, M. Tkocz, K. Sosada","doi":"10.36740/emems202204107","DOIUrl":"https://doi.org/10.36740/emems202204107","url":null,"abstract":"On March 11, 2020, the World Health Organization (WHO) announced the COVID-19 pandemic, caused by the SARS-CoV-2 virus. It caused chaos in public spaces in almost every country, and the public was forced to reorganize their daily functioning. People began to experience severe stress due to the risk of infection from an unexplored and dangerous pathogen. During this specific period, working in health care became extremely difficult. One of the groups particularly exposed to stress factors turned out to be paramedics. Having daily contact with an infected person, they became the first link in the fight against this virus. Therefore, it was extremely important to develop appropriate ways to cope with stress. The following strategies proved to be effective: active coping strategy, learning, and acceptance, understood as acceptance of the situation. A significant factor in mitigating the effects of traumatic events was the ability to respond to stress in a healthy way, which depended on many factors, i.e. personality dispositions, defense mechanisms, and health-promoting behaviors.","PeriodicalId":433523,"journal":{"name":"Emergency Medical Service","volume":"218 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":"134523656","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}
Katarzyna Pogorzelczyk, Tomasz Łopaciński, M. Robakowska, Przemysław Żuratyński, A. Basiński, D. Ślęzak, Agnieszka Wojtecka
{"title":"THE PROFITABILITY ANALYSIS OF AUTOMATED EXTERNAL DEFIBRILLATORS LOCATED IN TRICITY","authors":"Katarzyna Pogorzelczyk, Tomasz Łopaciński, M. Robakowska, Przemysław Żuratyński, A. Basiński, D. Ślęzak, Agnieszka Wojtecka","doi":"10.36740/emems201902101","DOIUrl":"https://doi.org/10.36740/emems201902101","url":null,"abstract":"","PeriodicalId":433523,"journal":{"name":"Emergency Medical Service","volume":"20 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":"114172767","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":"Analysis of intervention causes of HEMS teams in a group of patients over 60 years of age","authors":"M. Podgórski, P. Rzońca, Robert Gałązkowski","doi":"10.36740/emems201901102","DOIUrl":"https://doi.org/10.36740/emems201901102","url":null,"abstract":"","PeriodicalId":433523,"journal":{"name":"Emergency Medical Service","volume":"29 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":"114456685","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}
Tomasz P Ilczak, M. Szlagor, Michał Ćwiertnia, Kacper Sumera, E. Navarro-Illana, Arkadiusz Stasicki, P. Białoń, Beata Kudłacik, Mieczysław Dutka, J. Bujok, M. Mikulska, Wioletta Waksmańska, R. Bobiński, Marek Kawecki
Aim: The COVID-19 pandemic is still a real threat to global public health. Medical personnel face new, previously unencountered challenges, and their feel¬ing of physical and psychological safety is under threat. The aim of the paper is to examine the differences in the feeling of safety among emergency medical personnel during the COVID-19 pandemic in selected European countries. Material and methods: The study group consisted of 1984 people working in the emergency medical services in seven countries. The research tool was a proprietary internet questionnaire, which prior to commencement of the research was validated using the Mc-Donald test, achieving a result of > 0.7, which underlines a satisfactory level of reliability. In the statistical analysis, a significance level of p = 0.05 was adopted. Analysis of the quantitative variables, presented by division into groups, was conducted using the non-parametric Mann-Whitney and Kruskal-Wallis tests. The choice of tests was conducted on the basis of the distribution of variables, verified by the Shapiro-Wilk test. Results: During the COVID-19 pandemic, the feeling of safety among employees of the emergency medical services and the feeling of danger to health and life as a result of infection with the SARS-CoV-2 virus was varied and depended on the job position. Principles for observing the sanitary regulations and the level of fear of infection are at a similar level and depend on place of work. Conclusions: Those most at risk from a lack of safety are emergency medical response teams.
{"title":"Influence of the workplace on the feeling of safety among emergency medical personnel in selected European countries during the COVID-19 pandemic","authors":"Tomasz P Ilczak, M. Szlagor, Michał Ćwiertnia, Kacper Sumera, E. Navarro-Illana, Arkadiusz Stasicki, P. Białoń, Beata Kudłacik, Mieczysław Dutka, J. Bujok, M. Mikulska, Wioletta Waksmańska, R. Bobiński, Marek Kawecki","doi":"10.36740/emems202302101","DOIUrl":"https://doi.org/10.36740/emems202302101","url":null,"abstract":"Aim: The COVID-19 pandemic is still a real threat to global public health. Medical personnel face new, previously unencountered challenges, and their feel¬ing of physical and psychological safety is under threat. The aim of the paper is to examine the differences in the feeling of safety among emergency medical personnel during the COVID-19 pandemic in selected European countries. \u0000Material and methods: The study group consisted of 1984 people working in the emergency medical services in seven countries. The research tool was a proprietary internet questionnaire, which prior to commencement of the research was validated using the Mc-Donald test, achieving a result of > 0.7, which underlines a satisfactory level of reliability. In the statistical analysis, a significance level of p = 0.05 was adopted. Analysis of the quantitative variables, presented by division into groups, was conducted using the non-parametric Mann-Whitney and Kruskal-Wallis tests. The choice of tests was conducted on the basis of the distribution of variables, verified by the Shapiro-Wilk test. \u0000Results: During the COVID-19 pandemic, the feeling of safety among employees of the emergency medical services and the feeling of danger to health and life as a result of infection with the SARS-CoV-2 virus was varied and depended on the job position. Principles for observing the sanitary regulations and the level of fear of infection are at a similar level and depend on place of work. \u0000Conclusions: Those most at risk from a lack of safety are emergency medical response teams.","PeriodicalId":433523,"journal":{"name":"Emergency Medical Service","volume":"38 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":"127872715","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}
J. Chmielewski, Aneta Kosoń, M. Wojciechowska, Natalia Sady, M. Motyl, Z. Wróblewska, Izabela Chojnowska-Ćwiąkała
Aim: Paramedics carry out their work duties in a shift system. Shift work is related to a multitude of health complications, disrupting their biological habits and natural rhythm, impeding their private life and negatively affecting nutrition and the quality of sleep. The aim of the study was the evaluation of the effect of shift work on the nutrition habits of paramedics. Material and methods: The study was carried out in the period between in 2019 using diagnostic survey methodology among a group of 238 paramedics from mobile Emergency Response Teams of the Mazovian voivodeship. The mean age of the participants was 39.03±9.27 years for males and 31.93±7.76 years for females. In order to examine the differences between the groups, the χ2 test was used with an established statistical significance level of p <0.05. Results: Among the paramedics, the mean value of BMI was at a level of 24.99±3.36.56.30% (n = 134) of the participants indicated exhibiting improper nutrition habits. As the research found, the reasons for the improper nutrition habits in this occupational group are primarily shift work (151; 63.44%) and hurry (87; 36.54%). Conclusions: In order to minimize the possible health consequences related to the nutrition habits of paramedics, it seems essential to incorporate issues concerning the rules of proper nutrition in the health education process, as well as continuously monitoring their condition as part of occupational medicine practice.
{"title":"THE EFFECT OF WORKING IN SHIFTS ON THE NUTRITION HABITS OF EMERGENCY RESPONSE TEAM PARAMEDICS","authors":"J. Chmielewski, Aneta Kosoń, M. Wojciechowska, Natalia Sady, M. Motyl, Z. Wróblewska, Izabela Chojnowska-Ćwiąkała","doi":"10.36740/emems202301104","DOIUrl":"https://doi.org/10.36740/emems202301104","url":null,"abstract":"Aim: Paramedics carry out their work duties in a shift system. Shift work is related to a multitude of health complications, disrupting their biological habits and natural rhythm, impeding their private life and negatively affecting nutrition and the quality of sleep. The aim of the study was the evaluation of the effect of shift work on the nutrition habits of paramedics. \u0000Material and methods: The study was carried out in the period between in 2019 using diagnostic survey methodology among a group of 238 paramedics from mobile Emergency Response Teams of the Mazovian voivodeship. The mean age of the participants was 39.03±9.27 years for males and 31.93±7.76 years for females. In order to examine the differences between the groups, the χ2 test was used with an established statistical significance level of p <0.05. \u0000Results: Among the paramedics, the mean value of BMI was at a level of 24.99±3.36.56.30% (n = 134) of the participants indicated exhibiting improper nutrition habits. As the research found, the reasons for the improper nutrition habits in this occupational group are primarily shift work (151; 63.44%) and hurry (87; 36.54%). \u0000Conclusions: In order to minimize the possible health consequences related to the nutrition habits of paramedics, it seems essential to incorporate issues concerning the rules of proper nutrition in the health education process, as well as continuously monitoring their condition as part of occupational medicine practice.","PeriodicalId":433523,"journal":{"name":"Emergency Medical Service","volume":"42 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":"129228555","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":"PERIPHERAL CIRCULATION STAT US AND ITS CORRECTION IN PATIENTS\u0000WITH PYODERMA","authors":"Y. Andrashko, M. Alarqan","doi":"10.36740/emems201902102","DOIUrl":"https://doi.org/10.36740/emems201902102","url":null,"abstract":"","PeriodicalId":433523,"journal":{"name":"Emergency Medical Service","volume":"156 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":"121877594","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}
Aim: Assessment of the increase in knowledge in specific categories among students of the last-year emergency medical students after 45-hour training in advanced paediatric life support. Comparison of the impact of participation in the project and the ILS course on the increase of knowledge in the field of advanced life support in children. Material and methods: 138 third-year emergency medical students of the University of Rzeszów were studied. A proprietary questionnaire on paediatric life support was conducted before and after completing a 45-hour training on emergency medical services in children (pretest/posttest). Results: The mean percentage of subjects’ correct answers in the post-test was slightly over 60 which was statistically significantly higher compared to the pre-test, t(276)=6.54; p<0.001. The highest percentage of correct answers concerned paediatric basic life support and AED (M=77.78; SD=12.47), while the lowest – cardiac arrest in children in special situations (M=60.54; SD=21.06). No statistically significant relationship was found between the percentage of correct answers in the pre-test/post-test and the respondents’ age, gender and participation in a competence development project (p>0.05). Conclusions: The knowledge of paediatric life support among the third year emergency medical students is good. The students of subsequent years and individuals reading the literature and participating in the competence development project are better prepared to perform life support procedures in newborns and infants. From year to year, students gain less knowledge from medical literature and have the least knowledge on cardiac arrest in children in special circumstances.
{"title":"INFLUENCE OF EMERGENCY MEDICAL STUDENTS TRAINING ON PREPAREDNESS TO PERFORM PAEDIATRIC LIFE SUPPORT","authors":"Jerzy Kiszka, Dawid Filip, Piotr Wasylik","doi":"10.36740/emems202104107","DOIUrl":"https://doi.org/10.36740/emems202104107","url":null,"abstract":"Aim: Assessment of the increase in knowledge in specific categories among students of the last-year emergency medical students after 45-hour training in advanced paediatric life support. Comparison of the impact of participation in the project and the ILS course on the increase of knowledge in the field of advanced life support in children.\u0000Material and methods: 138 third-year emergency medical students of the University of Rzeszów were studied. A proprietary questionnaire on paediatric life support was conducted before and after completing a 45-hour training on emergency medical services in children (pretest/posttest).\u0000Results: The mean percentage of subjects’ correct answers in the post-test was slightly over 60 which was statistically significantly higher compared to the pre-test, t(276)=6.54; p<0.001. The highest percentage of correct answers concerned paediatric basic life support and AED (M=77.78; SD=12.47), while the lowest – cardiac arrest in children in special situations (M=60.54; SD=21.06). No statistically significant relationship was found between the percentage of correct answers in the pre-test/post-test and the respondents’ age, gender and participation in a competence development project (p>0.05).\u0000Conclusions: The knowledge of paediatric life support among the third year emergency medical students is good. The students of subsequent years and individuals reading the literature and participating in the competence development project are better prepared to perform life support procedures in newborns and infants. From year to year, students gain less knowledge from medical literature and have the least knowledge on cardiac arrest in children in special circumstances.","PeriodicalId":433523,"journal":{"name":"Emergency Medical Service","volume":"15 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":"122228034","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}
I. Okhrimenko, N. A. Lyakhova, Taras G. Nagaynik, O.O. Zimnikov, V. Prontenko
Aim: To reveal the peculiarities of providing emergency pre-medical care to the wounded in combat conditions. Material and methods: Research methods: analysis and generalization of scientific and educational literature, data from the Internet; study and generalization of the experience of conducting military operations in Ukraine in 2014- 2022, the experience of the armies of the leading countries of the world and NATO in providing emergency pre-medical care to the wounded in combat conditions. Results: It has been found that up to 90 % of all the potentially possible causes of death on the battlefield can be avoided thanks to the timely and high-quality provision of pre-medical care to the wounded. The main peculiarities of providing emergency pre-medical care to the wounded during hostilities in the “red”, “yellow” and “green” zones have been revealed. The algorithm for providing emergency pre-medical care according to NATO standards has been presented. Conclusions: It has been proven that high-quality tactical and medical training of personnel significantly reduces the percentage of combat casualties, increases the combat capability of the unit and the effectiveness of the combat mission.
{"title":"EMERGENCY PRE-MEDICAL CARE ON THE BATTLEFIELD AS A CRITICAL POINT TO SAVING THE LIFE OF THE WOUNDED","authors":"I. Okhrimenko, N. A. Lyakhova, Taras G. Nagaynik, O.O. Zimnikov, V. Prontenko","doi":"10.36740/emems202203102","DOIUrl":"https://doi.org/10.36740/emems202203102","url":null,"abstract":"Aim: To reveal the peculiarities of providing emergency pre-medical care to the wounded in combat conditions. \u0000Material and methods: Research methods: analysis and generalization of scientific and educational literature, data from the Internet; study and generalization of the experience of conducting military operations in Ukraine in 2014- 2022, the experience of the armies of the leading countries of the world and NATO in providing emergency pre-medical care to the wounded in combat conditions. \u0000Results: It has been found that up to 90 % of all the potentially possible causes of death on the battlefield can be avoided thanks to the timely and high-quality provision of pre-medical care to the wounded. The main peculiarities of providing emergency pre-medical care to the wounded during hostilities in the “red”, “yellow” and “green” zones have been revealed. The algorithm for providing emergency pre-medical care according to NATO standards has been presented. \u0000Conclusions: It has been proven that high-quality tactical and medical training of personnel significantly reduces the percentage of combat casualties, increases the combat capability of the unit and the effectiveness of the combat mission.","PeriodicalId":433523,"journal":{"name":"Emergency Medical Service","volume":"116 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":"117174260","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}
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