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LIFEGUARDS’ KNOWLEDGE RETENTION FOLLOWING AIRWAY MANAGEMENT, VENTILATION AND OXYGEN ADMINISTRATION TRAINING 救生员在气道管理、通气和氧气管理培训后的知识保留
Pub Date : 1900-01-01 DOI: 10.36740/emems202104104
Jakub Bieliński, Filip Jaśkiewicz
Aim: To assess the retention of lifeguards’ knowledge after Qualified First Aid Course and its recertification in 3 essential categories: airway management, ventilation and oxygen administration.Material and methods: The study was performed from August 2020 to November 2020. The online survey addressed to lifeguards from 16 provinces of Poland was used as the evaluation method. Analysis of knowledge retention depending on the time that has passed since Qualified First Aid Course or its recertification was carried out on basis of 312 collected questionnaires.Results: Participants obtained the mean score of 7.9 ± 2.5 out of 15 points. Statistically significant difference was found between mean scores achieved by respondents who attended in the full course (n = 171) and those (n = 141) who have taken part in at least 1 recertification (respectively 7.6 ± 2.53 vs. 8.3 ± 2.7 points; p = 0.018). Although data analysis did not show a statistically significant downward trend depending on the time that has passed since Qualified First Aid Course, mean scores obtained by the study group in specific periods of time that has passed since recertification differ significantly (p = 0.026). The study identified 6 areas of knowledge least assimilated by lifeguards respectively: 2 in airway management, 3 in ventilation and 1 in oxygen administration category.Conclusions: Significant downtrend over time after Qualified First Aid Course recertification and detected areas of insufficient knowledge relating to key issues of life support indicates that the lifeguards’ training should be reanalyzed and redesigned carefully.
目的:评估合格急救课程及其重新认证后救生员在气道管理、通气和给氧3个基本类别知识的保留情况。材料与方法:研究时间为2020年8月至2020年11月。对波兰16个省的救生员进行在线调查作为评估方法。根据收集的312份问卷,对《合格急救课程》或《合格急救课程》重新认证后的知识保留情况进行分析。结果:参与者的平均得分为7.9±2.5分(总分15分)。参加过全部课程的受访者(n = 171)与参加过至少1次再认证的受访者(n = 141)的平均得分差异有统计学意义(分别为7.6±2.53分对8.3±2.7分;P = 0.018)。虽然数据分析没有显示出统计学上显著的下降趋势,但研究组在重新认证后的特定时间段内获得的平均分数差异显着(p = 0.026)。研究确定了救生员最不了解的6个知识领域:气道管理2个,通气3个,氧管理1个。结论:在合格急救课程重新认证后,随着时间的推移,发现与生命支持关键问题相关的知识不足的领域显着下降,这表明救生员的培训应该重新分析和重新设计。
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引用次数: 0
STRESS IN THE WORK OF PARAMEDICS DURING THE COVID-19 PANDEMIC COVID-19大流行期间护理人员工作中的压力
Pub Date : 1900-01-01 DOI: 10.36740/emems202204107
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.
2020年3月11日,世界卫生组织(世卫组织)宣布由SARS-CoV-2病毒引起的COVID-19大流行。它在几乎每个国家的公共场所都造成了混乱,公众被迫重新组织他们的日常活动。由于感染一种未知的危险病原体的风险,人们开始经历严重的压力。在这一特定时期,从事保健工作变得极其困难。其中一个特别容易受到压力因素影响的群体是护理人员。他们每天都与感染者接触,成为抗击这种病毒的第一环。因此,找到适当的方法来应对压力是极其重要的。以下策略被证明是有效的:积极应对策略,学习和接受,理解为接受的情况。减轻创伤事件影响的一个重要因素是以健康的方式应对压力的能力,这取决于许多因素,即人格倾向、防御机制和促进健康的行为。
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引用次数: 0
Effectiveness of Supraglottic Airways Management Among Paramedics 护理人员声门上气道管理的有效性
Pub Date : 1900-01-01 DOI: 10.36740/emems202103105
Szymon Wit, Paweł Więch, Marta Kłęk, Marek Muster, Grzegorz Kucaba
Aim: The aim of the study was to evaluate the effectiveness of supraglottic airways management by paramedics using selected methods in simulated conditions.Material 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.results: 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.Conclusions: The supralottic LMA and LT-D tools seem to be an effective and safe alternative of the airway management in case of life emergency
目的:本研究的目的是评估在模拟条件下护理人员使用选定方法对声门上气道管理的有效性。材料和方法:该研究包括在Podkarpackie省各卫生保健机构工作的115名专业活跃护理人员。每个受试者被要求在模拟条件下使用喉罩气道(LMA)和一次性喉管(LT-D)打开气道。本研究评估气道开放的有效性,考虑单次呼吸平均潮气量(ml)、平均分钟潮气量(ml)、插入时间(秒)、第二次尝试的需要(秒)、门牙压力(n)。所得结果进行统计学分析,p0.05)。LMA组的平均单次潮气量明显高于LT-D组(LMA 633.24 ml vs LT-D 579.68 ml, p<0.05)。LMA置入时门牙压力为11.41N±6.22N, LT-D置入时门牙压力为13.15N±3.68N。每四分之一接受检查的医护人员在按照采用的算法正确插入LT-D管方面存在问题。结论:声压过高LMA和LT-D工具似乎是生命紧急情况下气道管理的有效和安全的选择
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引用次数: 0
PERIPHERAL CIRCULATION STAT US AND ITS CORRECTION IN PATIENTSWITH PYODERMA 脓皮病患者外周血循环状况及纠正
Pub Date : 1900-01-01 DOI: 10.36740/emems201902102
Y. Andrashko, M. Alarqan
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引用次数: 0
THE PROFITABILITY ANALYSIS OF AUTOMATED EXTERNAL DEFIBRILLATORS LOCATED IN TRICITY 自动体外除颤器的盈利能力分析
Pub Date : 1900-01-01 DOI: 10.36740/emems201902101
Katarzyna Pogorzelczyk, Tomasz Łopaciński, M. Robakowska, Przemysław Żuratyński, A. Basiński, D. Ślęzak, Agnieszka Wojtecka
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引用次数: 2
The applicability of virtual reality in cardiopulmonary resuscitation training – opinion of medical professionals and students 虚拟现实在心肺复苏训练中的适用性——医务人员和学生的意见
Pub Date : 1900-01-01 DOI: 10.36740/emems201901103
Filip Jaśkiewicz, Krystyna Frydrysiak, Katarzyna Starosta-Głowińska, D. Timler
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引用次数: 3
EMERGENCY PRE-MEDICAL CARE ON THE BATTLEFIELD AS A CRITICAL POINT TO SAVING THE LIFE OF THE WOUNDED 战场上的紧急医疗前护理是挽救伤员生命的关键点
Pub Date : 1900-01-01 DOI: 10.36740/emems202203102
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.
目的:揭示在战斗条件下为伤员提供紧急医疗前护理的特点。资料与方法:研究方法:对科教文献、网络数据进行分析归纳;研究和总结2014- 2022年在乌克兰开展军事行动的经验、世界主要国家和北约军队在战斗条件下向伤员提供紧急医疗前护理的经验。结果:战场上高达90%的潜在死亡原因可以通过及时、高质量地为伤员提供医疗前护理而避免。揭示了在"红"、"黄"和"绿"区敌对行动期间向伤员提供紧急医疗前护理的主要特点。提出了根据北约标准提供紧急医疗前护理的算法。结论:实践证明,高质量的人员战术和医学训练可以显著降低作战伤亡率,提高部队的作战能力和作战任务的有效性。
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引用次数: 0
THE EFFECT OF WORKING IN SHIFTS ON THE NUTRITION HABITS OF EMERGENCY RESPONSE TEAM PARAMEDICS 轮班工作对急救队护理人员营养习惯的影响
Pub Date : 1900-01-01 DOI: 10.36740/emems202301104
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.
目的:护理人员在轮班制度中履行他们的工作职责。轮班工作与许多健康并发症有关,扰乱了他们的生物习惯和自然节奏,妨碍了他们的私人生活,并对营养和睡眠质量产生了负面影响。本研究的目的是评估轮班工作对护理人员营养习惯的影响。材料和方法:该研究是在2019年期间对来自马佐维安省移动应急响应小组的238名护理人员使用诊断调查方法进行的。男性平均年龄39.03±9.27岁,女性平均年龄31.93±7.76岁。为检验组间差异,采用χ2检验,p <0.05为统计学显著性水平。结果:134名医护人员的BMI平均值为24.99±3.36.56.30% (n = 134),有不良的营养习惯。研究发现,导致该职业人群营养习惯不当的主要原因是轮班工作(151;63.44%)和hurry (87;36.54%)。结论:为了最大限度地减少与护理人员营养习惯有关的可能的健康后果,在健康教育过程中纳入有关适当营养规则的问题,并作为职业医学实践的一部分持续监测他们的状况,似乎是必要的。
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引用次数: 0
INFLUENCE OF EMERGENCY MEDICAL STUDENTS TRAINING ON PREPAREDNESS TO PERFORM PAEDIATRIC LIFE SUPPORT 急诊医学生培训对儿科生命支持准备的影响
Pub Date : 1900-01-01 DOI: 10.36740/emems202104107
Jerzy Kiszka, Dawid Filip, Piotr Wasylik
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.
目的:评估最后一年急诊医学生在接受45小时的高级儿科生命支持培训后,在特定类别知识的增加。参加项目与ILS课程对增加儿童高级生命支持领域知识影响的比较。材料与方法:以Rzeszów大学急诊医学三年级138名学生为研究对象。在完成关于儿童紧急医疗服务的45小时培训之前和之后(测试前/测试后),进行了关于儿科生命支持的专有问卷调查。结果:被试后测的平均正确率略高于60,与前测相比有统计学意义的提高,t(276)=6.54;p0.05)。结论:急诊医三年级学生对儿科生命支持知识的了解程度较好。随后几年的学生和个人阅读文献和参与能力发展项目,为新生儿和婴儿执行生命支持程序做好了更好的准备。学生从医学文献中获得的知识逐年减少,对特殊情况下儿童心脏骤停的知识最少。
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引用次数: 0
Influence of the workplace on the feeling of safety among emergency medical personnel in selected European countries during the COVID-19 pandemic 2019冠状病毒病大流行期间欧洲国家工作场所对急救医务人员安全感的影响
Pub Date : 1900-01-01 DOI: 10.36740/emems202302101
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.
目的:新冠肺炎大流行仍是对全球公共卫生的现实威胁。医务人员面临着前所未有的新挑战,他们的身心安全感受到威胁。本文的目的是研究在选定的欧洲国家,在COVID-19大流行期间,紧急医务人员的安全感差异。材料和方法:研究小组由7个国家的1984名紧急医疗服务人员组成。研究工具是一个专有的互联网问卷,在研究开始之前使用Mc-Donald测试进行验证,获得了> 0.7的结果,这表明可靠性水平令人满意。统计学分析采用p = 0.05的显著性水平。采用非参数Mann-Whitney检验和Kruskal-Wallis检验对定量变量进行分组分析。试验的选择是根据变量的分布进行的,并通过Shapiro-Wilk检验进行验证。结果:2019冠状病毒病大流行期间,急诊医疗服务人员的安全感和感染SARS-CoV-2病毒对健康和生命的危机感存在差异,且因岗位而异。遵守卫生条例的原则和对感染的恐惧程度处于类似水平,并取决于工作地点。结论:缺乏安全的风险最大的是紧急医疗反应小组。
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引用次数: 0
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Emergency Medical Service
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