Aim: To assess the impact of the pandemic on the number and mode of admissions and diagnoses in emergency patients transferred by emergency medical services. Material and methods: Data provided by the National Health Fund on the number and mode of hospital admissions and diagnoses according to Uniform Patient Group sections A C D E F G H J K L M Q S for patients admitted in an emergency after being transferred by emergency medical services between March 1 and December 31, 2020 were assessed. The data were analysed by month and compared with the report for the period of March 1 to December 31, 2019. Results: In the analysed period in 2020, the number of hospital admissions dropped by 79,867 cases (17.90%), including by 72,784 (21.14%) for conservative cases and by 7,083 (6.96%) for invasive cases. The highest number of hospital admissions was recorded in March (41,505, 11.33%), including conservative cases (32,005, 11.79%), and the highest number of surgical admissions was seen in July (10,799, 11.39%). In November, the largest decrease in the number of admissions (28,763, 7,85%), including conservative (21,140, 7.78%) and surgical (7,623, 8.04%) admissions, and the number of ICD-10 diagnoses in sections A, C, E, F, G, H , J, K, L, Q, and in sections D and S was recorded in April. Conclusions: The number of conservative and surgical hospital admissions decreased in the investigated period.
{"title":"The impact of the SARS-CoV-2 pandemic on hospital admissions and diagnosis of emergency patients","authors":"L. Marzec, Łukasz Dudziński, Ł. Czyżewski","doi":"10.36740/emems202302104","DOIUrl":"https://doi.org/10.36740/emems202302104","url":null,"abstract":"Aim: To assess the impact of the pandemic on the number and mode of admissions and diagnoses in emergency patients transferred by emergency medical services. \u0000Material and methods: Data provided by the National Health Fund on the number and mode of hospital admissions and diagnoses according to Uniform Patient Group sections A C D E F G H J K L M Q S for patients admitted in an emergency after being transferred by emergency medical services between March 1 and December 31, 2020 were assessed. The data were analysed by month and compared with the report for the period of March 1 to December 31, 2019. \u0000Results: In the analysed period in 2020, the number of hospital admissions dropped by 79,867 cases (17.90%), including by 72,784 (21.14%) for conservative cases and by 7,083 (6.96%) for invasive cases. The highest number of hospital admissions was recorded in March (41,505, 11.33%), including conservative cases (32,005, 11.79%), and the highest number of surgical admissions was seen in July (10,799, 11.39%). In November, the largest decrease in the number of admissions (28,763, 7,85%), including conservative (21,140, 7.78%) and surgical (7,623, 8.04%) admissions, and the number of ICD-10 diagnoses in sections A, C, E, F, G, H , J, K, L, Q, and in sections D and S was recorded in April. \u0000Conclusions: The number of conservative and surgical hospital admissions decreased in the investigated period.","PeriodicalId":433523,"journal":{"name":"Emergency Medical Service","volume":"8 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":"116489831","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: To analyze the knowledge on Advanced Life Support procedures performed in Intensive Care Unit patients in the COVID-19 era as new challenges and procedures among medical staff from January 1 to April 30, 2021. Material and methods: The survey included 102 people, mostly women (68%), the percentage of men was 32%. Results: The vast majority of respondents – 82% are convinced that they know new ALS procedures in ICU patients in the time of the COVID-19 pandemic. The knowledge of procedures among medical personnel was influenced by the fact that they had qualification courses or specializations. The obtained results should be considered alarming, as they show significant gaps in the knowledge of the ALS guidelines during the COVID-19 pandemic. Conclusions: Most of the respondents got acquainted with the new procedures for performing ALS procedures in the time of the COVID-19 pandemic on their own, hence an important conclusion of this survey is the absolute greater popularization, availability and periodic repetition of training among medical personnel in the field of ALS.
{"title":"PERFORMING ADVANCED LIFE SUPPORT TREATMENTS IN INTENSIVE CARE UNIT PATIENTS DURING COVID-19 - NEW CHALLENGES AND PROCEDURES","authors":"A. Chowaniec, Piotr Szwedziński, K. Nadolny","doi":"10.36740/emems202203101","DOIUrl":"https://doi.org/10.36740/emems202203101","url":null,"abstract":"Aim: To analyze the knowledge on Advanced Life Support procedures performed in Intensive Care Unit patients in the COVID-19 era as new challenges and procedures among medical staff from January 1 to April 30, 2021. \u0000Material and methods: The survey included 102 people, mostly women (68%), the percentage of men was 32%. \u0000Results: The vast majority of respondents – 82% are convinced that they know new ALS procedures in ICU patients in the time of the COVID-19 pandemic. The knowledge of procedures among medical personnel was influenced by the fact that they had qualification courses or specializations. The obtained results should be considered alarming, as they show significant gaps in the knowledge of the ALS guidelines during the COVID-19 pandemic. \u0000Conclusions: Most of the respondents got acquainted with the new procedures for performing ALS procedures in the time of the COVID-19 pandemic on their own, hence an important conclusion of this survey is the absolute greater popularization, availability and periodic repetition of training among medical personnel in the field of ALS.","PeriodicalId":433523,"journal":{"name":"Emergency Medical Service","volume":"2 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":"121265936","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}
Michał Dudek, Zbigniew Putowski, Robert Latacz, Robert Kijanka, K. Nadolny, W. Gaszyński
Aim: Emergency Departments (EDs) work organization is a significant challenge for the medical personnel managing them. Space limitations and architectural differences between individual hospitals still existing in many places are one of the main reasons for such a state. The resulting diversity of communication routes, the distribution of particular areas, and the variety of bed resources are only among the many factors hindering the unification of the organization of ED work on a national scale. The “first wave” of the SARS-CoV-2 pandemic had a significant impact on the daily functioning of these departments, which resulted, among others, from the necessity to isolate patients with COVID-19, which should have been carried out according to top-down recommendations. These recommendations imposed specific organizational and logistic solutions on the EDs, including, in particular, the formation of isolation zones for patients suffering from a new infectious disease while maintaining the continuity of providing services to patients not suffering from COVID-19. Their implementation, in the context of the significant diversity of the existing organization of EDs, was, therefore, a challenging task requiring “individual” adaptation of each ED to new, even more, difficult working conditions. This article discusses the related challenges in the ED functioning during the first wave of the COVID-19 pandemic.
{"title":"THE FUNCTIONING OF EMERGENCY DEPARTMENTS DURING THE FIRST WAVE OF THE COVID-19 PANDEMIC","authors":"Michał Dudek, Zbigniew Putowski, Robert Latacz, Robert Kijanka, K. Nadolny, W. Gaszyński","doi":"10.36740/emems202203106","DOIUrl":"https://doi.org/10.36740/emems202203106","url":null,"abstract":"Aim: Emergency Departments (EDs) work organization is a significant challenge for the medical personnel managing them. Space limitations and architectural differences between individual hospitals still existing in many places are one of the main reasons for such a state. The resulting diversity of communication routes, the distribution of particular areas, and the variety of bed resources are only among the many factors hindering the unification of the organization of ED work on a national scale. The “first wave” of the SARS-CoV-2 pandemic had a significant impact on the daily functioning of these departments, which resulted, among others, from the necessity to isolate patients with COVID-19, which should have been carried out according to top-down recommendations. These recommendations imposed specific organizational and logistic solutions on the EDs, including, in particular, the formation of isolation zones for patients suffering from a new infectious disease while maintaining the continuity of providing services to patients not suffering from COVID-19. Their implementation, in the context of the significant diversity of the existing organization of EDs, was, therefore, a challenging task requiring “individual” adaptation of each ED to new, even more, difficult working conditions. This article discusses the related challenges in the ED functioning during the first wave of the COVID-19 pandemic.","PeriodicalId":433523,"journal":{"name":"Emergency Medical Service","volume":"212 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":"123286754","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: To estimate the frequency of medical interventions at passenger airports by calculating the ratio of the number of medical interventions per 100,000 passengers per year. Material and methods: The study was planned as a retrospective study based on historical data on medical interventions at airports in Poland. The five-year period from 2016-2020 was adopted as the research period. The research was based on questionnaires sent to the authorities of all airports in Poland. Results: The results were obtained only from 4 certified passenger airports in Poland (out of all 14 certified passengers airports in Poland). The rate of medical interventions was estimated. On the basis of data from 5 certified passenger airports in Poland, the method of providing medical care at airports was characterized in the article. Conclusions: The medical intervention ratio at Polish airports in 2016-2020 was 9.54 per 100,000 passengers per year. The COVID-19 epidemic has significantly increased the number of medical interventions at airports.
{"title":"THE FREQUENCY OF MEDICAL INTERVENTIONS AT PASSENGER AIRPORTS IN POLAND IN 2016-2020","authors":"Jan Stachurski","doi":"10.36740/emems202203108","DOIUrl":"https://doi.org/10.36740/emems202203108","url":null,"abstract":"Aim: To estimate the frequency of medical interventions at passenger airports by calculating the ratio of the number of medical interventions per 100,000 passengers per year. \u0000Material and methods: The study was planned as a retrospective study based on historical data on medical interventions at airports in Poland. The five-year period from 2016-2020 was adopted as the research period. The research was based on questionnaires sent to the authorities of all airports in Poland. \u0000Results: The results were obtained only from 4 certified passenger airports in Poland (out of all 14 certified passengers airports in Poland). The rate of medical interventions was estimated. On the basis of data from 5 certified passenger airports in Poland, the method of providing medical care at airports was characterized in the article. \u0000Conclusions: The medical intervention ratio at Polish airports in 2016-2020 was 9.54 per 100,000 passengers per year. The COVID-19 epidemic has significantly increased the number of medical interventions at airports.","PeriodicalId":433523,"journal":{"name":"Emergency Medical Service","volume":"138 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":"128492831","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: To study of thyroid hormones with one-time determination of risk factors in the laboratory. Material and methods: The examination included the following researches: questionnaire, ultrasound examination with fine-needle aspiration (FNA), cytological examination, determination of the concentration of thyroid hormones and determining the body mass index. Results and conclusions: the size and area of the tumor according to ultrasound (H = 2.30, p> 0.05 and H = 1.92, p> 0.05, respectively). At the same time, patients of the 1st group were younger in age than (when) compared with patients of other groups. For benign thyroid tumors (group I) are characterized by the following data: the level of free thyroxine (FT4) in the serum of 66.7% of patients did not exceed normal and averaged 14.0 (8.0-16.29) pmol/l. Group with suspected tumor malignancy include: very low concentration of FT4 in serum (1.94 (1.44-7.00) pmol/l); high level of FT3 production in 40.0% of cases with a shift of the mean values to the upper limit of the reference interval. Thyroid status of patients with malignant thyroid tumors (group III) is characterized by elevated levels of TSH compared with benign tumors (p <0.05) and suspected malignancy of the tumor (p <0.1). A significant decrease in the production of FT4 in the serum (7.4 times compared with the benign course; p <0.001) against the background of average regulatory levels of FT3.
{"title":"The Role of the Laboratory Service in the Timely Assessment Of Risk Factors in Patients with Thyroid Nodules as a Tool to Prevent Postoperative Complications","authors":"O. I. Zalyubovska, N. О. Hladkykh, M. Polion","doi":"10.36740/emems202103111","DOIUrl":"https://doi.org/10.36740/emems202103111","url":null,"abstract":"Aim: To study of thyroid hormones with one-time determination of risk factors in the laboratory. \u0000Material and methods: The examination included the following researches: questionnaire, ultrasound examination with fine-needle aspiration (FNA), cytological examination, determination of the concentration of thyroid hormones and determining the body mass index.\u0000Results and conclusions: the size and area of the tumor according to ultrasound (H = 2.30, p> 0.05 and H = 1.92, p> 0.05, respectively). At the same time, patients of the 1st group were younger in age than (when) compared with patients of other groups. For benign thyroid tumors (group I) are characterized by the following data: the level of free thyroxine (FT4) in the serum of 66.7% of patients did not exceed normal and averaged 14.0 (8.0-16.29) pmol/l. Group with suspected tumor malignancy include: very low concentration of FT4 in serum (1.94 (1.44-7.00) pmol/l); high level of FT3 production in 40.0% of cases with a shift of the mean values to the upper limit of the reference interval. Thyroid status of patients with malignant thyroid tumors (group III) is characterized by elevated levels of TSH compared with benign tumors (p <0.05) and suspected malignancy of the tumor (p <0.1). A significant decrease in the production of FT4 in the serum (7.4 times compared with the benign course; p <0.001) against the background of average regulatory levels of FT3.","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":"121629091","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, Yuliia I. Martenko, Sergii A. Basarab, S. Okhrimenko, Nataliia A Liakhova, K. Prontenko
Aim: To identify approaches to the practice of providing psychological assistance to law enforcement officers in extreme (crisis) situations. Material and methods: Research methods: bibliosemantic, forecasting, comparative, analysis, and generalization. Clarification of the etymology of extreme (crisis) situations allowed us to identify approaches and techniques of psychological assistance to law enforcement officers after their stay in extreme (crisis) situations and stressful conditions. Law enforcement officers often experience such emotions in extreme situations and stressful conditions as fear, anger, powerlessness, despair, and confusion. The use of psychological debriefing in work with law enforcement officers can help overcome the negative effects of stress after a crisis incident, as well as develop skills that may be needed in the event of a repeated encounter with similar events. Conclusions: The toolkit of professional psychological assistance to law enforcement officers should focus primarily on increasing their communicative open¬ness and social confidence. The psycho-correctional practice involves the best possible adaptation of law enforcement officers to the requirements of an extreme situation, enabling them to master it, weaken or mitigate these requirements, and try to avoid or get used to them.
{"title":"Practice of providing psychological assistance to law enforcement officers in extreme (crisis) situations","authors":"I. Okhrimenko, Yuliia I. Martenko, Sergii A. Basarab, S. Okhrimenko, Nataliia A Liakhova, K. Prontenko","doi":"10.36740/emems202302107","DOIUrl":"https://doi.org/10.36740/emems202302107","url":null,"abstract":"Aim: To identify approaches to the practice of providing psychological assistance to law enforcement officers in extreme (crisis) situations. \u0000Material and methods: Research methods: bibliosemantic, forecasting, comparative, analysis, and generalization. Clarification of the etymology of extreme (crisis) situations allowed us to identify approaches and techniques of psychological assistance to law enforcement officers after their stay in extreme (crisis) situations and stressful conditions. \u0000Law enforcement officers often experience such emotions in extreme situations and stressful conditions as fear, anger, powerlessness, despair, and confusion. The use of psychological debriefing in work with law enforcement officers can help overcome the negative effects of stress after a crisis incident, as well as develop skills that may be needed in the event of a repeated encounter with similar events. \u0000Conclusions: The toolkit of professional psychological assistance to law enforcement officers should focus primarily on increasing their communicative open¬ness and social confidence. The psycho-correctional practice involves the best possible adaptation of law enforcement officers to the requirements of an extreme situation, enabling them to master it, weaken or mitigate these requirements, and try to avoid or get used to them.","PeriodicalId":433523,"journal":{"name":"Emergency Medical Service","volume":"18 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":"127511348","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: Cardiac traumas are of great danger as they have life threatening potential. Although the patient may have normal vital signs at the time of admission the rate of mortality rate has been reported up to 69%. We believe that conducting the initial evaluation and early intervention by a cardiac surgeon may have an impact on decreased mortality. Material and methods: This study has been conducted with 22 patients that have been admitted with cardiac trauma history. The subjects who were operated after applying to emergency service have been enrolled in this retrospective analysis. İndividuals died due to cardiac arrest at admission have been excluded from the study. The subjects with penetrating cardiac injury who have undergone sternotomy or thoracotomy has been included in the analysis. Results: At the time of admission 4 patients has been presented with shock and 2 patients had been administered resuscitation due to cardiac arrest. The gun shot wound cases were 27% (n=6) and of these cases 3 of them were alive while the remaining 3 died. The stab wound cases were 73% (n=16) withh a higher survival rate of 75% (n=4/16). Thoracotomy has been conducted less than sternotomy as the rate was 13.6% (n=3) versus 86.4% (n=19). The overall rate of mortality has been found as 32% (n=7). Conclusıon: According to the results of this study one can say that conducting initial intervention to cardiac trauma patients by a cardiac surgeon reduced the rate of mortality and morbidity.
{"title":"OUTCOMES OF PENETRATING CARDIAC INJURIES – A CARDIAC SURGEON APPROACH TO 22 CASES","authors":"A. Duzgun, E. Ilkeli","doi":"10.36740/emems202104102","DOIUrl":"https://doi.org/10.36740/emems202104102","url":null,"abstract":"Aim: Cardiac traumas are of great danger as they have life threatening potential. Although the patient may have normal vital signs at the time of admission the rate of mortality rate has been reported up to 69%. We believe that conducting the initial evaluation and early intervention by a cardiac surgeon may have an impact on decreased mortality.\u0000Material and methods: This study has been conducted with 22 patients that have been admitted with cardiac trauma history. The subjects who were operated after applying to emergency service have been enrolled in this retrospective analysis. İndividuals died due to cardiac arrest at admission have been excluded from the study. The subjects with penetrating cardiac injury who have undergone sternotomy or thoracotomy has been included in the analysis.\u0000Results: At the time of admission 4 patients has been presented with shock and 2 patients had been administered resuscitation due to cardiac arrest. The gun shot wound cases were 27% (n=6) and of these cases 3 of them were alive while the remaining 3 died. The stab wound cases were 73% (n=16) withh a higher survival rate of 75% (n=4/16). Thoracotomy has been conducted less than sternotomy as the rate was 13.6% (n=3) versus 86.4% (n=19). The overall rate of mortality has been found as 32% (n=7).\u0000Conclusıon: According to the results of this study one can say that conducting initial intervention to cardiac trauma patients by a cardiac surgeon reduced the rate of mortality and morbidity.","PeriodicalId":433523,"journal":{"name":"Emergency Medical Service","volume":"17 3","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131745609","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, D. Ślęzak, Michał Rogowski, A. Basiński, Sylwia Jałtuszewska
Poland is the only country in the world, which has a uniform nationwide command support system for medical rescue, integrated with the command support systems of the National Fire Service and the Police. SWD PRM is un-derstood as an ICT system that enables receiving alarm notifications from emergency notification centers and noti-fications about incidents, dispatching of emergency medical services, recording medical incidents, presentation of geographical location of the incident site, positioning of emergency medical services and support of tasks execution by emergency medical services and provincial coordinator of medical rescue. The purpose of this paper is to present assumptions of the SWD PRM system and history of its implementation as well as available technical and system capabilities. Its greatest advantage is the fact that it is a uniform nationwide teleinformatic system collecting data about medical events. Its functioning in terms of information and data collection allows for improvement of plan-ning and organization of the PRM system, which enables effective management of available forces and resources, which translates into shortening the waiting time for assistance for a person in a state of emergency by reducing the time of arrival of the Medical Rescue Unit at the scene of the event.
{"title":"COMMAND SUPPORT SYSTEM EMS (SWD PRM)","authors":"M. Robakowska, A. Tyrańska-Fobke, D. Ślęzak, Michał Rogowski, A. Basiński, Sylwia Jałtuszewska","doi":"10.36740/emems202103102","DOIUrl":"https://doi.org/10.36740/emems202103102","url":null,"abstract":"Poland is the only country in the world, which has a uniform nationwide command support system for medical rescue, integrated with the command support systems of the National Fire Service and the Police. SWD PRM is un-derstood as an ICT system that enables receiving alarm notifications from emergency notification centers and noti-fications about incidents, dispatching of emergency medical services, recording medical incidents, presentation of geographical location of the incident site, positioning of emergency medical services and support of tasks execution by emergency medical services and provincial coordinator of medical rescue. The purpose of this paper is to present assumptions of the SWD PRM system and history of its implementation as well as available technical and system capabilities. Its greatest advantage is the fact that it is a uniform nationwide teleinformatic system collecting data about medical events. Its functioning in terms of information and data collection allows for improvement of plan-ning and organization of the PRM system, which enables effective management of available forces and resources, which translates into shortening the waiting time for assistance for a person in a state of emergency by reducing the time of arrival of the Medical Rescue Unit at the scene of the event.","PeriodicalId":433523,"journal":{"name":"Emergency Medical Service","volume":"2 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":"130263509","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}
The shortages of medical staff, especially medical ones, are increasingly contributing to the failure of Polish health care. The available data and forecasts are pessimistic, therefore it seems appropriate to create a new medical profession that will be able to fill the gap that has arisen among medical personnel (especially in terms of surgical specialties and closely related anasthesiology and intensive therapy). The Physican Assistant is a common and respected profession in the health care system of many developed and developing countries. Currently, 18 countries around the world have a fully developed PA training system in which, after training, Physician Assistants fully perform their specific duties. In many countries, the PA program is a pilot program. These countries include, among others, Poland, where the duties of PA have so far been performed in the pilot program by paramedics after undergraduate studies. The PA pilot program was very positively assessed by the entire hospital community, both medical staff and management.
{"title":"THE SURGICAL PHYSICIAN ASSISTANT – THE MISSING LINK IN THE POLISH HEALTH CARE SYSTEM","authors":"Karol Froń, Marcin Chrapek, J. Waszak","doi":"10.36740/emems202202108","DOIUrl":"https://doi.org/10.36740/emems202202108","url":null,"abstract":"The shortages of medical staff, especially medical ones, are increasingly contributing to the failure of Polish health care. The available data and forecasts are pessimistic, therefore it seems appropriate to create a new medical profession that will be able to fill the gap that has arisen among medical personnel (especially in terms of surgical specialties and closely related anasthesiology and intensive therapy). The Physican Assistant is a common and respected profession in the health care system of many developed and developing countries. Currently, 18 countries around the world have a fully developed PA training system in which, after training, Physician Assistants fully perform their specific duties. In many countries, the PA program is a pilot program. These countries include, among others, Poland, where the duties of PA have so far been performed in the pilot program by paramedics after undergraduate studies. The PA pilot program was very positively assessed by the entire hospital community, both medical staff and management.","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":"128681434","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: To study the effectiveness of the use of a combination of L-carnitine and arginine to improve the results of treatment of cardiac surgery patients with acute left ventricular failure who underwent CABG with cardiopulmonary bypass (CPB). Material and methods: 500 patients were operated. All of them underwent CABG with CPB. Sixty patients who required inotropic support in the postoperative period were selected. The patients were divided into two groups of 30 people each. Inotropic support with dobutamine and metabolic support with a combination of levocarnitine and arginine were used to stabilize hemodynamics in the basic group. Stabilization was performed with dobutamine alone in the control group. Results: The venous saturation during the period of hemodynamic stabilization was higher in basic group. In the basic group, the recovery time of hemodynamics and the total dose of the inotropic drug were shorter/lower than in the control one. Conclusions: The groups of patients were homogeneous and the process of hemodynamic stabilization was achieved in both groups. The combination of Levocarnitine and Arginine has a pronounced antihypoxic effect on the myocardium. Using this combination can reduce the hemodynamic recovery time by 1.3 times and reduce the total dose of the inotropic drug by 1.33 times.
{"title":"Metabolic component of acute left ventricular failure treatment in patients who underwent on-pump coronary artery bypass grafting","authors":"V. Cherniy, Y. Kurylenko","doi":"10.36740/emems202201104","DOIUrl":"https://doi.org/10.36740/emems202201104","url":null,"abstract":"Aim: To study the effectiveness of the use of a combination of L-carnitine and arginine to improve the results of treatment of cardiac surgery patients with acute left ventricular failure who underwent CABG with cardiopulmonary bypass (CPB). \u0000Material and methods: 500 patients were operated. All of them underwent CABG with CPB. Sixty patients who required inotropic support in the postoperative period were selected. The patients were divided into two groups of 30 people each. Inotropic support with dobutamine and metabolic support with a combination of levocarnitine and arginine were used to stabilize hemodynamics in the basic group. Stabilization was performed with dobutamine alone in the control group. \u0000Results: The venous saturation during the period of hemodynamic stabilization was higher in basic group. In the basic group, the recovery time of hemodynamics and the total dose of the inotropic drug were shorter/lower than in the control one. \u0000Conclusions: The groups of patients were homogeneous and the process of hemodynamic stabilization was achieved in both groups. The combination of Levocarnitine and Arginine has a pronounced antihypoxic effect on the myocardium. Using this combination can reduce the hemodynamic recovery time by 1.3 times and reduce the total dose of the inotropic drug by 1.33 times.","PeriodicalId":433523,"journal":{"name":"Emergency Medical Service","volume":"6 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":"115557647","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}
京公网安备 11010802042870号
京ICP备2023020795号-1
扫码关注我们
求助内容：
应助结果提醒方式：