Recent years have seen intensive development of ICU treatment protocols. Today it is possible to treat patients who in the past would not have had a chance of survival. People under the care of the unit typically suffer from cardiovascular or respiratory failure. Therefore, the aim of this paper is to discuss the basic techniques used by physiotherapeutic staff and the contribution they make to the treatment of patients at the ICU. In our article, we analyzed the risks associated with long-term hospitalization and the characteristics of the ICU patient, and presented the ways in which a physical therapist can improve the patient’s health. We have identified the main goals of ICU physical therapy and specified the intention with which specific physiotherapeutic procedures are introduced. The physical therapist should be part of a medical team whose goal is for the patient recover as quickly as possible. The role of the physical therapist in the ICU is not only to help the patient to improve in the shortest time possible, but also to prevent the undesirable effects of hypokinesia and long-term treatment in the ICU.
{"title":"The Role of Physical Therapy in the Intensive Care Unit","authors":"Zofia Kosson, M. Paśnicki, M. Kolacz","doi":"10.36740/emems202103108","DOIUrl":"https://doi.org/10.36740/emems202103108","url":null,"abstract":"Recent years have seen intensive development of ICU treatment protocols. Today it is possible to treat patients who in the past would not have had a chance of survival. People under the care of the unit typically suffer from cardiovascular or respiratory failure. Therefore, the aim of this paper is to discuss the basic techniques used by physiotherapeutic staff and the contribution they make to the treatment of patients at the ICU. In our article, we analyzed the risks associated with long-term hospitalization and the characteristics of the ICU patient, and presented the ways in which a physical therapist can improve the patient’s health. We have identified the main goals of ICU physical therapy and specified the intention with which specific physiotherapeutic procedures are introduced. The physical therapist should be part of a medical team whose goal is for the patient recover as quickly as possible. The role of the physical therapist in the ICU is not only to help the patient to improve in the shortest time possible, but also to prevent the undesirable effects of hypokinesia and long-term treatment in the ICU.","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":"121189840","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, Maciej Walkiewicz, M. Tartas, D. Ślęzak, Wioleta Tomczak, Ł. Balwicki, K. Zorena, Sylwia Jałtuszewska
Aim: To discover the relationship between adaptive and maladaptive perfectionism and professional burnout in laboratory diagnosticians in the Pomorskie [Pomeranian] Voivodship, Poland. Material and methods: The Oldenburg Burnout Inventory (OLBI) and the Adaptive and Maladaptive Perfectionism Questionnaire (PAD) were used in the descriptive cross-sectional study. Results: Previous research suggests that the phenomenon of occupational burnout among the professional group of laboratory diagnosticians seems to have a specific nature, different from burnout in other medical professionals. It is believed that extremely high job demands, insufficient personal resources, as well as certain personality characteristics (which can alter the perceptions and responses to job demands as well as the perception and use of resources), are essential to the development of professional burnout. Conclusions: In the age of the SARS-CoV-2 coronavirus pandemic, strict compliance with safety procedures when performing tests for virus infection through laboratory diagnostics is of especially great importance to the entire epidemiological situation.
{"title":"PERFECTIONISM AND BURNOUT IN HEALTH CARE PROFESSIONALS","authors":"M. Robakowska, A. Tyrańska-Fobke, Maciej Walkiewicz, M. Tartas, D. Ślęzak, Wioleta Tomczak, Ł. Balwicki, K. Zorena, Sylwia Jałtuszewska","doi":"10.36740/emems202104103","DOIUrl":"https://doi.org/10.36740/emems202104103","url":null,"abstract":"Aim: To discover the relationship between adaptive and maladaptive perfectionism and professional burnout in laboratory diagnosticians in the Pomorskie [Pomeranian] Voivodship, Poland.\u0000Material and methods: The Oldenburg Burnout Inventory (OLBI) and the Adaptive and Maladaptive Perfectionism Questionnaire (PAD) were used in the descriptive cross-sectional study.\u0000Results: Previous research suggests that the phenomenon of occupational burnout among the professional group of laboratory diagnosticians seems to have a specific nature, different from burnout in other medical professionals. It is believed that extremely high job demands, insufficient personal resources, as well as certain personality characteristics (which can alter the perceptions and responses to job demands as well as the perception and use of resources), are essential to the development of professional burnout.\u0000Conclusions: In the age of the SARS-CoV-2 coronavirus pandemic, strict compliance with safety procedures when performing tests for virus infection through laboratory diagnostics is of especially great importance to the entire epidemiological situation.","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":"116752753","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
Increase in demand for health services in HED (Hospital Emergency Department) and their increasing this greater overcrowding is known from the English language as overcrowding. The concept of overcrowding is also inherently related to the notion of frequent use of assistance in the SOR. However, no uniform criterion for defining this concept has been developed so far. The aim of this study is to present the causes of the phenomenon of overcrowding and the related issues of patients’ functioning in the health care system. The main reasons for this phenomenon are the demographic aspect, i.e. the extension of the average age of many societies, but also the tendency of patients to omit medical assistance at the primary health care level and go directly to the HED as facilities with greater diagnostic and therapeutic possibilities. The consequences of the overcrowding phenomenon are, above all, an increase in the costs of HED functioning, longer waiting times for health services provided in the HED and excessive workload of the staff employed there. Currently, overcrowding has been recognized as a global public health problem.
{"title":"Increased demand for services provided in hospital emergency departments","authors":"M. Robakowska, A. Tyrańska-Fobke, D. Ślęzak, Michał Rogowski, A. Basiński, Sylwia Jałtuszewska","doi":"10.36740/emems202201107","DOIUrl":"https://doi.org/10.36740/emems202201107","url":null,"abstract":"Increase in demand for health services in HED (Hospital Emergency Department) and their increasing this greater overcrowding is known from the English language as overcrowding. The concept of overcrowding is also inherently related to the notion of frequent use of assistance in the SOR. However, no uniform criterion for defining this concept has been developed so far. The aim of this study is to present the causes of the phenomenon of overcrowding and the related issues of patients’ functioning in the health care system. The main reasons for this phenomenon are the demographic aspect, i.e. the extension of the average age of many societies, but also the tendency of patients to omit medical assistance at the primary health care level and go directly to the HED as facilities with greater diagnostic and therapeutic possibilities. The consequences of the overcrowding phenomenon are, above all, an increase in the costs of HED functioning, longer waiting times for health services provided in the HED and excessive workload of the staff employed there. Currently, overcrowding has been recognized as a global public health problem.","PeriodicalId":433523,"journal":{"name":"Emergency Medical Service","volume":"34 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":"115614788","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 present the clinical spectrum of the Emergency Department (ED) patients with presumed electrical shocks. Material and methods: The electronic recordings of the patients admitted to the ED of Unversity Hospital in Wroclaw between April 2020 and June 2021 were searched for the words: discharge, electrical storm, syncope, con¬vulsions. The received patients recordings were checked and all patients with electrical shocks from implantable cardioverter defibrillators (ICDs) both real and presumed were included into the study. Patients were divided into three groups: patients hospitalized due to adequate ICD discharges, patients hospitalized for other reason who had adequate interventions in the ICD memory and patients with incorrectly diagnosed ICD interventions. Results: The study group consisted of 26 patients. There was 18 men aged 65.9±10.9 and 8 women aged 68.1±12.4 (p=0.66). A total of 20 patients had electrical shocks confirmed by ICD memory checking and 6 patients had no ICD shocks. Conclusions: ED visits due to discharges of ICDs are rare. The medical history of ICD discharge could be misleading, because some patients interpret different symptoms or acoustic signals of the ICDs as a discharge. The ICD patients with syncope, unconsciousness, history of seizures should have their ICD checked for the possible discharges.
{"title":"The clinical characteristics of patients admitted to the emergency department because of implantable cardioverter defibrillator shock","authors":"P. Skoczyński","doi":"10.36740/emems202201103","DOIUrl":"https://doi.org/10.36740/emems202201103","url":null,"abstract":"Aim: To present the clinical spectrum of the Emergency Department (ED) patients with presumed electrical shocks. \u0000Material and methods: The electronic recordings of the patients admitted to the ED of Unversity Hospital in Wroclaw between April 2020 and June 2021 were searched for the words: discharge, electrical storm, syncope, con¬vulsions. The received patients recordings were checked and all patients with electrical shocks from implantable cardioverter defibrillators (ICDs) both real and presumed were included into the study. Patients were divided into three groups: patients hospitalized due to adequate ICD discharges, patients hospitalized for other reason who had adequate interventions in the ICD memory and patients with incorrectly diagnosed ICD interventions. \u0000Results: The study group consisted of 26 patients. There was 18 men aged 65.9±10.9 and 8 women aged 68.1±12.4 (p=0.66). A total of 20 patients had electrical shocks confirmed by ICD memory checking and 6 patients had no ICD shocks. \u0000Conclusions: ED visits due to discharges of ICDs are rare. The medical history of ICD discharge could be misleading, because some patients interpret different symptoms or acoustic signals of the ICDs as a discharge. The ICD patients with syncope, unconsciousness, history of seizures should have their ICD checked for the possible discharges.","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":"130187852","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}
Endometriosis is a chronic hormone-dependent inflammatory condition whose growth and maintenance depends on oestrogen. Treatment options are limited until its aetiology is established. The following literature review provides an extensive discussion of the relationship between diet and endometriosis and iden¬tifies the importance of nutrition in relation to symptoms. An extensive manual search of the main electronic databases (PubMed, EMBASE, Web of Science and Google Scholar) was conducted in March 2023 to identify relevant studies published on the relationship between diet and endometriosis. The anti-inflammatory properties of a plant-based diet may be beneficial for women with endometriosis. The Mediterranean diet shows similar properties in reducing many persistent symptoms. Dairy products, on the other hand, are a source of calcium, vitamin D, oestrogens, progesterone and anti-cancer and anti-inflammatory components. A decrease in endometrial implants can be observed in women supplementing with omega 3 and 6 acids. Vitamins D, C and E are also essential dietary components, as they are sources of antioxidants that strongly reduce free radicals. An inverse correlation was observed with red meat consumption. The treatment of endometriosis requires a holistic approach focused on reducing bothersome symptoms and inflammation, and therefore the inclusion of a dietitian in the treatment may be of great benefit to endometriosis patients. Further research is needed, especially randomised clinical trials to clarify the role of diet in endometriosis.
子宫内膜异位症是一种慢性激素依赖性炎症,其生长和维持依赖于雌激素。在病因确定之前,治疗选择是有限的。下面的文献综述对饮食和子宫内膜异位症之间的关系进行了广泛的讨论,并确定了营养在症状方面的重要性。我们于2023年3月对主要电子数据库(PubMed、EMBASE、Web of Science和Google Scholar)进行了广泛的人工检索,以确定已发表的有关饮食与子宫内膜异位症关系的相关研究。植物性饮食的抗炎特性可能对患有子宫内膜异位症的女性有益。地中海饮食在减轻许多持续性症状方面显示出类似的特性。另一方面,乳制品是钙、维生素D、雌激素、黄体酮以及抗癌和抗炎成分的来源。在补充omega - 3和omega - 6酸的妇女中可以观察到子宫内膜植入物的减少。维生素D、C和E也是必不可少的饮食成分,因为它们是抗氧化剂的来源,可以有效地减少自由基。与食用红肉呈负相关。子宫内膜异位症的治疗需要一个整体的方法,重点是减少令人烦恼的症状和炎症,因此在治疗中纳入营养师可能对子宫内膜异位症患者有很大的好处。需要进一步的研究,特别是随机临床试验来阐明饮食在子宫内膜异位症中的作用。
{"title":"Nutrition in the prevention and management of endometriosis symptoms - a current literature review","authors":"Aleksandra Kuć, Wojciech Szymanek","doi":"10.36740/emems202302106","DOIUrl":"https://doi.org/10.36740/emems202302106","url":null,"abstract":"Endometriosis is a chronic hormone-dependent inflammatory condition whose growth and maintenance depends on oestrogen. Treatment options are limited until its aetiology is established. The following literature review provides an extensive discussion of the relationship between diet and endometriosis and iden¬tifies the importance of nutrition in relation to symptoms. An extensive manual search of the main electronic databases (PubMed, EMBASE, Web of Science and Google Scholar) was conducted in March 2023 to identify relevant studies published on the relationship between diet and endometriosis. \u0000The anti-inflammatory properties of a plant-based diet may be beneficial for women with endometriosis. The Mediterranean diet shows similar properties in reducing many persistent symptoms. Dairy products, on the other hand, are a source of calcium, vitamin D, oestrogens, progesterone and anti-cancer and anti-inflammatory components. A decrease in endometrial implants can be observed in women supplementing with omega 3 and 6 acids. Vitamins D, C and E are also essential dietary components, as they are sources of antioxidants that strongly reduce free radicals. An inverse correlation was observed with red meat consumption. The treatment of endometriosis requires a holistic approach focused on reducing bothersome symptoms and inflammation, and therefore the inclusion of a dietitian in the treatment may be of great benefit to endometriosis patients. Further research is needed, especially randomised clinical trials to clarify the role of diet in endometriosis.","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":"130546398","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}
Monika Prokurat, K. Grudnik, Stanisław Niemczyk, Wojciech Niemczyk, K. Lau, Janusz Kasperczyk
In the 21st century, we are experiencing the widespread use of new technologies that are designed to make work and daily life easier. The emergence of unmanned aerial vehicles (UAVs) has also opened up new opportunities for medical rescue support. This paper explores the various aspects of using medical drones to aid rescue operations. These devices can move at high speeds, traverse difficult terrain that ground vehicles cannot, and have many capabilities depending on their equipment. Currently, the use of UAVs is limited to rescue operations of an extreme nature, such as searching for missing individuals in dangerous or vast areas, or providing support during mass events.The paper describes the potential possibilities of using drones in rescue operations, such as delivering critical medicines, first aid equipment, or collecting information on hazards relevant to rescue planning. It is important to note that UAVs are still a relatively new technology that requires reliable safety systems, especially in the context of medical use. Possible threats, such as hacking attacks, collision risks in different environments, and the level of training of personnel involved in UAVs management, were also presented. Additionally, the paper addresses current legal and systemic issues in Poland and the European Union. Lastly, the results of public opinion polls on confi¬dentiality and consent to the use of medical drones were mentioned.
{"title":"The use of drones in emergency medicine","authors":"Monika Prokurat, K. Grudnik, Stanisław Niemczyk, Wojciech Niemczyk, K. Lau, Janusz Kasperczyk","doi":"10.36740/emems202302109","DOIUrl":"https://doi.org/10.36740/emems202302109","url":null,"abstract":"In the 21st century, we are experiencing the widespread use of new technologies that are designed to make work and daily life easier. The emergence of unmanned aerial vehicles (UAVs) has also opened up new opportunities for medical rescue support. This paper explores the various aspects of using medical drones to aid rescue operations. These devices can move at high speeds, traverse difficult terrain that ground vehicles cannot, and have many capabilities depending on their equipment. Currently, the use of UAVs is limited to rescue operations of an extreme nature, such as searching for missing individuals in dangerous or vast areas, or providing support during mass events.The paper describes the potential possibilities of using drones in rescue operations, such as delivering critical medicines, first aid equipment, or collecting information on hazards relevant to rescue planning. It is important to note that UAVs are still a relatively new technology that requires reliable safety systems, especially in the context of medical use. Possible threats, such as hacking attacks, collision risks in different environments, and the level of training of personnel involved in UAVs management, were also presented. Additionally, the paper addresses current legal and systemic issues in Poland and the European Union. Lastly, the results of public opinion polls on confi¬dentiality and consent to the use of medical drones were mentioned.","PeriodicalId":433523,"journal":{"name":"Emergency Medical Service","volume":"36 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":"129351375","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":"AWARENESS OF LEGAL REGULATIONS ON SELF-DEFENCE AMONG PARAMEDICS AND THEIR USEFULNESS IN PROFESSIONAL WORK","authors":"Marcin Łubek, Robert Gałązkowski","doi":"10.36740/emems201902104","DOIUrl":"https://doi.org/10.36740/emems201902104","url":null,"abstract":"","PeriodicalId":433523,"journal":{"name":"Emergency Medical Service","volume":"52 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":"115070351","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":"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}