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The Role of Physical Therapy in the Intensive Care Unit 物理治疗在重症监护病房中的作用
Pub Date : 1900-01-01 DOI: 10.36740/emems202103108
Zofia Kosson, M. Paśnicki, M. Kolacz
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.
近年来,ICU治疗方案得到了广泛的发展。今天有可能治疗过去没有生存机会的病人。在该单位治疗的患者通常患有心血管或呼吸衰竭。因此,本文的目的是讨论物理治疗人员使用的基本技术及其对ICU患者治疗的贡献。在我们的文章中,我们分析了与长期住院相关的风险和ICU患者的特点,并提出了物理治疗师可以改善患者健康的方法。我们已经确定了ICU物理治疗的主要目标,并指定了引入特定物理治疗程序的意图。物理治疗师应该是医疗团队的一员,他们的目标是让病人尽快康复。物理治疗师在ICU中的作用不仅是帮助患者在尽可能短的时间内得到改善,而且还要防止在ICU中出现运动不足和长期治疗的不良影响。
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引用次数: 0
PERFECTIONISM AND BURNOUT IN HEALTH CARE PROFESSIONALS 医疗保健专业人员的完美主义和职业倦怠
Pub Date : 1900-01-01 DOI: 10.36740/emems202104103
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.
目的:探讨波兰波美拉尼亚省实验室诊断医师的适应性和非适应性完美主义与职业倦怠的关系。材料与方法:采用Oldenburg倦怠量表(OLBI)和适应与不适应完美主义问卷(PAD)进行描述性横断面研究。结果:以往的研究表明,实验室诊断医师专业群体的职业倦怠现象与其他医学专业群体的职业倦怠不同,似乎具有特异性。过高的工作要求、不足的个人资源以及一定的人格特征(可以改变对工作要求的感知和反应以及对资源的感知和使用)是职业倦怠发展的必要条件。结论:在SARS-CoV-2冠状病毒大流行的时代,严格按照安全规程进行实验室诊断病毒感染检测,对整个流行病学形势尤为重要。
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引用次数: 0
Increased demand for services provided in hospital emergency departments 对医院急诊科提供的服务的需求增加
Pub Date : 1900-01-01 DOI: 10.36740/emems202201107
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.
医院急诊科对医疗服务的需求增加,这种人满为患的情况在英语中被称为人满为患。过度拥挤的概念也与SOR中频繁使用援助的概念内在相关。然而,迄今为止还没有制定出统一的标准来定义这一概念。本研究的目的是提出过度拥挤现象的原因和患者在医疗保健系统中的功能相关问题。造成这一现象的主要原因是人口方面,即许多社会的平均年龄延长,但也有病人倾向于忽略初级保健一级的医疗援助,而直接到卫生保健中心就诊,因为那里有更大的诊断和治疗可能性。过度拥挤现象的后果首先是保健中心运作的费用增加,等待保健中心提供的保健服务的时间延长,以及在那里工作的工作人员工作量过重。目前,过度拥挤已被认为是一个全球性的公共卫生问题。
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引用次数: 0
The clinical characteristics of patients admitted to the emergency department because of implantable cardioverter defibrillator shock 因植入式心律转复除颤器休克而入院急诊科患者的临床特点
Pub Date : 1900-01-01 DOI: 10.36740/emems202201103
P. Skoczyński
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.
目的:介绍急诊科(ED)患者的临床谱推定电击。材料与方法:检索2020年4月至2021年6月在弗罗茨瓦夫大学医院急诊科收治的患者的电子记录,检索词为:放电、电暴、晕厥、抽搐。检查收到的患者记录,并将所有来自植入式心律转复除颤器(ICDs)的电击患者(包括真实的和假定的)纳入研究。患者被分为三组:因适当的ICD出院而住院的患者,因其他原因住院但在ICD记忆中有适当干预的患者和错误诊断的ICD干预的患者。结果:研究组共26例患者。男性18例(65.9±10.9),女性8例(68.1±12.4)(p=0.66)。共有20例患者经ICD记忆检查证实有电击,6例患者无ICD电击。结论:因icd出院而去ED就诊的病例很少。ICD放电的病史可能具有误导性,因为一些患者将不同的症状或ICD的声信号解释为放电。有晕厥、意识不清、癫痫发作史的ICD患者应检查ICD是否有可能出现出院。
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引用次数: 0
Nutrition in the prevention and management of endometriosis symptoms - a current literature review 营养在预防和管理子宫内膜异位症的症状-目前的文献综述
Pub Date : 1900-01-01 DOI: 10.36740/emems202302106
Aleksandra Kuć, Wojciech Szymanek
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。
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引用次数: 0
The use of drones in emergency medicine 无人机在急诊医学中的应用
Pub Date : 1900-01-01 DOI: 10.36740/emems202302109
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.
在21世纪,我们正在经历新技术的广泛使用,这些新技术旨在使工作和日常生活更容易。无人机的出现也为医疗救援支持开辟了新的机遇。本文探讨了使用医疗无人机辅助救援行动的各个方面。这些设备可以高速移动,穿越地面车辆无法穿越的复杂地形,并具有许多取决于其设备的功能。目前,无人机的使用仅限于极端性质的救援行动,例如在危险或广阔的地区寻找失踪人员,或在大规模事件期间提供支持。该文件描述了在救援行动中使用无人机的潜在可能性,例如运送关键药物、急救设备或收集与救援计划相关的危险信息。值得注意的是,无人机仍然是一项相对较新的技术,需要可靠的安全系统,特别是在医疗用途的背景下。还提出了可能的威胁,例如黑客攻击,不同环境中的碰撞风险以及参与无人机管理的人员培训水平。此外,本文还讨论了波兰和欧盟当前的法律和体制问题。最后,提到了关于保密和同意使用医疗无人机的民意调查结果。
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引用次数: 0
AWARENESS OF LEGAL REGULATIONS ON SELF-DEFENCE AMONG PARAMEDICS AND THEIR USEFULNESS IN PROFESSIONAL WORK 护理人员对自卫法律规定的认识及其在专业工作中的用处
Pub Date : 1900-01-01 DOI: 10.36740/emems201902104
Marcin Łubek, Robert Gałązkowski
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引用次数: 0
THE USE OF OTC DRUGS IN POLISH SOCIETY AND AWARENESS OF THE RISKRESULTING FROM THEIR ABUSE 波兰社会非处方药的使用情况及滥用风险意识
Pub Date : 1900-01-01 DOI: 10.36740/emems201902103
I. Siwek, A. Ślifirczyk, K. Chomicz
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引用次数: 0
EVACUATION OF THE WOUNDED FROM THE BATTLEFIELD AS AN IMPORTANT COMPONENT OF EMERGENCY MEDICAL CARE 伤员撤离战场,作为紧急医疗护理的重要组成部分
Pub Date : 1900-01-01 DOI: 10.36740/emems202301106
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.
目的:揭示战场伤员撤离的主要途径和手段。资料与方法:研究方法:对科教文献、网络数据进行分析归纳;研究和推广2014-2022年乌克兰作战行动的经验,世界主要国家和北约军队从战场上撤离伤员的方式和手段的经验。人们发现,任何撤离都是在掩护下进行的,速度很快,最大限度地减少了救援人员的时间和可见度。同时,还公开了红色、黄色、绿色区域伤员撤离的主要方式和手段。介绍了它们的优缺点。结论:及时提供紧急医疗前护理可以挽救伤病员的生命,及时从战场撤离可以防止再次受伤或死亡。
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引用次数: 0
SELF-ASSESSMENT OF KNOWLEDGE OF EMERGENCY MEDICAL SERVICES SYSTEM EMPLOYEES ON NEW PSYCHOACTIVE SUBSTANCES – CURRENT STATUS AND DEVELOPMENT PROSPECTS 急救医疗服务系统员工对新型精神活性物质知识的自我评价——现状与发展前景
Pub Date : 1900-01-01 DOI: 10.36740/emems202104105
Łukasz Kacprzak, J. Zawilska
Aim: To examine the level of knowledge on new psychoactive substances (NPS) among health care profesionals (HCPs) working within the Emergency Medical Services (EMS) system in Poland, and to assess how they would like to improve it.Material and methods: The study involved 602 HCPs working within the EMS system and was carried out using a survey questionnaire. Both online and paper-copy surveys were utilized. The collected data were statistically analyzed using the STATISTICA 12.5PL computer program (StatSoft, Inc., USA).Results: Most responders perceived themselves as having a “sufficient” (49%) or a “weak” level (40.5%) of knowledge of NPS, while only 10.5% as “good”. The Internet was a main source of information on NPS. In the 4-year period covered by the study, only less than 22% of HCPs took part in any training courses on NPS. Most participants expressed a need to learn more about “pharmacological treatment”, “legal provisions” and “qualification for hospital treatment”.Conclusions: An inadequacy in essential knowledge of NPS by HCPs working within the EMS system highlights the need for education on these novel molecules.
目的:检查在波兰紧急医疗服务(EMS)系统内工作的卫生保健专业人员(HCPs)对新精神活性物质(NPS)的知识水平,并评估他们希望如何改进它。材料和方法:本研究涉及602名在EMS系统内工作的医护人员,采用调查问卷进行。使用了在线和纸质调查。收集的数据使用STATISTICA 12.5PL计算机程序(StatSoft, Inc., USA)进行统计分析。结果:大多数应答者认为自己对NPS的认识“足够”(49%)或“较弱”(40.5%),而只有10.5%的人认为自己对NPS的认识“良好”。互联网是国民年金信息的主要来源。在研究涵盖的4年期间,只有不到22%的医护人员参加了有关新养老金计划的培训课程。大多数与会者表示,需要更多地了解"药物治疗"、"法律规定"和"住院治疗资格"。结论:在EMS系统内工作的医护人员对NPS的基本知识不足,突出了对这些新分子进行教育的必要性。
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引用次数: 0
期刊
Emergency Medical Service
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