Respiratory tract burns in emergency medical care

2020 ◽  
Vol 7 (4) ◽  
pp. 291-295
Author(s):  
Piotr Białoń ◽  
Rafał Bobiński ◽  
Monika Mikulska ◽  
Robert Kijanka ◽  
Michał Szlagor ◽  
...  
Keyword(s):  
Respiratory Tract ◽  
Medical Care ◽  
Sudden Cardiac Arrest ◽  
Medical Personnel ◽  
Mortality Rates ◽  
Emergency Medical Care ◽  
Emergency Medical ◽  
Specialist Treatment ◽  
Emergency Medical Personnel ◽  
Serious Injuries

Respiratory tract burns are among the most serious injuries. Complications include rapid swelling of the respiratory tract, which is the cause of high mortality rates. Such injuries require appropriate specialist treatment. The priority in emergency medical care is to ensure the airways remain unobstructed. If symptoms appear that suggest rapidly increasing swelling of the respiratory tract, intubation becomes essential to ensure the airways remain open. The aim of this article is to discuss the issue of the necessity to develop guidelines for emergency medical personnel attending patients with respiratory tract burns. Currently, according to the State Emergency Medical Care statute, paramedics may carry out intubation on patients suffering from sudden cardiac arrest. According to the Regulation of the Minister of Health of the 20th April 2016, the list of actions that a paramedic may freely undertake does not include intubation of patients with rapidly increasing swelling of the respiratory tract caused by burns. Taking into consideration the decrease in the number of specialist teams, recommendations should be developed as quickly as possible on indications for prompt intubation of patients with inhalation injuries. The scope of emergency medical treatment carried out independently by paramedics should also be expanded.

scholarly journals EMERGENCY MEDICINE: PROBLEMS OF VIOLENCE AND SAFETY AT WORK

2019 ◽  
Vol 7 (4) ◽  
pp. 351-357
Author(s):  
Yu. V. Shkatula ◽  
Y. O. Badion ◽  
M. V. Novikov ◽  
Ya. V. Khyzhnia
Keyword(s):  
Medical Care ◽  
Close Contact ◽  
Medical Personnel ◽  
Disaster Medicine ◽  
Third Parties ◽  
Emergency Medical Care ◽  
Medical Worker ◽  
Emergency Medical ◽  
Emergency Medical Personnel ◽  
Victims Of Violence

The work of medical workers is associated with constant psycho-emotional stress, which is caused by close contact with human suffering, the need to make immediate decisions, uncomfortable conditions of the pre-hospital stage and cases of aggressive and violent actions by patients or third parties. Statistics show that 54 to 84.8 % of medical workers have become victims of verbal or physical aggression annually. In 2013-2017, 543 crimes against life and health of medical workers on duty were registered in Ukraine. The purpose of the research was to study the causes, nature and risk factors of violent actions against emergency medical personnel with finding the ways to normalize the situation. Material and methods. An anonymous non-personified survey was conducted among 127 workers of the Sumy Regional Centre for Emergency Medical Care and Disaster Medicine. A modified questionnaire “Violence and aggression in the Health Service” (B. Mullan, F. Badger, 2007) was used in the study. It has been established that 74.8 % of emergency medical care and disaster medicine personnel were victims of violence caused by patients, their relatives or friends. Most often, the reasons for aggressive behaviour of the patient or third parties were the time of waiting for a medical worker and the suspicion of incompetence. According to the results of the survey, 35.43 % of employees believe that it is possible to improve the situation by completing and forming ambulance teams of a mixed type. Almost a third of the surveyed medical workers (24.41 %) indicated the need to provide personal protective equipment, another 14.96 % of respondents wanted better legal support and assistance. The authors come to the conclusion that it is necessary to solve the problem of the safety of a medical worker during an emergency call at the state legislative level. Particular attention should be paid to the further improvement of legal assistance, as well as to the development of measures to prevent violence.

Application of new approaches in the organization and conduct of classes on combat and special training of military medical personnel

2020 ◽  
Vol 22 (3) ◽  
pp. 217-220
Author(s):  
R. R. Kasimov ◽  
A. A. Zavrazhnov ◽  
I. V. Blinda ◽  
K. S. Puchin
Keyword(s):  
Medical Care ◽  
High Efficiency ◽  
Medical Personnel ◽  
Emergency Medical Care ◽  
Major Life ◽  
Military Hospitals ◽  
Special Training ◽  
Hospital Units ◽  
Emergency Medical ◽  
The Military

Abstract. Considers an example of organizing and conducting practice-oriented classes on providing emergency medical care for injuries with medical personnel of the military level, garrison and base military hospitals in the Western military district. In large garrisons of the military district in 2019, we conducted four rounds of field training on the organization of emergency medical care for major life-threatening conditions. The format of classes included master classes and blitz lectures on various topics: cardiopulmonary resuscitation, stopping ongoing external bleeding, eliminating asphyxia and pneumothorax, transport immobilization, and features of the use of modern means of emergency medical care. An important practical part of the training was training with surgeons of military and hospital units on living biological objects. At the beginning and end of the course, primary and control tests of the level of knowledge were conducted. During the initial testing, the percentage of correct answers in the groups averaged: surgeons (n=20) 53,9%, doctors of other specialties (n=25) 56,5%, average medical staff (n=34) 52,8%, health instructors (n=52) 52,6%. During the control testing, the following results were obtained: 71,5; 83,5; 84,3 and 83,9% respectively. The format of classes reliably (p˂0,05) showed their high efficiency in all groups. Thus, the need to actively introduce a practice-oriented form of training in the form of demonstration classes, including the use of biological models and simulators, into the combat and special training of military medical personnel is obvious and beyond doubt.

scholarly journals Alcohol intoxication: evaluation of the population appealability and emergency medical care in Kazan

2017 ◽  
Vol 98 (2) ◽  
pp. 243-247
Author(s):  
V L Paykov ◽  
E I Zamaleeva ◽  
D A Zhukov ◽  
O L Chernova
Keyword(s):  
Medical Care ◽  
Emergency Care ◽  
Alcohol Intoxication ◽  
Care Service ◽  
Medical Personnel ◽  
Urgent Care ◽  
Emergency Medical Care ◽  
Calendar Time ◽  
Emergency Medical ◽  
Medical Care Service

Aim. To study population appealability for emergency medical care with alcohol intoxication as well as the features of medical care service for them in Kazan at modern stage. Methods. The data from emergency call cards from 2015 with the diagnosis «alcohol intoxication» (form No.11/u) were studied. A survey of 271 responders (medical personnel of mobile teams of emergency care and admission departments of the hospitals) of medical care service for people with alcohol intoxication in the streets was performed. Results. In the structure of performed calls for adult popultion the ratio of patients who called an ambulance because of alcohol intoxication was 2.1% and because of the need for urgent care - 5.7%. Males were more prevalent than females: 82.1 and 17.9% respectively. Predominantly people younger than 60 years appealed: among males 82.7%, among females - 79%. Maximum appealability was registered in July (7.4 calls per 10 000 adults); during the week - on Saturday (11.9 per 10 000 adults), and during the day - during the period from 5 to 6 pm. The survey of the teams of ambulances and admission departments demonstrated the need for re-establishment of medical sobering-up stations (83.5 and 80% respectively) and more rarely the responders suggested development of specialized medical departments and active delivery of people with alcohol intoxication to specialized institutions involving law enforcement officials and personnel of specialized sobering-up stations (13 and 14.3% respectively). Conclusion. In the structure of the calls performed by emergency care stations the ratio of patients who called an ambulance because of alcohol intoxication among adults was 2.1% and because of the need for urgent care - 5.7%; the appealability was affected by sex, age and calendar time; analysis of the survey results demonstrated the need for re-establishment of recently closed medical sobering-up stations and for development of specialized medical departments.

THE QUALITY OF MEDICAL CARE IN MEDICAL ORGANIZATIONS OF MOSCOW PUBLIC HEALTH CARE SYSTEM IN APPRAISALS OF PATIENTS AND PHYSICIANS

2017 ◽  
Vol 16 (2) ◽  
pp. 100-106 ◽  
Author(s):  
I. Ya Tadjiev ◽  
A. V Belostotsky ◽  
S. S Budarin
Keyword(s):  
Health Care ◽  
Medical Care ◽  
Medical Personnel ◽  
Public Health Care ◽  
Fee For Service ◽  
Emergency Medical Care ◽  
Emergency Medical ◽  
Quality Of Medical Care ◽  
High Level

The article presents the analysis of results of complex medical sociological survey of effectiveness and efficiency of medical care as main criteria of its quality and accessibility. The survey comprised 1,737 patients of various social groups of population of Moscow and 203 physicians of polyclinics. At self-rating of health, 13.2% of respondents determined it as unsatisfactory, 45.1% as satisfactory and 31.3% as good. In all population groups, the most called-for proved to be polyclinic institutions. The high level of satisfaction of patients with quality of emergency medical care was established in all groups. The quality of medical care in polyclinics and hospitals was assessed significantly lower. The most negatively assessed criteria turned out transition to fee-for-service forms of medical support and time limits of waiting for all modes of medical care, except emergency medical care and district therapist. The evaluation by physicians of their own activity and present problems is characterized by their unanimity in need of increasing of salary (100%) and increasing of typical sectoral standards of time of reception of a patient (96.5%), decreasing of intensity of work of medical personal (92.3%) and reduction of some forms of record cards with the purpose of releasing of time and attention of physician for a patient (88.4%). The disrespectful attitude of patients to medical personnel was mentioned by 77.3% of physicians which is a new phenomenon testifying loss of confidence in patient-physician relationship. The quality of implemented work was assessed equally and rather high by both young and experienced physicians. The positive and negative aspects of reorganization of health care were analyzed. Two alternatives of problems were established to focus plans of development of system of Moscow health care to support accessible and qualitative medical care of population.

scholarly journals EXPERIENCE IN APPLYING EDUCATIONAL PROGRAM FOR PEDIATRICIANS ON EMERGENCY CARE FOR CHILDREN USING MOBILE SIMULATION EQUIPMENT

2018 ◽  
Vol 63 (5) ◽  
pp. 207-211
Author(s):  
D. I. Sadykova ◽  
R. Sh. Khasanov ◽  
N. Z. Yusupova ◽  
M. V. Belousova ◽  
Т. V. Mikhaylova ◽  
...  
Keyword(s):  
Cardiac Arrest ◽  
Medical Care ◽  
Emergency Care ◽  
Educational Program ◽  
Professional Competence ◽  
Sudden Cardiac Arrest ◽  
International Standards ◽  
Urgent Care ◽  
Emergency Medical Care ◽  
Emergency Medical

The article describes the experience of implementing the “Emergency pediatrics” educational program with the use of simulation training methods, mobile simulation equipment, and distance educational technologies. The program is aimed at improving the doctors’ professional competence in emergency medical care for children. This format of the training helps to train the largest number of doctors in accordance with the international standards for emergency medical care on-the-job. The educational program makes it possible to assess the level of initial and final knowledge, to monitor professional skills, to determine the degree of the doctor’s readiness for emergency medical care for children. Based on the results of the incoming test control and assessment of basic cardiopulmonary resuscitation skills, we can conclude that the pediatricians have insufficient theoretical and practical skills of emergency care. As a promising direction, we plan to create a Register for sudden cardiac arrest, the Register of survival after sudden cardiac arrest in children at hospital and outside the hospital, which improve the quality of emergency and urgent care for children.

scholarly journals FIRST EXPERIENCE OF APPLICATION OF A STREPTOTEST AT THE PRE-HOSPITAL STAGE AND IN THE EMERGENCY DEPARTMENT OF THE CHILDREN’S HOSPITAL

2019 ◽  
Vol 20 (4) ◽  
pp. 58-62
Author(s):  
V. M. Shaytor ◽  
A. I. Safronova ◽  
O. A. Klitsenko ◽  
D. I. Shaytor ◽  
A. I. Belyaev ◽  
...  
Keyword(s):  
Emergency Department ◽  
Respiratory Tract ◽  
Comparative Study ◽  
Medical Care ◽  
Upper Respiratory Tract ◽  
Emergency Medical Care ◽  
Children's Hospital ◽  
Emergency Medical ◽  
Therapeutic Measures ◽  
Upper Respiratory

The publication presents the results of a comparative study of the use of diagnostic streptotest in the provision of emergency medical care and in the hospital. The possibility of differentiation of diagnoses in diseases of the upper respiratory tract and the development of early tactical and therapeutic measures at the stage of emergency and emergency medical care and in the emergency Department.  

Professional stress in the activities of paramedics of emergency medical care

2019 ◽  
Vol 1 (7) ◽  
pp. 417-423
Author(s):  
Maria V. Korehova ◽  
Irina A. Novikova ◽  
Andrey G. Soloviev
Keyword(s):  
Medical Care ◽  
Occupational Stress ◽  
Medical Personnel ◽  
Stress Factors ◽  
High Rate ◽  
Emergency Medical Care ◽  
Emergency Medical ◽  
Professional Stress ◽  
Risk Appetite ◽  
High Level

 Emergency medical workers can be at ributed to specialists of extreme prof le of activity, as their work is associated with a variety of stress factors. 44 paramedics of the Arkhangelsk region (mean age 38.1±10.8 years, M±σ) were examined in order to identify the features of occupational stress in the activities of emergency medical personnel (NSR). T e following methods we used: scale of organizational stress, Mak-Lin, the questionnaire «At itude to work and professional burn-out» Vinokur V.A., test Ch. Spielberger, coping test of R. Lazarus and S. Volkman, a method of studying the risk appetite Shmelev A.G., projective test «Nonexistent animal», a method of assessing the psychological atmosphere in the team. It is established that during the performance of professional duties more than 2/3 of paramedics emergency medical care are of en faced with stressful situations; every third employee is threatened with life or danger of injury, injury in the process. More than half of the respondents have a high level of professional stress and burnout, 40.5% — use non-adaptive coping strategies in the f ght against intractable situations, and 1/5 — there is a high rate of situational anxiety and aggressiveness. T e directions of prevention of occupational stress in paramedics ambulance.

scholarly journals Problem Oriented Training in Emergency Medical Care Under the Conditions of Extremal Technogenic Situation (the Example of Solving a Situational Task)

2019 ◽  
Vol 8 (3) ◽  
pp. 320-324
Author(s):  
V. I. Barklaya ◽  
V. Yu. Pikovsky ◽  
D. G. Kostomarov
Keyword(s):  
Educational Technology ◽  
Medical Care ◽  
Simulation Training ◽  
Medical Personnel ◽  
Emergency Medical Care ◽  
Medical Organization ◽  
Emergency Medical ◽  
Level Of Training

The article provides a situational task with a detailed solution, reflecting the principles and procedure for the provision of emergency medical care outside a medical organization during a technogenic emergency (explosion followed by a fire) with several victims. This type of educational technology is applicable both during practical exercises with elements of simulation training, and monitoring the level of training of medical personnel.

The morbidity of medical personnel of mobile teams of emergency medical care

2021 ◽  
Vol 29 (6) ◽  
Author(s):  
T. A. Bolobonkina ◽  
◽  
A. A. Dementiev ◽  
N. V. Minaeva ◽  
O. V. Medvedeva ◽  
...  
Keyword(s):  
Medical Care ◽  
Medical Personnel ◽  
Emergency Medical Care ◽  
Emergency Medical
Sign in / Sign up

Export Citation Format

Share Document