Role of Anesthesiology in Emergency Medical Services (EMS) in Poland

1985 ◽  
Vol 1 (S1) ◽  
pp. 136-138
Author(s):  
Zdzislaw Rondio ◽  
Witold Jurczyk

Improvements of results in emergency care of critically ill patients can be realized if EMS organizations are properly based on local conditions. The Emergency Medical Unit is the first of three parts of the Integrated Health Service in Poland. The second part is in-hospital treatment. The third part is outpatient care. In most hospitals, the head of the department of anesthesiology and intensive therapy coordinates each emergency medical unit. Each unit consists of ambulances (mobile intensive care units), admission (emergency) rooms, and an intensive medical care unit (ICU). A specialization program was created and physicians who complete this type of training obtain the title “specialist in anesthesiology and intensive therapy.”This four year specialization program contains the educational elements necessary to administer all types of modern anesthesia, and provides full preparation for work in mobile and stationary intensive medical care units as well. Such training has also given these specialists the chance to initiate treatment methods for chronic pain. An examination consisting of practical tests, multiple choice written knowledge tests, and oral tests completes the program. The latter is a conversation with a commission, consisting of full professors and associate professors in anesthesiology and intensive therapy.

Medical Care ◽  
1967 ◽  
Vol 5 (5) ◽  
pp. 343-350 ◽  
Author(s):  
Arthur R. Jacobs ◽  
Curtis P. McLaughlin

Author(s):  
A. A. Kapliyev

Article contains analysis of the ambulance service`s development in Soviet Belarus during the interbellum period. Major factors that caused the emergency medical care origins and evolution were highlighted. Author divided the studied period in three stages: “epidemic”, “institutional” and “technogenic” that influenced the ambulance service development. Author underlined a huge role of sanitary transport modernization that became the most important factor of emergency medical care development during the studied period. 


Author(s):  
Rajendra Singh ◽  
O P Saini ◽  
Pramod Kumar Saini ◽  
Sanjeev Buri

2018 ◽  
Vol 18 (4) ◽  
pp. 53-59
Author(s):  
A. L. Ershov

Patients with respiratory distress often seek emergency medical care and are frequently transported by emergency medical services (EMS). Some of them are in need of urgent respiratory support.EMSencounters with patients in respiratory distress and the role of mechanical ventilation (MV) in their treatment have not been well documented. The study objective was to characterize the epidemiology of prehospital respiratory distress and the impact of MV at subsequent patient outcomes. Some of the new trends in prehospital respiratory therapy have also been described.


2020 ◽  
Vol 44 (1) ◽  
Author(s):  
Marcus Schiller ◽  
Marijatta Pilette ◽  
Björn Rahlf ◽  
Constantin von See ◽  
N.-C. Gellrich

Abstract Background The study presented here systematically examines the potential involvement of dental, oral and maxillofacial centres (ZMK) in the management of pandemia or in large-scale emergencies. It looks at available material and infrastructural resources and how they can be brought to bear in such incidents or situations. The aim was to gain an initial scientific overview of how ZMK can potentially contribute to the handling of a pandemia or mass casualty (MASCAL) situation in terms of available resources as well as their location within the hospital as a whole and their integration into the existing infrastructure. The study was conducted on the basis of a questionnaire consisting of 70 individual questions, which was sent to all universities in Germany that offer a course of study in dental medicine. The responses were then statistically evaluated. Results The study outlines the current status of ZMK and discusses what could be an important component of emergency medical care in the overall hospital context. Conclusion The involvement of ZMK—with their own resources and existing infrastructural links to the hospital as a whole—could lead to faster and more effective patient treatment in the event of a pandemic or MASCAL situation.


Author(s):  
Jeffrey E Harris

We studied COVID-19 case mortality in Florida among four successive cohorts of persons at least 50 years of age, each of whom we followed for 28 to 48 days from date of diagnosis. The cohorts were separated by date of diagnosis into four nonoverlapping intervals: March 29 - April 18; April 29 - May 19; May 21 - June 10; and June 14 - July 4, 2020. Case mortality rates declined consistently and significantly over the course of the four intervals: 57% among those aged 50-59 years; 62% among those aged 60-69 years; 52% among those aged 70-79 years; and 34% among those aged 80 or more years. These findings were consistent with progressive improvements in the medical care of COVID-19 patients. We further studied case mortality by hospitalization status. The case mortality rate among hospitalized patients aged 60-69 years fell significantly from the first to the third interval. During the fourth interval, an apparent rise in mortality among hospitalized patients in the same age group was mirrored by a significant decline in mortality among those not hospitalized. These findings were consistent with the out-of-hospital treatment of some patients who would have previously been hospitalized.


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