Role of Polish Medical Air Rescue in national medical rescue system

IntroductionIn Germany, emergency medical care is provided by ambulances. Emergency physicians also are used in the German rescue system to ensure primary care. Additionally, rescue helicopters are insertable. The rescue helicopter in Dresden covers the city of Dresden and its surrounding areas, with 517,000 inhabitants and distances up to 70 km. The goal of this study was to evaluate emergency cases in helicopter rescue missions according to primary diagnoses and severity of the mission on the basis of NACA Score.MethodsData from all emergencies using the German Air Rescue (DRF-Luftrettung) Helicopter Base Dresden were recorded on a standardized protocol and transferred to a central computer database (MEDAT®). Data from all emergency cases between January 2006 and July 2010 were analyzed.ResultsThere was a total of 6,310 emergencies during the study period, with a significant increase over time. The helicopter was on-scene within 10.9 minutes. In total, 54% of the patients were male. The rate of female patients > 80 years of age was 64.5%. A total of 63.4% of patients suffered life-threatening injuries or dysfunctions and a NACA score ≥ 4. A total of 7.6% of patients were classified in NACA 6 or 7. The most common cause for rescue missions was an acute coronary syndrome (20.4%). Other frequent diagnoses included brain injury (13.3%), unconsciousness (12.5%), stroke (12.9%), general cerebral convulsion (7.9%), polytrauma (6.4%), and cardiac arrest (5.0%). The rate of prehospital endotracheal intubation was 15.1%. In 1.1% of patients, a thoracic drainage was established.ConclusionsIn recent years the number of helicopter rescue missions increased, along with injury severity. The total number of patients with NACA 6 and 7 was extremely high, and demonstrates the need for an efficient emergency medical rescue system that includes helicopters.

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Vladimir Viktorovich Bobin: scientist — anatomist, teacher, representative of the medical dynasty.

Shidnoevropejskij zurnal vnutrisnoi ta simejnoi medicini ◽

10.15407/internalmed2021.01.076 ◽

2021 ◽

Vol 2021 (1) ◽

pp. 76-82

Author(s):

I.V. Bobina ◽

◽

V.I. Kravtsova ◽

Keyword(s):

Ukrainian Academy ◽

Human Anatomy ◽

Medical Sciences ◽

National Medical ◽

Normal Human ◽

Medical University ◽

Academy Of Sciences ◽

International Academy ◽

Official Data

The article presents not only the official data on the professor of the Department of Normal Human Anatomy at Kharkiv National Medical University, Academician of the Ukrainian Academy of Sciences of National Progress, Honorary Academician of the International Academy of Integrative Anthropology, Doctor of Medical Sciences Vladimir Viktorovich Bobin, but also the memories of students and relatives of the scientist. Shownthe portrait of an intellectual person, Teacher, a loving father and grandfather, such as Professor V.V. Bobin. In the article, the biography of the scientist is shown against the background of historical events in the country. The role of father Viktor Vladimirovich Bobin and academician Vladimir Petrovich Vorobyov in the formation of the character and scientific interests of V.V. Bobin.

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SUSPENSION CIVIL PROTECTION UNIT IN KOSOVO AND METOHIJA

10.51738/kpolisa2021.18.2r.4.03 ◽

2021 ◽

pp. 277-289

Author(s):

VLADIMIR JAKOVLJEVIĆ ◽

MILOŠ TOMIĆ

Keyword(s):

Local Population ◽

Institutional Arrangement ◽

General Purpose ◽

National Minority ◽

Main Task ◽

Civil Protection ◽

The North ◽

Rescue System ◽

The Republic

The gradual suspension of the institutions of the Republic of Serbia in the area of Kosovo and Metohija is the result of the dialogue that the representatives of the Albanian national minority are having with the Serbian political leadership. The first agreement, signed in 2013, formally and legally calls into question the survival and functioning of a number of institutions that function in accordance with the legislation of the RS and are of vital importance for the security of the local population. As an important part of the institutional arrangement and organization of the protection and rescue system, civil protection units were formed within four municipalities in the north of Kosmet, as well as in other parts south of the river Ibar. The main task of the trained and trained general purpose units was to protect people, material and cultural goods and the environment from natural disasters and technical-technological accidents. However, a section of the international community, along with Albanian political leaders, views the unit as a "paramilitary organization" (despite their humanitarian character), demanding their immediate disbandment and involvement in Kosovo's provisional institutions. The aim of this paper is a systematic description and analysis of the current security situation in the southern Serbian province as well as the role of civil protection units in maintaining a stable security situation. The paper uses the method of content analysis of a number of relevant documents describing the attempt to include members of civil protection units in the work of Kosovo's provisional institutions.

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State Medical Emergency System in Poland

Postępy Nauk Medycznych ◽

10.25121/pnm.2019.32.4.155 ◽

2019 ◽

Vol 32 (4) ◽

Author(s):

Przemyslaw Zuratynski ◽

Daniel Slezak ◽

Kamil Krzyzanowski ◽

Rafal Szczepanski ◽

Sylwia Jaltuszewska

Keyword(s):

Health Services ◽

Medical System ◽

Medical Emergency ◽

State Of Health ◽

Hospital Emergency ◽

Rescue Service ◽

National Medical ◽

Rescue System ◽

High Level ◽

Hospital Emergency Departments

The first ambulance service in Poland was established in 1891 in Cracow. Many tips and assistance concerning the creation of the ambulance were provided by the organisers of the first ambulance in Europe (the Vienna ambulance in 1883). Since January 2007, the Act of 8 September 2006 on the National Medical Rescue Service has been a binding legal act. The aim of the Act is to introduce the functioning of the emergency medical system, both through a high level of health services based on the standards of Western countries and providing the required solutions in the area of emergency notification. The State Medical Rescue System was established to provide assistance to any person in need who is in a state of health emergency. The owner of the PRM system unit must ensure the readiness of people, resources and organizational units. The units of the PRM system providing services only in case of an emergency are: medical rescue teams, including airborne medical rescue teams and hospital emergency departments.

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Incidence and Performance of Invasive Airway Management in the German Air Rescue System

Prehospital and Disaster Medicine ◽

10.1017/s1049023x00046173 ◽

1997 ◽

Vol 12 (S1) ◽

pp. S6-S7

Author(s):

H. Kuhnigk ◽

K. Zischler ◽

P. Sefrin

Keyword(s):

Airway Management ◽

Air Rescue ◽

Rescue System ◽

And Performance ◽

Air Rescue System

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Public opinion and medical cannabis policies: examining the role of underlying beliefs and national medical cannabis policies

Harm Reduction Journal ◽

10.1186/s12954-015-0082-x ◽

2015 ◽

Vol 12 (1) ◽

Cited By ~ 42

Author(s):

Sharon R. Sznitman ◽

Anne Line Bretteville-Jensen

Keyword(s):

Public Opinion ◽

Medical Cannabis ◽

National Medical

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Characterising the growth in palliative care prescribing 2011–2015: Analysis of national medical and non-medical activity

Palliative Medicine ◽

10.1177/0269216317739805 ◽

2017 ◽

Vol 32 (4) ◽

pp. 767-774 ◽

Cited By ~ 3

Author(s):

Lucy Ziegler ◽

Michael I Bennett ◽

Matt Mulvey ◽

Tim Hamilton ◽

Alison Blenkinsopp

Keyword(s):

Palliative Care ◽

Descriptive Analysis ◽

National Level ◽

Care Patient ◽

Care Needs ◽

National Medical ◽

Team Working ◽

Total Community ◽

Palliative Care Needs

Background: The role of non-medical prescribers working in palliative care has been expanding in recent years and prescribers report improvements in patient care, patient safety, better use of health professionals’ skills and more flexible team working. Despite this, there is a lack of empirical evidence to demonstrate its clinical and economic impact, limiting our understanding of the future role of non-medical prescribers within a healthcare system serving an increasing number of people with palliative care needs. Aim: We developed a unique methodology to establish the level of non-medical prescribers’ activity in palliative care across England and consider the likely overall contribution these prescribers are making at a national level in this context in relation to medical prescribing. Setting/participants: All prescriptions for 10 core palliative care drugs prescribed by general practitioners, nurses and pharmacists in England and dispensed in the community between April 2011 and April 2015 were extracted from the Prescribing Analysis Cost Tool system. Design: The data were broken down by prescriber and basic descriptive analysis of prescription frequencies by opioid, non-opioids and total prescriptions by year were undertaken. To evaluate the yearly growth of non-medical prescribers, the total number of prescriptions was compared by year for each prescribing group. Results: Non-medical prescribers issued prescriptions rose by 28% per year compared to 9% in those issued by medical prescribers. Despite this, the annual growth in non-medical prescribers prescriptions was less than 1% a year in relation to total community palliative care prescribing activity in England. Impact on medical prescribing is therefore minimal.

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The role of anxiety in the perception of pain: exploring the cumulative & temporal mechanisms of hypercapnic analgesia

10.1101/2020.10.30.357061 ◽

2020 ◽

Author(s):

Anna Yurievna Kharko ◽

Kirralise J Hansford ◽

Frederico B Klein ◽

Paul L Furlong ◽

Stephen D Hall ◽

...

Keyword(s):

Temporal Summation ◽

Cumulative Effect ◽

Pain Response ◽

Adaptation Period ◽

Physiological Measures ◽

Pain Ratings ◽

Mediating Factor ◽

Electrical Stimuli ◽

Medical Air

ABSTRACTBackgroundAnxiety, evoked by continuous inspiration of a 5 – 8% CO2 mixture, has been found to have an analgesic eLect on self-reported pain. The precise mechanism whereby this effect obtains remains unknown.MethodsThe present study tested whether temporal summation, the psychological counterpart of wind-up, is involved in hypercapnic analgesia. 21 healthy participants received painful transcutaneous electrical stimuli of varied intensity, during continuous inhalation of 7.5% CO2 mixture and medical air, presented in a single-blinded counterbalanced order. Continuous pain ratings were acquired to measure the temporal development of the pain response. Several points and events of interest that characterise the pain response profile were extracted from the continuous data.ResultsMixed-eLects modelling demonstrated a reduction of all pain measures during inspiration of the anxiogenic mixture, but not air. This was accompanied by an increase in the psychological and physiological measures of anxiety. Analyses of the characteristic measures of temporal summation suggested that the hypercapnic mixture has an analgesic property evident from the start of the pain response. The same was true for the remainder of the response, the adaptation period, where pain ratings were also inhibited. The reduced pain ratings persisted during the remainder of the response. Anxiety was found to be a mediating factor for summative pain ratings but not the temporally sensitive TS measures, suggesting an overall, cumulative effect.ConclusionsThe findings provide an explanation for the previously observed low self-reported pain during the inhalation of an anxiogenic hypercapnic mixture.

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