Search

The accidental hypothermia can be diagnosed if a body temperature fall below the 35°C. It is frequently encountered in Poland. It was the cause of death of 1836 people between 2009 and 2012. The aim of our paper was to present the current state of the art regarding prehospital management of the hypothermic patient. The gold standard of internal body temperature measurement is by an esophageal probe. The hypothermic patient should be handled very carefully. The wet clothes should be cut and the patient should be covered with insulation materials. Active rewarming should be initiated in all of the patients in severe and mild hypothermia. After finding an unconscious person who is likely to be in hypothermia, the search for signs of life should take 60 seconds. When CPR is started it should be conducted with standard protocols. Infusion fluids should be heated and the preferred ones are: 0,9% NaCl and crystalloids. No antiarrhythmic or vasoconstrictive drugs should be given in patients with internal body temperature below 30°C. Conclusions: We should encourage providers to equip the rescue teams with the active rewarming devices and insulation materials. The prevention of further heat loss in hypothermic patient is of the greatest importance. The life support should be centered around cardiopulmonary resuscitation with quality chest compressions and adequate ventilation. The definitive treatment of patients suffering from deep hypothermia is most effective in specialist centres dedicated to treating this condition. Air transportation is preferred to land transportation.

Roczniak Wojciech, Skalik Marta, Brodziak–Dopierała Barbara, Płaziak Robert, Marek Hubert, Motyka Marcin, Sośnicki Krzysztof, Wojtanowska-Kaczka Magdalena. Atrial fibrillation as a frequent reason for calls by Emergency Medical Teams. Journal of Education, Health and Sport. 2021;11(01):82-93. eISSN 2391-8306. DOI http://dx.doi.org/10.12775/JEHS.2021.11.01.009 https://apcz.umk.pl/czasopisma/index.php/JEHS/article/view/JEHS.2021.11.01.009 https://zenodo.org/record/4456061 The journal has had 5 points in Ministry of Science and Higher Education parametric evaluation. § 8. 2) and § 12. 1. 2) 22.02.2019. © The Authors 2021; This article is published with open access at Licensee Open Journal Systems of Nicolaus Copernicus University in Torun, Poland Open Access. This article is distributed under the terms of the Creative Commons Attribution Noncommercial License which permits any noncommercial use, distribution, and reproduction in any medium, provided the original author (s) and source are credited. This is an open access article licensed under the terms of the Creative Commons Attribution Non commercial license Share alike. (http://creativecommons.org/licenses/by-nc-sa/4.0/) which permits unrestricted, non commercial use, distribution and reproduction in any medium, provided the work is properly cited. The authors declare that there is no conflict of interests regarding the publication of this paper. Received: 01.01.2021. Revised: 10.01.2021. Accepted: 21.01.2021. Atrial fibrillation as a frequent reason for calls by Emergency Medical Teams Wojciech Roczniak¹, Marta Skalik², Barbara Brodziak–Dopierała³, Robert Płaziak⁴, HubertMarek¹, Marcin Motyka¹, Krzysztof Sośnicki¹, Magdalena Wojtanowska-Kaczka¹ ¹The Jan Grodek State University in Sanok, Medical Institute ²Nicolaus Copernicus University in Toruń, Ludwik Rydygier Collegium Medicum in Bydgoszcz ³Department of Toxicology and Bioanalysis, School of Pharmacy with the Division of Laboratory Medicine, Medical University of Silesia ⁴SP ZOZ in Lesko Summary Introduction Atrial fibrillation is the most common supraventricular arrhythmia which is also a frequent cause of calls by Emergency Medical Services Teams. The purpose of the work was presentation of the conduct of the Medical Rescue Teams in about patients with atrial fibrillation. Research methodology The study included an 86-year-old woman who was called by the Medical Rescue Team due to increasing weakness accompanied by chest pain and dyspnoea. At the patient after a thorough medical history and physical examination, the first episode of atrial fibrillation was found. An individual case study method was used. The study was conducted on the basis of a medical rescue cardthose. Conclusions There is no one size fits all regimen for the management of patients with atrial fibrillation. There are algorithms that facilitate the implementation of appropriate treatment. The rescue operation must always be tailored to the individualthe patient's health status and modified as necessary. Thanks to this procedure, paramedics minimize the chances of making a mistake and improve the patient's health. Key words: atrial fibrillation, arrhythmia, Syndrome Medical Rescue, emergency procedures

Babuska RoczniakMagdalena, Wojtanowska KaczkaMagdalena, Racz Oliwer, Marek Hubert, Sośnicki Krzysztof, RoczniakWojciech. Proceedings of an emergency medical team (paramedics) with a patient in anaphylaxis. Journal of Education, Health and Sport. 2020;10(6):108-116. eISSN 2391-8306. DOIhttp://dx.doi.org/10.12775/JEHS.2020.10.06.012 https://apcz.umk.pl/czasopisma/index.php/JEHS/article/view/JEHS.2020.10.06.012 https://zenodo.org/record/3895085 The journal has had 5 points in Ministry of Science and Higher Education parametric evaluation. § 8. 2) and § 12. 1. 2) 22.02.2019. © The Authors 2020; This article is published with open access at Licensee Open Journal Systems of Nicolaus Copernicus University in Torun, Poland Open Access. This article is distributed under the terms of the Creative Commons Attribution Noncommercial License which permits any noncommercial use, distribution, and reproduction in any medium, provided the original author (s) and source are credited. This is an open access article licensed under the terms of the Creative Commons Attribution Non commercial license Share alike. (http://creativecommons.org/licenses/by-nc-sa/4.0/) which permits unrestricted, non commercial use, distribution and reproduction in any medium, provided the work is properly cited. The authors declare that there is no conflict of interests regarding the publication of this paper. Received: 01.06.2020. Revised: 15.06.2020. Accepted: 16.06.2020. Proceedings of an emergency medical team (paramedics) with a patient in anaphylaxis Magdalena Babuska Roczniak1, Magdalena Wojtanowska Kaczka1, Oliwer Racz2, Hubert Marek1, Krzysztof Sośnicki1, Wojciech Roczniak1 1 The Jan Grodek State University in Sanok, Medical Institute, Sanok, Poland 2University of Pavol Jozef Safarik Kosice, Kosice, Slovakia ABSTRACT Introduction:Anaphylactic shock is an acute allergic body reaction to allergens. This condition threatens the patient's life and health. Anaphylaxis can be caused by intolerance to many nutrients, medications or hymenoptera stings. Aim of the manuscript:The aim of the manuscript was to determine the pattern of proceedings of emergency medical teams with patients in anaphylactic shock. Material and methods: The individual case method of a patient stung by a Hymenoptera insect, for whom a medical rescue team was dispatched, was used. The research material was obtained thanks to the analysis of medical rescue operations and dispatch orders. Results: The analysis of medical records of the injured person depicted an appropriate algorithm of proceedings with a patient in anaphylactic shock. In anaphylaxis, it is important to gather information as soon as possible, make an accurate and prompt diagnosis, and provide immediate pharmacotherapy. In this case, the first-line drug is Adrenaline, which prevents the release of histamine and reverses the effects of shock. Further treatment requires oxygen, fluids and second-line pharmacotherapy. Conclusions: The emergency medical team followed the applicable algorithms and current knowledge. It implemented appropriate medical rescue operations, thanks to which the condition of the injured was stabilized. The first step is to stop the exposure to the allergen. Keywords: anaphylaxis, shock, emergency medical team, rescue procedure.