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Today's medical rescue in pre-hospital care is a series of ongoing legal and administrative changes and regulations, increasing the scope of competence of medical rescuers working in - basic Medical Rescue Teams. The decreasing number of specialist Emergency Medical Teams, in the continuous process of system changes, makes paramedics face even greater responsibility in terms of performing medical rescue operations and possible errors that hang over paramedics in their everyday work. Demanding patients and their families, the growing number of many private insurance claim law firms dealing with the medical cases is another piece of the puzzle that today sets a bruising path in the search for property benefits and compensation in the form of lawsuits brought to Medical Rescue Teams and their members.

Introduction: Analysis of the medical education of State Fire Service (SFS) officers in terms of the possibility to perform medical emergency procedures at the advanced level in connection with an update of the Rules of Medical Rescue Organisation in National Emergency and Fire System (NEFS). Material and methods: An analysis was conducted of the nationwide staff-related data on the medical education of SFS officers, both in the day-based and shift-based system. The analysis also covered additional qualifications for the pursuit of the profession of a physician, nurse and medical emergency worker among the firefighters/medical emergency workers in Poland, satisfaction of the obligation of professional training and additional employment in healthcare facilities. Results: 2220 officers with medical education work in the organisational units of SFS. Nearly 40% of the officers with medical education in SFS additionally work in healthcare units and more than a half pursues the statutory professional training. To ensure one medical emergency worker per professional shift on the ready, every SFS EFU should have ca. 5.6 full-time positions for medical emergency workers -- this is a coefficient including absences of leave, sickness absences and other variables. Therefore, the above calculations indicate that to ensure one medical emergency worker per professional shift in one SFS EFU (E = 5.6), ca. 2817 officers with medical education should be employed. With the current staff level (SRM = 2220), ca. 597 officers should be employed to fill the demand (Mrt) if the advanced level is to be achieved Conclusions: The medical rescue in SFS as one of the disciplines of medicine requires continual development in terms of solutions for the system, equipment and first of all the staff. A higher number of medical emergency workers in SFS may have a positive effect on the quality of the medical procedures carried out during isolated emergency medical incidents. The organisational units of SFS in most voivodeships in Poland face a shortage of medical emergency workers on duty, which has a negative effect on the possibility to perform Medical Rescue Procedures at the advanced level. [ABSTRACT FROM AUTHOR]

The tasks of health in mass events, disasters and emergency Situations ensue from the specific nature of each event, which determines the scale of the needs and difficulties needed to refrain. Emergency medical procedures at the mass event and disasters called the doctrine of conduct mass loss, requires a complete change in thinking and withdrawal from the Generally Accepted Principles of treatment From the efficient organization of the rescue operation depends on the success of the entire treatment process. The aid time and providing the victims of the accident to the hospital usually we decides about the fate of the victim. The article presents the medical rescue activities used during mass accidents and disasters and discusses the Principles of evacuation.

The accident in the Raša mines of 28 February 1940 was the greatest tragedy in the history of mining in Istria; an explosion, most likely fuelled by methane and coal dust, claimed 185 lives and injured over a hundred people. Documentation made available by the courtesy of Zdravko Hrastnik, a collector from Labin, and the archives of the Vicenza town hospital shed some light on this tragedy and on the human and professional character of Giovanni Battista Pillan, the Raša mine physician who was commended and rewarded for successfully fighting the adversity. Later however, he was sent to the front lines over a difference in opinion with the local health administration. [ABSTRACT FROM AUTHOR]