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Medical interventions of the Fire Service during the COVID-19 pandemic in Poland

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Dudziński Ł., Glinka M., Glinka P.

Critical Care Innovations

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2021

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vol. 4

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issue 2

23-31

EN

INTRODUCTION: The rescue services which take interventions in the scene of accidents include the Fire Service officers. The tasks of the Fire Service carried out to serve the society include the cooperation with units of the Emergency Medical Services and performance of medical operations. The spreading of the COVID-19 pandemic led to many changes in daily public and private life, in the functioning of institutions, public offices, the healthcare system and the uniformed services. MATERIAL AND METHODS: The study included a retrospective analysis of departures of Polish fire-fighting units (FFU) for isolated events of medical emergency (IEMEs) in a two-year period: from March 2019 to the end of February 2021 (one year before the pandemic and one year during the pandemic in Poland). The data come from the EWID event recording programme and the Decision-Making Support System of the State Fire Service. The quantitative data were prepared depending on the distribution of the variable: the mean and the standard deviation (if the distribution was normal) and the median and the interquartile range (if the distribution was not normal). RESULTS: The studied period included 5272 events meeting the criteria for inclusion in the analysis. An increase by over 56% was seen in IEMEs in the pandemic year compared to the previous year. The dynamics of the IEME increase are identical to the waves of the pandemic occurring in Poland. A statistically significant correlation (p<0.001, R=0.93) was demonstrated between the number of coronavirus infections and the number of IEMEs in the pandemic period. CONCLUSIONS:The studied period included 5272 events meeting the criteria for inclusion in the analysis. An increase by over 56% was seen in IEMEs in the pandemic year compared to the previous year. The dynamics of the IEME increase are identical to the waves of the pandemic occurring in Poland. A statistically significant correlation (p<0.001, R=0.93) was demonstrated between the number of coronavirus infections and the number of IEMEs in the pandemic period.

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Geoprocessing as a contemporary tool for analyzing the data pertinent to medical interventions in the State Fire Service (SFS) – a 12-year retrospective study

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Glinka M., Dudziński Ł., Glinka P.

Critical Care Innovations

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2022

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vol. 5

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issue 3

1-13

EN

INTRODUCTION: : State Fire Service (SFS) officers are increasingly frequently carrying out medical rescue activities (MRA), especially in the scope of qualified first aid (QFA), providing assistance to people harmed in fires and other local threats.Due to the accepted medical procedures, possessed medical equipment and a high number of officers with medical background, SFS units are the second service, right after NEMS, in terms of the volume of provided medical support in different events, particularly fires (F) and local threats (LT). MATERIAL AND METHODS: The paper used the statistical data regarding performance of QFA tasks by SFS officers from the Decision-Making Support System of the State Fire Service (DMSSFS), made available by the Operations Planning Office (OPO) in the Headquarters of the State Fire Service (HSFS). The analyzed material covered the period of 2010 – 2021 and the area of the capital city of Warsaw.Using the method of choropleth maps to present the administrative units of the city, the most overloaded places in terms of emergency activities were presented where QFA intervention was required. RESULTS: The number of events recorded by SFS in Warsaw in the analyzed period was 150,209 (without false alarms – FA), during which QFA activities were performed 9,911 times. The average percentage number of such activities in relation to all events (fires and local threats) was 6.60% and a slow, yet systematic, growth of such events in consecutive years.The highest magnitude of QFA activities – and so the very high level (>201 points) was seen in the district of Śródmieście and the high level(121-200 points)in the following districts: Mokotów, Wola, PragaPółnoc, PragaPołudnie, Targówek. In particular, considering individual estates, these were: ŚródmieściePołudniowe (293), StaryMokotów (150), Mirów (139), Brudno (122), Zacisze (179), Grochów (155) and SaskaKępa (145). CONCLUSIONS: Assessment of the usefulness of mapping medical interventionsand the analyzed spatial data confirmthat the KDE method is characterized by a more precise fitting of the fragments of the MIS estates to the scale of magnitude of the investigated event – QFA activities performed by SFS firefighters. Therefore, using the analytical techniques of GIS is a good tool for planning and interventional support for the SFS activities and it additionally shows phenomena not visible when the data are presented in a table.

PL

WSTĘP: Funkcjonariusze Państwowej Straży Pożarnej (PSP) coraz częściej prowadzą działania ratownictwa medycznego (DRM), zwłaszcza w zakresie kwalifikowanej pierwszej pomocy (KPP), udzielając pomocy osobom poszkodowanym w pożarach i innych lokalnych zagrożeniach. Ze względu na przyjęte procedury medyczne, posiadany sprzęt medyczny oraz dużą liczbę funkcjonariuszy z zapleczem medycznym, jednostki PSP są drugą usługą, zaraz po PRM, pod względem wielkości działań medycznych w różnych zdarzeniach, zwłaszcza pożarach i zagrożeniach lokalnych. MATERIAŁ I METODY: W pracy wykorzystano dane statystyczne dotyczące realizacji zadań KPP przez PSP zawarte w Systemie Wspomagania Decyzji Państwowej Straży Pożarnej (SWDPSP), udostępnionego przez Biuro Planowania Operacyjnego (BPO) w Komendzie Głównej Państwowej Straży Pożarnej. Analizowany materiał objął lata 2010 – 2021 oraz obszar m.st. Warszawy. Wykorzystano metodę kartogramów, aby przedstawić jednostki administracyjne miasta, miejsca najbardziej przeciążone pod względem działań ratowniczych, gdzie wymagana była interwencja KPP. WYNIKI: Liczba zdarzeń zarejestrowanych przez PSP w Warszawie w analizowanym okresie wyniosła 150 209 (bez fałszywych alarmmów), podczas których czynności KPP wykonano 9911 razy. Średnia procentowa takich działań w stosunku do wszystkich zdarzeń (pożary i zagrożenia lokalne) wyniosła 6,60 %, gdzie zauważono systematyczny wzrost takich wydarzeń w kolejnych latach. Najwyższa skala działań KPP – a więc bardzo wysoki poziom (>201 pkt.) wyniosła w dzielnicy Śródmieście i na wysokim poziomie (121-200 pkt) w dzielnicach: Mokotów, Wola, Praga Północ, Praga Południe, Targówek. Biorąc pod uwagę pozostałe dane były to: Śródmieście Południowe (293), StaryMokotów (150), Mirów (139), Brudno (122), Zacisze (179), Grochów (155) oraz Saska Kępa (145). WNIOSKI: Ocena przydatności mapowania interwencji medycznych i analizowanych danych przestrzennych potwierdza, że metoda charakteryzuje się dokładniejszym dopasowaniem fragmentów miejsc do skali wielkości badanego zdarzenia – w działaniach KPP wykonywanych przez strażaków PSP. Dlatego używając techniki analitycznej GIS okazują się być dobrym narzędziem planowania i wsparcia interwencyjnego działań PSP, dodatkowo pokazując zjawiska niewidoczne, gdy dane są prezentowane w tabeli.

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Polish State Fire Service (SFS) response to out-of-hospital cardiac arrest (OHCA): a retrospective study

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Glinka M., Dudziński Ł., Glinka P.

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XX

INTRODUCTION: Out-of-hospital cardiac arrest (OHCA) is one of the leading causes of death in developed countries, which is a leading public health problem. Saving endangered human life is a priority task for emergency services around the world. The aim of study was to analysis of OHCA cases for which the Fire Rescue Units (FRU) teams were ordered in situations that meet the criteria of the isolated emergency medical incidents (IEMI). MATERIAL AND METHODS: The study included a retrospective analysis of calls by Polish FRU to local medical threats over a period of 5 years. The data come from the Decision Support System for Fire Service. Quantitative data were described using classical measures: arithmetic means (M), standard deviations (SD), median (Me) and interquartile ranges (IQR). RESULTS: The total number of OHCA cases included was 94. The mean time between receipt of the IEMI call and arrival on scene was 6 minutes and 22 seconds (IQR = 4). ROSC occurred in 21 patients, which is 22.34% of all cases. An Automated External Defibrillator (AED) was used in 64 cases (68.09%). The analyzed victims were mostly men (76.59%). The mean age of the victims was 63.06 years (Me = 62 years). CONCLUSIONS:The results of the research are in line with global trends and show the role of early cardiopulmonary resuscitation. Sending FRU to OHCA in the case of non-availability of the EMT in the initial phase of the intervention is justified.

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Medical interventions of the Fire Service during the COVID-19 pandemic in Poland

Geoprocessing as a contemporary tool for analyzing the data pertinent to medical interventions in the State Fire Service (SFS) – a 12-year retrospective study

Polish State Fire Service (SFS) response to out-of-hospital cardiac arrest (OHCA): a retrospective study