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Epidemiology of Cranio-Cerebral Injuries in Emergency Medical Services Practice

100%
Szarpak Ł., Madziała M.
Polish Journal of Surgery
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2011
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vol. 83
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issue 12
646-651
EN
Head injuries have always accompanied the man. Cranio-cerebral injuries are the most common and often can lead to an imminent threat to life.The aim of the study was the analysis of interventions of Emergency Medical Service teams in respect of patients manifesting symptoms indicative of suffered cranio-cerebral injuries.Material and methods. We analyzed the emergency intervent card (protection medically Piaseczno and Otwock in 2009) - the cranio-cerebral injuries (CCI).Results. We analyzed 1049 cases of CCI. Twice as likely to cranial injuries - brain affected men population. Most accidents happened in the afternoon (13-18) and in the summer months (June - August). Falls from height were the most common cause of cranio-cerebral injuries, but most cases related to the superficial bruising of the head.Conclusions. Cranio-cerebral injuries are the predominant group among all the injuries. Men twice as likely to suffer injury - cranial cerebral compared to women. Most CCI suffer economically active people of 30-39 years age bracket. The most common cause of injury - cranial brain are falls from height, also traffic accidents and falls at the same level. Contusion skins, open wound of the head and concussion injuries are the most common forms of cranio-cerebral injuries.
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Chest Injuries Based on Medical Rescue Team Data

100%
Szarpak Ł., Madziała M.
Polish Journal of Surgery
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2012
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vol. 84
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issue 5
247-252
EN
Injuries are the leading cause of death before the age of 40 years, and the third most common incidence of death worldwide after cardiovascular diseases and cancer.The aim of the study was to determine the number and type of chest injuries, based on EMS (Emergency Medical Service) documentation in the district of Otwock, with particular emphasis on patient age and gender at the time of injury.Material and methods. Analysis considered data obtained from medical rescue teams of Otwock County in 2009 concerning chest injuries.Results. The study group comprised 166 cases of chest injuries. Chest injuries were more often diagnosed in male patients. Most accidents occurred in the afternoon (between 1 and 6pm), and in the summer and winter seasons. Motor vehicle accidents and falls from heights were the most common cause of chest injuries, while the largest number of cases involved superficial chest injuries.Conclusions. Chest injuries accounted for 12% of all medical rescue team interventions, due to injuries, most often connected with superficial contusions of the chest wall. Rib fractures are usually caused by blunt chest injuries, most often relating to the V-VIII ribs. Fractures of the I-III ribs are rare and are evidence of a significant injury. Due to the flexibility of the thoracic wall, fractures in children are less common, as compared to the adult population. Most chest injuries occur in the afternoon during increased patient activity.
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Czy występuje sezonowość i fluktuacje w padaczce?

81%
Timler D., Szarpak Ł., Madziała M.
Aktualności Neurologiczne
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2012
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vol. 12
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issue 3
154-158
EN
Introduction: Epilepsy is one of the most common diseases of a nervous system, which often requires emergency treatment, hence the interest of emergency medicine physicians. Aim: Retrospective analysis of medical records from the years 2005–2009 with special emphasis on seasonality and periodic fluctuations in admissions of epilepsy patients to Copernicus Memorial Hospital in Lodz, Poland. Material and methods: Hospital database was searched for age, gender, time and date of admission, duration of hospitalization, type of epilepsy and mortality. Results: Analysis encompassed 2434 patients with epilepsy (982 women, 1452 men), aged 1 month to 97 years (mean age 44.80±19.97 years). Cause of admission was always an epileptic seizure. Onset of attack was mainly in the afternoon (12:00–17:59 – 803 cases, 33%), and from 6:00 a.m. till 11:59 a.m. (775 cases, 32%). Epilepsy-related admissions were most frequent in July (n=233; 10%), January and April (n=228; 9% each month). Conclusions: Onset of epileptic attack was observed most often since 9:00 a.m. thru 10:59 a.m. and in July, possibly indicating seasonality and periodic fluctuations in epilepsy.
PL
Wstęp: Padaczka jest jedną z najczęstszych chorób układu nerwowego. Ze względu na częstość występowania stanowi istotny problem kliniczny z punktu widzenia medycyny ratunkowej. Cel pracy: Analiza retrospektywna przypadków pacjentów leczonych na SOR-ze i innych oddziałach Wojewódzkiego Szpitala Specjalistycznego im. M. Kopernika w Łodzi (WSS im. M. Kopernika w Łodzi) z powodu padaczki w okresie 2005–2009 roku. Materiał i metoda: Analizę przeprowadzono, opierając się na dokumentacji medycznej. Badano takie parametry, jak: wiek i płeć pacjentów, pora dnia i rok przyjęcia do szpitala, rodzaj padaczki, czas hospitalizacji oraz śmiertelność. Wyniki: Oceniono 2434 pacjentów (982 kobiety i 1452 mężczyzn) w przedziale wiekowym od 1 miesiąca do 97 lat (średnia wieku 44,80±19,97 roku), u których przyczyną hospitalizacji był napad padaczki. W ciągu doby najczęściej napady padaczki obserwowano w godzinach popołudniowych (12:00–17:59 – 803 przypadki, 33%), następnie w godzinach przedpołudniowych (6:00–11:59 – 775 przypadków, 32%), w ciągu roku – najczęściej w lipcu (n=233; 10%), następnie w styczniu i kwietniu (n=228; 9% dla każdego miesiąca). Wnioski: W badanej grupie chorych napady padaczkowe odnotowywano najczęściej w godzinach porannych 9:00–10:59 oraz w lipcu. Powyższe wyniki wskazują, że może istnieć sezonowość występowania napadów padaczkowych zarówno w cyklu dobowym, jak i rocznym.
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