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Chest Injuries Based on Medical Rescue Team Data

100%
Szarpak Ł., Madziała M.
Polish Journal of Surgery
|
2012
|
vol. 84
|
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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Chest injuries based on Medical Rescue Team data

100%
Szarpak Ł., Madziała M.
Polish Journal of Surgery
|
2012
|
vol. 84(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.
3
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Sudden neurological states encountered in the line of work of Emergency Medical Service in Rybnik

86%
Rumak D., Stefański L.
Aktualności Neurologiczne
|
2015
|
vol. 15
|
issue 4
187-191
EN
Aim: Sudden neurologic states of various aetiology are the major reason for medical teams to be dispatched and often result in hospitalization of the patient. The purpose of this work was the analysis of the aforementioned neurologic states and pinpointing the type of patients the Emergency Medical Service teams have encountered in Rybnik with respect to the said states. Method: Analysed material consisted of Medical Emergency Action cards that were used by Emergency Medical Service Independent Public Healthcare District Hospital No. 3 in Rybnik in the year 2013. Five hundred and twenty-three cases were selected as consistent with sudden neurologic states. Result: A higher incidence of studied diseases was noted among male patients, whereas in females presenting with these states, the age was higher, with the exception of syncope. The analysis revealed the presence of characteristic symptoms in relevant emergency conditions. During the evaluation of psychomotor abilities, a prevalence of patients whose state qualified as normal, and in the case of stroke as “slowed down” was recorded. Brain damage in all states except for stroke was classified as mild. The study noted high blood glucose level disparities between measurements. Conclusion: Strokes occurred most often in patients over 60 years old. The observed signs were consistent with those described in the literature. Blood glucose test results in some patients allowed suspicion of diabetes, or ruled out hypoglycaemia. The majority of studied patients revealed mild brain injury. Alcohol had a significant effect on the incidence of head injuries and seizures.
PL
Cel: Nagłe stany neurologiczne o wieloetiologicznym charakterze są głównym powodem zgłoszeń dla medycznych zespołów ratownictwa medycznego i niejednokrotnie bezpośrednią przyczyną hospitalizacji pacjenta. Celem pracy była analiza wyżej wymienionych stanów neurologicznych oraz charakterystyka grup pacjentów zespołów ratownictwa medycznego w Rybniku w odniesieniu do wspomnianych stanów. Metoda: Analizowanym materiałem badawczym były karty akcji wykorzystywane w 2013 roku przez Zespoły Ratownictwa Medycznego Samodzielnego Publicznego Zakładu Opieki Zdrowotnej Szpitala Rejonowego nr 3 w Rybniku. Spośród wszystkich zgłoszeń zostały wybrane 523 przypadki jako stany podobne do nagłych stanów neurologicznych. Wyniki: Większą częstość występowania chorób notowano wśród starszych mężczyzn niż kobiet. Analizy ujawniły, że charakterystyczne objawy ujawniają się w określonych warunkach. Przy ocenie zdolności psychomotorycznych większość pacjentów cechowała się normalnym stanem, a w przypadku niewielkiej ich części zdolności psychomotoryczne były spowolnione. W badaniu odnotowano duże dysproporcje poziomu glukozy u pacjentów pomiędzy poszczególnymi pomiarami. Wnioski: Udary występowały najczęściej u osób powyżej 60. roku życia. Obserwowane objawy były zgodne z tymi, które opisano w literaturze. Ocena glukozy u niektórych pacjentów pozwoliła na podejrzenie cukrzycy lub wykluczenie hipoglikemii. Większość respondentów miała łagodne uszkodzenie mózgu. Alkohol w znaczący sposób wpływał na występowanie urazów głowy i drgawki.
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