Analysis of specialist medical rescue team interventions in Sokołów county in 2016

INTRODUCTION: One of the main aims of the Polish Emergency Medical Services (EMS) is to rescue and protect human health and life. The aim of the study is to analyze specialist medical rescue team (S MRT) interventions in the county of Sokołów in 2016. METHODS: A retrospective analysis of 1361 ambulance call reports from the period January 1st to December 31st 2016 of rescue activities performed during interventions by S MRTs in Sokołów county. RESULTS: The mean time of arrival of S MRTs to the patient was 9.42 ± 7.5 min (max time is 49 min, min time is 1 minute). Average departure time was 51.8 ± 23.5 min (max 218 min, min 23.5 min). The highest incidence of S MRTs operations was observed in July (n = 134, 10%) and lowest in February (n = 95, 7%). CONCLUSIONS: Emergency Medical System reaction time for patients in our region does not differ from other data available in the literature

VieScope® laryngoscope versus Macintosh laryngoscope during difficult intubation performed by paramedics: a randomized cross-over manikin trial

INTRODUCTION: The aim of this study was to evaluate intubation performance by paramedics using Macintoshlaryngoscope and VieScope® laryngoscope under simulated difficult airway conditions. METHODS: In a randomized, single-blinded, cross-over simulation trial, 42 paramedics performed endotrachealintubation using VieScope® and Macintosh (MAC) laryngoscopes in two difficult airway scenarios: (A)tongue edema, (B) manual cervical inline stabilization. The order of participants and intubation methods wasrandom. Time to ventilation constituted the primary outcome, and the secondary outcomes were the successrate of first intubation attempt, overall intubation success rate, Cormack and Lehane grade, and ease of use. RESULTS: In scenario A, the median overall intubation time was 55s (46–109) in the MAC group and 30.5s(26–35) in the VieScope® group (p < 0.001). The efficacy of the first intubation attempt with MAC and Vie-Scope® varied and amounted to 64.3% vs. 95.2% (p < 0.001). During scenario B, VieScope® offered betterintubation conditions than MAC (p < 0.001), including shorter intubation time, higher first attempt andoverall intubation success rates, as well as better glottic view. CONCLUSIONS: In this simulation trial, we found that VieScope® could be successfully used for intubation indifficult airways by paramedics with little simulation experience with this device. VieScope® was associatedwith shorter time and higher success rates of intubation attempt compared with MAC. Nevertheless, werecommend that the performance of VieScope® and MAC should be further evaluated in the clinical settingto confirm our results

Elective lung resection increases spatial QRS-T angle and QTc interval

Background: Lung resection changes intra-thoracic anatomy, which may affect electrocardiographic results. While postoperative cardiac arrhythmias have been recognized after lung resection, no study has documented changes in vectorcardiographic variables in patients undergoing this surgery. The purpose of this study was to analyse changes in spatial QRS-T angle (spQRS-T) and corrected QT interval (QTc) after lung resection.Methods: Adult patients undergoing elective lung resection under general anaesthesia were studied. The patients were allocated into four groups: those undergoing (1) left lobectomy (LL); (2) left pneumonectomy (LP); (3) right lobectomy (RL); and (4) right pneumonectomy (RP). The spQRS-T angle and QTc interval were measured one day before surgery (baseline) and 24, 48 and 72 h after surgery.Results: Seventy-one adult patients (47 men and 24 women) aged 47–80 (65 ± 7) years were studied. In the study group as a whole, lung resection was associated with significant increases in spQRS-T (p < 0.001) and QTc (p < 0.05 at 24 and 48 h and p < 0.01 at 72 h). The greatest changes were noted in patients undergoing LP. Postoperative atrial fibrillation (AF) was noted in 6.4% of patients studied, in whom the widest spQRS-T angle and the most prolonged QTc intervals were also noted.Conclusions: Lung resection widens the spQRS-T angle and prolongs the QTc interval, especially in patients undergoing LP. While postoperative AF was a relatively rare complication after lung resection in this study, it was associated with the widest spQRS-T angles and most prolonged QTc intervals

EMPATHY AND BURNOUT SYNDROME IN THE PRACTICE OF EMERGENCY SERVICES — PILOT STUDY

  INTRODUCTION: The burnout syndrome is a result of stress on the work situation and most often concerns pro­fessions requiring emotional and direct contact with another human being. The level of empathy is closely related to the phenomenon of occupational burnout. The aim of the study was to determine the impact of socio-demo­graphic factors of emergency services employees on the level of empathy. METHOD: In the period January–March 2018, a survey was conducted using a questionnaire — Emphatic Sensi­tiveness Scale (ESC) and an anonymous author’s questionnaire containing questions regarding sex, age, length of employment, occupation, marital status and number of hours worked per month. The survey was addressed to 81 employees of emergency services: paramedics (n = 17) and firefighters (n = 23). The control group consisted of 16 nurses and 25 people performing non–medical professions. RESULTS: The average number of hours worked per month by the respondents was 189 ± 49. There were 50 fe­males (62%) and 31 males (38%). The questionnaire showed statistically significant differences in perspective taking domain between the control group composed of people working in non-medical professions (25.6 ± 4.3) and emergency services professionals: firefighter (28.7 ± 3.6) vs. paramedic (29.9 ± 3.5) vs. nurse (31.2 ± 3.0), p < 0.001. It has been shown a statistically significant effect of sex on personal distress domain: male (21.4 ± 4.2) vs. female (24.3 ± 4.7), p = 0.005. CONCLUSIONS: In conclusion, our data indicates that: (1) Nurses were characterised by the highest level of empathy amongst the surveyed professional groups; (2) Females were characterised by a higher level of personal distress; (3) Variables such as sex, age, and length of employment did not affect the level of empathy

POLISH TRANSLATIONS OF FOREIGN HUMANITIES TEXTS AND 'KNOWLEDGE-BASED SOCIETY'

The real boom of Polish translations of foreign professional literature in the humanities is not a value in itself. In this field, as in many others, the quantity is not associated with quality, and there are so many misleading translations that they begin to threaten the quality of education. The author proposes criteria for assessing the quality of translation and presents illustrations of situations where these criteria are not met. Reasons of the decline in the quality of translations are examined in the area of complex conditionings, both economic and cultural, in particular those relating to the actual function of the so-called knowledge-based society. The skeptical overview of the knowledge-based society (and the mainstream sociology as its intellectual legitimation) is encouraged by the findings of the Foucauldian concept of 'governmentality'. Seen in this light, the knowledge-based society is proving to be one of the 'dispositivs' of neoliberal 'governmentality'. It would be worthwhile to consider whether there might be some reasonable alternative to the extensive model of publishing Polish versions of foreign scholarly literature enforced in recent years. The dominance of the 'knowledge-based society' cannot be eliminated for a number of reasons but it should be avoided whenever possible, also in the field of translation. For this purpose, a list of recommendations has been proposed, whose application could limit the negative trends in the quality of translations

Nationale Selbst- und Fremdbilder im Gespräch. Theoretische und methodologische Aspekte

Czyzewski M, Drescher M, Gülich E, Hausendorf H. Nationale Selbst- und Fremdbilder im Gespräch. Theoretische und methodologische Aspekte. In: Czyzewski M, ed. Nationale Selbst- und Fremdbilder im Gespräch: kommunikative Prozesse nach der Wiedervereinigung Deutschlands und dem Systemwandel in Ostmitteleuropa. Opladen: Westdt. Verl.; 1995: 11-81

Schismogene Tendenzen des Mediendiskurses nach der deutschen Einheit (= Report Nr. 1/93 der Forschungsgruppe "Nationale Selbst- und Fremdbilder in osteuropäischen Staaten - Manifestationen im Diskurs" (1993/94)).

Paul I. Schismogene Tendenzen des Mediendiskurses nach der deutschen Einheit (= Report Nr. 1/93 der Forschungsgruppe "Nationale Selbst- und Fremdbilder in osteuropäischen Staaten - Manifestationen im Diskurs" (1993/94)). . In: Czyzewski M, ed. Nationale Selbst- und Fremdbilder im Gespräch. Opladen: Westdeutscher Verlag; 1995: 297-327