Support for the national medical rescue system by fire protection units in life-threatening interventions caused by cardiac disorders

• Autorzy: Dudziński Łukasz , Kubiak Tomasz , Czyżewski Łukasz , Bihałowicz Jan Stefan

Identyfikatory

DOI

10.5604/01.3001.0054.9901

• Języki publikacji: EN

Abstrakty

EN

This paper describes functioning of the National Rescue and Firefighting System (NRFS), a structure of cooperation in which both the resources (people and equipment) of the State Fire Service (SFS) and the Volunteer Fire Service (VFS) are included. The aim of the study is to analyse interventions of the State Fire Service units in life-threatening conditions caused by cardiac causes in the years 2020–2022. Materials needed for the analysis were provided by the Bureau of Operational Planning. The observations cover the period 2020–2022 in the territory of Poland. In the study use was made of data from the Decision Support System of the State Fire Service (DSS SFS), in which all interventions of firefighters have been archived. In the SFS databases for the period 2020–2022, firefighters were dispatched to 8085 life-threatening interventions for causes classified according to the observation objective, and namely cardiovascular disorders. Those interventions accounted for 1.39% of all Medical Rescue Operations. In the Lesser Poland Province, the highest number of interventions concerned sudden cardiac arrest/ cardiopulmonary resuscitation (SCA/CPR) (69%). Calls for collapsing were most frequent in the Varmian-Mazurian Province (54%). The use of specialized equipment held by NRFS entities provides a variety of possibilities to support medical rescue entities. The SFS is the main service cooperating with the National Medical Rescue System during MRO. A faster arrival of firefighters in the case of incidents classified as Isolated Medical Emergency Incidents (IMEI) can contribute to improving the prognosis of the victims, mainly in the SCA/CPR category, owing to a possibility of performing rapid defibrillation.

Słowa kluczowe

EN

rescue and fire-fighting activities; support for medical entities; sudden cardiac arrest; CPR; medical rescue operations

• Wydawca: Szkoła Główna Służby Pożarniczej
• Czasopismo: Zeszyty Naukowe SGSP / Szkoła Główna Służby Pożarniczej
• Rocznik: 2025
• Tom: Nr 93 (tom 2)
• Strony: 101--116
• Opis fizyczny: Bibliogr. 34 poz., rys., tab.

Twórcy

autor

Dudziński Łukasz

• Department of Medical Rescue, John Paul II University, Biala Podlaska, Poland

• https://orcid.org/0000-0002-8255-7608

autor

Kubiak Tomasz

• Faculty of Medical Sciences, Poznan Medical Academy of Applied Sciences Mieszko I, Poznan, Poland

• https://orcid.org/0000-0002-7305-2288

autor

Czyżewski Łukasz

• Geriatric Nursing Facility, Medical University of Warsaw, Poland

• https://orcid.org/0000-0001-9473-9954

autor

Bihałowicz Jan Stefan

• Institute of Safety Engineering, Fire University, Warsaw, Poland

• https://orcid.org/0000-0003-3465-5315

Bibliografia

• [1] Act of August 24, 1991 on fire protection (Polish Journal of Laws/Dz.U. 1991, No. 81, item 351).
• [2] Act of September 8, 2006 on the State Emergency Medical Service. (Polish Journal of Laws/Dz.U. of 2006, No. 191, item 1410).
• [3] Bavel, J.J.V. et al., (2020). Using Social and Behavioural Science to Support COVID-19 Pandemic Response. Nature Human Behaviour, 4, 460–471. https://doi.org/10.1038/s41562-020-0884-z
• [4] Berglund, E., Byrsell, F., Forsberg, S., Nord, A., Jonsson, A., (2022). Are first responders first? The rally to the suspected out-of-hospital cardiac arrest. Resuscitation, 180, 70–77. https://doi.org/10.1016/j.resuscitation.2022.09.012
• [5] Böttiger, B.W., Rosell-Ortiz, F., Nolanm J.P., Bossaert, L., Perkins, G.D., (2021). European Resuscitation Council Guidelines 2021: Epidemiology of cardiac arrest in Europe. Resuscitation, 161, 61–79. https://doi.org/10.1016/j.resuscitation.2021.02.007
• [6] Central Statistical Office, (2024). Population density. www.stat.gov.pl/wyszukiwarka/?query=tag:gęstość+zaludnienia. [23.10.2024]
• [7] Dudziński, Ł., Glinka, M., Wysocki, D., Leszczyński, P., Panczyk, M., (2021). Quality analysis of chest compression during cardiopulmonary resuscitation performed by firefighters with physical effort. Kardiol Pol., 79(6), 690–692. https://doi.org/10.33963/KP.15992
• [8] Dudziński, Ł., Glinka, M., Dudzińska M., Kubiak, T., Glinka, P., Feltynowski, M., Marzec, L., (2022). Evaluation of the abilities of the staff to perform medical rescue procedures at the advanced level in the State Fire Service in Poland in connection with an update of the Principles of Medical Rescue Organisation in the National Emergency and Fire System. Medical Research Journal, 7(1), 46–53. https://doi.org/10.5603/MRJ.a2022.0008
• [9] Gałązkowski, R., Pawlak, A., Pszczolowski, K., (2014). The role of the National Rescue and Firefighting System in the National Emergency Medical System Functioning in Rural Areas in Poland. Safety Fire Technol, 34(2), 15–26.
• [10] Glinka, M., Dudziński, Ł., Glinka, P., (2021). Polish State Fire Service (SFS) response to out-ofhospital cardiac arrest (OHCA): a retrospective study. Critical Care Innovations, 4(1), 21–29. https://doi.org/10.32114/CCI.2021.4.1.21.29
• [11] Gräsner, J.T., Herlitz J., Tjelmeland I.B.M., Wnent, J., Masterson, S., Lilja, G., Bein, B.,
• [12] Grochla, M., Knapik, M., Rychlik, W., (2018). Sudden cardiac arrest before ICU admission in patients with cardiovascular disease. Anestezjol. Rat, 12(1), 31–44.
• [13] KG PSP, (2019). Rules for recording events in the Decision Support System of the State Fire Service. Warsaw: Headquarters of the State Fire Service 2019.
• [14] KG PSP, (2021). Principles of Organization of Emergency Medical Services in NFRS. Warsaw: Headquarters of the State Fire Service.
• [15] KG PSP, (2022). Information bulletin of the State Fire Service for 2021–2022. Warsaw: Headquarters of the State Fire Service.
• [16] Nadolny, K., Gotlib, J., Panczyk, M., (2021). The epidemiology of sudden cardiac arrest in prehospital care in the area of the Silesian Voivodeship. Wiad. Lek., 71(1), 193–200.
• [17] Nord-Ljungquist, H., Bohm, K., Fridlund, B., Elmqvist, C., Engström, A., (2021). Time that save lives while waiting for ambulance in rural environments. International Emergency Nursing, 59, 101100. https://doi.org/10.1016/j.ienj.2021.101100
• [18] Nord-Ljungquist, H., Engström, Å., Fridlund, B., Elmqvist, C., (2022). Time is our utmost enemy: First responders experiences of ‘While Waiting For the Ambulance’ assignments in rural environments – a phenomenological study. Nordic Journal of Nursing Research, 42(3), 166–174.
• [19] McAlister, O., Harvey, A., Currie, H., McCartney, B., Adgey, J., Owens, P., Idris, A., (2023). Temporal analysis of continuous chest compression rate and depth performed by firefighters during out of hospital cardiac arrest. Resuscitation, 4, 185, 109738. https://doi.org/10.1016/j.resuscitation.2023.109738
• [20] Nadolny, K., Zyśko, D., Obremska, M., Wierzbik-Strońska, M., Ładny, J.R., Podgórski R., Gałązkowski R., (2020). Analysis of outofhospital cardiac arrest in Poland in a 1year period: data from the POLOHCA registry. Kardiol Pol, 78(5), 404–411. https://doi.org/10.33963/KP.15241
• [21] Order No. 51/2022/DSM of the President of the National Health Fund of April 14, 2022 on determining the conditions for concluding and implementing contracts such as primary health care in the field of night and holiday health care, as amended.
• [22] Pietraś, M., (2023). Health security as a dimension of international security. Athenaeum Polskie Studia Politologiczne, 78(1), 253–279. http:// doi.org /10.15804/athena.2023.78.14
• [23] POLKARD Cardiovascular System Diseases Prevention and Treatment Program for 2017–2021. https://www.gov.pl/web/zdrowie/program-profilaktyki-i-leczenia-chorob-ukladu-sercowonaczyniowego polkard-na-lata-2017–2020. [27.09.2024]
• [24] Regulation of the Minister of Health of December 23, 2019 on medical rescue activities and health services other than medical rescue activities that may be provided by a paramedic (Polish Journal of Laws/Dz.U. of 2019, item 2478).
• [25] Regulation of the Minister of Health on guaranteed benefits in the field of primary health care of September 24, 2013 (Polish Journal of Laws/Dz.U. of 2023, item 1427, as amended).
• [26] Regulation of the Minister of Interior and Administration of July 3, 2017 on the detailed organization of the national rescue and fire-fighting system (Polish Journal of Laws/Dz.U. of 2017, item 1319).
• [27] Regulation of the Minister of Internal Affairs and Administration of March 6, 2019 on the list of health services that may be provided by a paramedic as part of the tasks of the Police, State Protection Service, Border Guard and State Fire Service (Polish Journal of Laws/Dz.U. 2019, item 472).
• [28] Regulation of the Minister of Health of April 7, 2022 on entities authorized to purchase medicinal products in pharmaceutical wholesalers (Polish Journal of Laws/Dz.U. 2022, item 852).
• [29] Swoboda, P., (2018). Krajowy System Ratowniczo-Gaśniczy w ujęciu systemowym bezpieczeństwa wewnętrznego państwa (wybrane klasyfikacje). In: Problemy bezpieczeństwa, E. Fogelzang (ed.), vol. I, Krakow: ESPNiR–UP.
• [30] Tymiński, J., (2022). Prehospital cooperation between qualifiedfirst aid providers and healthcare professionals. Zeszyty Naukowe SGSP, 81, 89–106. https://doi.org/10.5604/01.3001.0015.8125
• [31] WHO, (2020). International Statistical Classification of Diseases and Related Health Problems (ICD-10), Volume XII, Geneva: World Health Organization.
• [32] Więch, P., Muster, M., Bazaliński, D., Kucaba, G., Sałacińska, I., Binkowska-Bury M., (2018). Selected parameters of quality of chest compression and relaxation performed by nursing staff as part of out-of-hospital cardiac arrest? A pilot study. Medycyna Rodzinna, 21(4), 328–334.
• [33] Wiśniewski, R., Gorgone, C., (2019). Characteristics of medical procedures performed by firefighters. Critical Care Innovations, 2(4), 17–24. https://doi.org/10.32114/CCI.2019.2.4.17.24
• [34] Wojtyniak, B., Goryński P., (2020). The health situation of the Polish population and its determinants. Warsaw: Narodowy Instytut Zdrowia Publicznego – Państwowy Zakład Higieny.

Uwagi

Opracowanie rekordu ze środków MNiSW, umowa nr POPUL/SP/0154/2024/02 w ramach programu "Społeczna odpowiedzialność nauki II" - moduł: Popularyzacja nauki (2025).