Wpływ wybranych elementów czasu reakcji systemu ratownictwa medycznego na efektywność udzielania pomocy ofierze wypadku komunikacyjnego

• Autorzy: Trzos A. , Długosz K.

Identyfikatory

DOI

10.12845/bitp.39.3.2015.15

Warianty tytułu

EN

Influence of Selected Elements Affecting Response Time for the Emergency Medical System and the Effectiveness of Administering Aid to Victims of Road Traffic Accidents

• Języki publikacji: PL

Abstrakty

PL

Cel: Celem pracy jest przedstawienie zależności pomiędzy wybranymi elementami wpływającymi na czas reakcji systemu ratowniczego a możliwością udzielania pomocy poszkodowanym w wypadkach komunikacyjnych. Wprowadzenie: Wypadki komunikacyjne są jedną z najczęstszych przyczyn zgonów w krajach wysokorozwiniętych. Trwająca od lat restrukturyzacja systemu ratownictwa w Polsce ma na celu poprawienie efektywności służb ratowniczych. Ciągłej modyfikacji podlegają elementy, które wpływają na czas reakcji sytemu ratowniczego. Jednak zależność pomiędzy czasem reakcji systemu ratowniczego a efektywnością działań ratowniczych nie jest jedynym czynnikiem, który wpływa na przeżywalność ofiar wypadków. Szereg czynników, determinujących przebieg zdarzenia, wpływa choćby na zakres możliwej do udzielenia pomocy medycznej. Pozycjonowanie sił i środków, transmisja danych on-line, zaangażowanie wolontariuszy, teletransmisja danych o stanie pacjenta w trakcie transportu do szpitala zmieniają możliwości reagowania systemu ratowniczego. Integracja Krajowego Systemu Ratowniczo-Gaśniczego (KSRG) z systemem Państwowe Ratownictwo Medyczne (PRM) w Polsce wpływa na wzrost skuteczności reagowania systemu ratowniczego w pierwszych minutach od zdarzenia, zaś potencjał niezrzeszonych wolontariuszy i organizacji ochotniczych (np. Ochotnicza Straż Pożarna, OSP) jeszcze bardziej zwiększa możliwości systemu ratownictwa medycznego, dzięki skróceniu czasu reakcji i udzieleniu pomocy poszkodowanym w możliwie najkrótszym czasie. Metodologia: Na potrzeby pracy opisano czynniki, biorące udział w określaniu efektywności pracy sił systemu ratownictwa medycznego. Wzięto pod uwagę: czas reakcji systemu ratownictwa medycznego (także pierwszej pomocy i kwalifikowanego ratownictwa), zakres udzielonej pomocy, zdolności diagnostyczne w rozpoznawaniu obrażeń doznanych w wyniku wypadku (szczególnie rozpoznawanie i leczenie zatrzymania krążenia). Sprawdzano wpływ tych czynników na efektywność udzielania pomocy ofiarom wypadków komunikacyjnych. Wnioski: Integracja systemów PRM i KSRG, wsparcie ze strony świadków zdarzenia i ratowników wolontariuszy, a także wykorzystanie nowoczesnych rozwiązań teleinformatycznych wpływa na wzrost efektywności udzielania pomocy ofiarom wypadków komunikacyjnych poprzez skrócenie czasu reakcji systemu ratowniczego.

EN

Aim: The purpose of this study is to reveal the relationship between selected elements, which influence the response time of the rescue system, and the possibility of administering aid to the injured in traffic accidents. Introduction: Traffic accidents are one of the leading causes of death in developed countries. Many years of restructuring the rescue system in Poland was aimed at increasing the effectiveness of emergency rescue services. Elements exposed to constant modification are ones which impact on the response time of the rescue system. However, the relationship between the response time of the rescue system, functioning in Poland in its present form, and the effectiveness of rescue operations is not the only factor, which impacts on the survival of accident victims. There are a number of other factors, which determine the course of events, as well as the extent of possible provision of medical assistance. Positioning of resources - human and equipment, "on-line" data transmission, commitment of volunteer personnel, monitoring and data transmission about the patients’ condition during transportation to hospital are factors, which impact on the response capabilities of the emergency rescue system. Integration of the National Firefighting and Rescue System (NFRS) with Emergency Medical Services (EMS) in Poland, contributes to the effectiveness of the rescue system response during the first few minutes after an incident. Additional possibilities offered by volunteer organisations, such as Fire Service volunteers, will enhance further the capabilities of the medical rescue system, culminating in quicker reaction and provision of aid in possibly the shortest period of time. Methodology: Factors, which influence the effectiveness of the medical emergency system were analysed for the purpose of this research. The study took into account: reaction time of the emergency medical system (first aid and rescue by qualified personnel), scope of administered medical assistance, ability to diagnose injuries sustained in an accident (especially, diagnosis and treatment of a cardiac arrest). Research included a check on the influence of these factors, on the effectiveness of administering aid to victims of traffic accidents. Conclusions: Integration of Emergency Medical Services (EMS) and National Firefighting and Rescue System (NFRS), support from incident witnesses rescue volunteers, and the use of modern ICT solutions, improves effectiveness of aid to victims of road accidents by reducing the rescue system response time.

Słowa kluczowe

PL

wypadki komunikacyjne; złota godzina; trimodalny rozkład zgonów Trunkey’a; czas reakcji; ratownictwo medyczne

EN

road accidents; golden hour; Turnkey's Trimodal distribution of mortality; reaction time; medical rescue services

• Wydawca: Centrum Naukowo-Badawcze Ochrony Przeciwpożarowej im. Józefa Tuliszkowskiego - Państwowy Instytut Badawczy
• Czasopismo: Bezpieczeństwo i Technika Pożarnicza
• Rocznik: 2015
• Tom: Nr 3
• Strony: 173--183
• Opis fizyczny: Bibliogr. 55 poz., rys.

Twórcy

autor

Trzos A.

• Uniwersytet Jagielloński – Collegium Medicum, Kraków

autor

Długosz K.

• Uniwersytet Jagielloński – Collegium Medicum, Kraków

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