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Galazkowski R.,Medical UniversityWarsaw | Binkowska A.,Medical UniversityWarsaw | Samolinski K.,Medical UniversityWarsaw
Annals of Agricultural and Environmental Medicine | Year: 2015

Introduction and objectives. The system of emergency medical services (EMS) in Poland was established in 2006. The risk of occupational injuries to EMS personnel is very high, irrespective of the country where they operate, as they face many hazards in their everyday work. The aim of this study is to describe the type, incidence and consequences of occupational accidents among the personnel of the National Emergency Medical Services in Poland (NEMS-land and air ambulance crews) in 2008-2012. Material and methods. The study reviewed all occupational accidents among the EMS personnel reported to the National Labour Inspectorate in 2008-2012. Results. In the period reported, the number of accidents decreased from 32 in 2008 to just 6 in 2012. Traffic accidents predominated and most of the victims were male paramedics under 30 years of age. The most common injuries included multiple organ injuries and injuries of the cervical spine, chest and trunk. Conclusions. The growing professional experience of the EMS personnel has a beneficial effect on occupational injury rates as they tend to decrease with longer employment. Occupational accidents are definitely more common among ambulance crews than in the personnel of other organizational units of the National Emergency Medical Services. © 2015, Institute of Agricultural Medicine. All rights Reserved.

Manka-Malara K.,Medical UniversityWarsaw | Gawlak D.,Medical UniversityWarsaw | Hovhannisyan A.,Medical UniversityWarsaw | Klikowska M.,Medical UniversityWarsaw | Kostrzewa-Janicka J.,Medical UniversityWarsaw
Anaesthesiology Intensive Therapy | Year: 2015

Endotracheal intubation is a procedure performed during general anaesthesia with the use of an endotracheal tube in order to maintain a patent airway. This routinely used procedure is connected with a risk of complications within the region of the masticatory system. Trauma of teeth, their surrounding structures and the soft tissue of the oral cavity is observed in app. 1.38 per 1000 procedures. The main causes of this damage are the surgical skills and experience of the surgeon, the anatomical conditions present and the mode of conducting the procedure. In order to reduce the risk of postoperative complications, patients with a high risk of sustaining an injury during endotracheal intubation should be equipped with elastic mouthguards, which reduces the possibility of damage. The scoring in a scale of endotracheal intubation difficulty should be used for qualification for the use of such mouthguards.

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