Chomoncik Mariusz, Nitecki Jacek, Ogonowska Dorota, Cisoń-Apanasewicz Urszula, Potok Halina
Szkola Aspirantów Państwowej, Strazy Pozarnej w Krakowie.
Komenda Wojewódzka Państwowej Strazy, Pozarnej w Krakowie.
Przegl Lek. 2013;70(8):633-7.
Emergency Medical Services (EMS) were founded by the government to perform tasks aimed at providing people with help in life-threatening conditions. The system comprises two constituent parts. The first one is public administrative bodies which are to organise, plan, coordinate and supervise the completion of the tasks. The other constituent is EMS units which keep people, resources and units in readiness. Supportive services, which include: the State Fire Service (SFS) and the National Firefighting and Rescue System (NFRS), are of great importance for EMS because they are eligible for providing acute medical care (professional first aid). Acute medical care covers actions performed by rescue workers to help people in life-threatening conditions. Rescue workers provide acute medical care in situations when EMS are not present on the spot and the injured party can be accessed only with the use of professional equipment by trained workers of NFRS. Whenever necessary, workers of supportive services can assist paramedics' actions. Cooperation of all units of EMS and NFRS is very important for rescue operations in the integrated rescue system. Time is a key aspect in delivering first aid to a person in life-threatening conditions. Fast and efficient first aid given by the accident's witness, as well as acute medical care performed by a rescue worker can prevent death and minimise negative effects of an injury or intoxication. It is essential that people delivering first aid and acute medical care should act according to acknowledged and standardised procedures because only in this way can the process of decision making be sped up and consequently, the number of possible complications following accidents decreased. The present paper presents an analysis of legal regulations concerning the management of chemical burn and inhalant intoxication in acute medical care procedures of the State Fire Service. It was observed that the procedures for rescue workers entitled to provide acute medical care should be correlated with the procedures for emergency medical teams.
紧急医疗服务(EMS)由政府设立,旨在执行任务,为处于危及生命状况的人们提供帮助。该系统由两个组成部分构成。第一部分是公共行政机构,其负责组织、规划、协调和监督任务的完成情况。另一组成部分是紧急医疗服务单位,其负责人员、资源和单位的待命工作。支持性服务,包括国家消防局(SFS)和国家灭火与救援系统(NFRS),对紧急医疗服务至关重要,因为它们有资格提供急性医疗护理(专业急救)。急性医疗护理涵盖救援人员为帮助处于危及生命状况的人们而采取的行动。在紧急医疗服务不在现场且只有国家灭火与救援系统的训练有素的工作人员使用专业设备才能接触到受伤人员的情况下,救援人员提供急性医疗护理。必要时,支持性服务的工作人员可协助护理人员的行动。紧急医疗服务和国家灭火与救援系统所有单位的合作对于综合救援系统中的救援行动非常重要。时间是对处于危及生命状况的人进行急救的关键因素。事故目击者提供的快速有效的急救以及救援人员进行的急性医疗护理可以防止死亡,并将受伤或中毒的负面影响降至最低。提供急救和急性医疗护理的人员必须按照公认的标准化程序行事,因为只有这样才能加快决策过程,从而减少事故后可能出现的并发症数量。本文对国家消防局急性医疗护理程序中化学烧伤和吸入性中毒管理的法律法规进行了分析。据观察,有权提供急性医疗护理的救援人员的程序应与紧急医疗团队的程序相关联。