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2020 - 2022年期间波兰消防员参与与行为障碍相关干预行动:事件观察

Polish Firefighters' Participation in Interventions Related to Behavioral Disorders in the 2020-2022 Period: An Observation of Incidents.

作者信息

Dudzinski Lukasz, Czyzewski Lukasz, Gałazkowski Robert, Jaskiewicz Filip, Nadolny Klaudiusz, Kubiak Tomasz

机构信息

Department of Medical Rescue, John Paul II University in Biala Podlaska, Sidorska Str. 95/97, 21-500 Biała Podlaska, Poland.

Department of Geriatric Nursing, Warsaw Medical University, Zwirki i Wigury Str. 61, 02-091 Warsaw, Poland.

出版信息

Healthcare (Basel). 2024 Dec 9;12(23):2482. doi: 10.3390/healthcare12232482.

DOI:10.3390/healthcare12232482
PMID:39685104
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11641065/
Abstract

BACKGROUND

Rescue service interventions for patients with behavioral disorders are quite common. The aim of this study is to analyze interventions of Polish State Fire Service units in incidents involving health threats to victims with behavioral disorders.

MATERIALS AND METHODS

This study used data from the Decision Support System of the State Fire Service. Events in the period of 1 January 2020 at 00.00-31 December 2022 at 23:59 were used for analysis.

RESULTS

In the 2020-2022 period, firefighters were dispatched 321 times to interventions concerning injured individuals with behavioral disorders. Isolated emergency medical incidents most often concerned mental disorders (23%) and least often concerned suicide attempts (8%) ( = 0.033). It was shown that the duration of the intervention (emergency care time) was significantly longer in the case of interventions related to the autumn period ( < 0.001).

CONCLUSIONS

Our results describe parameters associated with behavioral health responses within the Polish fire service.

摘要

背景

对患有行为障碍的患者进行救援服务干预相当常见。本研究的目的是分析波兰国家消防局单位在涉及对患有行为障碍的受害者构成健康威胁的事件中的干预措施。

材料与方法

本研究使用了国家消防局决策支持系统的数据。分析了2020年1月1日00:00至2022年12月31日23:59期间的事件。

结果

在2020 - 2022年期间,消防员被派遣321次参与涉及患有行为障碍的受伤人员的干预行动。孤立的紧急医疗事件最常涉及精神障碍(23%),最不常涉及自杀未遂(8%)( = 0.033)。结果表明,与秋季相关的干预行动中,干预持续时间(紧急护理时间)明显更长( < 0.001)。

结论

我们的结果描述了波兰消防部门与行为健康应对相关的参数。

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本文引用的文献

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Psychiatric conditions in the practice of National Emergency Medical Services teams in eastern Poland during the SARS-CoV2 pandemic.波兰东部国家紧急医疗服务团队在 SARS-CoV2 大流行期间的精神疾病情况。
Psychiatr Pol. 2023 Jun 30;57(3):621-635. doi: 10.12740/PP/150330.
2
Are first responders first? The rally to the suspected out-of-hospital cardiac arrest.急救人员是最先到达的吗?对疑似院外心脏骤停的响应。
Resuscitation. 2022 Nov;180:70-77. doi: 10.1016/j.resuscitation.2022.09.012. Epub 2022 Sep 23.
3
Using firefighters as medical first responders to shorten response time in rural areas in Sweden.在瑞典农村地区,利用消防员作为医疗急救人员以缩短响应时间。
Aust J Rural Health. 2020 Feb;28(1):6-14. doi: 10.1111/ajr.12599.
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Reasons for Emergency Department Use among Patients with Mental Disorders.精神障碍患者急诊就诊的原因。
Psychiatr Q. 2019 Dec;90(4):703-716. doi: 10.1007/s11126-019-09657-w.
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Epidemiology of emergency ambulance service calls related to mental health problems and self harm: a national record linkage study.精神健康问题和自残相关的紧急救护车服务呼叫的流行病学:一项全国性的记录链接研究。
Scand J Trauma Resusc Emerg Med. 2019 Mar 20;27(1):34. doi: 10.1186/s13049-019-0611-9.
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The survival benefit of dual dispatch of EMS and fire-fighters in out-of-hospital cardiac arrest may differ depending on population density--a prospective cohort study.院外心脏骤停时紧急医疗服务(EMS)与消防员联合调度的生存获益可能因人口密度而异——一项前瞻性队列研究。
Resuscitation. 2015 May;90:143-9. doi: 10.1016/j.resuscitation.2015.02.036. Epub 2015 Mar 16.