Publications by authors named "Przemyslaw Gula"

Combat tasks involving special units often put a mental and physical strain on the soldiers. During the military operation, soldiers may struggle with multiple difficulties such as extreme physical effort, sleep deprivation, weather conditions, limited access to food and stress. These circumstances require a high level of cognitive ability (including psychomotor abilities) to overcome the physiological stress response and to be able to quickly and efficiently make decisions under stressful situations, especially in combat.

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Background: The Polish Emergency Medical Services (EMS) system is based on two types of medical rescue teams (MRT): specialist (S)--with system doctors and basic (B)--only paramedics.

Aim Of The Study: The aim of this study is to assess the reasonability of dividing medical rescue teams into specialist and basic.

Material And Methods: The retrospective analysis of medical cards of rescue activities performed during 21,896 interventions by medical rescue teams, 15,877 of which--by basic medical rescue teams (B MRT) and 6,019--by specialist medical rescue teams (S MRT).

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Background: We retrospectively assessed the effects and usefulness of regional techniques, performed at the time of admission to the emergency department, in patients with lower limb trauma.

Methods: A fascia iliaca compartment block using "three in one" method, and the sciatic nerve block from the lateral approach in the popliteal fossa were used.The effectiveness of blocks were assessed according to the Numerical Rating Scale.

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Background: The aim of the study was to evaluate the effectiveness and skills in BLS and use of automatic external defibrillators (AED) by paramedics from units of the National Fire and Rescue System.

Methods: One hundred and fifty-eight rescuers participated in the study. They included both volunteers and professionals, and were recruited from 40 different rescue organizations.

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Authors represented problems relating mass - casualty accidents and manner of segregation of victims. Lifesaving activities in mass - casualty usually leads to increased emotional stress. It is the result of event specificity, and also of external threats in the zone of activity.

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Authors present problems concerning mass--casualty accidents, specificity of action rescue-system on different levels of co-operation, kind of segregation of victims and efficiency of the medical rescue system in Poland. Attention has been paid to the continuous instructions and education of life-saving services, preferably by simulation of events without earlier information of the interested. It is necessary to establish and abide official dependence by the rules of co-operation of components of life-saving system.

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