open access

Vol 7, No 3 (2022)
Original article
Published online: 2022-08-23
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Participation of fire protection units in Poland in ensuring the continuous operation of ventilators for home use — a 7-year observation

Łukasz Dudziński1, Marcin Glinka2, Tomasz Kubiak3, Mariusz Feltynowski4
·
Medical Research Journal 2022;7(3):215-222.
Affiliations
  1. City Headquarters of the State Fire Service in Lublin, Poland
  2. State Fire Service Warsaw, Poland
  3. Academy of Applied Sciences Mieszka I, Poznan, Poland
  4. The Main School of Fire Service, Warsaw, Poland

open access

Vol 7, No 3 (2022)
ORIGINAL ARTICLES
Published online: 2022-08-23

Abstract

Introduction: After each weather front with gales all over Poland, firemen have to perform a few hundred or so interventions. The life of persons covered by a specialistic treatment — home mechanical ventilation HMV — depends upon stable supplies of electricity. In case of breakdowns, indispensable aid is given by firemen who deliver generating sets available in Rescue and Firefighting Units (RFU).

Aim of the study: Analysis and a statistical presentation of interventions of fire protection units to support the correct operation of home medical machines in case of temporary power failure.

Material and methods: Data obtained from the Decision Support System of the State Fire Service (SFS DSS), made available to the authors by the Operational Planning Bureau at the Headquarters of the State Fire Service. In graphical presentations utilized were materials from the Head Office of Geodesy and Cartography, Law on Geodesy and Cartography, viz. Database for Topographic Objects, National Register of Borders. Medical data consistent with the purpose of the study were collected from the analysis of reports compiled by the person in charge of a rescue action of the State Fire Service, which is not the leading service in medical interventions.

Results: In 2015–2021 were 1490 local hazards in which case it was necessary to support the operation — in most cases of ventilators for home use among people requiring ventilator-based therapy. The data show a constantly rising trend, the number of such actions increased by 64.29% — from 163 to 276 [mean (M) = 215.86, standard deviation (SD) = 66.35]. The average waiting time for undertaking intervention in these types of events was 910.68 seconds (15 min, 10 s).

Conclusions: A significant element of rescue actions are volunteer fire brigade squads for being better deployed in rural areas, provided with generating sets; they can ensure faster an emergency electricity source. Persons in charge of a rescue action should draw up the medical part of a report more accurately (concerning the victim and the disease entity) while performing qualified first aid procedures.

Abstract

Introduction: After each weather front with gales all over Poland, firemen have to perform a few hundred or so interventions. The life of persons covered by a specialistic treatment — home mechanical ventilation HMV — depends upon stable supplies of electricity. In case of breakdowns, indispensable aid is given by firemen who deliver generating sets available in Rescue and Firefighting Units (RFU).

Aim of the study: Analysis and a statistical presentation of interventions of fire protection units to support the correct operation of home medical machines in case of temporary power failure.

Material and methods: Data obtained from the Decision Support System of the State Fire Service (SFS DSS), made available to the authors by the Operational Planning Bureau at the Headquarters of the State Fire Service. In graphical presentations utilized were materials from the Head Office of Geodesy and Cartography, Law on Geodesy and Cartography, viz. Database for Topographic Objects, National Register of Borders. Medical data consistent with the purpose of the study were collected from the analysis of reports compiled by the person in charge of a rescue action of the State Fire Service, which is not the leading service in medical interventions.

Results: In 2015–2021 were 1490 local hazards in which case it was necessary to support the operation — in most cases of ventilators for home use among people requiring ventilator-based therapy. The data show a constantly rising trend, the number of such actions increased by 64.29% — from 163 to 276 [mean (M) = 215.86, standard deviation (SD) = 66.35]. The average waiting time for undertaking intervention in these types of events was 910.68 seconds (15 min, 10 s).

Conclusions: A significant element of rescue actions are volunteer fire brigade squads for being better deployed in rural areas, provided with generating sets; they can ensure faster an emergency electricity source. Persons in charge of a rescue action should draw up the medical part of a report more accurately (concerning the victim and the disease entity) while performing qualified first aid procedures.

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Keywords

State Fire Service, qualified first aid, spatial information systems, home mechanical ventilation, power failure

About this article
Title

Participation of fire protection units in Poland in ensuring the continuous operation of ventilators for home use — a 7-year observation

Journal

Medical Research Journal

Issue

Vol 7, No 3 (2022)

Article type

Original article

Pages

215-222

Published online

2022-08-23

Page views

3996

Article views/downloads

314

DOI

10.5603/MRJ.a2022.0038

Bibliographic record

Medical Research Journal 2022;7(3):215-222.

Keywords

State Fire Service
qualified first aid
spatial information systems
home mechanical ventilation
power failure

Authors

Łukasz Dudziński
Marcin Glinka
Tomasz Kubiak
Mariusz Feltynowski

References (23)
  1. Zasady ewidencjonowania zdarzeń w Systemie Wspomagania Decyzji Państwowej Straży Pożarnej, Krajowe Centrum Koordynacji Ratownictwa i Ochrony Ludności, KG PSP. https://www.gov.pl/web/kgpsp/zasady-rozkazy-wytyczne (18.01.2022).
  2. Gałązkowski R, Pawlak A, Pszczołowski K. Rola jednostek krajowego systemu ratowniczo- -gaśniczego w funkcjonowaniu systemu Państwowe Ratownictwo Medyczne w rejonach wiejskich w Polsce. Safety Fire Technol. 2014(34): 15–26.
  3. Edwards J, Morris M, Nelson J, et al. View of Directors of Home Ventilation Programs on Decisions Around Long-Term Ventilation. Am J Res Critic Care Med. 2017; 195(A2338).
  4. Nasiłowski J, Wachulski M, Trznadel W, et al. The evolution of home mechanical ventilation in poland between 2000 and 2010. Respir Care. 2015; 60(4): 577–585.
  5. Narayanan R, Bender E, Chernoff R, et al. Home respiratory care: design of a prototype for continuous measurement at the nasal septum. Healthcare (Basel). 2022; 10(2).
  6. Rozporządzenie Ministra Zdrowia z dnia 22 listopada 2013 r. w sprawie świadczeń gwarantowanych z zakresu świadczeń pielęgnacyjnych i opiekuńczych w ramach opieki długoterminowej. (Dz. U. z 2015 r. poz. 1658).
  7. Zarządzenie Nr 60/2016/DSOZ Prezesa Narodowego Funduszu Zdrowia z dnia 29 czerwca 2016 r. w sprawie określenia warunków zawierania i realizacji umów w rodzaju świadczenia pielęgnacyjne i opiekuńcze w ramach opieki długoterminowej. (NFZ z 2016 r. poz. 60).
  8. Principles of the organization of medical rescue in the National Fire and Rescue System. General Headquarters of the State Fire Service. (4.01.2022).
  9. Żukowska W. Analizy przestrzenne w systemach informacji geograficznej Polski. Przegląd Kartograf. 2003; 35(2): 100–113.
  10. Rozporządzenie Ministra Spraw Wewnętrznych i Administracji z dn. 17 września 2021 r. w sprawie szczegółowej organizacji krajowego systemy ratowniczo-gaśniczego (Dz.U. 2021, poz. 1737).
  11. Program QGIS (free and open source software for geospatial - FOSS4G). GNU GPL (General Public License).
  12. Rozporządzenie Ministra Zdrowia z dnia 6 listopada 2013 r. w sprawie świadczeń gwarantowanych z zakresu ambulatoryjnej opieki specjalistycznej. ( Dz. U. z 2016 r. poz. 357 z późn. zm.).
  13. Domaradzki D, Stryjewski PJ, Konieczyńska M, et al. Obturacyjny bezdech senny — diagnostyka i postępowanie terapeutyczne. Folia Cardiol. 2016; 11(3): 253–259.
  14. Marzec M. Rekordowy Rok. Przegląd Pożarniczy- Ratownictwo i Ochrona Ludności. ; 2022: 4.
  15. Andres J, Cebula G, Dembkowska M, et al. Polska Rada Resuscytacji- Wytyczne Covid 19. Wydanie I. ; 2020: 4.
  16. King AC. Long-term home mechanical ventilation in the United States. Respir Care. 2012; 57(6): 921–30; discussion 930.
  17. Hind M, Polkey M, Simonds A. AJRCCM: 100-year anniversary. Homeward bound: a centenary of home mechanical ventilation. Am J Respir Crit Care Med. 2017; 195(9): 1140–1149.
  18. Alert Rządowego Centrum Bezpieczeństwa. Uwaga-bardzo-silny-wiatr. https://www.gov.pl/web/rcb/komunikaty (27.04.2022).
  19. Badania-nauka-wydarzenia. Instytut Meteorologii i gospodarki Wodnej. https://www.imgw.pl/badania-nauka/wydarzenia (27.04.2022).
  20. Rose L, McKim DA, Katz SL, et al. Home mechanical ventilation in Canada: a national survey. Respir Care. 2015; 60(5): 695–704.
  21. Simonds AK. Home mechanical ventilation: an overview. Ann Am Thorac Soc. 2016; 13(11): 2035–2044.
  22. Act on the State Emergency Medical Services of September 8, 2006 r. (Dz. U. Nr 191, poz.1410).
  23. Akangire G, Lachica C, Begley A, et al. Outcomes of tracheostomy and home ventilation through four years of life in severe bronchopulmonary dysplasia. Am Journ Res Crit Care Med. 2021: A3313.

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