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Firefighters’ knowledge of the knowledge of procedures for clearing the respiratory tract in an injured person with suspected infection with biological material (SARS-CoV-2) — a nationwide cross- -sectional study
, 2, 3, 3, 3, 4, 5, 5
Affiliations- John Paul II Academy of Applied Sciences in Biala Podlaska, Biala Podlaska, Poland
- Siedlce University of Natural Sciences and Humanities, Siedlce, Poland
- State Fire Service, Warsaw, Poland
- The Main School of Fire Service in Warsaw, Warsaw, Poland
- Medical University of Warsaw, Poland, Warsaw, Poland
open access
Abstract
Introduction: The aim of the study was to assess the knowledge of the procedure for clearing the respiratory tract and updated qualified first aid (QFA) 1a and 2a procedures by firefighters serving in State Fire Service (SFS) rescue and firefighting units, and their knowledge of the transmission of the SARS-CoV-2 virus.
Material and methods: The cross-sectional study covered 19 408 firefighters (officers serving in SFS rescue and firefighting units from all over Poland). The study was conducted using the diagnostic survey method, the Computer Assisted Web Interview (CAWI) technique consisting of a set of particulars regarding a specific officer and the appropriate medical part of the survey.
Results: In the group of 19,408 respondents, 99.31% were men (n = 19,275), while women accounted for 0.69% (n = 133; p < 0.001). The age of the respondents was in the range of 18–66 years, and the average age was 35.88 ± 7.14 years. The length of service was 11.95 ± 6.44 years. The knowledge of procedures 1a and 2a declared by the respondents [OR = 1.51 (95% CI: 1.22–1.86), x2 = 14.76], the ability to operate a suction unit [OR = 1.73 (95% CI: 1.44–2.08, x2 = 34.58)], the frequency of airway clearance training (p < < 0.001, x2 = 61.74). Only 15% of respondents used a suction unit on an injured person during operations.
Conclusions: The knowledge of firefighters in the subject matter covered by the analysis is diverse, some firefighters have additional experience and practice from working in health care units. Professional development in the field of QFA supplemented with procedures 1a and 2a may translate into a lower risk of infection associated with airway clearing in the era of the pandemic. There is a visible need for constant training of SFS officers in terms of medical activities to maintain the knowledge of firefighters at a high initial level.
Abstract
Introduction: The aim of the study was to assess the knowledge of the procedure for clearing the respiratory tract and updated qualified first aid (QFA) 1a and 2a procedures by firefighters serving in State Fire Service (SFS) rescue and firefighting units, and their knowledge of the transmission of the SARS-CoV-2 virus.
Material and methods: The cross-sectional study covered 19 408 firefighters (officers serving in SFS rescue and firefighting units from all over Poland). The study was conducted using the diagnostic survey method, the Computer Assisted Web Interview (CAWI) technique consisting of a set of particulars regarding a specific officer and the appropriate medical part of the survey.
Results: In the group of 19,408 respondents, 99.31% were men (n = 19,275), while women accounted for 0.69% (n = 133; p < 0.001). The age of the respondents was in the range of 18–66 years, and the average age was 35.88 ± 7.14 years. The length of service was 11.95 ± 6.44 years. The knowledge of procedures 1a and 2a declared by the respondents [OR = 1.51 (95% CI: 1.22–1.86), x2 = 14.76], the ability to operate a suction unit [OR = 1.73 (95% CI: 1.44–2.08, x2 = 34.58)], the frequency of airway clearance training (p < < 0.001, x2 = 61.74). Only 15% of respondents used a suction unit on an injured person during operations.
Conclusions: The knowledge of firefighters in the subject matter covered by the analysis is diverse, some firefighters have additional experience and practice from working in health care units. Professional development in the field of QFA supplemented with procedures 1a and 2a may translate into a lower risk of infection associated with airway clearing in the era of the pandemic. There is a visible need for constant training of SFS officers in terms of medical activities to maintain the knowledge of firefighters at a high initial level.
Keywords
Airway clearance, SARS-CoV-2 biological hazard, State Fire Service, rescue and firefighting units
About this articleTitle
Firefighters’ knowledge of the knowledge of procedures for clearing the respiratory tract in an injured person with suspected infection with biological material (SARS-CoV-2) — a nationwide cross- -sectional study
Journal
Issue
Article type
Original article
Pages
284-292
Published online
2022-11-25
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3227
Article views/downloads
264
DOI
Bibliographic record
Medical Research Journal 2022;7(4):284-292.
Keywords
Airway clearance
SARS-CoV-2 biological hazard
State Fire Service
rescue and firefighting units
Authors
Łukasz Dudziński
Piotr Leszczyński
Marcin Glinka
Marek Marzec
Michał Langner
Mariusz Feltynowski
Mariusz Panczyk
Paulina Glinka
References (25)- Kleinman ME, Goldberger ZD, Rea T, et al. 2017 American Heart Association focused update on adult basic life support and cardiopulmonary resuscitation quality: an update to the American Heart Association Guidelines for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care. Circulation. 2018; 137(1): e7–e13.
- Sundstrøm T, Asbjørnsen H, Habiba S, et al. Prehospital use of cervical collars in trauma patients: a critical review. J Neurotrauma. 2014; 31(6): 531–540.
- Komenda Główna Państwowej Straży Pożarnej. Zasady organizacji ratownictwa medycznego w Krajowym Systemie Ratowniczo-Gaśniczym. https://www.gov.pl/web/kgpsp/wykaz-wazniejszych-zasad-obowiazujacych-w-ksrg (8.12.2021).
- Rozporządzenie Ministra Spraw Wewnętrznych i Administracji z dnia 3 lipca 2017 r. w sprawie szczegółowej organizacji krajowego systemu ratowniczo-gaśniczego. Dz.U. 2017 poz. 1319. https://isap.sejm.gov.pl/isap.nsf/DocDetails.xsp?id=WDU20170001319 (11.06.2022).
- Gucwa J, Madej T, Ostrowski M. Zaawansowane zabiegi resuscytacyjne i wybrane stany nagłe. Medycyna Praktyczna, Kraków 2017: 39–99.
- Saif L, Wang Q, Vlasova A, Jung K, Xiao` S. Diseases of Swine. In: Zimmerman JJ, Karriker LA, Ramirez A, Schwartz KJ, Stevenson GW, Zhang J. ed. Coronaviruses. John Wiley & Sons, Inc, Hoboken, NJ 2019.
- Pejsak Z, Tarasiuk K, Tokarz-Deptuła B. Wybrane dane na temat zakażeń koronawirusami, ze szczególnym uwzględnieniem SARS-CoV-2. Medycyna Weterynaryjna. 2020; 76(5): 258–262.
- Rosińska M, Sadkowska-Todys M, Stępień M. Suplement do Rozdziału 7. Epidemia COVID-19 w Polsce na wiosnę i w lecie 2020: Badanie seroprewalencji w populacji ogólnej i w grupie pracowników medycznych. https://www.pzh.gov.pl/wp-content/uploads/2021/02/Suplement-do-Rozdzialu-7-seroprewalencja.pdf (8.12.2021).
- Rozporządzenie Ministra Spraw Wewnętrznych i Administracji z dnia 16 września 2008 r. w sprawie szczegółowych warunków bezpieczeństwa i higieny służby strażaków Państwowej Straży Pożarnej. Dz.U. 2008 nr 180 poz. 1115. https://isap.sejm.gov.pl/isap.nsf/DocDetails.xsp?id=WDU20081801115 (8.12.2021).
- http://app.straz.gov.pl/PSP-Ankiety (8.12.2021).
- Almanasreh E, Moles R, Chen TF. Evaluation of methods used for estimating content validity. Res Social Adm Pharm. 2019; 15(2): 214–221.
- Komenda Główna Państwowej Straży Pożarnej. Nowy statut i nowa struktura organizacyjna Komendy Głównej PSP od 1 października 2021 r. https://www.gov.pl/web/kgpsp/nowy-statut-i-nowa-struktura-organizacyjna-komendy-glownej-psp-od-1-pazdziernika-2021-r (8.12.2021).
- Van de Voorde P, Biarent D, Bingham B et al. Podstawowe i zaawansowane zabiegi resuscytacyjne u dzieci. in: Europejska Rada Resuscytacji. Wytyczne COVID-19. https://prc.krakow.pl/ERC_Gaudlines/PL/ERC_covid19_pages_section4PL.pdf (8.12.2021).
- Flisiak R, Horban A, Jaroszewicz J, et al. Management of SARS-CoV-2 infection: recommendations of the Polish Association of Epidemiologists and Infectiologists as of March 31, 2020. Pol Arch Intern Med. 2020; 130(4): 352–357.
- Meijer A, Webster CWR. The COVID-19-crisis and the information polity: An overview of responses and discussions in twenty-one countries from six continents. Information Polity. 2020; 25(3): 243–274.
- Alhazzani W, Møller MH, Arabi YM, et al. Surviving Sepsis Campaign: guidelines on the management of critically ill adults with coronavirus disease 2019 (COVID-19). Intensive Care Med. 2020; 46(5): 854–887.
- Marek T, Reguła J, Kamiński MF, et al. Wytyczne Polskiego Towarzystwa Gastroenterologii i Konsultanta Krajowego w dziedzinie gastroenterologii dotyczące wykonywania endoskopii przewodu pokarmowego w związku z epidemią COVID-19 (z dnia 16.03.2020 roku). Gastroenterologia Kliniczna. 2020; 12(1): 1–6.
- Haczyński J, Trojniak A, Jarowicz K, et al. Functioning of Health Care During the COVID-19 Pandemic – Review of Literature. Problemy Zarządzania. 2021; 2(92): 64–86.
- Cook TM. Personal protective equipment during the coronavirus disease (COVID) 2019 pandemic - a narrative review. Anaesthesia. 2020; 75(7): 920–927.
- Madziala M. Supraglottic airway devices as a method of airway management in prehospital setting. Disaster and Emergency Medicine Journal. 2019; 4(1): 29–30.
- Krzyżanowski K, Ślęzak D, Jastrzębski P, et al. Airway Management with the Use of Instruments – New Competences for Fire Service Paramedics. BiTP. 2017; 47(3): 112–123.
- Boland LL, Satterlee PA, Fernstrom KM, et al. Advanced clinical interventions performed by emergency medical responder firefighters prior to ambulance arrival. Prehosp Emerg Care. 2015; 19(1): 96–102.
- Deakin CD, Diprose P, Majumdar R, et al. An investigation into the quantity of secretions removed by inflated and deflated laryngeal mask airways. Anaesthesia. 2000; 55(5): 478–480.
- Czyż R, Zawłodzki M, Czyż I. Supraglottic devices as alternative equipment to airway management in state of sudden cardiac arrest. J Educ Health Sport. 2017; 7(8): 202–208.
- Gaszyński T, Bielański M, Jakubiak J. A comparison of four face masks for mechanical ventilation in a mannequin model. Anestezjologia i Ratownictwo. 2012; 6: 389–395.