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Introduction: Accidents and emergencies in the workplace account for a significant proportion of emergency calls worldwide. The specificity of these events is often associated with hazards at a given workplace. Patients do not always require hospitalization; therefore, the characteristics of events can only be determined from the perspective of emergency medical services teams. The aim of the study was to analyze calls and the course of emergency ambulance interventions to patients at their workplace. Material and methods: The study was conducted based on a retrospective analysis of data contained in the medical records of the ambulance service from central Poland from 2015–2018. From all interventions (n = 155,993), 1601 calls to work were selected, and the urgency code, time of day and year, patients’ sex, general condition, as well as diagnoses according to the International Classification of Diseases—ICD-10 and the method of ending the call were considered. Results: The mean age of patients in the study group was 42.4 years (SD ± 13.5). The majority were men (n = 918; 57.3%). The number of calls increased in the autumn (n = 457; 28.5%) and in the morning (n = 609; 38.0%). The main reasons for the intervention were illnesses (ICD-10 group: R—‘symptoms’) and injuries (ICD-10 group: S, T—‘injuries’). Calls at workplaces most often ended with the patient being transported to the hospital (78.8%), and least often with his death (0.8%). Conclusions: The patient profile in the workplace indicates middle-aged men who fall ill in the fall, requiring transport to the hospital and further diagnostics.

Introduction: Sudden cardiac arrest is an integral part of the end of every human life. The aim: To analyze and determine the characteristics of the geriatric patients with sudden cardiac arrest. Material and methods: This was a retrospective study covering the operation area of the Emergency Medical Service in Siedlce. Time range: from January 1, 2013 to December 31, 2017. The Chi2 test was used to assess the significant differences between the analyzed qualitative variables. The level of significance was 0.05. Results: Out of 182,584 emergency medical records collected over 5 years, 5682 cases were manually selected as interventions for a patient with sudden cardiac arrest. This represented 3.11% of all medical services provided, from which a group of n = 3840 patients over 60 years of age was selected. The patient had usually between 75 and 90 years of age. The mean age was 75.55 years. The mean arrival time to such a patient was 10.28 min. The most common ECG rhythm was asystole, followed by return of spontaneous circulation (ROSC) in 12.71% of cases (n = 67). No mechanical chest compression equipment was used. Most often adrenaline and fluid therapy were administered after obtaining intravenous access. Mostly, the witness of the event did not undertake rescue activities. The mean resuscitation time was 48.11 min in the case of ROSC, and 36.98 minutes, if there was no ROSC. Conclusions: In the studied group of patients over 60 years, the chances of ROSC clearly decreased with age.

Conclusion: Although less common than BT, PT is associated with higher prehospital and ED mortality. Increased scene time and the number of procedures was associated with greater mortality for both BT and PT. Further study is required to better understand any causal relationships between prehospital times, interventions, and patient outcomes. Study/Objective: Sea transport fleet is the main supplier of goods for commercial enterprises and settlements on the Arctic coast of Russia. Background: Extreme conditions of navigation in the northern latitudes lead to the creation of dangerous situations for occupational traumas. Methods: There were 1,367 damages with disability that occurred on vessels of sea transport fleet (208.1 per 1,000 employees). Results: Heightened risk for traumas where the ship's work related to maintenance and repair mechanisms of the engine room (124.4); galley (73.4); maintenance of deck machinery (69.2); handling by the crew (54.8); moving on ladders and decks (44.9); mooring (30.2); machine tools (9.6); and with hatch covers (7.0). Blunt trauma applied in most cases (173.0), sharp (11.0), and thermal agents (11.0). Poisoning by acid, alkali, metal vapor, carbon monoxide, and poisons amounted just 2.4%. Alcohol intoxication among the sailors of the transport fleet was set to 8.9% of occupational traumas on sea transport fleet (18.0). Fractures of the bones of various localization occurs 2.5 times more frequently, and severe bruising almost 2.9 times. Bone fractures are the leading type of damage in the structure, in all the anatomical and functional segments (P < .001), including the closure, amounted to 85.5% of cases and open ones -14.5% (P < .001). Conclusion: For occupational traumas on ships, 27.7% of patients (54.1) were surgical procedures designed to stop bleeding from wounds, toilet of antiseptic solutions with elements of surgical treatment, and application of aseptic and plaster casts. More than one-half of the patients (63.6%; 123.7) were treated conservatively, and only 9.7% (17.7) were subjected to surgical intervention. Complications occurred in 15.5% of patients. The average number of disability days was 42.7; bed days 26.4. Recovery occurred in 85.4% (17.5) affected seafarers; they were transferred to light work, followed by vocational rehabilitation 7.5% (15.8), set disability 1.4% (2.8). Mortality was 5.7% (12.0). Study/Objective: To study perceived collaboration among mining workers and managers, rescue service personnel, and ambulance personnel when mining incidents occur. Background: Studies focused on rescue operations in mining incidents and on the emergency medical service's part in the rescue operations are scarce. In Sweden, usually the local rescue and ambulance services are dispatched to mining incidents. In a Swedish study, it was found that about one-half of the ambulance personnel in mining districts felt unprepared for managing mining incidents, and almost all the personnel desired to learn more about mining incidents. Methods: Six focus group discussions we...

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