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: Single-track vehicles (including, among others, scooters, bicycles, mopeds, and motorcycles) are becoming increasingly popular means of transport, especially in large cities. A significant disadvantage of single-track vehicles is the low level of protection of users’ bodies during road accidents, which causes life-threatening injuries. The aim of this study is to characterize the injuries of users of single-track vehicles. Material and methods: An analysis of medical documentation of the ambulance service in the region of central Poland covered cases in 2019–2020. Out of 17,446 interventions, a group of 248 road incidents involving single-track vehicles was selected. The data included the scene of the event, the sociodemographic data of the casualties, the injuries suffered, and the clinical diagnoses. Analyses of the correlation of variables with the chi-squared and Spearman’s Rho tests were applied. All results were considered significant at p < 0.05. Results: In the analyzed period, trips of men accounted for 83.5% of all of the interventions (n = 207), while trips of women accounted for 16.5% (n = 41). The mean age of the victims was 45.66 years (SD ± 20.45). Taking into account the division of single-track vehicles, individual cases were recorded with the participation of bicycles (n = 183), motorcycles (n = 61), and scooters (n = 4). Taking into account the type of event, the following were distinguished: deductions (n = 62), falls (n = 179), and sickness (n = 7). The most common injuries were to the heads of cyclists (n = 101, which constitutes 55.19% of all injuries), lower limb injuries in motorcyclists (n = 35; 57.38%), and head injuries in scooter users (n = 3; 75%). The locations of sustained injuries significantly correlated with the type of vehicle in the cases of head injuries (p = 0.046), spine/back injuries (p = 0.001), pelvis injuries (p = 0.021), and lower limb injuries (p = 0.001). Conclusions: The users of single-track vehicles injured in road accidents were more often men than women. The characteristics of the injuries depended on the type of vehicle. The lack of adequate body protection significantly increases the likelihood of death or damage to health. It is advisable to promote safety rules among users of single-track vehicles, with a particular emphasis on the protection of individual parts of the body.

Introduction: The activities of the Emergency Medical Services (EMS) Station in Minsk Mazowiecki are based on the provision of medical aid to persons in a state of emergency. The aim: Analysis of interventions of EMS teams operating in the structure of the EMS Station in Minsk Mazowiecki, including diagnoses made by team leaders based on the International Classification of Diseases. Material and methods: The study was retrospective. The analysis covered 39,027 dispatches of EMS teams in Minsk Mazowiecki in the period from January 1, 2013 to December 31, 2017. The study was conducted on the basis of medical data collected in SP ZOZ RM-MEDITRANS computer systems in Siedlce. Results: The results indicated an increase in the number of interventions performed by EMS teams working in the EMS Station in Minsk Mazowiecki (by 30.80%) in the period from 2013 to 2017. In that period, interventions in code 2 (69.12%) dominated. The EMS teams reached the event site much faster in code 1 than in code 2. The mean time needed to reach the event site was noticeable. Most interventions took place in the patient’s home (73.14%). The leaders of EMS teams made diagnoses mainly on the basis of a group of ICD-10 codes regarding symptoms and disease features (37.39%), followed by injuries, poisoning, external factors (20.58%) and cardiovascular diseases (15.64%). Of all interventions, 68.60% of patients were transported to hospitals, and 23.97% remained at the place of call. Conclusions: The analysis of interventions of EMS teams in Minsk Mazowiecki indicated an increase in the society’s demand for services in the field of EMS, while the optimization of their use and verification of the legitimacy of their interventions is warranted. In addition, EMS team leaders made diagnoses mainly on the basis of a group of ICD-10 codes regarding symptoms and disease features.

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.

Articles published on-line and available in open access are published under Creative Common Attribution -Non Commercial-No Derivatives 4.0 International (CC BY-NC-ND 4.0) allowing to download articles and share them with others as long as they credit the authors and the publisher, but without permission to change them in any way or use them commercially.