The accidental hypothermia can be diagnosed if a body temperature fall below the 35°C. It is frequently encountered in Poland. It was the cause of death of 1836 people between 2009 and 2012. The aim of our paper was to present the current state of the art regarding prehospital management of the hypothermic patient. The gold standard of internal body temperature measurement is by an esophageal probe. The hypothermic patient should be handled very carefully. The wet clothes should be cut and the patient should be covered with insulation materials. Active rewarming should be initiated in all of the patients in severe and mild hypothermia. After finding an unconscious person who is likely to be in hypothermia, the search for signs of life should take 60 seconds. When CPR is started it should be conducted with standard protocols. Infusion fluids should be heated and the preferred ones are: 0,9% NaCl and crystalloids. No antiarrhythmic or vasoconstrictive drugs should be given in patients with internal body temperature below 30°C. Conclusions: We should encourage providers to equip the rescue teams with the active rewarming devices and insulation materials. The prevention of further heat loss in hypothermic patient is of the greatest importance. The life support should be centered around cardiopulmonary resuscitation with quality chest compressions and adequate ventilation. The definitive treatment of patients suffering from deep hypothermia is most effective in specialist centres dedicated to treating this condition. Air transportation is preferred to land transportation.

IntroductionAtrial fibrillation is the most common supraventricular arrhythmia which is also a frequent cause of calls by Emergency Medical Services Teams. The purpose of the work was presentation of the conduct of the Medical Rescue Teams in about patients with atrial fibrillation. Research methodologyThe study included an 86-year-old woman who was called by the Medical Rescue Team due to increasing weakness accompanied by chest pain and dyspnoea. At the patient after a thorough medical history and physical examination, the first episode of atrial fibrillation was found. An individual case study method was used. The study was conducted on the basis of a medical rescue cardthose. ConclusionsThere is no one size fits all regimen for the management of patients with atrial fibrillation. There are algorithms that facilitate the implementation of appropriate treatment. The rescue operation must always be tailored to the individualthe patient's health status and modified as necessary. Thanks to this procedure, paramedics minimize the chances of making a mistake and improve the patient's health.

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Introduction: Anaphylactic shock is an acute allergic body reaction to allergens. This condition threatens the patient's life and health. Anaphylaxis can be caused by intolerance to many nutrients, medications or hymenoptera stings.