Introduction: Time is an essential category in the Emergency Department. The phone call duration, with the person who's calling, should be optimal in order to make sound decisions. If the phone call is due to a wrong number it should be made as shorter as possible. Objective: We aimed to show how long the conversations with the caller lasted, for calls that were qualified as having the wrong connection. Method. We used the electronic phone call database (194/94) for 2009. The data were put in a spreadsheet (Excel table) where they were sorted and researched. Out of the total of 739.742 calls we singled out 93.393, which makes 12.62%, and they were classified as the wrong connection. Due to the great variability in the upper scale of the values we cut the base for 5% of the shortest and longest calls. After the database cut 84.053 calls remained. The phone call duration was measured from the moment the receiver was picked up to the moment the line was disconnected. Results. Analyzing 84.053 wrong connections we came up with these results: minimal phone call duration was 6 seconds and maximal 194 seconds, with mean value of 30.28 seconds. Discussion. The number of wrong connections is huge in Emergency Departments all around the world (fire brigades, police, medical emergency) but there are no valid data on the time spent on those calls. Conclusion. Phone calls with wrong connection last too long. Therefore, operators and callers should be well educated.
Uvod: Prema podacima WHO depresija je čest mentalni poremećaj kod ljudi, a značajan doprinoseći faktor su uslovi na radnom mestu. Cilj rada: Ispitati zastupljenost depresije i povezanost sa sociodemografskim karakteristikama kod zaposlenih (lekari, medicinski tehničari, vozači i administrativni radnici) u Hitnoj pomoći Beograd. Metodologija: Istraživanje je sprovedeno u Gradskom zavodu za hitnu medicinsku pomoć u Beogradu u periodu od 1.12.-6.12.2007. Upitnik se sastojao iz pitanja o sociodemografskim karakteristikama ispitanika, Upitnika samoprocene za depresiju PHQ-9 i pitanje o upotrebi anidepresiva. Podatci dobijeni upitnikom statistički su obrađeni softverskim paketom SPSS 20.0 Rezultati: Istraživanjem je obuhvaćeno 118 ispitanika, 58,47% su muškog pola, prosečna starost ispitanika je 40,77±8,86 godina. Rezultat PHQ-9 testa je pokazao da je kod 30% ispitanika bila prisutna subsindromalna depresija, a kod 11% blaga depresivna epizoda, najčešće kod ispitanika ženskog pola (p= 0,023) i kod radnika u administraciji (p= 0,003), a depresija kod 16,95% ispitanika. Od 9 navedenih simptoma depresije najčešće je bio prisutan umor/brzo zamaranje (47,46%) i osećanje praznine, neraspoloženje (43,22%). Samo je 11,86% ispitanika koristilo antidepresive i nije bilo statistički značajne razlike u odnosu na posmatrane parametre. Zaključak: Subsindromalna depresija je značajno zastupljena među zaposlenima u hitnoj pomoći u Beogradu, češće kod ispitanika ženskog pola i kod onih koji rade u administraciji.
Objective. Panic attack is defined as specific, frightening experience of intense fear and impending catastrophe that is accompanied by numerous somatic symptoms. The scope of study was to show the presentation of panic attack disorder in patients in EMS Belgrade Ambulatory Clinic, its frequency, temporal patterns and prescribed therapy. Methods. The research is a cross-sectional study of the work of a one general practitioner and a gerontology subspecialist from the City institute outpatient clinic in Belgrade EMS, in the period from 18.12. 2014. to 16.01. 2019. in each patient's medical record there was at least one or more complaints recorded. Results. Out of 8398 patients, 61 were found with a diagnosis of panic attack, which is 0.73% of the total number of examined patients. 50.82% were male and 49.18% female, with an average age of 39.92. The most common symptoms were respiratory, as well as numbness and tingling, dizziness, feelings of insecurity and fainting, in 80.3% of cases, patients had somewhat similar symptoms previously, whereas 31.1% presented with an actual panic attack. Of the total number of patients 21.3% of them have already been treated for anxiety and depressive disorder. Ten of them tried to help themselves by taking either bromazepam and diazepam tablets on their own, whereas 35.5% were actually prescribed diazepam by our staff physicians. Conclusion: Panic attack is most often presented as a respiratory manifestation. Patients call for medical assistance somewhat more frequently at nighttime when community healthcare centers are closed, however, this is of no statistical significance. The administered therapy was diazepam orally or intramuscularly.
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