Diagnoses Made by Leaders of Emergency Medica L Services Teams Within the Operat Ion Area Of the Emergency Medica L Services Stat Ion in Minsk Mazowiecki in 2013-2017

Abstract

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.

Characteristics of Emergencies in the Workplace from the Perspective of the Emergency Medical Services: A 4-Year Case-Control Study

“…According to Szpakowski and Pilip [20], in the years 2013-2015 in central-eastern Poland, the main reason for calling EMS, regardless of the place of the call and the patient's age, were diseases of the circulatory and respiratory systems (78%). Mitura et al [16], in a study on EMS calls in the district of Mi ńsk, state that interventions are dominated by ICD-10 code groups R (37.4%), S-T (20.6%), and I (15.6%). On the other hand, Białczak et al [12] indicate, among others, the main reasons for EMS intervention, among others, cardiovascular diseases (36.1%) and injuries (20.1%).…”

“…Filip et al [14] mention circulatory system disorders 26.0% (I44-I19, R07), hypertension 15.7% (I10), abdominal pain 15.1% (R10), and fainting 12.3% (R55) as the most common reasons for EMS interventions. The research by Mitura et al [16] shows that the main diagnoses made by EMS teams, regardless of the place of call and the patient's age, were R55-Syncope and collapse (7.7%) and R07-Pain in the throat and chest (5.6%).…”

“…Based on our own research, we found that after the intervention of working-age patients, EMS teams most often transported them to hospitals (78.8%), and in 19.2% of cases, patients remained at the place of call. In the case of EMS teams in Minsk, Mitura et al [16] report that 68.6% of patients (from all interventions) were transported to hospitals, and 24.0% remained at the call site. In turn, Filip et al [13] noted in the period under study that EMS teams transported patients to hospitals in 68.6% of calls, and in 18.8% of interventions, assistance was provided at the call site.…”