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  1. Article: Emergency medical team interventions in Poland during out-of-hospital deliveries: A retrospective analysis.

    Strózik, Mateusz / Wiciak, Hanna / Raczyński, Andrzej / Smereka, Jacek

    Advances in clinical and experimental medicine : official organ Wroclaw Medical University

    2024  

    Abstract: Background: Emergency medical teams are a crucial component of healthcare systems, routinely providing essential care to pregnant patients in various situations.: Objectives: To evaluate the rate and outcomes of out-of-hospital deliveries attended by ...

    Abstract Background: Emergency medical teams are a crucial component of healthcare systems, routinely providing essential care to pregnant patients in various situations.
    Objectives: To evaluate the rate and outcomes of out-of-hospital deliveries attended by Emergency Medical Services (EMS) in Poland and identify areas for improvement in the care provided by emergency medical teams.
    Material and methods: This retrospective study was based on 41,335 EMS emergency calls to women in advanced pregnancy, of which 879 births were delivered directly by medical teams between January 2018 and December 2022. Data were obtained from the Polish National Monitoring Center for Emergency Medical Services, encompassing all EMS interventions in Poland.
    Results: The study involved 879 EMS team interventions for pregnant women, with an average patient age of 29.87 years. Most patients were in their 2nd pregnancy (28.26%) and delivering for the 2nd time (25.77%). The postnatal condition of newborns, assessed using the Apgar score, was missing in 408 cases (46.52%) due to incorrect completion of documentation. Emergency Medical Services teams, predominantly P-type (basic) teams, handled 69.78% of deliveries, while S-type (specialist) teams were involved in 30.22% of cases. Medical procedures often performed during childbirth included manual assistance in spontaneous delivery, pulse oximetry, physical examination, examination of systemic blood pressure, obtaining peripheral intravenous access, and gynecological examination.
    Conclusions: Given the rate of encountered cases and the gaps identified in medical documentation, there is merit in potentially implementing a dedicated form to be completed by medical teams when caring for a pregnant patient. Ongoing training and enhancements in the range of assistance provided to the mother and newborn are imperative for ensuring appropriate care.
    Language English
    Publishing date 2024-03-20
    Publishing country Poland
    Document type Journal Article
    ZDB-ID 2270257-X
    ISSN 1899-5276 ; 1230-025X
    ISSN 1899-5276 ; 1230-025X
    DOI 10.17219/acem/184141
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: Comparison of Airtraq and Miller laryngoscopes for intubation in patients with inline manual neck stabilization.

    Smereka, Jacek

    The American journal of emergency medicine

    2016  Volume 34, Issue 8, Page(s) 1721

    MeSH term(s) Adult ; Cervical Vertebrae/injuries ; Child ; Cross-Over Studies ; Emergency Nursing ; Humans ; Immobilization ; Intubation, Intratracheal/instrumentation ; Laryngoscopes ; Manikins ; Spinal Injuries/therapy
    Language English
    Publishing date 2016-08
    Publishing country United States
    Document type Comparative Study ; Letter ; Randomized Controlled Trial
    ZDB-ID 605890-5
    ISSN 1532-8171 ; 0735-6757
    ISSN (online) 1532-8171
    ISSN 0735-6757
    DOI 10.1016/j.ajem.2016.06.025
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article ; Online: Which laryngoscope method should inexperienced intubators use for child intubation?

    Smereka, Jacek

    The American journal of emergency medicine

    2016  Volume 34, Issue 8, Page(s) 1729–1730

    MeSH term(s) Child ; Clinical Competence ; Equipment Design ; Humans ; Intubation, Intratracheal/instrumentation ; Intubation, Intratracheal/methods ; Laryngoscopes ; Laryngoscopy/instrumentation ; Laryngoscopy/methods ; Learning Curve
    Language English
    Publishing date 2016-08
    Publishing country United States
    Document type Letter
    ZDB-ID 605890-5
    ISSN 1532-8171 ; 0735-6757
    ISSN (online) 1532-8171
    ISSN 0735-6757
    DOI 10.1016/j.ajem.2016.06.056
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article ; Online: Determinants of Place of Delivery during the COVID-19 Pandemic-Internet Survey in Polish Pregnant Women.

    Strózik, Mateusz / Szarpak, Lukasz / Adam, Ishag / Smereka, Jacek

    Medicina (Kaunas, Lithuania)

    2022  Volume 58, Issue 6

    Abstract: Background and Objectives: ...

    Abstract Background and Objectives:
    MeSH term(s) COVID-19 ; Cesarean Section ; Female ; Humans ; Infant, Newborn ; Internet ; Male ; Pandemics ; Poland/epidemiology ; Pregnancy ; Pregnant Women ; SARS-CoV-2 ; Surveys and Questionnaires
    Language English
    Publishing date 2022-06-20
    Publishing country Switzerland
    Document type Journal Article
    ZDB-ID 2188113-3
    ISSN 1648-9144 ; 1010-660X
    ISSN (online) 1648-9144
    ISSN 1010-660X
    DOI 10.3390/medicina58060831
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  5. Article: EMS Interventions during Planned Out-of-Hospital Births with a Midwife: A Retrospective Analysis over Four Years in the Polish Population.

    Strózik, Mateusz / Wiciak, Hanna / Szarpak, Lukasz / Wroblewski, Pawel / Smereka, Jacek

    Journal of clinical medicine

    2023  Volume 12, Issue 24

    Abstract: Planned out-of-hospital births, facilitated by highly skilled and experienced midwives, offer expectant parents a distinct opportunity to partake in a personalized, intimate, and empowering birth experience. Many parents opt for the care provided by ... ...

    Abstract Planned out-of-hospital births, facilitated by highly skilled and experienced midwives, offer expectant parents a distinct opportunity to partake in a personalized, intimate, and empowering birth experience. Many parents opt for the care provided by midwives who specialize in supporting home births. This retrospective study is based on 41,335 EMS emergency calls to women in advanced pregnancy, of which 209 concerned home birth situations documenting obstetrical emergencies over four years (January 2018 to December 2022), of which 60 involved the assistance of a midwife. Data were obtained from the Polish Central System for Emergency Medical Services Missions Monitoring, encompassing all EMS interventions in pregnant women. The most frequent reason for emergency calls for obstetrical emergencies with the assistance of a midwife was a failure to separate the placenta or incomplete afterbirth (18 cases; 30%), followed by perinatal haemorrhage (12 cases; 20%) and deterioration of the newborn's condition (8 cases; 13%). Paramedic-staffed EMS teams conducted most interventions (43 cases; 72%), with only 17 (28%) involving the presence of a physician. Paramedics with extensive medical training and the ability to provide emergency care are in a unique position that allows them to play a pivotal role in supporting planned out-of-hospital births. The analysed data from 2018-2022 show that EMS deliveries in Poland are infrequent and typically uncomplicated. Continuing education, training, and adequate funding are required to ensure the EMS is ready to provide the best care. EMS medical records forms should be adapted to the specific aspects of care for pregnant patients and newborns.
    Language English
    Publishing date 2023-12-15
    Publishing country Switzerland
    Document type Journal Article
    ZDB-ID 2662592-1
    ISSN 2077-0383
    ISSN 2077-0383
    DOI 10.3390/jcm12247719
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  6. Article ; Online: Birth before arrival - is there anything to be afraid of?

    Strozik, Mateusz / Smereka, Jacek / Pomorski, Michal

    Ginekologia polska

    2022  Volume 93, Issue 9, Page(s) 761–764

    Abstract: Over the past centuries maternal and neonatal morbidity and mortality has fallen dramatically. This is mainly due to the fact that we achieved a lot in the field of medicine in a very short amount of time. Evidence, mostly from Europe but also from US, ... ...

    Abstract Over the past centuries maternal and neonatal morbidity and mortality has fallen dramatically. This is mainly due to the fact that we achieved a lot in the field of medicine in a very short amount of time. Evidence, mostly from Europe but also from US, suggested that home birth can be relatively safe provided the appropriate conditions are met. The question is "What if something goes wrong?" How to increase patient safety in the case of birth before arrival (BBA) or it may not be associated with any increased risk? Our study review nowadays available articles and describes rates, obstetrical characteristics and perinatal and maternal outcome of unplanned out-of-hospital deliveries.
    MeSH term(s) Europe ; Female ; Home Childbirth/adverse effects ; Humans ; Infant, Newborn ; Pregnancy
    Language English
    Publishing date 2022-07-27
    Publishing country Poland
    Document type Journal Article ; Research Support, Non-U.S. Gov't
    ZDB-ID 130894-4
    ISSN 2543-6767 ; 0017-0011
    ISSN (online) 2543-6767
    ISSN 0017-0011
    DOI 10.5603/GP.a2022.0049
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  7. Article ; Online: The use of personal protective equipment in the COVID-19 pandemic era.

    Smereka, Jacek / Szarpak, Lukasz

    The American journal of emergency medicine

    2020  Volume 38, Issue 7, Page(s) 1529–1530

    MeSH term(s) Betacoronavirus ; COVID-19 ; Coronavirus Infections/prevention & control ; Coronavirus Infections/transmission ; Health Personnel ; Humans ; Infection Control/methods ; Pandemics/prevention & control ; Personal Protective Equipment/supply & distribution ; Pneumonia, Viral/prevention & control ; Pneumonia, Viral/transmission ; SARS-CoV-2
    Keywords covid19
    Language English
    Publishing date 2020-04-15
    Publishing country United States
    Document type Letter
    ZDB-ID 605890-5
    ISSN 1532-8171 ; 0735-6757
    ISSN (online) 1532-8171
    ISSN 0735-6757
    DOI 10.1016/j.ajem.2020.04.028
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  8. Article ; Online: COVID 19 a challenge for emergency medicine and every health care professional.

    Smereka, Jacek / Szarpak, Lukasz

    The American journal of emergency medicine

    2020  Volume 38, Issue 10, Page(s) 2232–2233

    MeSH term(s) COVID-19/therapy ; COVID-19/transmission ; Emergency Medicine/standards ; Global Health ; Health Personnel/organization & administration ; Humans ; Pandemics ; SARS-CoV-2 ; Surge Capacity/standards
    Keywords covid19
    Language English
    Publishing date 2020-03-24
    Publishing country United States
    Document type Letter
    ZDB-ID 605890-5
    ISSN 1532-8171 ; 0735-6757
    ISSN (online) 1532-8171
    ISSN 0735-6757
    DOI 10.1016/j.ajem.2020.03.038
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  9. Article: New Strategies for High Quality of CPR and Post-Resuscitation Care.

    Lin, Yan-Ren / Smereka, Jacek / Ng, Kee-Chong / Ryan, John M

    Emergency medicine international

    2022  Volume 2022, Page(s) 9818174

    Language English
    Publishing date 2022-02-11
    Publishing country Egypt
    Document type Editorial
    ZDB-ID 2596429-X
    ISSN 2090-2859 ; 2090-2840
    ISSN (online) 2090-2859
    ISSN 2090-2840
    DOI 10.1155/2022/9818174
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  10. Article ; Online: Cardiopulmonary resuscitation in COVID-19.

    Smereka, Jacek / Raczynski, Andrzej / Wroblewski, Paweł / Baranski, Jarosław

    Cardiology journal

    2021  Volume 28, Issue 6, Page(s) 1003–1004

    MeSH term(s) COVID-19 ; Cardiopulmonary Resuscitation ; Humans ; SARS-CoV-2
    Language English
    Publishing date 2021-12-13
    Publishing country Poland
    Document type Letter
    ZDB-ID 2488680-4
    ISSN 1898-018X ; 1897-5593
    ISSN (online) 1898-018X
    ISSN 1897-5593
    DOI 10.5603/CJ.a2021.0162
    Database MEDical Literature Analysis and Retrieval System OnLINE

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