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The rescue scenario is evolving every day, with both the evolution and the industrial Toxic Materials, the globalization of infectious diseases, it's favored by the current need for people to travel to other states, and the import of foreign products. The need for training for rescue operations increases exponentially in response to natural events that interact with human activities, and especially in response to man-made events, including terrorist attack that come every day more in the field of CBRNe events. Currently in Italy the rescue system is fragmented into various territorial entities, and there is no coordination capillary unified and standardized nationwide. Every European country has a different system response. An international course may be the answer to unify the rescue in Europe. ABSTRACT 1 2 3 5 IW CBRNe 2015 TRAINING • Access to public competition and overcoming of physical preselettive test (equal for both sexes) This steps will have a selection ensuring physical fitness professionals with the hard work of aid person. • University exams on-line The entrance examination consists of 4 multiple answers on the portal of the state, under the control of committees with police officers Examination on-line, and the presence of a police officer during the exam (multiple choice) allow the capillarity in the universities of the controls and the proper conduct of the trial, limiting fraud, ensuring fair assessment, and a training uniform in every state. This step will allow a rigorous selection process to logical skills, while providing all the knowledge of the university where the professional needs. The university held in English will allow the formation of an international first responder • Advanced Emergency Medical training More than an Emergency Medical Technician. This specific training will enable the state to have a professional who is able to handle medical emergencies and administer drugs and perform highly specialized maneuvers with approved protocols and standard procedures, training in the use of PPE for CBRNE events, and the action scenes in extra urban. • Public security officer First responders with the new laws will make arrests and detentions of person where compromise public health and safety. • Firefighter training Only after the competitions, the university exams and the emergency medical training, the responders will access to this part of the course. The first responders will be trained in all rescue techniques and facilities expected of a firefighter by increasing the capacity of this professional At the end of this training the first rescuer will be prepared to deal effectively with the challenges of aid and work safely in each scenario.
Medical Research Journal, 2022
Introduction: Analysis of the medical education of State Fire Service (SFS) officers in terms of the possibility to perform medical emergency procedures at the advanced level in connection with an update of the Rules of Medical Rescue Organisation in National Emergency and Fire System (NEFS). Material and methods: An analysis was conducted of the nationwide staff-related data on the medical education of SFS officers, both in the day-based and shift-based system. The analysis also covered additional qualifications for the pursuit of the profession of a physician, nurse and medical emergency worker among the firefighters/medical emergency workers in Poland, satisfaction of the obligation of professional training and additional employment in healthcare facilities. Results: 2220 officers with medical education work in the organisational units of SFS. Nearly 40% of the officers with medical education in SFS additionally work in healthcare units and more than a half pursues the statutory professional training. To ensure one medical emergency worker per professional shift on the ready, every SFS EFU should have ca. 5.6 full-time positions for medical emergency workers-this is a coefficient including absences of leave, sickness absences and other variables. Therefore, the above calculations indicate that to ensure one medical emergency worker per professional shift in one SFS EFU (E ≈ 5.6), ca. 2817 officers with medical education should be employed. With the current staff level (S RM = 2220), ca. 597 officers should be employed to fill the demand (Mrt) if the advanced level is to be achieved Conclusions: The medical rescue in SFS as one of the disciplines of medicine requires continual development in terms of solutions for the system, equipment and first of all the staff. A higher number of medical emergency workers in SFS may have a positive effect on the quality of the medical procedures carried out during isolated emergency medical incidents. The organisational units of SFS in most voivodeships in Poland face a shortage of medical emergency workers on duty, which has a negative effect on the possibility to perform Medical Rescue Procedures at the advanced level.
The Journal of Emergency Medicine, 2010
e Abstract-Background: The Tuscan Emergency Medicine Initiative is a comprehensive training program for physicians designed to create a lasting infrastructure for training in emergency medicine (EM) in a region of Italy. A "Train-the-Trainers" model was utilized to prepare physicians who were working in the emergency department (ED) to become the teachers of EM, and a master's program was created to train the next generation of emergency physicians as well as to put in place a structure into which residency training in EM will be placed. This model has been used in other projects as well; however, the dilemma of what to do with physicians who are already in practice remained an unsolved problem. Objectives: We wished to create a qualification course in EM for this important group of physicians. Methods: Didactic lectures, workshops, simulations, and clinical rotations were utilized to standardize current emergency care delivery in the region's EDs. Results: Between 2005 and 2008, 488 physicians completed the program. Conclusions: We propose this model as a way of training and including the physicians caught in the transition to specialty training in any area developing the specialty of EM.
Disaster and Emergency Medicine Journal
A person in a life-threatening situation is dependent on the first people at the scene of the event. The effectiveness of the rescue operations depends on the level of their training and willingness to help. The availability of professional services statutorily appointed to provide assistance is often insufficient. This is due to the failure of the system at all stages. Currently, work is carried out around the world to shorten the time of reaching people who have knowledge and skills in the field of first aid. This will allow us to take action in the first minutes that determine the survival when the victim is in a life-threatening situation. One of the tested solutions is the creation of mobile applications used by volunteers educated in the field of performing activities in the area of first aid in a life-threatening situation of the victim.
Emergency Medicine Journal, 2010
Background: Fire fighters are often in a position to provide immediate medical assistance to casualties at the incidents they attend. Fire service national standards require competence in casualty stabilisation but the scope of practice is variably interpreted. Objectives: To determine the current level and nature of medical training being delivered to UK firefighters. Method: A postal questionnaire dispatched to the 62 fire and rescue services (FRS) of the UK, with telephone follow-up for non-responders and for clarification. Examination of syllabuses for healthcare training. Results: The majority (66%) of UK FRS are training their fire fighters in first aid (beyond statutory first aid at work) and prehospital emergency care. However, the level of this advanced aid is not standardised across the FRS that provide it. Conclusion: Medical training of fire fighters shows considerable variance across the UK. An adequate and appropriate level of medical training should be decided and agreed across all the UK FRS. In partnership with the Chief Fire Officers' Association, a national standard should be established so that all UK fire fighters acquire a common set of medical competencies.
Annals of burns and fire disasters, 2021
The aim of this paper is to identify the legislative basis referring to the position and activities of the Rescue and Fire Brigade Corps, the Medical Rescue Service and the Voluntary Municipal Fire Brigade in Slovakia. The paper deals with the results of an analysis based on a questionnaire research focusing on cooperation between professional and voluntary fire brigades and the Medical Rescue Service during common interventions. The research includes answers from 97 respondents. The analysis shows that cooperation between the afore-mentioned rescue units is in general good, however it has some shortcomings and problems, such as poor communication and insufficient common training. In favour of improving cooperation, members of the rescue units recommend not only frequent tactical training focusing on particular situations, but also professional training and other similar common meetings.
Ekonomika
The objective of the research is the identification and determination of requirements of the members of fire rescue brigades during the interventions in the conditions of high risk in order to minimize the possibilities for injuries during the intervention. Results indicate that almost half of respondents need further education for the purpose of identification, assessment and management of the risks that can lead to emergency situations and that education would be helpful in acquiring knowledge and abilities to help jeopardized population. Systematic overview of objectives, necessary measures and research activities is given as a guideline for improvement of domestic national system of emergency situations management.
2013
Introduction: On - going relief skills training in Red - crescent organization are inevitable and crucial, but Geographical dispersion of relief bases and wide range of the staff deemed to be the reasons of the lack of the rescuers simultaneous access to educational classe s. Hence, the present study was done with the aim of finding the suitable method for training rescuing skills at the Red - crescent organization in Hormozgan province. Methods: The present experimental study included 84 high school students who were new volu nteers to work at the Red - crescent organization. The samples were taken with the method of cluster and random samplings, which classified into the two groups of 42 individuals. The two groups were trained with two different methods at the same time and sep arately, answering the questions of knowledge assessment before and after training. Finally the rates of their skills were assessed using models and checklists of performance assessment. The data were give...
Aim: Presenting the role and place of the Voluntary Fire Service in the National Rescue and Firefighting System Introduction: In Poland, rescue is mainly organized in the National Rescue and Firefighting System. It is an open system, closely cooperating with the surroundings. It has operated since 1995 and it was created to meet the needs arising from natural human behavior and in particular to ensure people's safety. Limits within which the system functions are very flexible. It provides optimization of operations and effectiveness and efficiency of forces and means used to conduct simple, uncomplicated actions as well as specific, large and long-term actions. A distinctive feature of the national rescue and firefighting system is its mass character, and that results from including many units of the Volunteer Fire Service in this system. Their number is exceeds multiple times the number of fire and rescue units of the State Fire Service (SFS). Methodology: Analysis of literature within the scope of task-related and functional matters related to the National Rescue and Fire Fighting System in terms of newer types of threats being the result of the rapid development of civilization in the units of the Volunteer Fire Services. Conclusions: Structural and organizational solutions of the National Rescue and Firefighting System allow efficient use of organizational, technical and intellectual potential of all rescue and cooperating entities, which leads to the fact that the system does not constitute an isolated component of public safety, but is an important factor responsive to any changes and efficiently cooperates with the surroundings. Maintaining a uniform system of noti cation, coordination and support to ensure the e ectiveness of rescue operations, nancing equipment purchases for individuals, included in the Voluntary Fire Service in the National Rescue and Fire ghting System, conditioned by the possession of at least 12 trained rescuers meeting the criteria for participation in direct rescue operations, are some of the conclusions presented in the article. If the conclusions of the article are executed, the activities of the Volunteer Fire Service in the National Fire and Rescue System will be more e cient. Conclusions will be implemented to improve the e ectiveness of rescue operations by the Voluntary Fire Service units that can reach a place of incident much faster than the Rescue and Fire ghting units of the State Fire Service.
MATEC Web of Conferences, 2022
The paper presents the structuring of physical effort put in by rescuers during training, taking into account the activity specific psychosocial factors, structuring that aimed at streamlining the training process of intervention and rescue personnel in toxic / explosive / flammable environments. Training routes with various degrees of difficulty, allowing the simulation of intervention activities in horizontally and vertically confined spaces, low visibility, high temperature and humidity environments were analysed, for each the specific labour consumption being calculated. A dysfunctional phenomenon caused by the intervention and rescue activity is fatigue, perceived as a body reaction to readjust and restore its functions following intense or repeated body requests for energy consumption. Not only physical fatigue (which can be controlled through exercises) is specific for rescue and intervention activity but also mental fatigue. In addition to physical and technical training, ps...
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