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首页> 外文期刊>Medycyna Pracy >Telemedical Maritime Assistance Service at the University Center of Maritime and Tropical Medicine in Gdynia. The analysis of 6 years of activity
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Telemedical Maritime Assistance Service at the University Center of Maritime and Tropical Medicine in Gdynia. The analysis of 6 years of activity

机译：格丁尼亚海域大学和热带医学中心的远程医疗海事援助服务。 分析6年的活动

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Background: In the 1960s, the International Labour Organization passed a convention under which all countries with national shipping were obliged to create a 24-h telemedicine center for ships. In accordance with the convention, Telemedical Assistance Service centers were to provide permanent access to medical advice given by qualified doctors and to create an international platform for the exchange of information and experience. In Poland, the Telemedical Maritime Assistance Service (TMAS) was established in 2012, and its duties in a 24-h system are carried out by doctors from the University Center of Maritime and Tropical Medicine (UCMTM) in Gdynia. The aim of this work was to determine the reasons for medical officers reporting for help from the TMAS doctor on duty and to create a database of the most common diagnoses and actions undertaken, and in particular evacuation. Material and Methods: In the presented work, the authors analyzed TMAS telephony and e-mail advice provided by doctors of the UCMTM in Gdynia, in the period from October 2012 to the end of 2018. Results: In the 6-year period, UCMTM doctors provided TMAS advice 225 times, recommending evacuation in over 20% of these cases. Infectious diseases were the most common cause of contact in the entire period under analysis – 61 cases were recorded, accounting for as many as 27% of all applications. Injuries were the second most frequent reason for seeking help from TMAS, and 20% of TMAS applications (44 cases) were related to trauma. Conclusions: The obtained data show that TMAS doctors face various medical problems; therefore, providing proper medical assistance to patients requires a close multidisciplinary cooperation between medical officers, TMAS doctors and emergency services.
机译：背景：在20世纪60年代，国际劳工组织通过了一项公约，其中所有国家航运国家都有义务创建一个24小时远程医疗中心的船舶。根据“公约”，远程电子医疗服务中心是提供有资格医生给出的医疗建议，并为交流信息和经验创造国际平台。在波兰，远程医疗海事援助服务（TMA）成立于2012年，其24小时系统的职责由来自海滨大学和热带医学（UCMTM）的医生在格德尼亚的医生开展。这项工作的目的是确定医务人员向TMMS Doctor值班报告帮助的原因，并创建一个最常见的诊断和行动的数据库，特别是疏散。材料和方法：在本工作中，提交人分析了在2012年10月至2018年底的GDYNIA中由GDYNIA的UCMTM医生提供的TMA电话和电子邮件建议。结果：在6年期间，UCMTM医生提供TMA建议225次，推荐超过20％的案件的疏散。传染病是在分析的整个期间中最常见的接触原因 - 记录了61例，占所有申请的27％。伤害是寻求TMA的第二个最常见的原因，20％的TMA应用（44例）与创伤有关。结论：获得的数据显示TMAS医生面临各种医疗问题;因此，向患者提供适当的医疗援助需要医疗人员，TMAS医生和紧急服务之间的密切多学科合作。

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