Background/objectives: The effectiveness of emergency medical procedures administered to a patient in a life-threatening condition depends, to a large degree, on the knowledge and skills of medical response team personnel. Their competencies can be developed through participation in training and then verified during emergency medicine championships. Methods: The research was conducted on the basis of one of the tasks carried out during the ‘16th International Winter Championships in Emergency Medicine’. The task was completed by 28 Polish emergency response teams from ambulance stations across the country. The teams carried out a simulated scenario related to procedures with a patient with hypoglycaemia. The teams’ interventions were assessed in accordance with European Resuscitation Council (ERC) guidelines by judges selected from among academic lecturers and ERC instructors. Results: The research showed that 86% of the teams obtained the maximum number of points for adhering to safety procedures. Further, 61% of the teams obtained the maximum of 6 points for the initial assessment, with the average number of points obtained by the teams being 5.54. The average number of points for the physical examination was 21.04, with only one team obtaining the maximum result of 26 points. Additionally, 57% of the teams obtained the maximum number of 6 points for the medical consultation, with the average obtained by the teams being 5.43. The teams obtained, on average, 8.18 points for the correct treatment of hypoglycaemia, with 68% of the teams obtaining the maximum of 9 points. The research demonstrated a positive correlation between the quality of patient examination and the collection of medical data, and the effectiveness of hypoglycaemia treatment. It was also shown that if the team leader had completed an ALS course, they obtained higher scores for the treatment of hypoglycaemia, although this finding is specific to this scenario. Conclusions: The teams demonstrated generally high performance in a simulated hypoglycaemia scenario. More complete assessment and history-taking were associated with higher treatment scores. Correct treatment was achieved in 79% of ALS-led teams versus 44% of non-ALS teams, although this observation is specific to this simulation and should not be generalised.

Introduction: It is common knowledge that the correct application of cardiopulmonary resuscitation (CPR) requires technical skills such as defibrillation, high‐quality chest compressions, and efficient airway management. However, scientific research is increasingly underlining the role of appropriate training in nontechnical skills (NTS). Research Aim: This exploratory study aimed to assess the relationship between NTS and the quality of advanced CPR among paramedics. Materials and Methods: The research involved 51 paramedics randomly assigned to 17 three‐person teams. Each team participated in a 15‐min cardiac arrest scenario. After the first session, the teams were divided into two groups: the intervention group (Group 1), which underwent specialized NTS training, and the control group (Group 2), which did not receive the initial training. Directly after the training phase, all teams from both groups carried out a second attempt during a simulated sudden cardiac arrest (SCA) scenario identical to the first one. Results: The lowest CPR result in the intervention group (Group 1) was Min = −3.00, and the highest Max = 13.00, while in the control group (Group 2), the lowest result was Min = −42.00, and the highest Max = 8.00 ( p < 0.05). In Group 1, a statistically significant correlation ( p < 0.05) was noted between the change in the NTS score and the change in the CPR result. A higher NTS score was accompanied by a higher CPR score. Conclusions: A short NTS training session was associated with improved NTS application by paramedic resuscitation teams. Furthermore, higher chest compression quality positively correlated with NTS proficiency.

Background: Sandifer’s syndrome is an uncharacteristic symptom of gastroesophageal reflux disease (GERD). It is often misdiagnosed as epilepsy. Paramedics can play a crucial role in recognising the differences between Sandifer’s syndrome and epilepsy. Therefore, education is important to reduce the likelihood of misdiagnosis and the mistreatment of patients. This purpose of this study is to provides information and guidelines for collecting patients’ medical history and identifying the most common symptoms, which support pre-hospital suspicion of Sandifer’s syndrome. Methods: The study consisted of a clinical case study, concerning the management of the emergency team, in a 7-week-old child with symptoms indicative of an epileptic seizure. Results: The clinical case analysis showed that a thorough examination of the patient helped to rule out epilepsy in the child and observed the characteristic symptoms of Sandifer syndrome. While assisting the child, a rare symptom of apnoea was also observed. Conclusions: The role of the paramedics in diagnosing Sandifer’s syndrome can be crucial. Their experience and knowledge of emergency situations, as well as correctly conducted tests during and immediately after ailment symptoms, can provide medical teams with key information that can help in making a correct diagnosis. The presented framework can be helpful. In the majority of cases, a correct diagnosis leads to the complete cessation of symptoms and lowers the risk of side effects from unnecessarily applied anti-epilepsy medication.

Background and Objective: Out-of-hospital cardiac arrest is associated with high mortality, with prolonged cerebral hypoxia being one of the leading causes of death. The primary objective of this study was to evaluate the probability of survival during hospitalization in OHCA patients and to compare survival outcomes based on the prehospital airway management method—specifically, endotracheal intubation versus supraglottic airway devices. Material and Methods: A retrospective analysis was conducted using medical records of patients admitted to the Emergency Department of the Voivodeship Hospital in Bielsko-Biala between 1 January 2020 and 28 February 2024. The study included 61 OHCA patients who achieved the return of spontaneous circulation and had complete documentation regarding their airway management. Early and definitive survival were evaluated using a logistic regression model (adjusted for age and sex), and survival probabilities over time were estimated using the Kaplan–Meier method. Results: The analysis revealed no statistically significant difference in early survival between patients managed with an endotracheal tube and those managed with an SGA device (RR = 0.80; p = 0.598). Similarly, no significant difference was observed for definitive survival to hospital discharge (RR = 1.13; p = 0.836). Kaplan–Meier survival curves indicated a sharp decline in overall survival probability during the initial days of hospitalization, but the log-rank test (p = 0.600) confirmed the lack of significant differences in survival trajectories between the two airway management groups. Patient age was the only statistically significant factor influencing early survival, with the probability decreasing by an average of 3% for each advancing year. Conclusions: The study did not demonstrate any superiority of the endotracheal tube over supraglottic airway devices regarding the in-hospital survival of OHCA patients. The decision regarding prehospital airway management should be individualized, taking into account the operator’s experience and the critical need to minimize interruptions in chest compressions during advanced life support.