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Over the last years, significant changes have been noted in the field of instrumental methods of airway management in prehospital care. Many scientific societies have developed structured guidelines in emergency situations and in the difficult airway cases. The industry was not passive at that time, newer devices appeared on the market, aimed at providing an alternative to traditional techniques, with particular emphasis on supraglottic devices (SGD) and video laryngoscopy (VL) with the emerging trend of producing disposable equipment. The necessity of per)forming endotracheal intubation (ID) in Emergency Medical Services (ZRM) by paramedics, remains a constant subject of heated discussions among specialists around the world. After the recent announcement of the draft ordi)nance of the Ministry of Health on the performance of ID with the use of paralysis adjuncts by paramedics, many questions and doubts have arisen regarding the extension of paramedics’ competences and the factors influencing the choice of intubation as the preferred method of airway management. The aim of this article is to present the latest publication reports on the intubation procedure in prehospital care. Additionally we will try to objectively present the determinants of this procedure in relation to the realities of the Emergency Medical Services (PRM) system in Poland. [ABSTRACT FROM AUTHOR]

Building a Strategic Battery Value Chain in Europe COM/2019/176 is a priority for EU policy. Europe's current share of global cell production is only 3%, while Asia has already reached 85%. To ensure a competitive position and independence in the battery market, Europe must act quickly and comprehensively in the field of innovation, research and construction of the infrastructure needed for large-scale battery production. The recycling of used batteries can have a significant role in ensuring EU access to raw materials. In the coming years, a very rapid development of the battery and rechargable battery market is forecast throughout the EU. In the above context, the recycling of used batteries plays an important role not only because of their harmful content and environmental impact, or adverse impact on human health and life, but also the ability to recover many valuable secondary raw materials and combine them in the battery life cycle (Horizon 2010 work Programme 2018-2020 (European Commission Decision C(2019) 4575 of 2 July 2019)). In Poland, more than 80% of used batteries are disposable batteries, which, together with municipal waste, end up in a landfill and pose a significant threat to the environment. This paper examines scenarios and directions for development of the battery recycling market in Poland based on the analysis of sources of financing, innovations as well as economic and legal changes across the EU and Poland concerning recycling of different types of batteries and rechargable batteries. [ABSTRACT FROM AUTHOR]

Background: Supraglottic airway devices commonly are used for securing the airway during general anesthesia. Occasionally, intubation with an endotracheal tube through a supraglottic airway is indicated. Reported success rates for blind intubation range from 15 to 97%. The authors thus investigated as their primary outcome the fraction of patients who could be intubated blindly with an Air-Qsp supraglottic airway device (Mercury Medical, USA). Second, the authors investigated the influence of muscle relaxation on air leakage pressure, predictors for failed blind intubation, and associated complications of using the supraglottic airway device.Methods: The authors enrolled 1,000 adults having elective surgery with endotracheal intubation. After routine induction of general anesthesia, a supraglottic airway device was inserted and patients were ventilated intermittently. Air leak pressure was measured before and after full muscle relaxation. Up to two blind intubation attempts were performed.Results: The supraglottic airway provided adequate ventilation and oxygenation in 99% of cases. Blind intubation succeeded in 78% of all patients (95% CI, 75 to 81%). However, the success rate was inconsistent among the three centers (P < 0.001): 80% (95% CI, 75 to 85%) at the Institute of Anesthesia and Pain Therapy, Kantonsspital Winterthur, Winterthur, Switzerland; 41% (95% CI, 29 to 53%) at the Department of Anesthesiology and Intensive Therapy, Medical University of Lodz, Lodz, Poland; and 84% (95% CI, 80 to 88%) at the Institute of Anesthesiology, University Hospital Zurich, Zurich, Switzerland. Leak pressure before relaxation correlated reasonably well with air leak pressure after relaxation.Conclusions: The supraglottic airway device reliably provided a good airway and allowed blind intubation in nearly 80% of patients. It is thus a reasonable initial approach to airway control. Muscle relaxation can be used safely when unparalyzed leak pressure is adequate. [ABSTRACT FROM AUTHOR]