CONCEPTION, MANAGEMENT, ORGANIZATION
Paramedic’s adaptation with commencement of employment at the EMS Karlovy Vary
Robin Šín, Pavel Böhm, Miloš Kukačka
The adaptation of new employees to their new workplace is an important part of personnel management and an important element of managerial activities and skills. Successful handling of the adaptation process is the employer and the employee synergy resulting from the integration of existing knowledge, experiences, habits and internal regulations of the employer. Given that each emergency medical service has its regional specifics, it is also placed greater demands of managing adaptation to the new employees.
This article summarizes the adaptation process as a whole and states the partial section of the adaptation process used in Emergency Medical Service of Karlovy Vary Region.
Methodical excercise „Pražská 155“ – the task called „Hospital“
Methodical exercises for ambulance teams of emergency medical services provide not only a training of skills by means of extraordinary or complicated situations. The methodical exercises also examine the daily work of ambulance teams primarily by observing and analyzing their most common skills. This article reflects a standard model situation which took place at Methodical Exercises „Pražská 155“. The model excercise showed that the care for an uncomplicated patient could be accompanied by lack of communication or by faults in writing medical documentation. The professional communication of ambulance teams gives the first impression by which the patient evaluates the whole work of ambulance teams. This first impression influences the forthcoming patient´s trust and collaboration. Adequate and detailed medical documentation provils the only defence of medical staff when they happen to be confronted with a complaint of unprofessional providing of care.
Driving and driving skills
The article analyses the task of methodical excercise „Pražská 155“ which tested driving skills of participating emergency medical technicians (EMT). The aim of the task was to compare time of reaction and braking track without and after instructions. After instructions these parameters improved by 40 %. The author recomends to include training of driving skills into EMT educational curriculum.
Jablonec Rescue Ski 2014, 23rd January – 25th January 2014 in Josefův Důl, Jizerské mountains – winter international competition of professional EMS teams
Jablonec Rescue Ski is a traditonal winter international competition of four members´ teams of Emergency medical services´ (EMS) professionals. For the competition the competences of paramedic teams and teams with physicians are the same or the cometences are specified at the beginning of the task. The copmpetition is organised by public association JRS Medical. The author briefly describes the competition tasks and ideal solution of the tasks. The most frequent mistakes of the teams are also mentioned.
CLINICAL TOPICS AND RESEARCH
Prehospital resuscitations in Prague in the year 2013
The aim of this article is to present results as well as other selected data regarding pre-hospital CPR provided by EMS City of Prague in 2013. The data were collected according to Utstein-style template. In 2013, there were 571 patients resuscitated by ambulance crews EMS of the capital Prague. 241 (42,2 %) were admitted to the hospital with restored spontaneous circulation and 96 (16,8 %) survived with good neurological outcome. There were 159 patients with ventricular fibrillation as first recorded rhythm. 113 of them were admitted to the hospital and 81 (50,9 %) survived with good neurological outcome. 457 patient collapsed before EMS arrival. 373 of them (81,6 %) received layperson CPR.
A surprising cause of unconsciousness
Stanislav Holiček, Daniel Dvořák, Karel Sochor, Roman Škulec
Coma represents a common problem for differential diagnosis in the setting of emergency medicine. It is usually caused by a few „typical“ causes. We describe an unusual cause of coma based on hyponatremia in a psychiatric patient. First part of the text is devoted to the general overview of the problem. The major part targets the therapy and associated potential problems. Authors point out a wider scope of differential diagnosis and the necessity of systematic approach even in seemingly clear cases.
Interdisciplinary statement concerning use of therapeutic hypothermia in patients after cardiac arrest
Vladimír Černý, Martin Matějovič, Roman Škulec, Anatolij Truhlář
Money, money, money… and mysterious scientific world
Answer to Dr. Škulec
RESUSCITATION – CZECH RESUSCITATION COUNCIL NEWSLETTER
News from Czech Resuscitation Council
Anatolij Truhlář, Jana Šeblová
Actual knowledge and new opinion about therapeutic hypothermia after cardiac arrest
International SEDUCE study
Teaching resuscitation using the method 4 stage approach
4 stage approach method is one of widely used approaches in medical staff practical training – not only in effective learning of basic life support and advanced life support but also in practical mastering of other medical and caring performances. The article summarizes up to date references concerning this method as well as a short explanation of consequent measures and author´s own experience based on teaching in certified European Resuscitation Council (ERC) and Czech Resuscitation council (CRC) courses.
News from Society for Emergency and Disaster Medicine CzMA JEP