CONCEPTION, MANAGEMENT, ORGANIZATION
Evacuation of the hospital – is anybody really prepared?
Pavel Urbánek, Antonín Koukal, Martin Doleček
Crisis preparedness of the health care system is defined as capability of health care facilities to provide necessary health care to inhabitants during crisis conditions and disasters. The providers must provide the care of the highest quality as it is possible and the providers must be trained and prepared for these situations. Every health care facility must have its own disaster plan, evacuation plan and other crisis scenarios and the employees must knowe these plans. The best ways of education in this field are both theoretical education and practical training which can prove the feasibility of the crisis plans and we can identify needs for improvement of the plans. The authors analysed many types of evacuation plans of hospitals in the Czech Republic and they consider most of them impracticable and not verified. The evacuation plans are discussed in the paper in details.
Advanced trauma life support (ATLS®) course –why to join?
The author describes the Advanced trauma life support (ATLS®) course and its implementation in the Czech Republic. The course is based on standardized approach to patients suffering multiple trauma and information are validated at the current level of medical knowledge according to evidence based medicine. The structure of the course and final skills and competencies of the participants are presented, too. The course is a part of educational curriculum of Emergency Medicine.
Competition task „Shambles“ at Rescue 2015 in Košice
Článok prináša stručnú analýzu súťažnej úlohy „Bitúnok“ na Záchrane 2015 v Košiciach.
V texte je uvedené zadanie súťažnej úlohy, ciele a správny postup posádky. Kvôli zamysleniu autorka samotnej úlohy i článku, ponúka čitateľovi aj menej optimálne a nie celkom korektné postupy riešenia úlohy jednotlivými posádkami. Súčasťou textu je aj stručná teória toxikológie inhalačných prchavých látok (solvencií), ich zneužívanie, najmä v sociálne slabších skupinách a zdravotné a bezpečnostné riziká.
San Francisco from the view of emergency health care
The emergency health care in the world can be divided into two types: Anglo – American system, where emergency health care is provided by non-medical personnel – paramedics, and Franco – German system in which this type of care is provided by emergency medical services´ teams in combination with or without a physician. Basic system´s philosophy of the two different systems could be simplistically defined as: „To bring the patient to the doctor“ (Anglo-American) and „Bring the doctor to the patient“ (Franco-German). Discussions which system is better are common but in fact it is a problem that can not be easily resolved. This contribution is discussing the personal experience gained through internships focused on education of paramedics and on provided emergency health care in the United States, California, San Francisco.
CLINICAL TOPICS AND RESEARCH
Massive transfusion protocol – indications and implementation into practice
Jaromír Kočí, Jan Trlica, Petr Lochman, Eva Kočová, Tomáš Dědek
Bleeding is the most frequent cause of preventable death in traumatized patients. The paper updates current knowledge concerning application of massive transfusion protocol. Current standardized practice of Emergency Department of Hradec Králové University Hospital is mentioned in the end.
Modelling of the cardiovascular system – control and monitoring of hemodynamic parameters
Naděje Havlíčková, Jan Havlík
The cardiovascular system is a vitally important system of organs providing tissue and organ perfusion. The system delivers oxygen and nutrients to tissues and organs, and drains metabolic waste products from them. Cardiovascular diseases rank among the most common causes of death and they are also one of the most commonly occurring health issues of the population in general. A better understanding of the cardiovascular system behaviour principles (in particular an understanding of the relationship between haemodynamic parameters) can contribute to an improvement in the efficient diagnosis and treatment of cardiovascular diseases. A modelling of the cardiovascular system is one of the means of achieving this aim. Using models of the cardiovascular system, measurements that would otherwise be invasive or even destructive in clinical practices can be performed, various pathological conditions of the system can be introduced, and so on. And all this without having to overload a patient with stress. An adequate ability to control, monitor and analyse a model is one of the conditions of the usefulness of models. This article deals with the modelling of the cardiovascular system, especially with controlling and monitoring the haemodynamic parameters of cardiovascular system models. The article describes a system designed for monitoring and analysing the haemodynamic parameters of a mechanical model of the cardiovascular system and for complex control of the model. In addition to that, the system enables the telemetry transmission of vital parameters of a real cardiovascular system to the mechanical model that adaptively changes its behaviour based on an analysis of the monitored individual’s vital signs. The article also describes a simultaneously developed mathematical model of the cardiovascular system (incl. a description of its controlling and monitoring).
System function evaluation of Medical Dispatch performance
Use of magnet in patients with ICD by physician and non-physician teams
ETHICS, PSYCHOLOGY, LAW
The need for cognitive structure of paramedics associated with speed of decision-making and with length of pracce
Katarína Žiaková Košíková
The study deals with the relationship between need for cognitive structure and speed of decision-making in relation with seniority of paramedics. Participants were 155 experienced paramedics whose task was to solve 100 triage problems in mass casualty incident according to START system. The results do not suggest a significant difference among the paramedics with low and high need for cognitive structure in sorting injured in this task. However we investigated that among paramedics with low and high need for structure exist statistically high difference in the length of practice and age.
Men´s role in health care at intensive and critical care units
Jaroslav Gabrhel, Petr Snopek
This article presents outcomes of a study with respondents from Resuscitation and Intensive Care Units of two Moravian hospitals. This work is focused on the way how are the men – male nurses and rescue proffesionals accepted at these departments. The Resuscitation unit of one hospital cooperates closely with Emergency department. A qualitative study of semi- structured interviews which were focused not only on attitudes of selected men, but also women – general nurses who work on these departments was used in this study design. The results of this study are interesting because of its opportunity to explore men’s work as an activity having different specifics and priorities compared to women.
Woman versus man in paramedic profession
Karolína Křemenová, Eva Pfefferová
This article deals with employment with pre-hospital emergency care graduates, especially with female graduates. In this article, the authors explore the current issue of finding employment for female applicants in the position of paramedic crew within emergency medical services. In addition, the authors discuss the current state and progress of emergency medical services, particularly regarding work positions of paramedics on the market and a paramedic person itself. The authors also present the findings of a survey undertaken to explore the attitude (feelings) of paramedic students and practicing paramedics on these issues.
RESUSCITATION – CZECH RESUSCITATION COUNCIL NEWSLETTER
Resuscitation 2015: ERC 2015 in Prague and V. symposium of the Czech Resuscitation Council