{"id":681,"date":"2015-10-05T12:36:30","date_gmt":"2015-10-05T10:36:30","guid":{"rendered":"http:\/\/urgentnimedicina.cz\/en\/?p=681"},"modified":"2015-10-05T13:47:29","modified_gmt":"2015-10-05T11:47:29","slug":"content-32015","status":"publish","type":"post","link":"https:\/\/urgentnimedicina.cz\/en\/?p=681","title":{"rendered":"Content 3\/2015"},"content":{"rendered":"
\u00a0 \u00a0 \u00a0INTRODUCTION<\/span><\/h6>\n

Editorial<\/h4>\n

Jana \u0160eblov\u00e1<\/em><\/p>\n

Contents<\/h4>\n
\u00a0 \u00a0 \u00a0ORGANISATION, MANAGEMENT<\/span><\/h6>\n

Health care quality indicators in emergency medical services<\/h4>\n

Jozef Kara\u0161, Eva Havl\u00edkov\u00e1<\/em><\/p>\n

Abstract<\/strong><\/p>\n

Currently, there is a real need for quality measurement in healthcare. The final goal of healthcare provision is to fulfill the expectations of individuals, patients and all inhabitants of our society. On the other hand, the healthcare should be accessible, effective, safe, cost efficient and compliant to modern medical knowledge. Authors present the quality indicators implemented in the emergency prehospital field, their advantages and limitations are discussed.<\/p>\n

Quality of the prehospital care in the Falck zachranna \u2013 restrospective study of quality indicators in chest pain management<\/h4>\n

Eva Havl\u00edkov\u00e1, Jozef Kara\u0161, Miroslav Humaj, Martina Vitkov\u00e1, Volodymyr Kizyma, \u0160tefan Trenkler<\/em><\/p>\n

Abstract<\/strong><\/p>\n

Introduction: <\/strong> Chest pain belongs to the First hour quintet diagnoses. It is a general term for unpleasant subjective dyscomfort in the chest. It covers the whole spectrum of sensations starting from burning, stinging or squeezing to a stabbing dyscomfort which the patient is unable to describe further. The cause could be a life threatening condition as well as a „trivial“ situation. Acute coronary syndrome (ACS), a condition associated with a poor prognosis and high risk of mortality, may be presented as a chest pain. The ACS patient requires a prompt professional examination and subsequent provision of proper medical care. The aim of the work is to analyze the quality of prehospital emergency medical care in chest pain patients managed by Falck rescue teams.
\nMethods: <\/strong> This is a retrospective study of interventions provided by Falck rescue teams in the years 2012\u20132014. Quality indicators of the teams\u00b4 medical activities on scene were analyzed based on both the Ministry of Health Methodological guidelines for reperfusion treatment of acute myocardial infarction with ST segment elevation, No. 17207 \/ 2007 and the updated Recommendation of the Slovak Society of Cardiology and the Slovak Society for Emergency Medicine and Disaster Medicine from 2013. The selected time indicators were EMS response times and patient handover times in the hospital. These times were stratified into time slots.
\nResults: <\/strong> Overall 1,759 in the year 2012, 1,489 in the year 2013 and 927 in the year 2014 medical reports were analyzed to determine the quality indicators of scene performances. The analyzed data included the parametres such as determining of precise onset of symptoms, taking of 12-lead ECG within 10 minutes on the scene, monitoring of vital functions, realization of intravenous access and crystalloid administration, proper oxygenotherapy and transport to facilities.
\nAnalysis of time indicators was based on the 9,049 interventions in 2012, 8,778 in 2013 and 7,552 in 2014. Response time median in 2012 was 8:30 min, in 2013 \u2013 8:18 min and in 2014 \u2013 8:56 min.
\nDiscussion: <\/strong> Authors present the selected groups of data which could be used as a potential model basis for health policy authorities. Similar analyses need to be fulfilled for the other First hour quintet diagnoses.<\/p>\n

Major disasters and Emergency Medical Services\u00b4 activity in some European countries<\/h4>\n

Irena \u0160varcov\u00e1, Josef Navr\u00e1til, Vlasta Neklapilov\u00e1<\/em><\/p>\n

Abstract<\/strong><\/p>\n

The author compares some selected activities of Emergency Medical Services in mass-casualty emergencies in Norway, the UK, Spain and the Czech Republic. Emergency preparedness plans, procedural steps applied in emergencies with a large number of victims give rescue teams a theoretical framework for their work at the scene of injury. The correctness and practicality of such plans will only be tested under real emergency conditions. The analysis of published studies showed not only positive responses to EMS performance during emergencies, but also shortcomings in the legislation, equipment availability or on-site intervention management of individual countries. The submitted information may also be the impetus for establishing appropriate metrics applicable to the assessment of the quality of EMS preparedness for emergencies.<\/p>\n

\u00a0 \u00a0 \u00a0EDUCATION, EXPERIENCE<\/span><\/h6>\n

Preparing the Next Generation of Health Aid Workers: Humanitarian Disaster Simulations<\/h4>\n

Sarah Kesler, Eric James, Ed Lord<\/em><\/p>\n

Abstract<\/strong><\/p>\n

Simulations provide an excellent way to experiment with new methods, build skills of seasoned workers and develop new professionals. This learning methodology remains a relatively new approach used in international humanitarian response. The University of Minnesota conducts an interdisciplinary three-day course on the basics of Humanitarian Relief. Now in its fourth year, the majority of the course is presented in a simulation based format. Student participants are presented with a plethora of humanitarian challenges that closely match the \u201creal world\u201d for an accelerated and rewarding learning experience. We describe in more detail the objectives of the course and the logistics of how it is conducted.<\/p>\n

Crisis preparedness of health care facilities<\/h4>\n

Dole\u010dek Martin, Urb\u00e1nek Pavel, Koukal Anton\u00edn<\/em><\/p>\n

Abstract<\/strong><\/p>\n

Hospitals are among the institutions involved in liquidation of consequences of emergencies with mass disabilities of health. Coherence and uniformity of the concept of emergency preparedness plans of hospitals complicates their variability in terms of the extent and type of care, including complex centers\u2019 care. Another big problem is either no or minimal experience with emergencies and mass-income of patients. Purely theoretical grounding in these cases is not sufficient. It is very useful to have practical experience in real situations, or at least be able to see in practice how to solve specific pitfalls in emergency planning in other facilities with the possibility of transferring this information to specific situations of own hospital facilities. Another pitfall in practice is that the creation of emergency preparedness plans must involve more experts from different departments, including medical staff. Thus, all those who are involved in creating plans, should have experience with that, which especially for smaller devices is unrealistic. Educational program „The readiness of health facilities to emergencies and crisis situations“ aims to eliminate these problems in preparing hospitals for emergencies with mass disabilities of health and to train all staff of hospitals that may take part in the development of plans of the emergency preparedness from nurses after to managers.<\/p>\n

\u00a0 \u00a0 \u00a0CLINICAL TOPICS AND RESEARCH<\/span><\/h6>\n

Telephone assisted resuscitation: evaluation of its effectivity and event analysis in Hradec Kr\u00e1lov\u00e9 Region in the year 2014<\/h4>\n

Michal Plodr, Monika Praunov\u00e1, Vladim\u00edr \u0160v\u00e1ba, Jaroslava Kren\u010d\u00edkov\u00e1, Dana Bejrov\u00e1, Zden\u011bk Hrstka, Libor Seneta, Ji\u0159\u00ed Ma\u0161ek, Ji\u0159\u00ed P\u00e1ral<\/em><\/p>\n

Abstract<\/strong><\/p>\n

Objective:<\/strong> The analysis of the emergency calls with dispatch-assisted CPR helps to follow and compare the effectiveness of the dispatchers\u2019 procedures as well as to set up standards for evaluation of a quality management system.
\nDesign and methods:<\/strong> We reviewed dispatch recordings of 552 identified out-of-hospital cardiac arrests (OHCA) by dispatchers between January 1, 2014 and December 31, 2014. The group was divided to the confirmed cardiac arrests and non-confirmed cardiac arrest subgroup. Evaluation with regard to recognition of OHCA and survival rate to hospital discharge with a good neurological status (CPC 1,2) was performed.
\nResults: <\/strong>Out of 552 calls with DA-CPR the confirmed cardiac arrest was in 418 cases and 134 cases with non-confirmed cardiac arrest. The median time to cardiac arrest identification was 39 s, the median time to the first chest compression was 2 min 30 s. The overall survival rate to hospital discharge (CPC 1,2) was 8, 4 %, resp. 34 % for patients with initial fibrillation.
\nConclusion:<\/strong> Cardiac arrest is identified by dispatchers within the recommended one minute, but the first chest compression is still delayed. A good prognosis for the patients with initial fibrillation was proved. Emphasis on dispatchers\u00b4 continual education is highly recommended.<\/p>\n

\u00a0 \u00a0 \u00a0ETHICS, PSYCHOLOGY, LAW<\/span><\/h6>\n

Aggression and emergency health care professionals<\/h4>\n

Veronika Karol\u00edna Netu\u0161ilov\u00e1, Tibor A. Bre\u010dka<\/em><\/p>\n

Abstract<\/strong><\/p>\n

Aggression has many different types and forms. As a possible prevention of escalation of aggression against health professionals providing care in the first line, there is important to determine sources of aggression. Respondents \u2013 paramedics from emergency medical services \u2013 have themselves identified possible sources of the most common triggers of aggression towards themselves as healthcare professionals.<\/p>\n

\u00a0 \u00a0 \u00a0CZECH RESUSCITATION COUNCIL<\/span><\/h6>\n

Czech Resuscitation Council Newsletter<\/h4>\n

Anatolij Truhl\u00e1\u0159<\/em><\/p>\n

Sudden cardiac death in adults during sport activity: a quite rare event<\/h4>\n

Jarmila Dr\u00e1bkov\u00e1<\/em><\/p>\n

Czech Resuscitation Council\u00b4s President Anatolij Truhl\u00e1\u0159, MD about RESUSCITATION 2015<\/h4>\n

Barbora Zuchov\u00e1<\/em><\/p>\n

\u00a0 \u00a0 \u00a0INFORMATION<\/span><\/h6>\n

Leo Klein: \u201eS. William A. Gunn: Dictionary of Disaster Medicine and Humanitarian Relief\u201c \u2013 a Book Review<\/h4>\n","protected":false},"excerpt":{"rendered":"

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