{"id":742,"date":"2018-08-22T14:18:27","date_gmt":"2018-08-22T12:18:27","guid":{"rendered":"http:\/\/urgentnimedicina.cz\/en\/?p=742"},"modified":"2018-08-22T14:20:54","modified_gmt":"2018-08-22T12:20:54","slug":"content-2-2018","status":"publish","type":"post","link":"https:\/\/urgentnimedicina.cz\/en\/?p=742","title":{"rendered":"Content 2\/2018"},"content":{"rendered":"<p><b>INTRODUCTION <\/b><\/p>\n<ul>\n<li>Editorial \u2013 <i>Jana \u0160eblov\u00e1<\/i><\/li>\n<li>Contents<\/li>\n<\/ul>\n<p><b>THEME OF THE YEAR: CHILD AS A PATIENT IN EMERGENCY CARE<\/b><\/p>\n<ul>\n<li>A system approach to paediatric prehospital and hospital emergency care \u2013<i><\/i>Jana \u0160eblov\u00e1, Jitka Dissou<\/li>\n<li>Paediatric Emergency department \u2013 <i>Jitka Dissou<\/i><\/li>\n<li>Basic evaluation and intervention in critically ill child \u2013 <i>Jana Djakow<\/i><\/li>\n<li>The ABCDE approach to emergencies in children \u2013 <i>Katar\u00edna Vesel\u00e1<\/i><\/li>\n<li>Paediatric Life Support \u2013 <i>Jana Djakow<\/i><\/li>\n<li>Cardiac arrest caused by chest impact by a football ball \u2013 <i>Jana Kubalov\u00e1, Petr \u0160toura\u010d<\/i><\/li>\n<li>Shock condition in paediatry \u2013 <i>Petr Dominik<\/i><\/li>\n<li>Multiple trauma in children \u2013 <i>Pavel Heinige, Martin Prchl\u00edk, Martin Fajt<\/i><\/li>\n<li>Head trauma in children \u2013 <i>Kate\u0159ina Fabichov\u00e1, J\u00falia Mikl\u00f3\u0161ov\u00e1<\/i><\/li>\n<li>Prehospital analgesia and sedation in paediatric patients &#8211; <i>Franti\u0161ek Kolek, Vladim\u00edr Mixa<\/i><\/li>\n<li>Paediatric protocol and its use in practice &#8211; <i>Petr Kolouch, Katar\u00edna Vesel\u00e1<\/i><\/li>\n<li>Transport of newborns &#8211; <i>V\u00e1clav Vobruba<\/i><\/li>\n<li>Transport of a premature newborn &#8211; <i>Jan \u0160irc, Zbyn\u011bk Stra\u0148\u00e1k<\/i><\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<p><span style=\"text-decoration: underline;\"><strong>ABSTRACTS<\/strong><\/span><\/p>\n<p>&nbsp;<\/p>\n<p><b>A system approach to paediatric prehospital and hospital emergency care<\/b><\/p>\n<p><b>JANA \u0160EBLOV\u00c1, JITKA DISSOU<\/b><\/p>\n<p><b>Abstract<\/b><\/p>\n<p>The authors present possible system models of acute and emergency care of paediatric patients. They analyse advantages and drawbacks of each of the presented model of care and they compare the situation in the Czech Republic with some other European countries. They also mention specific features of children\u00b4s age and differences which influences provision of emergency care compared with care of adult population.<\/p>\n<p><b>Key words: <\/b>Emergency care \u2013 paediatric patient \u2013 emergency department \u2013 anatomical and physiological differences of children<\/p>\n<p>&nbsp;<\/p>\n<p><b>Basic evaluation and intervention in critically ill child<\/b><\/p>\n<p><b>JANA DJAKOW<\/b><\/p>\n<p><b>Abstract<\/b><\/p>\n<p>This review recapitulates recent knowledge on recognition and treatment of critically ill child. It describes steps summarized in ABCDE approach and the most important strategies to stabilize child with respiratory or circulatory failure.<\/p>\n<p><b>Key words: <\/b>Children \u2013 respiratory failure \u2013 circulatory failure \u2013 ABCDE \u2013 paediatric life support<\/p>\n<p>&nbsp;<\/p>\n<p><b>The ABCDE approach to emergencies in children<\/b><\/p>\n<p><b>KATAR\u00cdNA VESEL\u00c1<\/b><\/p>\n<p><b>Abstract<\/b><\/p>\n<p>The following text provides a brief overview of the ABCDE approach from the perspective of a medical practitioner to the most common emergencies in children. Foreign body aspiration and acute epiglottitis are the main threats of the airways during childhood. Respiratory disorders are the most frequently caused by outbreaks of acute laryngitis, exacerbation of bronchial asthma, or bronchiolitis in prehospital emergency care. In the field of cardiovascular failure, the paper focuses on the management of arrhythmias and hypovolemia in children. Paediatric patients are mainly treated for convulsions when facing CNS disorders. The last part is devoted to traumatic conditions in children and intoxications.<\/p>\n<p><b>Key words: <\/b>ABCDE approach \u2013 emergencies \u2013 child \u2013 child in pre-hospital care \u2013 paediatric patient \u2013 emergency medicine<\/p>\n<p>&nbsp;<\/p>\n<p><b>Paediatric Life Support<\/b><\/p>\n<p><b>JANA DJAKOW<\/b><\/p>\n<p><b>Abstract<\/b><\/p>\n<p>This review recapitulates recent knowledge on paediatric life support. It summarizes possible pathways leading to the cardiorespiratory arrest in children and European Resuscitation Council Guidelines for paediatric cardiac arrest (updated in 2017).<\/p>\n<p><b>Key words: <\/b>Life support \u2013 children \u2013 cardiac arrest \u2013 paediatric basic life support \u2013 paediatric advanced life support<\/p>\n<p>&nbsp;<\/p>\n<p><b>Cardiac arrest caused by chest impact by a football ball<\/b><\/p>\n<p><b>JANA KUBALOV\u00c1, PETR \u0160TOURA\u010c<\/b><\/p>\n<p><b>Abstract<\/b><\/p>\n<p>Introduction: Direct precordial impact by a ball can lead to sudden cardiac death even without structural myocardial illness or trauma, especially in children and young people. There are numerous case reports published and the diagnose of \u201emyocardial commotion\u201c is stated in these cases. The presented case report meets these criteria \u2013 cardiac arrest in 16 years old young man occurred immediately after precordial football\u00b4s ball impact.<br \/>\nMethods: case report, literary search<br \/>\nResults: ROSC emerged after delivering one defibrillation shock 250 J for ventricular fibrillation.<br \/>\nConclusion: Up to tens of similar case reports can be found in literature. Children and young people, mostly men, are the most frequently affected. The published events happened during organised competitions in most of the cases. Collapse immediately following a precordial blunt trauma of the chest which caused ventricular fibrillation was the unifying feature of the published cases. The impact was relatively common not suggesting that it can cause death. Despite life support was provided early, within 3 minutes, the survival rates were low. Experimental study in piggs proved that ventricular fibrillation is caused by the impact with timing 30\u201315 msec before ECG T wave peak.<\/p>\n<p><b>Key words: <\/b>cardiac commotion \u2013 cardiac arrest in young people \u2013 ventricular fibrillation \u2013 organised sport competitions<\/p>\n<p>&nbsp;<\/p>\n<p><b>Shock condition in paediatry<\/b><\/p>\n<p><b>PETR DOMINIK<\/b><\/p>\n<p><b>Abstract<\/b><\/p>\n<p>Worldwide, shock is a leading cause of morbidity and mortality in the paediatric population. Shock is defined as a state of acute energy failure due to inadequate glucose substrate delivery, oxygen delivery or mitochondrial failure at the cellular level. The clinical state of shock is diagnosed on the basis of vital signs, physical examination, and laboratory data, although its recognition in the paediatric patient can be difficult.<br \/>\nThis article reviews different pathophysiologic classifications of shock and their etiologies. I try to show current diagnostic and therapeutic strategies which can help to guide the most effective and appropriate treatment for resuscitating the child in shock.<\/p>\n<p><b>Key words: <\/b>shock condition \u2013 division and etiology of shock \u2013 examination \u2013 volume resuscitation \u2013 child<\/p>\n<p>&nbsp;<\/p>\n<p><b>Prehospital analgesia and sedation in paediatric patients<\/b><\/p>\n<p><b>FRANTI\u0160EK KOLEK, VLADIM\u00cdR MIXA<\/b><\/p>\n<p><b>Abstract<\/b><\/p>\n<p>Analgesia and sedation are the important part of prehospital emergency care. Analgosedation is different for each age group. The paediatric patient requires another dosage of sadatives, the substances have different pharmacokinetics, doctors and paramedics often use alternative ways of administration and some drugs are contraindicated for children. This article presents the list of the medications and the appropriate combinations for different clinical situations for children.<\/p>\n<p><b>Key words: <\/b>analgesia \u2013 sedation \u2013 children \u2013 prehospital emergency care<\/p>\n<p>&nbsp;<\/p>\n<p><b>Paediatric protocol and its use in practice<\/b><\/p>\n<p><b>PETR KOLOUCH, KATAR\u00cdNA VESEL\u00c1<\/b><\/p>\n<p><b>Abstract<\/b><\/p>\n<p>The paediatric protocol is a way of ensuring that health workers who do not routinely deal with children will use appropriate equipment and administer safe doses of medication when treating children. It is conceptually based on the original work of James Broselow and Robert Luton, who in 1985 described the correlation between the height and weight of children to the 50th percentile. On this basis a so-called Broselow tape was created where the children are divided into coloured categories according to their height. The paediatric protocol is a Czech adaptation of this tape.<\/p>\n<p><b>Key words: <\/b>Broselow \u2013 Broselow tape \u2013 paediatric care \u2013 paediatric protocol<\/p>\n<p>&nbsp;<\/p>\n<p><b>Transport of newborns<\/b><\/p>\n<p><b>V\u00c1CLAV VOBRUBA<\/b><\/p>\n<p><b>Abstract<\/b><\/p>\n<p>Transport of newborns and low-weight newborns has specific demands for treatment, management of care and technical equipment needed for interhospital transports. The transports of these patients are provided by specialised transport services of perineonatal centers in cooperation with regional Emergency medical service.<\/p>\n<p><b>Key words: <\/b>newborn \u2013 low-weight newborn \u2013 transport<\/p>\n","protected":false},"excerpt":{"rendered":"<p>INTRODUCTION Editorial \u2013 Jana \u0160eblov\u00e1 Contents THEME OF THE YEAR: CHILD AS A PATIENT IN EMERGENCY CARE A system approach to paediatric prehospital and hospital emergency care \u2013Jana \u0160eblov\u00e1, Jitka Dissou Paediatric Emergency department \u2013 Jitka Dissou Basic evaluation and<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[16],"tags":[],"_links":{"self":[{"href":"https:\/\/urgentnimedicina.cz\/en\/index.php?rest_route=\/wp\/v2\/posts\/742"}],"collection":[{"href":"https:\/\/urgentnimedicina.cz\/en\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/urgentnimedicina.cz\/en\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/urgentnimedicina.cz\/en\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/urgentnimedicina.cz\/en\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=742"}],"version-history":[{"count":0,"href":"https:\/\/urgentnimedicina.cz\/en\/index.php?rest_route=\/wp\/v2\/posts\/742\/revisions"}],"wp:attachment":[{"href":"https:\/\/urgentnimedicina.cz\/en\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=742"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/urgentnimedicina.cz\/en\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=742"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/urgentnimedicina.cz\/en\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=742"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}