{"id":784,"date":"2020-02-13T11:36:37","date_gmt":"2020-02-13T09:36:37","guid":{"rendered":"http:\/\/urgentnimedicina.cz\/en\/?p=784"},"modified":"2020-02-13T11:36:37","modified_gmt":"2020-02-13T09:36:37","slug":"content-4-2019","status":"publish","type":"post","link":"https:\/\/urgentnimedicina.cz\/en\/?p=784","title":{"rendered":"Content 4\/2019"},"content":{"rendered":"<p><b>INTRODUCTION<\/b><\/p>\n<ul>\n<li>Contents<\/li>\n<li>Editorial \u2013 Jana \u0160eblov\u00e1<\/li>\n<\/ul>\n<p><b>PREHOSPITAL EMERGENCY CARE<\/b><\/p>\n<ul>\n<li>The form for a structured patient\u00b4s information handover \u2013 creation by action research and modified Delphi method \u2013 David Pe\u0159an, Jaroslav Pekara, Jaroslav Val\u00e1\u0161ek, Patrik Cmorej<\/li>\n<\/ul>\n<p><b>SYSTEMS ORGANIZATION AND MANAGEMENT<\/b><\/p>\n<ul>\n<li>Standardization of care in emergency medical services and standards of care \u2013 David Pe\u0159an, Jaroslav Pekara, Patrik Cmorej<\/li>\n<\/ul>\n<p><b>DIAGNOSTIC METHODS<\/b><\/p>\n<ul>\n<li>Point of care ultrasonographic diagnostics of deep venous thrombosis of the lower extremities in emergency medicine \u2013 Barbora Pakostov\u00e1, Roman \u0160kulec, Tom\u00e1\u0161 Pa\u0159\u00edzek, Vladim\u00edr \u010cern\u00fd<\/li>\n<\/ul>\n<p><b>PHYSIOLOGY AND EMERGENCY MEDICINE<\/b><\/p>\n<ul>\n<li>Acute stress response \u2013 can we feel it in our bones? \u2013 David Astapenko, Vladim\u00edr \u010cern\u00fd<\/li>\n<\/ul>\n<p><b>EDUCATION<\/b><\/p>\n<ul>\n<li>How to pass the specialisation exam in emergency medicine? \u2013 Katar\u00edna Vesel\u00e1, Jana Kubalov\u00e1, Jana \u0160eblov\u00e1<\/li>\n<li>The benefits of simulation-based exercises for performance quality of emergency medical services professionals \u2013 Jitka Gur\u0148\u00e1kov\u00e1, Peter Gr\u00f6pel<\/li>\n<\/ul>\n<p><b>ETHICS, PSYCHOLOGY, LAW<\/b><\/p>\n<ul>\n<li>Decision making and stroke awareness: looking for meaningfull strategies \u2013 Iva \u0160m\u00eddov\u00e1, Lucie Vondr\u00e1\u010dkov\u00e1, Robert Mikul\u00edk<\/li>\n<\/ul>\n<p><b>INFORMATION<\/b><\/p>\n<ul>\n<li>\u010cesk\u00e1 republika centrem evropsk\u00e9 urgentn\u00ed medic\u00edny pro rok 2019 \u2013 Kongres EUSEM 12. \u2013 16. 10. 2019, Kongresov\u00e9 centrum Praha \u2013 Jana \u0160eblov\u00e1, Jaroslav Pekara, David Pe\u0159an<\/li>\n<li>Review of the book \u201el\u00e9ka\u0159sk\u00e1 prvn\u00ed pomoc\u201c (First Medical aid) \u2013 Patrik Christian Cmorej<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<p><span style=\"text-decoration: underline;\"><strong>ABSTRAKTY<\/strong><\/span><\/p>\n<p>&nbsp;<\/p>\n<p><b>THE FORM FOR A STRUCTURED PATIENT\u00b4S INFORMATION HANDOVER \u2013 CREATION BY ACTION RESEARCH AND MODIFIED DELPHI METHOD<\/b><\/p>\n<p><b>David Pe\u0159an, Jaroslav Pekara, Jaroslav Val\u00e1\u0161ek, Patrik Cmorej<\/b><\/p>\n<p><b>Abstract <\/b><\/p>\n<p>Failures in communication have been identified as a major cause of preventable medical errors and of poor handovers resulting in adverse effects for the patient. Miscommunication and information loss during handover are acknowledged as contributing factors to adverse events. Patient safety can be improved by ameliorating the handover process and by standardising the processes. The quality of patient handover varies, the chief differences being in the handover method, language, level of education and expertise. For this reason, the Prague Emergency Medical Services decided to standardise the process of information handover from pre-hospital to in-hospital care.<br \/>\nThis paper presents a process for choosing and creating a system of structured information handover using action research and the modified Delphi method.<br \/>\nThe presented system contains essential information for identifying the pre-hospital care provider and the crew, the basic disease or injury, the patient&#8217;s vital signs and the treatment. The system is tailored to both low and high priority patients.<\/p>\n<p><b>Key words: <\/b>Standardisation \u2013 Pre-notification \u2013 Emergency Medicine \u2013 Pre-hospital Care \u2013 Safety<\/p>\n<p>&nbsp;<\/p>\n<p><b>STANDARDIZATION OF CARE IN EMERGENCY MEDICAL SERVICES AND STANDARDS OF CARE<\/b><\/p>\n<p><b>David Pe\u0159an, Jaroslav Pekara, Patrik Cmorej<\/b><\/p>\n<p><b>Abstract <\/b><\/p>\n<p>Introduction: Emergency medical services as well as other health care providers follow the standards of care that include both the organization of services and the medical care.<br \/>\nMethod: The aim of the article is to identify, by means of qualitative research method \u2013 thematic analysis \u2013 individual standards or parts of regulations applicable to the emergency medical services environment, which can be improved by standardization of the procedure, including the application of guidelines, algorithms, checklists and other cognitive aids, to improve safety of patients.<br \/>\nResults: Four documents were identified in which areas for standardization were searched and four groups of codes were identified \u2013 (1) General recommendations for improving care, (2) Standardizing health care, (3) Standardizing communication, (4) Technical and organizational processes.<br \/>\nConclusion: All analysed documents contain areas suitable for process standardization. The analysis shows that the biggest area for standardization is the medical care. Non-technical skills are also at the forefront, and a lot of space is also devoted to communication, especially in the area of handover of information about patients. The last area is the management and application of drugs, the prevention of infections and the technical preparation of equipment.<\/p>\n<p><b>Key words: <\/b>Standardisation \u2013 Standards \u2013 Emergency Medicine \u2013 Pre-hospital care \u2013 Safety<\/p>\n<p>&nbsp;<\/p>\n<p><b>POINT OF CARE ULTRASONOGRAPHIC DIAGNOSTICS OF DEEP VENOUS THROMBOSIS OF THE LOWER EXTREMITIES IN EMERGENCY MEDICINE<\/b><\/p>\n<p><b>Barbora Pakostov\u00e1, Roman \u0160kulec, Tom\u00e1\u0161 Pa\u0159\u00edzek, Vladim\u00edr \u010cern\u00fd<\/b><\/p>\n<p><b>Abstract <\/b><\/p>\n<p>The complete compression ultrasound has been considered to be an imaging method of the first choice for diagnostics of deep vein thrombosis (DVT). However, it is an expert examination, time consuming and not always immediately available. Thus, methods of Point-of-Care ultrasound, especially two-region compression ultrasound may be used in an emergency setting. In the article, the authors present an overview of Point-of-Care ultrasound methods of DVT diagnostics, including a critical appraisal of its reliability and a practical instruction for carrying out the examination.<\/p>\n<p><b>Key words: <\/b>emergency medicine \u2013 deep vein thrombosis \u2013 ultrasound<\/p>\n<p>&nbsp;<\/p>\n<p><b>ACUTE STRESS RESPONSE \u2013 CAN WE FEEL IT IN OUR BONES?<\/b><\/p>\n<p><b>David Astapenko, Vladim\u00edr \u010cern\u00fd<\/b><\/p>\n<p><b>Abstract <\/b><\/p>\n<p>An acute stress reaction is a phylogenetically conserved response of the organism to impending or ongoing tissue damage. The reaction involves activation of the sympathetic nervous system and the neuroendocrine axis of the hypothalamus \u2013 pituitary gland \u2013 adrenal glands. Bone tissue cells, osteoblasts, produce hormone osteocalcin, which is responsible for precipitation of the entire reaction. It increases skeletal muscle endurance, decreases insulin resistance and sharpens short term memory. In fact, we are not dependent on the level of catecholamines in the acute phase, but their clinical indications are indisputable.<\/p>\n<p><b>Key words: <\/b>acute stress response \u2013 osteocalcin \u2013 adrenal glands<\/p>\n<p>&nbsp;<\/p>\n<p><b>THE BENEFITS OF SIMULATION-BASED EXERCISES FOR PERFORMANCE QUALITY OF EMERGENCY MEDICAL SERVICES PROFESSIONALS<\/b><\/p>\n<p><b>Jitka Gur\u0148\u00e1kov\u00e1, Peter Gr\u00f6pel<\/b><\/p>\n<p><b>Abstract <\/b><\/p>\n<p>This cross-sectional replication study tested whether simulation use and years of practice predicted the quality of performance among emergency medical services (EMS) professionals. Data were collected during a simulation-based EMS competition (Rallye Rejv\u00edz). Participants were 63 EMS professionals, which was 38 % of all competitors. They had in average 7.51 years of healthcare practice and 5.10 years of EMS practice and had previously participated in 4.40 simulation events. The prior participation in simulation events correlated significantly with participants\u2019 competition performance (r = 0.26, p = 0.049). In contrast, neither the years of healthcare practice nor the years of EMS practice significantly predicted performance. Furthermore, there was an interaction of simulation use and years of EMS practice: less experienced EMS professionals benefited more from prior simulation use (\u03b2 = \u20130.32, p = 0.018). These results partly replicate previous literature and support the benefits of simulation use as a relevant educational method for EMS professionals.<\/p>\n<p><b>Key words: <\/b>simulation \u2013 emergency medical services \u2013 paramedic \u2013 performance \u2013 Rallye Rejv\u00edz<\/p>\n<p>&nbsp;<\/p>\n<p><b>DECISION MAKING AND STROKE AWARENESS: LOOKING FOR MEANINGFULL STRATEGIES<\/b><\/p>\n<p><b>Iva \u0160m\u00eddov\u00e1, Lucie Vondr\u00e1\u010dkov\u00e1, Robert Mikul\u00edk<\/b><\/p>\n<p><b>Abstract <\/b><\/p>\n<p>Aim: Reaction of the lay public to a stroke event is often insufficient. The aim of this research was to identify the sources of stroke knowledge of stroke patients or their relatives who called emergency for suspected stroke event, and the key moments for the decision to call emergency. Findings indicate direction in more effective management of cases in Emergency medicine.<br \/>\nSample and methods: This is a qualitative study using semi- -structured deep personal interviews. 12 stroke patient were interviewed, 6 relatives of stroke patients and, in two cases, both patient and his\/her relative. Also, 6 meetings with hospital personnel were conducted.<br \/>\nResults: The decision to call ambulance was based on previous stroke experience and realization that something was wrong. Also, other people and their knowledge or experience were important. The decision making is set in the complex setting with patient\u2019s concerns about accepting patient\u2019s role and expectations connected to it. The recovery process is connected both to hopes and uncertainties about the outcome.<br \/>\nConclusions: When the patients do not have previous stroke experience and the doctor is not called by a witness of the event, then the decision to call a doctor is based not on the recognition of the stroke symptoms, but on the perception that something is terribly wrong. For the educational campaigns to be more effective, they need to be targeted to the high-risk subgroups. This knowledge was derived from the experience and life situation of the cases included in the study. Multidisciplinary cooperation connecting not only medical but also social approach could be beneficial in emergency medicine.<\/p>\n<p><b>Key words: <\/b>Stroke \u2013 Awareness \u2013 Decision making \u2013 Health care \u2013 Community health education<\/p>\n","protected":false},"excerpt":{"rendered":"<p>INTRODUCTION Contents Editorial \u2013 Jana \u0160eblov\u00e1 PREHOSPITAL EMERGENCY CARE The form for a structured patient\u00b4s information handover \u2013 creation by action research and modified Delphi method \u2013 David Pe\u0159an, Jaroslav Pekara, Jaroslav Val\u00e1\u0161ek, Patrik Cmorej SYSTEMS ORGANIZATION AND MANAGEMENT Standardization<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[17],"tags":[],"_links":{"self":[{"href":"https:\/\/urgentnimedicina.cz\/en\/index.php?rest_route=\/wp\/v2\/posts\/784"}],"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=784"}],"version-history":[{"count":0,"href":"https:\/\/urgentnimedicina.cz\/en\/index.php?rest_route=\/wp\/v2\/posts\/784\/revisions"}],"wp:attachment":[{"href":"https:\/\/urgentnimedicina.cz\/en\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=784"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/urgentnimedicina.cz\/en\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=784"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/urgentnimedicina.cz\/en\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=784"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}