{"id":842,"date":"2020-07-10T12:02:04","date_gmt":"2020-07-10T10:02:04","guid":{"rendered":"http:\/\/urgentnimedicina.cz\/en\/?p=842"},"modified":"2020-07-10T12:02:05","modified_gmt":"2020-07-10T10:02:05","slug":"content-2-2020","status":"publish","type":"post","link":"https:\/\/urgentnimedicina.cz\/en\/?p=842","title":{"rendered":"Content 2\/2020"},"content":{"rendered":"\n<div class=\"wp-block-group\"><div class=\"wp-block-group__inner-container is-layout-flow wp-block-group-is-layout-flow\">\n<p><b>INTRODUCTION<\/b><\/p>\n\n\n\n<ul><li>Contents<\/li><li>Editorial \u2013 Jana \u0160eblov\u00e1<\/li><\/ul>\n\n\n\n<p><b>EMERGENCY DEPARTMENTS<\/b><\/p>\n\n\n\n<ul><li>Management of a patient with bacterial meningitis at the emergency department: case report and literature review \u2013 Robin \u0160\u00edn, Jana V\u00e1chalov\u00e1<\/li><\/ul>\n\n\n\n<p><b>PREHOSPITAL EMERGENCY CARE<\/b><\/p>\n\n\n\n<ul><li>Pragmatic differential diagnostics of acute shortness of breath in the prehospital emergency care \u2013 personal algorithm (READY protocol) \u2013 Roman \u0160kulec<\/li><\/ul>\n\n\n\n<p><b>SYSTEMS\u00b4 ORGANIZATION AND MANAGEMENT<\/b><\/p>\n\n\n\n<ul><li>Motoric tests for evaluation of paramedics\u2019 physical fitness \u2013 V\u00e1clav Bunc, Jan Lodin, Jaroslav Pekara, Petr Kolouch, David Pe\u0159an<\/li><\/ul>\n\n\n\n<p><b>PHYSIOLOGY AND EMERGENCY MEDICINE<\/b><\/p>\n\n\n\n<ul><li>Pulse oximetry and its use in emergency medicine \u2013 David Astapenko, Vladim\u00edr \u010cern\u00fd<\/li><\/ul>\n\n\n\n<p><b>GUIDELINES<\/b><\/p>\n\n\n\n<ul><li>Interdisciplinary statement on management of patients with haemophilia and von Willebrand disease in the prehospital care (PHC) \u2013 Jan Blatn\u00fd (editor), Jana \u0160eblov\u00e1 (co-editor), Zde\u0148ka Haj\u0161mannov\u00e1, Tom\u00e1\u0161 Votava, Anton\u00edn Hlu\u0161\u00ed, Radka Hrdli\u010dkov\u00e1, Petr Kessler, Sv\u011btlana K\u00f6hlerov\u00e1, Miroslav Penka, Jana Ullrychov\u00e1, Ond\u0159ej Fran\u011bk, Ji\u0159\u00ed Knor, Anatolij Truhl\u00e1\u0159, Marek Slab\u00fd, Roman G\u0159ego\u0159<\/li><li>Guidelines for use of personal protective measures in patients with suspected or confirmed COVID-19 in the prehospital emergency care \u2013 Eva Smr\u017eov\u00e1 (editor), Roman G\u0159ego\u0159, Jaroslav Kratochv\u00edl, Josef \u0160kola, Roman \u0160kulec<\/li><li>Criteria for outpatient care for patients with clinical signs of COVID-19 \u2013 Jana \u0160eblov\u00e1 (editor), Josef \u0160kola, Roman \u0160kulec, Anatolij Truhl\u00e1\u0159<\/li><li>Triage and admission of patients with suspected or confirmed COVID-19 \u2013 Roman \u0160kulec (editor), Jana Flaj\u0161ingrov\u00e1, Roman G\u0159ego\u0159, Jaroslav Kratochv\u00edl, Zdena Lep\u0161\u00ed, Tom\u00e1\u0161 Pa\u0159\u00edzek, Jana \u0160eblov\u00e1<\/li><li>Specifics of invasive procedures and techniques in the prehospital emergency care for patients with suspected or confirmed COVID-19 \u2013 Robin \u0160\u00edn (editor), Roman \u0160kulec, Anatolij Truhl\u00e1\u0159<\/li><li>Cardiopulmonary resuscitation of patients with suspected or confirmed COVID-19 \u2013 Vladim\u00edr \u010cern\u00fd (editor), Anatolij Truhl\u00e1\u0159 (editor), Renata \u010cern\u00e1 Pa\u0159\u00edzkov\u00e1, Jana Djakow, Martina, Kosinov\u00e1, Roman \u0160kulec, Petr \u0160\u0165oura\u010d<\/li><\/ul>\n\n\n\n<p><b>EDUCATION<\/b><\/p>\n\n\n\n<ul><li>How to pass the specialisation exam in emergency medicine? \u2013 Katar\u00edna Vesel\u00e1, Jana \u0160eblov\u00e1, Jana Kubalov\u00e1<\/li><\/ul>\n\n\n\n<p><b>INFORMATION<\/b><\/p>\n\n\n\n<ul><li>A book\u00b4s review: \u201eMarcel Nesvadba, Patrik Christian Cmorej, David Pe\u0159an: ECG of the first contact in eight steps\u201c \u2013 T\u00e1\u0148a Bul\u00edkov\u00e1<\/li><li>Emergency Medicine Day 2020 \u2013 Jana \u0160eblov\u00e1<\/li><li>Brno EM Days online \u2013 Jana Kubalov\u00e1<\/li><li>In memoriam MUDr. Josef Mucha<\/li><\/ul>\n\n\n\n<p><span style=\"text-decoration: underline;\"><strong>ABSTRACTS<\/strong><\/span><\/p>\n\n\n\n<p><b>MANAGEMENT OF A PATIENT WITH BACTERIAL MENINGITIS AT THE EMERGENCY DEPARTMENT: CASE REPORT AND LITERATURE REVIEW<\/b><\/p>\n\n\n\n<p><b>Robin \u0160\u00edn, Jana V\u00e1chalov\u00e1<\/b><\/p>\n\n\n\n<p><b>Abstract <\/b><\/p>\n\n\n\n<p>Bacterial meningitis is a severe infectious disease of the brain protective membranes occurring worldwide and threatening the lives of people of all age groups. The most frequent pathogens of the disease are Streptococcus pneumoniae, Neisseria meningitidis and Listeria monocytogenes. The classic triad of symptoms composes of, in adult patients, a fever, nuchal rigidity and alteration of mental status. In children, we may observe headaches, fever, vomiting and positive meningeal phenomena. In new-borns, only non-specific symptoms predominantly occur. To determine the diagnosis of bacterial meningitis, it is essential to examine the cerebrospinal fluid. In bacterial meningitis, a classic finding in liquor is represented by leucocytosis with a predominance of polynuclear, low concentration of glucoses and high protein levels. An early initiation of empirical antibiotic treatment is very important as for the development of the condition, followed by, after the diagnosis of the pathogen, the targeted therapy. The time from admission to the hospital to the administration of the first dose of antibiotics should not exceed 1 hour. Administration of dexamethasone is a routine part of the treatment. The article introduces a case report of a typical example of bacterial meningitis with primary management of a patient at the emergency department.<\/p>\n\n\n\n<p><b>Key words: <\/b>bacterial meningitis \u2013 Streptococcus pneumoniae \u2013 Neisseria meningitidis \u2013 Listeria monocytogenes \u2013 lumbar puncture<\/p>\n\n\n\n<p><b>PRAGMATIC DIFFERENTIAL DIAGNOSTICS OF ACUTE SHORTNESS OF BREATH IN THE PREHOSPITAL EMERGENCY CARE \u2013 PERSONAL ALGORITHM (READY PROTOCOL)<\/b><\/p>\n\n\n\n<p><b>Roman \u0160kulec<\/b><\/p>\n\n\n\n<p><b>Abstract <\/b><\/p>\n\n\n\n<p>Acute shortness of breath is a severe subjective symptom that accounts for approximately one-tenth of all indications of medical emergency services dispatches. The common approach to differential diagnostics targeted to determine the nosological unit is often complicated. Therefore, pre-hospital management must reflect real possibilities and must be a compromise of the time spent at the field and realistic diagnostic accuracy in close relation to the subsequent treatment we can safely provide. The author presents a pragmatic algorithm for the pre-hospital management of patients with acute shortness of breath based on a simple assessment of respiratory sounds with the possible implementation of Point-of-Care ultrasound.<\/p>\n\n\n\n<p><b>Key words: <\/b>shortness of breath \u2013 pre-hospital care \u2013 algorithm<\/p>\n\n\n\n<p><b>MOTORIC TESTS FOR EVALUATION OF PARAMEDICS\u2019 PHYSICAL FITNESS<\/b><\/p>\n\n\n\n<p><b>V\u00e1clav Bunc, Jan Lodin, Jaroslav Pekara, Petr Kolouch, David Pe\u0159an<\/b><\/p>\n\n\n\n<p><b>Abstract <\/b><\/p>\n\n\n\n<p>Physical capability is one of the basic prerequisites for successful work performance of a paramedic. Evaluation of physical capability, in laboratory or field conditions, allows to reduce the risk of work-related injuries and professional failure when dealing with work tasks. The aim of the article is to introduce a system of evaluation of the basic components of physical capability \u2013 both in general (body composition, strength of upper and lower limbs, muscle endurance) and specific (step test with 6 kg load, resuscitation and handling of a 70 kg manikin). This physical capability is evaluated along with the standards which are used by the staff of the Prague Emergency Medical Services. The proposed battery of tests is feasible in normal conditions and it takes 60 minutes. The results can be used both for the assessment of the entry level of newly recruited workers (paramedics) and for the design of the intervention program for the continuous evaluation of working pre-requisites.<\/p>\n\n\n\n<p><b>Key words: <\/b>motoric test \u2013 paramedic \u2013 physical fitness \u2013 work performance<\/p>\n\n\n\n<p><b>PULSE OXIMETRY AND ITS USE IN EMERGENCY MEDICINE<\/b><\/p>\n\n\n\n<p><b>David Astapenko, Vladim\u00edr \u010cern\u00fd<\/b><\/p>\n\n\n\n<p><b>Abstract <\/b><\/p>\n\n\n\n<p>Pulse oximetry is used for basic instrumental examination of the cardiopulmonary system. It is non-invasive, fast and can be used continuously. The method facilitates the decision making in starting the oxygen therapy and helps to evaluate the patient&#8217;s response to it. Complex monitors of life functions (eg. LifePack) also provide a plethysmographic curve which can further inform us about the state of the cardiovascular system. Although modern devices are capable of software compensation for movement artifacts and excessive ambient lighting the method is still limited in the case of intoxications (eg. carbon monoxide, oxidizing agents), arrhythmias, in dark ethnicities and dark nail polish.<\/p>\n\n\n\n<p><b>Key words: <\/b>pulse oximetry \u2013 hypoxia \u2013 hypoperfusion \u2013 intoxication<\/p>\n<\/div><\/div>\n","protected":false},"excerpt":{"rendered":"<p>INTRODUCTION Contents Editorial \u2013 Jana \u0160eblov\u00e1 EMERGENCY DEPARTMENTS Management of a patient with bacterial meningitis at the emergency department: case report and literature review \u2013 Robin \u0160\u00edn, Jana V\u00e1chalov\u00e1 PREHOSPITAL EMERGENCY CARE Pragmatic differential diagnostics of acute shortness of breath<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[18],"tags":[],"_links":{"self":[{"href":"https:\/\/urgentnimedicina.cz\/en\/index.php?rest_route=\/wp\/v2\/posts\/842"}],"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=842"}],"version-history":[{"count":0,"href":"https:\/\/urgentnimedicina.cz\/en\/index.php?rest_route=\/wp\/v2\/posts\/842\/revisions"}],"wp:attachment":[{"href":"https:\/\/urgentnimedicina.cz\/en\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=842"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/urgentnimedicina.cz\/en\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=842"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/urgentnimedicina.cz\/en\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=842"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}