{"id":851,"date":"2020-10-22T19:27:30","date_gmt":"2020-10-22T17:27:30","guid":{"rendered":"http:\/\/urgentnimedicina.cz\/en\/?p=851"},"modified":"2020-10-22T19:27:32","modified_gmt":"2020-10-22T17:27:32","slug":"content-3-2020","status":"publish","type":"post","link":"https:\/\/urgentnimedicina.cz\/en\/?p=851","title":{"rendered":"Content 3\/2020"},"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>EMERGENCY DEPARTMENTS<\/b><\/p>\n<ul>\n<li>Direct transport of hemodynamically stable patient with polytrauma from the EMS ambulance to CT shortens the time to diagnostics of life-threatening injuries \u2013 Miroslav Durila, Milan Grund, Jan Berou\u0161ek, Ev\u017een Beitl, Renata Pipkov\u00e1, Tom\u00e1\u0161 Vymazal<\/li>\n<\/ul>\n<p><b>DIAGNOSTIC METHODS<\/b><\/p>\n<ul>\n<li>Critical evaluation of ultrasound diagnostics of pneumothorax \u2013 Roman \u0160kulec, Tom\u00e1\u0161 Pa\u0159\u00edzek, Barbora Pakostov\u00e1, Marcela B\u00edlsk\u00e1, Vladim\u00edr \u010cern\u00fd<\/li>\n<\/ul>\n<p><b>PHYSIOLOGY AND EMERGENCY MEDICINE<\/b><\/p>\n<ul>\n<li>Capnometry \u2013 more than just the value of CO2 \u2013 David Astapenko, Vladim\u00edr \u010cern\u00fd<\/li>\n<\/ul>\n<p><b>GUIDELINES<\/b><\/p>\n<ul>\n<li>Approaches to management of multiple victim incident of patients with burn trauma in the Czech Republic \u2013 Bohumil Bakal\u00e1\u0159, Eva Smr\u017eov\u00e1, Robert Zaj\u00ed\u010dek, Marek Brosche, Franti\u0161ek Du\u0161ka, David Frejlach, Jaroslava Hejdov\u00e1, Ji\u0159\u00ed Knor, Josef \u0160kola, V\u00e1clav Vobruba<\/li>\n<\/ul>\n<p><b>EDUCATION<\/b><\/p>\n<ul>\n<li>Possibilities of teaching the organizations of the Integrated Rescue System in the Department of forensic medicine \u2013 Jan Fri\u0161hons, Adam Strnad, Jan Krajsa<\/li>\n<li>Fished out from a social media network \u2013 three case reports based on ECG \u2013 Tom\u00e1\u0161 Veleta, Ond\u0159ej Renn\u00e9t, Jana \u0160eblov\u00e1<\/li>\n<li>How to pass the specialisation exam in emergency medicine? \u2013 Katar\u00edna Vesel\u00e1, Jana \u0160eblov\u00e1, Jana Kubalov\u00e1<\/li>\n<\/ul>\n<p><b>INFORMATION<\/b><\/p>\n<ul>\n<li>Around the world with EMS \u2013 exhibition of ambulance cars\u00b4 models from 40 countries \u2013 Anatolij Truhl\u00e1\u0159<\/li>\n<li>EUSEM 2020 virtual \u2013 Jana \u0160eblov\u00e1<\/li>\n<li>Jan Koutensk\u00fd, MD, passed away \u2013 Ji\u0159\u00ed Knor<\/li>\n<li>Ilja Deyl, MD \u2013 congratulations on 70th anniversary<\/li>\n<li>11th university term of EMS management dedicated to Ji\u0159\u00ed Sta\u0148a, MD \u2013 Christoph Redelsteiner<\/li>\n<li>Simulation as a modern tool in health care professionals\u00b4 education \u2013 Franti\u0161ek Dol\u00e1k, Andrea Hud\u00e1\u010dkov\u00e1<\/li>\n<\/ul>\n<p><span style=\"text-decoration: underline;\"><strong>ABSTRAKTY<\/strong><\/span><\/p>\n<p><b>DIRECT TRANSPORT OF HEMODYNAMICALLY STABLE PATIENT WITH POLYTRAUMA FROM THE EMS AMBULANCE TO CT SHORTENS THE TIME TO DIAGNOSTICS OF LIFE-THREATENING INJURIES<\/b><\/p>\n<p><b>Miroslav Durila, Milan Grund, Jan Berou\u0161ek, Ev\u017een Beitl, Renata Pipkov\u00e1, Tom\u00e1\u0161 Vymazal<\/b><\/p>\n<p><b>Abstract <\/b><\/p>\n<p>Introduction: According to recent studies, early diagnosis of lifethreatening injuries using CT scans in patients with polytrauma can reduce their mortality. For this reason, it is important to look for ways to improve the management of polytrauma patient admission and reduce the time from patient admission to completion of CT scans. The aim of this study was to determine whether the transport of a hemodynamically stable patient with polytrauma directly from an EMS ambulance to a whole-body CT can statistically significantly shorten the time to completion of CT examination compared to the standard procedure where the patient is taken from the paramedic crew to the emergency department.<br \/>\nMethod: In this study, we evaluated the time to completion of whole-body CT (time of venous phase of contrast examination) in two groups of hemodynamically stable and intubated patients with polytrauma. In the first group, the patient was transported from the paramedic vehicle (car or helicopter) accompanied by the paramedic team and the hospital trauma team directly to the CT examination, where the patient was handed over. In the second group, the patient was transported to the emergency department, where the patient was taken over and subsequently the patient was transported to a CT examination accompanied by a hospital trauma team.<br \/>\nResults: We analyzed data from 62 patients. The average time from taking the patient from the emergency medical crew to performing a whole-body CT examination in the first group (21 patients) was 10 \u00b1 2.3 minutes (min 6, max 14 minutes). In the second group (41 patients), this time was significantly longer 31 \u00b1 12.6 minutes (min 15, max 59 minutes). This difference was statistically significant (p &lt;0.0001).<br \/>\nConclusion: Transport of a hemodynamically stable patient with polytrauma directly to the CT examination accompanied by the emergency medical crew and the hospital trauma team shortens the time until the final diagnosis of potentially life-threatening injuries.<\/p>\n<p><b>Key words: <\/b>whole body CT examination \u2013 E-FAST \u2013 polytrauma<\/p>\n<p><b>CRITICAL EVALUATION OF ULTRASOUND DIAGNOSTICS OF PNEUMOTHORAX<\/b><\/p>\n<p><b>Roman \u0160kulec, Tom\u00e1\u0161 Pa\u0159\u00edzek, Barbora Pakostov\u00e1, Marcela B\u00edlsk\u00e1, Vladim\u00edr \u010cern\u00fd<\/b><\/p>\n<p><b>Abstract <\/b><\/p>\n<p>Point-of-Care ultrasound has been considered a reliable method in the diagnosis of pneumothorax in emergency and intensive care medicine. However, several ultrasound findings which may reduce the reliability of the examination have been documented. In this article, we summarize a critical evaluation of the reliability of separate ultrasonographic signs of pneumothorax in the light of recent literature and our experience.<\/p>\n<p><b>Key words: <\/b>ultrasound \u2013 pneumothorax<\/p>\n<p><b>CAPNOMETRY \u2013 MORE THAN JUST THE VALUE OF CO2<\/b><\/p>\n<p><b>David Astapenko, Vladim\u00edr \u010cern\u00fd<\/b><\/p>\n<p><b>Abstract <\/b><\/p>\n<p>Capnometry is a simple, non-invasive and reliable method that provides the value of exhaled carbon dioxide (EtCO2) concentration. Not only the EtCO2 value itself is beneficial, but also its graphical representation over time \u2013 the capnographic curve. Capnometry provides useful information about the patient&#8217;s cardiopulmonary apparatus: adequate minute lung ventilation, cardiac output, airway obstruction, and dead ventilation. Capnometry further increases the safety of artificial lung ventilation, reliably predicts the position of the endotracheal cannula in the airways and increases the effectiveness of cardiopulmonary resuscitation and allows with a high degree of probability to assess the return of spontaneous circulation during resuscitation.<\/p>\n<p><b>Key words: <\/b>capnometry, artificial ventilation, cardiopulmonary resuscitation<\/p>\n<p><b>POSSIBILITIES OF TEACHING THE ORGANIZATIONS OF THE INTEGRATED RESCUE SYSTEM IN THE DEPARTMENT OF FORENSIC MEDICINE<\/b><\/p>\n<p><b>Jan Fri\u0161hons, Adam Strnad, Jan Krajsa<\/b><\/p>\n<p><b>Abstract <\/b><\/p>\n<p>Autopsies and demonstrations of morphological findings have also been used for centuries to gain valuable knowledge that will be etched in most students&#8216; memory for the rest of their lives. Theoretical teaching, practice of life-saving procedures and demonstration of morphological findings in forensic medicine has provided students from the IRS for several years with a comprehensive view of some injury mechanisms, life-saving procedures and dead body handling. Teaching is designed to be understandable both for students with basic knowledge of somatology and without previous knowledge\/information.<\/p>\n<p><b>Key words: <\/b>Demonstration of morphology findings \u2013 Integrated Rescue System \u2013 education \u2013 life-saving procedures \u2013 CPR<\/p>\n","protected":false},"excerpt":{"rendered":"<p>INTRODUCTION Contents Editorial \u2013 Jana \u0160eblov\u00e1 EMERGENCY DEPARTMENTS Direct transport of hemodynamically stable patient with polytrauma from the EMS ambulance to CT shortens the time to diagnostics of life-threatening injuries \u2013 Miroslav Durila, Milan Grund, Jan Berou\u0161ek, Ev\u017een Beitl, Renata<\/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\/851"}],"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=851"}],"version-history":[{"count":0,"href":"https:\/\/urgentnimedicina.cz\/en\/index.php?rest_route=\/wp\/v2\/posts\/851\/revisions"}],"wp:attachment":[{"href":"https:\/\/urgentnimedicina.cz\/en\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=851"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/urgentnimedicina.cz\/en\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=851"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/urgentnimedicina.cz\/en\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=851"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}