{"id":882,"date":"2022-03-30T11:26:54","date_gmt":"2022-03-30T09:26:54","guid":{"rendered":"https:\/\/urgentnimedicina.cz\/en\/?p=882"},"modified":"2022-03-30T11:26:55","modified_gmt":"2022-03-30T09:26:55","slug":"content-4-2021","status":"publish","type":"post","link":"https:\/\/urgentnimedicina.cz\/en\/?p=882","title":{"rendered":"Content 4\/2021"},"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>Admission of a patient with severe trauma to traumacenter \u2013 Jana Berkov\u00e1<\/li>\n<li>Comparison of SIRS and qSOFA diagnostic criteria in early detection of sepsis \u2013 a prospective observational study 4S \u2013 Jana \u0160eblov\u00e1, Dominika \u0160eblov\u00e1, \u0160t\u011bp\u00e1nka Bure\u0161ov\u00e1, Ji\u0159\u00ed Knor, Viktor Ryb\u00e1\u010dek<\/li>\n<li>A case report: Mild organophosphorus compound intoxication \u2013 Lucie Junov\u00e1, Ond\u0159ej Renn\u00e9t<\/li>\n<\/ul>\n<p><b>PHYSIOLOGY AND EMERGENCY MEDICINE<\/b><\/p>\n<ul>\n<li>The principles of proper oxygen therapy in critically ill patients \u2013 Marcela B\u00edlsk\u00e1, Roman \u0160kulec, Barbora Stadlerov\u00e1, Tom\u00e1\u0161 Pa\u0159\u00edzek, Michal Kalina, Vladim\u00edr \u010cern\u00fd, David Astapenko<\/li>\n<\/ul>\n<p><b>GUIDELINES<\/b><\/p>\n<ul>\n<li>Geriatrics and emergency medicine \u2013 do we really need age-specific standards? \u2013 Jana \u0160eblov\u00e1, Eva Topinkov\u00e1<\/li>\n<li>Providing care for older adults in the Emergency Department: expert clinical recommendations from the European Task Force on Geriatric Emergency Medicine \u2013 Jacinta Lucke et al., translation: Vojt\u011bch Mezera<\/li>\n<li>Guidelines: High priority emergency calls \u2013 Ond\u0159ej Fran\u011bk<\/li>\n<li>Criteria for identification of a person with vital functions\u00b4 failure or imminent endangering of vital functions during emergency call \u2013 Society for Emergency and Disaster Medicine CzMA JEP \u2013 Ond\u0159ej Fran\u011bk<\/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 \u0160eblov\u00e1, Jana Kubalov\u00e1<\/li>\n<\/ul>\n<p><b>INFORMATION<\/b><\/p>\n<ul>\n<li>Memorandum between Ministry of Health and Ministry of Transport on co-operation in the field of HEMS safety and development<\/li>\n<li>Communiqu\u00e9 of the expert group for HEMS safety and development<\/li>\n<li>Contens \u2013 2021<\/li>\n<li>The Heart \u2013 a ballet on transplantations and critical life events in the National Theatre in Prague \u2013 Jana \u0160eblov\u00e1<\/li>\n<\/ul>\n<p><span style=\"text-decoration: underline;\"><strong>ABSTRACTS<\/strong><\/span><br \/>\n<b>ADMISSION OF A PATIENT WITH SEVERE TRAUMA TO TRAUMACENTER<\/b><\/p>\n<p><b>Jana Berkov\u00e1<\/b><\/p>\n<p><b>Abstract <\/b><\/p>\n<p>According to current recommendations, a severely injured patient is transported to the closest trauma center Level I. The activated and prepared trauma team is waiting for him or her; the team is composed of various specialists and has cleary defined tasks and aims to prevent preventable deaths. The aim of this paper is to describe the optimal composition of trauma team, possibilities of his activation and the tasks during initial assessment of severely injured patient.<\/p>\n<p><b>Key words: <\/b>severe injury \u2013 trauma center \u2013 trauma team<\/p>\n<p><b>COMPARISON OF SIRS AND QSOFA DIAGNOSTIC CRITERIA IN EARLY DETECTION OF SEPSIS \u2013 A PROSPECTIVE OBSERVATIONAL STUDY 4S<\/b><\/p>\n<p><b>Jana \u0160eblov\u00e1, Dominika \u0160eblov\u00e1, \u0160t\u011bp\u00e1nka Bure\u0161ov\u00e1, Ji\u0159\u00ed Knor, Viktor Ryb\u00e1\u010dek<\/b><\/p>\n<p><b>Abstract <\/b><\/p>\n<p>Introduction: Sepsis remains a global health problem with increasing incidence every year and with high mortality rates, especially hospitalization mortality rates. Diagnostics in primary and emergency care is still a huge challenge. In 2016, new sepsis definition (Sepsis-3) brought simplified screenig criteria qSOFA for identification of septic patients outside the intensive care environment. We decided to examine the usability of qSOFA in prehospital emergency care (PHC) and at emergency department (ED).<br \/>\nMethods: 4S study was monocentric prospective observational pragmatic study; standard therapy was provided to enrolled patients. The primary goal was to compare the qSOFA and SIRS criteria, their sensitivity and specificity in prehospital care and at the ED. Secondary goals included examinng the diagnostic accuracy of prehospital professionals and hospitalization mortality in the three study groups (patients with 1) sepsis and septic shock; 2) infection without organ failure; 3) no-infectious disease).<br \/>\nResults: 203 patients were enrolled from 1st February 2018 till 29th February 2020 and 104 had final diagnosis of sepsis or septic shock, 90 had infection and 9 had non-infectious disease diagnosis. SIRS criteria had higher sensitivity (71,2% at PHC and 87,5% at ED) compared to qSOFA (39,4% vs. 43,3%). Specificity was higher when using qSOFA (84,9% PHC and 83,8% at ED). Infection was identified as the cause for EMS activation in 96% of cases by the EMS personnel, and 51% of these patients were septic. Hospitalization mortality was the highest (36.5%) in the group of septic patients and the lowest in patients with infection without any organ failure (2,2%).<br \/>\nDiscussion: Even if this study was monocentric, our results corroborate other studies in discovering that qSOFA score is not an appropriate screening tool for early identification of sepsis. However, it can be a suitable predictor of general severity of the patient\u00b4s condition. The main limitation of the 4S study is failure to enroll all septic patients by the EMS personnel. Hospitalization mortality was high and those patients who died were nearly 7,5 years older than those who survived.<br \/>\nConclusion: There is no single, simple and reliable screening tool for early identification and risk stratification of septic patients. A combination of health professionals\u00b4 education and gudeliness for management of the care of septic patients in primary and emergency care may lead to improvement in this field.<\/p>\n<p><b>Key words: <\/b>sepsis \u2013 scoring systems \u2013 diagnostics \u2013 emergency medicine<\/p>\n<p><b>A CASE REPORT: MILD ORGANOPHOSPHORUS COMPOUND INTOXICATION<\/b><\/p>\n<p><b>Lucie Junov\u00e1, Ond\u0159ej Renn\u00e9t<\/b><\/p>\n<p><b>Abstract <\/b><\/p>\n<p>A case report of mild organophosphorus compound intoxication is presented in this paper. Such intoxication is very rare in the Czech Republic and therefore authors describe organophosphorus compounds, mechanisms of their action, diagnosis and treatment in more detail based on the case report.<br \/>\n<b>Key words: <\/b>poisoning \u2013 nerve agent \u2013 organophosphate \u2013 soman \u2013 miosis<\/p>\n<p><b>THE PRINCIPLES OF PROPER OXYGEN THERAPY IN CRITICALLY ILL PATIENTS<\/b><\/p>\n<p><b>Marcela B\u00edlsk\u00e1, Roman \u0160kulec, Barbora Stadlerov\u00e1, Tom\u00e1\u0161 Pa\u0159\u00edzek, Michal Kalina, Vladim\u00edr \u010cern\u00fd, David Astapenko<\/b><\/p>\n<p><b>Abstract <\/b><\/p>\n<p>Oxygen is one of the most widely used drugs in emergency medicine. Therefore, it is necessary to know the indications and contraindications for its use, as well as the risks resulting from its incorrect administration. In the following article, we summarize the principles of proper oxygen therapy with a focus on critically ill patients. We particularly target the group of patients with chronic obstructive pulmonary disease, in which myths about proper oxygen therapy still prevail.<br \/>\n<b>Key words: <\/b>oxygen \u2013 carbon dioxide \u2013 oxygen face mask \u2013 chronic obstructive pulmonary disease<\/p>\n<p><b>PROVIDING CARE FOR OLDER ADULTS IN THE EMERGENCY DEPARTMENT: EXPERT CLINICAL RECOMMENDATIONS FROM THE EUROPEAN TASK FORCE ON GERIATRIC EMERGENCY MEDICINE<\/b><\/p>\n<p><b>Jacinta Lucke et al., autor p\u0159ekladu: Vojt\u011bch Mezera<\/b><\/p>\n<p><b>Abstract <\/b><\/p>\n<p>Background: Despite the rapidly expanding knowledge in the field of Geriatric Emergency Medicine in Europe, widespread implementation of change is still lacking. Many opportunities in everyday clinical care are missed to improve care for this susceptible and growing patient group.<br \/>\nObjective: The aim was to develop pragmatic clinical Geriatric Emergency Medicine guidelines based on expert consensus, to be disseminated across Europe.<br \/>\nDesign: Using a modified Delphi procedure a prioritized list of topics related to Geriatric Emergency Medicine was created. Next, a multi-disciplinary group of nurses, geriatricians and emergency physicians performed a review of recent guidelines and literature to create recommendations. These recommendations were voted upon by a group of experts and placed on visually attractive posters.<br \/>\nSetting and participants: A group of multi-disciplinary experts in the field of Geriatric Emergency Medicine in Europe.<br \/>\nOutcome: The expert group identified the following eight subject areas to develop targeted guidelines on: Comprehensive Geriatric Assessment in the Emergency Department (ED), age\/frailty adjusted risk stratification, delirium and cognitive impairment, family involvement, ED environment, silver trauma, end of life care in the acute setting.<br \/>\nMain results: Eight posters with guidelines on the most important topics in Geriatric Emergency Medicine are now available through https:\/\/ posters.geriemeurope.eu\/<br \/>\nConclusion: Pragmatic guidelines for Geriatric Emergency Medicine in Europe were created and are ready for dissemination across Europe.<br \/>\n<b>Key words: <\/b>Guidelines \u2013 Emergency Medicine \u2013 Geriatrics \u2013 Frailty \u2013 Acute care \u2013 Geriatric Emergency Medicine<\/p>\n","protected":false},"excerpt":{"rendered":"<p>INTRODUCTION Contents Editorial \u2013 Jana \u0160eblov\u00e1 EMERGENCY DEPARTMENTS Admission of a patient with severe trauma to traumacenter \u2013 Jana Berkov\u00e1 Comparison of SIRS and qSOFA diagnostic criteria in early detection of sepsis \u2013 a prospective observational study 4S \u2013 Jana<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[19],"tags":[],"_links":{"self":[{"href":"https:\/\/urgentnimedicina.cz\/en\/index.php?rest_route=\/wp\/v2\/posts\/882"}],"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=882"}],"version-history":[{"count":1,"href":"https:\/\/urgentnimedicina.cz\/en\/index.php?rest_route=\/wp\/v2\/posts\/882\/revisions"}],"predecessor-version":[{"id":883,"href":"https:\/\/urgentnimedicina.cz\/en\/index.php?rest_route=\/wp\/v2\/posts\/882\/revisions\/883"}],"wp:attachment":[{"href":"https:\/\/urgentnimedicina.cz\/en\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=882"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/urgentnimedicina.cz\/en\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=882"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/urgentnimedicina.cz\/en\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=882"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}