{"id":905,"date":"2023-09-14T07:56:53","date_gmt":"2023-09-14T05:56:53","guid":{"rendered":"https:\/\/urgentnimedicina.cz\/en\/?p=905"},"modified":"2023-09-14T07:56:55","modified_gmt":"2023-09-14T05:56:55","slug":"content-2-2023","status":"publish","type":"post","link":"https:\/\/urgentnimedicina.cz\/en\/?p=905","title":{"rendered":"Content 2\/2023"},"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 \u2013 TOPIC: INTOXICATIONS<\/b><\/p>\n<ul>\n<li>Lethal MDMA intoxication: a case report \u2013 Tom\u00e1\u0161 Veleta, Martina \u010cerm\u00e1kov\u00e1<\/li>\n<li>Daphne mezereum poisoning: a case report \u2013 Martina \u010cerm\u00e1kov\u00e1, Tom\u00e1\u0161 Veleta<\/li>\n<\/ul>\n<p><b>SYSTEMS\u00b4 ORGANIZATION AND MANAGEMENT<\/b><\/p>\n<ul>\n<li>Non-conveyance of patients following prehospital emergency care: Karlovy Vary region \u2013 Michaela Adamcov\u00e1, Nikola Brizgalov\u00e1, David Pe\u0159an, Milo\u0161 Kuka\u010dka, Ji\u0159\u00ed Smetana, Jaroslav Pekara, Roman S\u00fdkora<\/li>\n<li>The use of video transmissions via mobile applications to call for help to medical dispatch centers in the Czech Republic \u2013 Gabriela Divi\u0161kov\u00e1, Jan Mu\u017e\u00edk<\/li>\n<\/ul>\n<p><b>PAEDIATRICS IN EMERGENCY MEDICINE<\/b><\/p>\n<ul>\n<li>Paediatric diabetic ketoacidosis, prehospital care, differential diagnosis and an early hospital care \u2013 Pavel Heinige<\/li>\n<li>Warning of the working group of the Section of intensive medicine of the Czech paediatric society CzMA JEP about repeated occurence of very severe invasive infections caused by Streptococcus pyogenes \u2013 Pavel Heinige, Martin Prchl\u00edk, Tom\u00e1\u0161 Zaoral, Petr Pavl\u00ed\u010dek, Tom\u00e1\u0161 Habanec, Petr Dominik, Miroslav Jir\u00e1nek, Marie V\u00e1chov\u00e1, Marie Kopeck\u00e1, Pavel Leden, Pavel Vojtovi\u010d, Alena Koke\u0161ov\u00e1, Vratislav Smolka, Marie Rohanov\u00e1, Martin \u017d\u00e1\u010dek, Lum\u00edr \u0160a\u0161ek, Ji\u0159\u00ed Fremuth, Ren\u00e9 Hrdli\u010dka, Jana Koz\u00e1kov\u00e1, Sandra Vohrnov\u00e1<\/li>\n<\/ul>\n<p><b>GUIDELINES<\/b><\/p>\n<ul>\n<li>Methods for recieving emergency SMS messages (and similar emergency communication) on 155 national emergency line \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 Jana \u0160eblov\u00e1, Jana Kubalov\u00e1, Katar\u00edna Vesel\u00e1<\/li>\n<hr>\n<p><span style=\"text-decoration: underline;\"><strong>ABSTRAKTY<\/strong><\/span><\/p>\n<p><b>LETHAL MDMA INTOXICATION: A CASE REPORT<\/b><\/p>\n<p><b>Tom\u00e1\u0161 Veleta, Martina \u010cerm\u00e1kov\u00e1<\/b><\/p>\n<p><b>Abstract <\/b><\/p>\n<p>Ecstasy (3,4-methylenedioxymethamphetamine, MDMA) is among the three most commonly used drugs in Europe. It is used for its stimulating and hallucinogenic effects. MDMA is most often used as tablets or capsules. Serious intoxications are rare. Their symptoms are determined by an increase in the level of serotonin, dopamine and noradrenaline. These severe symptoms are serotonin syndrome with severe hyperthermia, rhabdomyolysis and renal failure, as well as circulatory symptoms (hypertension, tachycardia, heart failure, dysrhythmias). The case report describes a case of severe intoxication of a young man in whom the symptoms progressed to multiorgan failure refractory to all used therapeutic methods.<\/p>\n<p><b>Key words: <\/b>MDMA \u2013 intoxication \u2013 hyperthermia \u2013 serotonin syndrome<\/p>\n<p><b>DAPHNE MEZEREUM POISONING: A CASE REPORT<\/b><\/p>\n<p><b>Martina \u010cerm\u00e1kov\u00e1, Tom\u00e1\u0161 Veleta<\/b><\/p>\n<p><b>Abstract <\/b><\/p>\n<p>In the Czech Republic, plant intoxication is a frequent reason for consultation with the Toxicology Information Center. Some poisonings can have a serious progress of the disease. This presented case report deals with the accidental use of a poison ivy. The toxins daphnetoxin and mezerein are dangerous due to their nephro- and hepatotoxicity. Among the basic treatment of intoxication with this plant, we primarily include elimination methods \u2013 gastric lavage or intestinal lavage.<\/p>\n<p><b>Key words: <\/b>Intoxication \u2013 poisoning \u2013 plant intoxication \u2013 ABCDE approach \u2013 gastric lavage \u2013 GIT decontamination<\/p>\n<p><b>NON-CONVEYANCE OF PATIENTS FOLLOWING PREHOSPITAL EMERGENCY CARE: KARLOVY VARY REGION<\/b><\/p>\n<p><b>Michaela Adamcov\u00e1, Nikola Brizgalov\u00e1, David Pe\u0159an, Milo\u0161 Kuka\u010dka, Ji\u0159\u00ed Smetana, Jaroslav Pekara, Roman S\u00fdkora<\/b><\/p>\n<p><b>Abstract <\/b><\/p>\n<p>Introduction: Non-conveyance of patients following prehospital emergency care is a current issue. There are no available national comparative data on non-conveyance of the patient from scene or evaluation of the safety of the procedure.<br \/>\nAim: To evaluate the frequency of non-conveyance of the patient by the decision of healthcare workers and describe the characteristics of these cases. To find out the rate of repeated visits to patients left at the scene of intervention.<br \/>\nMethods: The data was collected from the database of the Emergency medical services of Karlovy Vary region from 1st to 31st January 2023. A total of 335 patients were left on the place based on the decision of the ambulance crew (out of 3005 patients).<br \/>\nResults: The non-conveyance rate of patients from primary calls was 11.1% (335\/3005). The decision of paramedics, who consult the patient\u2018s condition over the phone with physician (90% of cases) dominates over leaving the patient on site by the ambulance crew with physician. The most common reasons for non-transport of the patient are non-specific health conditions, alcohol intoxication and psychiatric conditions. Repeated visits occurred to these patients in 11.0% (n = 37). Most of the repeated calls took place within 24 hours (51% (n = 19)) or within 72 hours (87% (n = 32)). A higher frequency of repeated visits to these patients was more common in older patients. No death of the patient left on the scene was recorded.<br \/>\nConclusion: In the Karlovy Vary region, over eleven percent of patients from primary visits during January 2023 were left on place. Non-conveyance of the patient can be considered safe part of providing prehospital emergency care. However, there is a lack of a national recommendations or guidelines that would consider the risks stratification for non-transport of the patient.<br \/>\n<b>Key words: <\/b>emergency medical services \u2013 pre-hospital emergency care \u2013 paramedic \u2013 non-conveyance of the patient<\/p>\n<p><b>THE USE OF VIDEO TRANSMISSIONS VIA MOBILE APPLICATIONS TO CALL FOR HELP TO MEDICAL DISPATCH CENTERS IN THE CZECH REPUBLIC<\/b><\/p>\n<p><b>Gabriela Divi\u0161kov\u00e1, Jan Mu\u017e\u00edk<\/b><\/p>\n<p><b>Abstract <\/b><\/p>\n<p>Video calls are a relatively new function that enables dispatchers of medical dispatch centers to obtain new information through the transmission of images from the scene. We examined the level of use and potential barriers to the increased use of video calls using structured interviews with dispatchers. All 14 centers in the Czech Republic and several foreign ones were contacted. A total of 7 interviews were obtained from the Czech Republic and 4 from abroad. In the Czech Republic, the function is implemented in most of the dispatch centers, but the frequency of its use is very low. It is less than 10 activated video calls in the whole year within each center. Compared to foreign centres, this is quite insufficient. For example, Norway reports up to 10 % of the total number of emergency calls which are converted to video calls. Technological innovation is also often viewed negatively by dispatchers due to the lack of expectation of new information obtained through video and the overall increase of time for a given call. Video calls are certainly beneficial, but in specific cases. The overall benefit, the technical capabilities of the caller, their ability to collaborate and to control the technology, the time commitment and other risk factors need to be considered before the actual activation.<br \/>\n<b>Key words: <\/b>video call \u2013 medical dispatch center \u2013 telephone-assisted cardiopulmonary resuscitation<\/p>\n<p><b>PAEDIATRIC DIABETIC KETOACIDOSIS, PREHOSPITAL CARE, DIFFERENTIAL DIAGNOSIS AND AN EARLY HOSPITAL CARE<\/b><\/p>\n<p><b>Pavel Heinige<\/b><\/p>\n<p><b>Abstract <\/b><\/p>\n<p>Diabetic ketoacidosis is a life threatening event, associated with diabetes mellitus. Diabetic ketoacidosis is the main reason of mortality in pediatric diabetic population. It is usually associated with the first type of diabetes mellitus, however, it can rarely appear in patient with diabetes type two, too. Dehydration, metabolic acidosis with Kussmaul breathing, hyperglykaemia and ketonuria are the leading symptoms. In severe cases peritonism, vomiting and severe consciousness disorder or even coma can occur. The most frequent reason of death is brain edema. The value of pH lower than 7,1 and sodium bicarbonate concentration lower than 5 mmol\/l are considered severe ketoacidosis.<br \/>\nDiabetic ketoacidosis is a frequent primary presentation of diabetes mellitus in childhood with negative case history. Unrecognized and untreated ketoacidosis may lead to death. Missdiagnosis of diabetic ketoacidosis or inadequate therapy may also lead to severe complications.<br \/>\n<b>Key words: <\/b>Diabetes mellitus \u2013 ketoacidosis \u2013 pediatric age<\/p>\n","protected":false},"excerpt":{"rendered":"<p>INTRODUCTION Contents Editorial \u2013 Jana \u0160eblov\u00e1 EMERGENCY DEPARTMENTS \u2013 TOPIC: INTOXICATIONS Lethal MDMA intoxication: a case report \u2013 Tom\u00e1\u0161 Veleta, Martina \u010cerm\u00e1kov\u00e1 Daphne mezereum poisoning: a case report \u2013 Martina \u010cerm\u00e1kov\u00e1, Tom\u00e1\u0161 Veleta SYSTEMS\u00b4 ORGANIZATION AND MANAGEMENT Non-conveyance of patients<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[22],"tags":[],"_links":{"self":[{"href":"https:\/\/urgentnimedicina.cz\/en\/index.php?rest_route=\/wp\/v2\/posts\/905"}],"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=905"}],"version-history":[{"count":1,"href":"https:\/\/urgentnimedicina.cz\/en\/index.php?rest_route=\/wp\/v2\/posts\/905\/revisions"}],"predecessor-version":[{"id":906,"href":"https:\/\/urgentnimedicina.cz\/en\/index.php?rest_route=\/wp\/v2\/posts\/905\/revisions\/906"}],"wp:attachment":[{"href":"https:\/\/urgentnimedicina.cz\/en\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=905"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/urgentnimedicina.cz\/en\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=905"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/urgentnimedicina.cz\/en\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=905"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}