{"id":927,"date":"2025-03-24T13:54:55","date_gmt":"2025-03-24T11:54:55","guid":{"rendered":"https:\/\/urgentnimedicina.cz\/en\/?p=927"},"modified":"2025-03-24T13:57:46","modified_gmt":"2025-03-24T11:57:46","slug":"content-4-2024","status":"publish","type":"post","link":"https:\/\/urgentnimedicina.cz\/en\/?p=927","title":{"rendered":"Content 4\/2024"},"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>Indication criteria for extracorporeal cardiopulomary resuscitation: for whom is it appropriate? \u2013 Nela Walachov\u00e1, Juraj Rodina, Tereza Romanov\u00e1, Peter Sklienka, David Hole\u0161, Ond\u0159ej Jor, Jan M\u00e1ca, Michal Frelich, Filip Bur\u0161a<\/li>\n<li>The specifics of care of palliative patients in the prehospital care from the point of view of paramedics \u2013 Mark\u00e9ta Placerov\u00e1, Eva Pfefferov\u00e1<\/li>\n<li>When AED is (not) mistaken: when the case history is just only a half of the diagnose (a case report) \u2013 Ond\u0159ej Fran\u011bk, Petra Augustov\u00e1<\/li>\n<\/ul>\n<p><b>SYSTEMS\u00b4 ORGANIZATION AND MANAGEMENT<\/b><\/p>\n<ul>\n<li>Safety in Emergency Medicine \u2013 David Pe\u0159an<\/li>\n<\/ul>\n<p><b>GUIDELINES<\/b><\/p>\n<ul>\n<li>Diagnostics and treatment pf patients at risk of sepsis and septic shock duru\u00edng emergency call and during providing prehospital care \u2013 Ond\u0159ej Fran\u011bk, Jan Gretz, Jaroslava Kren\u010d\u00edkov\u00e1, Jana Kubalov\u00e1, David Pe\u0159an, Michal Pis\u00e1r, Roman \u0160kulec, Anatolij Truhl\u00e1\u0159n<\/li>\n<\/ul>\n<p><b>EDUCATION<\/b><\/p>\n<ul>\n<li>Development of the labor market in the field of medical paramedics in the Czech Republic \u2013 Vladim\u00edr Jaru\u0161ek, Marinella Danosov\u00e1, Radana P\u011br\u016f\u017ekov\u00e1, Luk\u00e1\u0161 John, Tom\u00e1\u0161 Bortl<\/li>\n<\/ul>\n<p><b>ETHICS, PSYCHOLOGY, LAW<\/b><\/p>\n<ul>\n<li>From the history of Emeregency Medicine in Europe \u2013 Jana \u0160eblov\u00e1<\/li>\n<li>Fifty years of Emergency Medical Services\u00b4 system in the Czech Republic \u2013 Milan Tich\u00e1\u010dek<\/li>\n<\/ul>\n<p><b>DISCUSSION, OPINION<\/b><\/p>\n<ul>\n<li>We can disagree, we can protest\u2026 \u2013 Ond\u0159ej Fran\u011bk<\/li>\n<\/ul>\n<p><b>INFORMATION<\/b><\/p>\n<ul>\n<li>Doc. MUDr. Jarmila Dr\u00e1bkov\u00e1, CSc. died<\/li>\n<\/ul>\n<hr>\n<p><span style=\"text-decoration: underline;\"><strong>ABSTRACTS<\/strong><\/span><\/p>\n<p><b>INDICATION CRITERIA FOR EXTRACORPOREAL CARDIOPULOMARY RESUSCITATION: FOR WHOM IS IT APPROPRIATE?<\/b><\/p>\n<p><b>Nela Walachov\u00e1, Juraj Rodina, Tereza Romanov\u00e1, Peter Sklienka, David Hole\u0161, Ond\u0159ej Jor, Jan M\u00e1ca, Michal Frelich, Filip Bur\u0161a<\/b><\/p>\n<p><b>Abstract <\/b><\/p>\n<p>It is possible to consider advanced resuscitation methods in the case of refractory cardiac arrest, extracorporeal cardiopulmonary resuscitation (ECPR) is one of them. It enables adequate circulatory support and organ perfusion. ECPR provides time for diagnostics and treatment of reversible causes of cardiac arrest and it is used bothin intra-hospital (IHCA) and out-of-hospital (OHCA) cardiac arrests. Strict rules for indication are necessary for its effectiveness. Current studies indicate improvement in survival rates up to 30 % compared to 10 % in standard CPR. Age, duration of ischaemia and type of cardiac arrest are among factors influencing patients\u00b4 prognosis. This paper presents the overview of indications, practical aspects and factors which have impact on decicion to start ECPR support. In general, ECPR can be sucessful in patients under 70 years ofage, with witnessed cardiac arrest, effective standard CPR providedby bystanders and with the time interval collapse- extracorporeal membrane oxygenation no more than 60 minutes.<\/p>\n<p><b>Key words: <\/b>extracorporeal membrane oxygenation \u2013 extracorporeal cardiopulmonary resuscitation \u2013 indication criteria<\/p>\n<p><b>THE SPECIFICS OF CARE OF PALLIATIVE PATIENTS IN THE PREHOSPITAL CARE FROM THE POINT OF VIEW OF PARAMEDICS<\/b><\/p>\n<p><b>Mark\u00e9ta Placerov\u00e1, Eva Pfefferov\u00e1<\/b><\/p>\n<p><b>Abstract <\/b><\/p>\n<p>This paper addresses the issue of providing care to palliatively relevant patients in an emergency medical services\u00b4 setting from paramedics point of view. The article deals with the identification of palliatively relevant patients, their needs and symptoms and focuseson the potential pitfalls in providing care to these patients. The aim of the paper is to describe these pitfalls in providing care to palliative patients in the prehospital emergency care setting as perceived by paramedics. Another objective was to map the most common symptoms in palliative patients as faced by paramedics as well as the interventions performed in the prehospital care of these patients.<\/p>\n<p><b>Key words: <\/b>palliative care \u2013 Emergency Medical Service \u2013 prehospital care \u2013 palliatively relevant patient<\/p>\n<p><b>WHEN AED IS (NOT) MISTAKEN: WHEN THE CASE HISTORY IS JUST ONLY A HALF OF THE DIAGNOSE (A CASE REPORT)<\/b><\/p>\n<p><b>Ond\u0159ej Fran\u011bk, Petra Augustov\u00e1<\/b><\/p>\n<p><b>Abstract <\/b><\/p>\n<p>This case report describes a rare case of malignant arrhythmia developmen tin circumstances that initially led to a misdiagnosis. However,the application of \u201eteam resource management\u201c (TRM) principles ultimately led to the identification of the life-threatening nature ofthe incident and the provision of appropriate treatment to the patient.<\/p>\n<p><b>Key words: <\/b>AED \u2013 Torsade de Pointes \u2013 First reponder \u2013 Team resource management \u2013 Situational awareness \u2013 Emergency medical dispatch<\/p>\n<p><b>SAFETY IN EMERGENCY MEDICINE<\/b><\/p>\n<p><b>David Pe\u0159an<\/b><\/p>\n<p><b>Abstract <\/b><\/p>\n<p>Emergency medicine is a high-risk area of healthcare with frequent occurrences of adverse events. Key challenges include communication failures, diagnostic errors, emergency department crowding, andinefficient patient handovers. This article briefly identifies major safety issues in pre-hospital and hospital care and proposes strategies to improve safety. Standardization of clinical protocols, implementationof cognitive aids, teamwork training, and optimization of technical processes are key tools for reducing risks and enhancing care quality.<\/p>\n<p><b>Key words: <\/b>emergency medicine, patient safety, handovers, standardization, communication<\/p>\n<p><b>DEVELOPMENT OF THE LABOR MARKET IN THE FIELD OF MEDICAL PARAMEDICS IN THE CZECH REPUBLIC<\/b><\/p>\n<p><b>Vladim\u00edr Jaru\u0161ek, Marinella Danosov\u00e1, Radana P\u011br\u016f\u017ekov\u00e1, Luk\u00e1\u0161 John, Tom\u00e1\u0161 Bortl<\/b><\/p>\n<p><b>Abstract <\/b><\/p>\n<p>Due to the termination of study programmes for certified paramedics at higher professional medical schools in the school year 2018\/2019,there was a noticeable reduction in the number of graduates in the field of paramedicine, estimated at about 59 %. Furthermore, due tothe change in legislation in Act No. 96\/2004 Coll., on non-medical healthcare staff in \u00a7 18, from 2017 graduates from this field are required to complete at least one year of practice with providers of acute inpatient intensive care, which delays their entry into the profession of a paramedic at EMS\u2018s. As the current practice shows, some medical paramedics are reluctant to join the medical emergency service providers even after completing the mandatory one-year experience in the hospital, which poses a serious problem in the provision of prehospital emergency care by EMS.<\/p>\n<p><b>Key words: <\/b>paramedic \u2013 graduate \u2013 emergency medical service \u2013 employer<\/p>\n","protected":false},"excerpt":{"rendered":"<p>INTRODUCTION Contents Editorial \u2013 Jana \u0160eblov\u00e1 PREHOSPITAL EMERGENCY CARE Indication criteria for extracorporeal cardiopulomary resuscitation: for whom is it appropriate? \u2013 Nela Walachov\u00e1, Juraj Rodina, Tereza Romanov\u00e1, Peter Sklienka, David Hole\u0161, Ond\u0159ej Jor, Jan M\u00e1ca, Michal Frelich, Filip Bur\u0161a The<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[23],"tags":[],"_links":{"self":[{"href":"https:\/\/urgentnimedicina.cz\/en\/index.php?rest_route=\/wp\/v2\/posts\/927"}],"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=927"}],"version-history":[{"count":2,"href":"https:\/\/urgentnimedicina.cz\/en\/index.php?rest_route=\/wp\/v2\/posts\/927\/revisions"}],"predecessor-version":[{"id":932,"href":"https:\/\/urgentnimedicina.cz\/en\/index.php?rest_route=\/wp\/v2\/posts\/927\/revisions\/932"}],"wp:attachment":[{"href":"https:\/\/urgentnimedicina.cz\/en\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=927"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/urgentnimedicina.cz\/en\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=927"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/urgentnimedicina.cz\/en\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=927"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}