{"id":1081,"date":"2020-07-10T09:47:54","date_gmt":"2020-07-10T07:47:54","guid":{"rendered":"http:\/\/urgentnimedicina.cz\/?p=1081"},"modified":"2020-07-10T11:53:37","modified_gmt":"2020-07-10T09:53:37","slug":"obsah-2-2020","status":"publish","type":"post","link":"https:\/\/urgentnimedicina.cz\/?p=1081","title":{"rendered":"Obsah 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>\u00daVOD<\/b><\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>Obsah<\/li><li>\u00davodn\u00ed slovo \u2013 Jana \u0160eblov\u00e1<\/li><\/ul>\n\n\n\n<p><b>URGENTN\u00cd P\u0158\u00cdJMY<\/b><\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>Management pacienta s bakteri\u00e1ln\u00ed meningitidou na urgentn\u00edm p\u0159\u00edjmu: kazuistika a p\u0159ehled literatury \u2013 Robin \u0160\u00edn, Jana V\u00e1chalov\u00e1<\/li><\/ul>\n\n\n\n<p><b>P\u0158EDNEMOCNI\u010cN\u00cd NEODKLADN\u00c1 P\u00c9\u010cE<\/b><\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>Pragmatick\u00e1 diferenci\u00e1ln\u00ed diagnostika akutn\u00ed du\u0161nosti v p\u0159ednemocni\u010dn\u00ed neodkladn\u00e9 p\u00e9\u010di \u2013 osobn\u00ed algoritmus (READY protokol) \u2013 Roman \u0160kulec<\/li><\/ul>\n\n\n\n<p><b>ORGANIZACE A \u0158\u00cdZEN\u00cd SYST\u00c9M\u016e<\/b><\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>Motorick\u00e9 testy pro hodnocen\u00ed t\u011blesn\u00e9 zdatnosti zdravotnick\u00fdch z\u00e1chran\u00e1\u0159\u016f \u2013 V\u00e1clav Bunc, Jan Lodin, Jaroslav Pekara, Petr Kolouch, David Pe\u0159an<\/li><\/ul>\n\n\n\n<p><b>FYZIOLOGIE A URGENTN\u00cd MEDIC\u00cdNA<\/b><\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>Pulzn\u00ed oxymetrie a jej\u00ed vyu\u017eit\u00ed v urgentn\u00ed medic\u00edn\u011b \u2013 David Astapenko, Vladim\u00edr \u010cern\u00fd<\/li><\/ul>\n\n\n\n<p><b>DOPORU\u010cEN\u00c9 POSTUPY<\/b><\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>Mezioborov\u00e9 stanovisko pro p\u0159\u00edstup k pacient\u016fm s hemofili\u00ed a von Willebrandovou chorobou v p\u0159ednemocni\u010dn\u00ed p\u00e9\u010di (PNP) \u2013 Jan Blatn\u00fd (editor), Jana \u0160eblov\u00e1 (spolueditor), 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>Doporu\u010den\u00fd postup pro pou\u017eit\u00ed osobn\u00edch ochrann\u00fdch prost\u0159edk\u016f v p\u0159ednemocni\u010dn\u00ed neodkladn\u00e9 p\u00e9\u010di u pacient\u016f se suspektn\u00edm nebo potvrzen\u00fdm COVID-19 \u2013 Eva Smr\u017eov\u00e1 (editor), Roman G\u0159ego\u0159, Jaroslav Kratochv\u00edl, Josef \u0160kola, Roman \u0160kulec<\/li><li>Krit\u00e9ria pro ponech\u00e1n\u00ed pacienta s p\u0159\u00edznaky nemoci COVID 19 v ambulantn\u00ed p\u00e9\u010di \u2013 Jana \u0160eblov\u00e1 (editor), Josef \u0160kola, Roman \u0160kulec, Anatolij Truhl\u00e1\u0159<\/li><li>P\u0159\u00edjem a t\u0159\u00edd\u011bn\u00ed pacient\u016f se suspektn\u00edm nebo potvrzen\u00fdm 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>Specifika invazivn\u00edch z\u00e1krok\u016f a technik v p\u0159ednemocni\u010dn\u00ed neodkladn\u00e9 p\u00e9\u010di u pacient\u016f se suspektn\u00edm nebo potvrzen\u00fdm COVID-19 \u2013 Robin \u0160\u00edn (editor), Roman \u0160kulec, Anatolij Truhl\u00e1\u0159<\/li><li>Kardiopulmon\u00e1ln\u00ed resuscitace pacient\u016f se suspektn\u00edm nebo potvrzen\u00fdm 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>VZD\u011aL\u00c1V\u00c1N\u00cd A ATESTA\u010cN\u00cd OT\u00c1ZKY<\/b><\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>Jak na atestaci z urgentn\u00ed medic\u00edny? \u2013 Katar\u00edna Vesel\u00e1, Jana Kubalov\u00e1, Jana \u0160eblov\u00e1<\/li><\/ul>\n\n\n\n<p><b>INFORMA\u010cN\u00cd SERVIS<\/b><\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>Recenzia knihy \u201eMarcel Nesvadba, Patrik Christian Cmorej, David Pe\u0159an: EKG prvn\u00edho kontaktu v osmi kroc\u00edch\u201c \u2013 T\u00e1\u0148a Bul\u00edkov\u00e1<\/li><li>Brn\u011bnsk\u00e9 dny online \u2013 Jana Kubalov\u00e1<\/li><li>Den urgentn\u00ed medic\u00edny 2020 \u2013 Jana \u0160eblov\u00e1<\/li><li>Zem\u0159el MUDr. Josef Mucha<\/li><\/ul>\n\n\n\n<p><b>INTRODUCTION<\/b><\/p>\n\n\n\n<ul class=\"wp-block-list\"><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 class=\"wp-block-list\"><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 class=\"wp-block-list\"><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 class=\"wp-block-list\"><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 class=\"wp-block-list\"><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 class=\"wp-block-list\"><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 class=\"wp-block-list\"><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 class=\"wp-block-list\"><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>ABSTRAKTY<\/strong><\/span><\/p>\n\n\n\n<h6 class=\"wp-block-heading\"><b>MANAGEMENT PACIENTA S BAKTERI\u00c1LN\u00cd MENINGITIDOU NA URGENTN\u00cdM P\u0158\u00cdJMU: KAZUISTIKA A P\u0158EHLED LITERATURY<\/b><\/h6>\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>Abstrakt <\/b><\/p>\n\n\n\n<p>Bakteri\u00e1ln\u00ed meningitida je z\u00e1va\u017en\u00e9 infek\u010dn\u00ed onemocn\u011bn\u00ed mozkov\u00fdch obal\u016f, kter\u00e9 se vyskytuje celosv\u011btov\u011b a ohro\u017euje na \u017eivot\u011b osoby v\u0161ech v\u011bkov\u00fdch kategori\u00ed. Nej\u010dast\u011bj\u0161\u00edmi p\u016fvodci onemocn\u011bn\u00ed jsou Streptococcus pneumoniae, Neisseria meningitidis a Listeria monocytogenes. Klasickou tri\u00e1du p\u0159\u00edznak\u016f u dosp\u011bl\u00fdch pacient\u016f tvo\u0159\u00ed hore\u010dka, ztuhl\u00e1 \u0161\u00edje a alterace v\u011bdom\u00ed. U d\u011bt\u00ed pozorujeme bolest hlavy, hore\u010dku, zvracen\u00ed a pozitivn\u00ed meninge\u00e1ln\u00ed jevy. U novorozenc\u016f se v\u011bt\u0161inou vyskytuj\u00ed jen nespecifick\u00e9 p\u0159\u00edznaky. Z\u00e1sadn\u00ed pro stanoven\u00ed diagn\u00f3zy bakteri\u00e1ln\u00ed meningitidy je vy\u0161et\u0159en\u00ed mozkom\u00ed\u0161n\u00edho moku. Klasick\u00fdm n\u00e1lezem v likvoru u bakteri\u00e1ln\u00ed meningitidy jsou leukocyt\u00f3za s p\u0159evahou polynukle\u00e1r\u016f, n\u00edzk\u00e1 koncentrace gluk\u00f3zy a vysok\u00e9 hladiny protein\u016f. D\u016fle\u017eit\u00e9 pro dal\u0161\u00ed v\u00fdvoj stavu je v\u010dasn\u00e9 zah\u00e1jen\u00ed empirick\u00e9 antibiotick\u00e9 l\u00e9\u010dby, n\u00e1sledn\u011b po prok\u00e1z\u00e1n\u00ed patogenu c\u00edlen\u00e1 terapie. Doba od p\u0159ijet\u00ed do nemocnice do pod\u00e1n\u00ed prvn\u00ed d\u00e1vky antibiotika by nem\u011bla p\u0159es\u00e1hnout 1 hodinu. Sou\u010d\u00e1st\u00ed l\u00e9\u010dby je standardn\u011b pod\u00e1v\u00e1n\u00ed dexametazonu. V \u010dl\u00e1nku p\u0159edstavujeme kazuistiku typick\u00e9ho obrazu bakteri\u00e1ln\u00ed meningitidy s prim\u00e1rn\u00edm zaji\u0161t\u011bn\u00edm pacienta na urgentn\u00edm p\u0159\u00edjmu.<\/p>\n\n\n\n<p><b>Kl\u00ed\u010dov\u00e1 slova: <\/b>bakteri\u00e1ln\u00ed meningitida \u2013 Streptococcus pneumoniae \u2013 Neisseria meningitidis \u2013 Listeria monocytogenes \u2013 lumb\u00e1ln\u00ed punkce<\/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<h6 class=\"wp-block-heading\"><b>PRAGMATICK\u00c1 DIFERENCI\u00c1LN\u00cd DIAGNOSTIKA AKUTN\u00cd DU\u0160NOSTI V P\u0158EDNEMOCNI\u010cN\u00cd NEODKLADN\u00c9 P\u00c9\u010cI \u2013 OSOBN\u00cd ALGORITMUS (READY PROTOKOL)<\/b><\/h6>\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>Abstrakt <\/b><\/p>\n\n\n\n<p>Akutn\u00ed du\u0161nost je z\u00e1va\u017en\u00fd subjektivn\u00ed symptom, kter\u00fd tvo\u0159\u00ed p\u0159ibli\u017en\u011b desetinu v\u0161ech indikac\u00ed v\u00fdjezd\u016f zdravotnick\u00e9 z\u00e1chrann\u00e9 slu\u017eby. Obvykl\u00e1 diferenci\u00e1ln\u00ed diagnostika akutn\u00ed du\u0161nosti s c\u00edlem stanovit nozologickou jednotku je \u010dasto komplikovan\u00e1. Diagnosticko- terapeutick\u00fd postup v p\u0159ednemocni\u010dn\u00ed neodkladn\u00e9 p\u00e9\u010di mus\u00ed reflektovat re\u00e1ln\u00e9 mo\u017enosti, a proto mus\u00ed b\u00fdt kompromisem \u010dasu str\u00e1ven\u00e9ho o\u0161et\u0159en\u00edm a realistick\u00e9 diagnostick\u00e9 p\u0159esnosti v \u00fazk\u00e9m vztahu k n\u00e1sledn\u00e9 l\u00e9\u010db\u011b, kterou jsme schopni bezpe\u010dn\u011b poskytnout. Autor v \u010dl\u00e1nku prezentuje pragmatick\u00fd algoritmus o\u0161et\u0159en\u00ed pacient\u016f s akutn\u00ed du\u0161nost\u00ed v p\u0159ednemocni\u010dn\u00ed neodkladn\u00e9 p\u00e9\u010di, kter\u00fd vyvinul pro vlastn\u00ed pot\u0159ebu b\u011bhem let praxe, zalo\u017een\u00fd na jednoduch\u00e9m poslechov\u00e9m vy\u0161et\u0159en\u00ed plic s mo\u017en\u00fdm vyu\u017eit\u00edm Point-of-Care ultrasonografie.<\/p>\n\n\n\n<p><b>Kl\u00ed\u010dov\u00e1 slova: <\/b>du\u0161nost \u2013 p\u0159ednemocni\u010dn\u00ed neodkladn\u00e1 p\u00e9\u010de \u2013 algoritmus<\/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<h6 class=\"wp-block-heading\"><b>MOTORICK\u00c9 TESTY PRO HODNOCEN\u00cd T\u011aLESN\u00c9 ZDATNOSTI ZDRAVOTNICK\u00ddCH Z\u00c1CHRAN\u00c1\u0158\u016e<\/b><\/h6>\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>Abstrakt <\/b><\/p>\n\n\n\n<p>T\u011blesn\u00e1 zdatnost je jedn\u00edm ze z\u00e1kladn\u00edch p\u0159edpoklad\u016f \u00fasp\u011b\u0161n\u00e9 pracovn\u00ed v\u00fdkonnosti zdravotnick\u00e9ho z\u00e1chran\u00e1\u0159e. Jej\u00ed hodnocen\u00ed v laboratorn\u00edch nebo ter\u00e9nn\u00edch podm\u00ednk\u00e1ch umo\u017e\u0148uje sn\u00ed\u017eit riziko pracovn\u00edch \u00faraz\u016f i profesn\u00edho selh\u00e1n\u00ed p\u0159i \u0159e\u0161en\u00ed pracovn\u00edch \u00fakol\u016f. \u010cl\u00e1nek p\u0159edstavuje syst\u00e9m hodnocen\u00ed z\u00e1kladn\u00edch slo\u017eek t\u011blesn\u00e9 zdatnosti \u2013 jak v rovin\u011b obecn\u00e9 (t\u011blesn\u00e9 slo\u017een\u00ed, s\u00edla horn\u00edch a doln\u00edch kon\u010detin, svalov\u00e1 vytrvalost), tak specifick\u00e9 (v\u00fdstupov\u00fd test se z\u00e1t\u011b\u017e\u00ed 6 kg, resuscitace a p\u0159em\u00edst\u011bn\u00ed figur\u00edny o v\u00e1ze 70 kg) spolu s normami, kter\u00e9 jsou pou\u017e\u00edv\u00e1ny u pracovn\u00edk\u016f Zdravotnick\u00e9 z\u00e1chrann\u00e9 slu\u017eby hl. m. Prahy. Navr\u017een\u00e1 baterie je realizovateln\u00e1 v b\u011b\u017en\u00fdch podm\u00ednk\u00e1ch a jej\u00ed \u010dasov\u00e1 n\u00e1ro\u010dnost odpov\u00edd\u00e1 60 minut\u00e1m na jednotlivce. V\u00fdsledky lze vyu\u017e\u00edt jak k posouzen\u00ed vstupn\u00ed \u00farovn\u011b nov\u011b nastupuj\u00edc\u00edch pracovn\u00edk\u016f, tak pro n\u00e1vrh interven\u010dn\u00edho programu i pro pr\u016fb\u011b\u017en\u00e9 hodnocen\u00ed pracovn\u00edch p\u0159edpoklad\u016f.<\/p>\n\n\n\n<p><b>motorick\u00fd test \u2013 pracovn\u00ed v\u00fdkonnost \u2013 t\u011blesn\u00e1 zdatnost \u2013 zdravotnick\u00fd z\u00e1chran\u00e1\u0159<\/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<h6 class=\"wp-block-heading\"><b>PULZN\u00cd OXYMETRIE A JEJ\u00cd VYU\u017dIT\u00cd V URGENTN\u00cd MEDIC\u00cdN\u011a<\/b><\/h6>\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>Abstrakt <\/b><\/p>\n\n\n\n<p>Pulzn\u00ed oxymetrie je pou\u017e\u00edv\u00e1na pro z\u00e1kladn\u00ed p\u0159\u00edstrojov\u00e9 vy\u0161et\u0159en\u00ed kardiopulmon\u00e1ln\u00edho apar\u00e1tu. Je neinvazivn\u00ed, rychl\u00e1 a lze ji pou\u017e\u00edt i kontinu\u00e1ln\u011b. Metoda uleh\u010duje rozhodnut\u00ed o zah\u00e1jen\u00ed oxygenoterapie a lze podle n\u00ed hodnotit i odezvu pacienta na oxygenoterapii. Komplexn\u00ed monitory \u017eivotn\u00edch funkc\u00ed (nap\u0159. LifePack) poskytuj\u00ed i pletyzmografickou k\u0159ivku, kter\u00e1 n\u00e1s m\u016f\u017ee l\u00e9pe informovat o stavu kardiovaskul\u00e1rn\u00edho syst\u00e9mu. P\u0159esto\u017ee jsou modern\u00ed p\u0159\u00edstroje schopny softwarov\u00e9 kompenzace p\u0159i pohybov\u00fdch artefaktech a nadm\u011brn\u00e9ho osv\u011btlen\u00ed okol\u00ed, metoda je st\u00e1le limitov\u00e1na v p\u0159\u00edpad\u011b intoxikac\u00ed (nap\u0159. oxid uhelnat\u00fd, oxida\u010dn\u00ed \u010dinidla), p\u0159i arytmi\u00edch, u tmav\u00fdch etnik a tmav\u00fdch barev laku na nehty.<\/p>\n\n\n\n<p><b>Kl\u00ed\u010dov\u00e1 slova: <\/b>pulzn\u00ed symetrie \u2013 hypoxie \u2013 hypoperfuze \u2013 intoxikace<\/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>\u00daVOD Obsah \u00davodn\u00ed slovo \u2013 Jana \u0160eblov\u00e1 URGENTN\u00cd P\u0158\u00cdJMY Management pacienta s bakteri\u00e1ln\u00ed meningitidou na urgentn\u00edm p\u0159\u00edjmu: kazuistika a p\u0159ehled literatury \u2013 Robin \u0160\u00edn, Jana V\u00e1chalov\u00e1 P\u0158EDNEMOCNI\u010cN\u00cd NEODKLADN\u00c1 P\u00c9\u010cE Pragmatick\u00e1 diferenci\u00e1ln\u00ed diagnostika akutn\u00ed du\u0161nosti v p\u0159ednemocni\u010dn\u00ed neodkladn\u00e9 p\u00e9\u010di \u2013 osobn\u00ed<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[33],"tags":[],"class_list":["post-1081","post","type-post","status-publish","format-standard","hentry","category-rocnik-2020"],"_links":{"self":[{"href":"https:\/\/urgentnimedicina.cz\/index.php?rest_route=\/wp\/v2\/posts\/1081","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/urgentnimedicina.cz\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/urgentnimedicina.cz\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/urgentnimedicina.cz\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/urgentnimedicina.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=1081"}],"version-history":[{"count":0,"href":"https:\/\/urgentnimedicina.cz\/index.php?rest_route=\/wp\/v2\/posts\/1081\/revisions"}],"wp:attachment":[{"href":"https:\/\/urgentnimedicina.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=1081"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/urgentnimedicina.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=1081"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/urgentnimedicina.cz\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=1081"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}