{"id":1236,"date":"2022-03-30T10:01:22","date_gmt":"2022-03-30T08:01:22","guid":{"rendered":"https:\/\/urgentnimedicina.cz\/?p=1236"},"modified":"2022-03-30T10:01:23","modified_gmt":"2022-03-30T08:01:23","slug":"obsah-4-2021","status":"publish","type":"post","link":"https:\/\/urgentnimedicina.cz\/?p=1236","title":{"rendered":"Obsah 4\/2021"},"content":{"rendered":"<p><b>\u00daVOD<\/b><\/p>\n<ul>\n<li>Obsah<\/li>\n<li>\u00davodn\u00ed slovo \u2013 Jana \u0160eblov\u00e1<\/li>\n<\/ul>\n<p><b>URGENTN\u00cd P\u0158\u00cdJMY<\/b><\/p>\n<ul>\n<li>P\u0159\u00edjem zran\u011bn\u00e9ho pacienta do traumacentra \u2013 Jana Berkov\u00e1<\/li>\n<li>Srovn\u00e1n\u00ed diagnostick\u00fdch krit\u00e9ri\u00ed SIRS a qSOFA pro \u010dasnou diagnostiku sepse \u2013 prospektivn\u00ed observa\u010dn\u00ed studie 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>Kazuistika: M\u00edrn\u00e1 otrava organofosforovou slou\u010deninou \u2013 Lucie Junov\u00e1, Ond\u0159ej Renn\u00e9t<\/li>\n<\/ul>\n<p><b>FYZIOLOGIE A URGENTN\u00cd MEDIC\u00cdNA<\/b><\/p>\n<ul>\n<li>Z\u00e1sady spr\u00e1vn\u00e9 oxygenoterapie u kriticky nemocn\u00fdch \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>DOPORU\u010cEN\u00c9 POSTUPY<\/b><\/p>\n<ul>\n<li>Geriatrie a urgentn\u00ed medic\u00edna \u2013 opravdu pot\u0159ebujeme v\u011bkov\u011b specifick\u00e9 standardy? \u2013 Jana \u0160eblov\u00e1, Eva Topinkov\u00e1<\/li>\n<li>P\u00e9\u010de poskytovan\u00e1 geriatrick\u00fdm pacient\u016fm na urgentn\u00edm p\u0159\u00edjmu: doporu\u010den\u00ed Evropsk\u00e9 pracovn\u00ed skupiny Geriatric Emergency Medicine \u2013 Jacinta Lucke et al., autor p\u0159ekladu: Vojt\u011bch Mezera<\/li>\n<li>Doporu\u010den\u00fd postup: V\u00fdzvy prvn\u00ed nal\u00e9havosti \u2013 Ond\u0159ej Fran\u011bk<\/li>\n<li>Krit\u00e9ria pro rozpozn\u00e1n\u00ed osoby, u kter\u00e9 do\u0161lo k selh\u00e1n\u00ed nebo bezprost\u0159edn\u011b hroz\u00ed selh\u00e1n\u00ed z\u00e1kladn\u00edch \u017eivotn\u00edch funkc\u00ed, b\u011bhem p\u0159\u00edjmu t\u00eds\u0148ov\u00e9ho vol\u00e1n\u00ed \u2013 Spole\u010dnost urgentn\u00ed medic\u00edny a medic\u00edny katastrof \u010cLS JEP \u2013 Ond\u0159ej Fran\u011bk<\/li>\n<\/ul>\n<p><b>VZD\u011aL\u00c1V\u00c1N\u00cd A ATESTA\u010cN\u00cd OT\u00c1ZKY<\/b><\/p>\n<ul>\n<li>Jak na atestaci z urgentn\u00ed medic\u00edny? \u2013 Katar\u00edna Vesel\u00e1, Jana \u0160eblov\u00e1, Jana Kubalov\u00e1<\/li>\n<\/ul>\n<p><b>INFORMA\u010cN\u00cd SERVIS<\/b><\/p>\n<ul>\n<li>Memorandum Ministerstva zdravotnictv\u00ed a Ministerstva dopravy o spolupr\u00e1ci p\u0159i vytv\u00e1\u0159en\u00ed podm\u00ednek pro zaji\u0161\u0165ov\u00e1n\u00ed bezpe\u010dnosti provozu a rozvoje LZS v \u010cR<\/li>\n<li>Komunik\u00e9 z jedn\u00e1n\u00ed expertn\u00ed skupiny pro zaji\u0161\u0165ov\u00e1n\u00ed bezpe\u010dnosti provozu a rozvoje leteck\u00e9 z\u00e1chrann\u00e9 slu\u017eby v \u010cR<\/li>\n<li>Obsah ro\u010dn\u00edku 2021<\/li>\n<li>Srdce \u2013 balet o transplantac\u00edch a o t\u011b\u017ek\u00fdch \u017eivotn\u00edch okam\u017eic\u00edch v N\u00e1rodn\u00edm divadle \u2013 Jana \u0160eblov\u00e1<\/li>\n<\/ul>\n<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>ABSTRAKTY<\/strong><\/span><\/p>\n<h6><b>P\u0158\u00cdJEM ZRAN\u011aN\u00c9HO PACIENTA DO TRAUMACENTRA<\/b><\/h6>\n<p><b>ADMISSION OF A PATIENT WITH SEVERE TRAUMA TO TRAUMACENTER<\/b><\/p>\n<p><b>Jana Berkov\u00e1<\/b><\/p>\n<p><b>Abstrakt <\/b><\/p>\n<p>Podle sou\u010dasn\u00fdch doporu\u010den\u00ed je z\u00e1va\u017en\u011b zran\u011bn\u00fd pacient sm\u011b\u0159ov\u00e1n do nejbli\u017e\u0161\u00edho centra vysoce specializovan\u00e9 traumatologick\u00e9 p\u00e9\u010de. Tam jej o\u010dek\u00e1v\u00e1 p\u0159ipraven\u00fd traumat\u00fdm slo\u017een\u00fd z odborn\u00edk\u016f r\u016fzn\u00fdch specializac\u00ed s jasn\u011b definovan\u00fdmi \u00fakoly a c\u00edlem zabr\u00e1nit preventabiln\u00edmu \u00famrt\u00ed. C\u00edlem sd\u011blen\u00ed je popis optim\u00e1ln\u00edho slo\u017een\u00ed traumat\u00fdmu, mo\u017enosti jeho aktivace a \u010dinnosti prov\u00e1d\u011bn\u00e9 v r\u00e1mci inici\u00e1ln\u00edho managementu z\u00e1va\u017en\u011b zran\u011bn\u00e9ho pacienta.<\/p>\n<p><b>Kl\u00ed\u010dov\u00e1 slova: <\/b>z\u00e1va\u017en\u00fd \u00faraz \u2013 traumacentrum \u2013 traumat\u00fdm<\/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<h6><b>SROVN\u00c1N\u00cd DIAGNOSTICK\u00ddCH KRIT\u00c9RI\u00cd SIRS A QSOFA PRO \u010cASNOU DIAGNOSTIKU SEPSE \u2013 PROSPEKTIVN\u00cd OBSERVA\u010cN\u00cd STUDIE 4S<\/b><\/h6>\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>Abstrakt <\/b><\/p>\n<p>\u00davod: Sepse z\u016fst\u00e1v\u00e1 glob\u00e1ln\u00edm zdravotn\u00edm probl\u00e9mem s ka\u017edoro\u010dn\u011b nar\u016fstaj\u00edc\u00ed incidenc\u00ed a se st\u00e1le vysokou mortalitou, zejm\u00e9na hospitaliza\u010dn\u00ed. Diagnostika v prim\u00e1rn\u00ed p\u00e9\u010di a v urgentn\u00ed medic\u00edn\u011b z\u016fst\u00e1v\u00e1 velkou v\u00fdzvou. Nov\u00e1 definice sepse (Sepsis-3) z roku 2016 zavedla zjednodu\u0161en\u00ed krit\u00e9ria qSOFA pro identifikaci a screening pacient\u016f se seps\u00ed mimo prost\u0159ed\u00ed intenzivn\u00ed p\u00e9\u010de. Rozhodli jsme ov\u011b\u0159it pou\u017eitelnost qSOFA v podm\u00ednk\u00e1ch p\u0159ednemocni\u010dn\u00ed neodkladn\u00e9 p\u00e9\u010de (PNP) a urgentn\u00edho p\u0159\u00edjmu (UP).<br \/>\nMetody: Studie 4S byla monocentrick\u00e1 prospektivn\u00ed observa\u010dn\u00ed pragmatick\u00e1 studie. Hlavn\u00edm c\u00edlem bylo porovn\u00e1n\u00ed qSOFA oproti krit\u00e9ri\u00edm SIRS a jejich senzitivita a specificita v PNP a na UP. Vedlej\u0161\u00edmi c\u00edli byla diagnostick\u00e1 p\u0159esnost person\u00e1lu ZZS a hospitaliza\u010dn\u00ed mortalita jednotliv\u00fdch skupin pacient\u016f (sepse a septick\u00fd \u0161ok vs. infekce vs. neinfek\u010dn\u00ed diagn\u00f3za).<br \/>\nV\u00fdsledky: Od 1. 2. 2018 do 29. 2. 2020 bylo za\u0159azeno 203 pacient\u016f, z nich\u017e 104 m\u011blo v\u00fdslednou diagn\u00f3zu sepse nebo septick\u00e9ho \u0161oku, 90 pacient\u016f infekci a 9 neinfek\u010dn\u00ed diagn\u00f3zu. Vy\u0161\u0161\u00ed senzitivita byla pro krit\u00e9ria SIRS (71,2 % v PNP a 87,5 % na UP) oproti qSOFA (39,4 % vs 43,3 %). Specificita byla naopak u qSOFA vy\u0161\u0161\u00ed (84,9 % v PNP a 83,8 % na UP) ne\u017e pro SIRS krit\u00e9ria (30,3 % v ZZS vs. 34,3 % na UP). Person\u00e1l ZZS identifikoval infek\u010dn\u00ed p\u0159\u00ed\u010dinu stavu v 96 %, 51 % z nich bylo septick\u00fdch. Hospitaliza\u010dn\u00ed mortalita byla nejvy\u0161\u0161\u00ed u septick\u00fdch pacient\u016f (36,5 %) a nejni\u017e\u0161\u00ed u infekc\u00ed bez org\u00e1nov\u00fdch selh\u00e1n\u00ed (2,2 %).<br \/>\nDiskuze: I v t\u00e9to studii, i p\u0159es omezen\u00ed na jednu oblast, jsme ve shod\u011b s mnoha dal\u0161\u00edmi zdroji potvrdili, \u017ee qSOFA sk\u00f3re nen\u00ed vhodn\u00fdm screeningov\u00fdm n\u00e1strojem pro \u010dasnou identifikaci sepse a je sp\u00ed\u0161e prediktorem z\u00e1va\u017enosti stavu obecn\u011b. Nejv\u011bt\u0161\u00edm limitem studie je pravd\u011bpodobn\u011b neza\u0159azen\u00ed v\u0161ech septick\u00fdch pacient\u016f. Hospitaliza\u010dn\u00ed mortalita byla vysok\u00e1, a zem\u0159el\u00ed pacienti byli o t\u00e9m\u011b\u0159 7,5 roku star\u0161\u00ed ne\u017e p\u0159e\u017eiv\u0161\u00ed.<br \/>\nZ\u00e1v\u011br: Pro \u010dasnou identifikaci a rizikovou stratifikaci pacient\u016f se seps\u00ed zat\u00edm neexistuje spolehliv\u00fd a jednoduch\u00fd screeningov\u00fd n\u00e1stroj. Zlep\u0161en\u00ed by se dalo o\u010dek\u00e1vat kombinac\u00ed vzd\u011bl\u00e1v\u00e1n\u00ed zdravotn\u00edk\u016f spolu s vytvo\u0159en\u00fdmi standardy p\u00e9\u010de o septick\u00e9 pacienty v prim\u00e1rn\u00ed a urgentn\u00ed p\u00e9\u010di.<\/p>\n<p><b>Kl\u00ed\u010dov\u00e1 slova: <\/b>sepse \u2013 sk\u00f3rovac\u00ed syst\u00e9my \u2013 diagnostika \u2013 urgentn\u00ed medic\u00edna<\/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<h6><b>KAZUISTIKA: M\u00cdRN\u00c1 OTRAVA ORGANOFOSFOROVOU SLOU\u010cENINOU<\/b><\/h6>\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>Abstrakt <\/b><\/p>\n<p>Auto\u0159i uv\u00e1d\u011bj\u00ed p\u0159\u00edpad m\u00edrn\u00e9 otravy organofosforovou slou\u010deninou. Takov\u00e1 otrava je v \u010cesk\u00e9 republice pom\u011brn\u011b raritn\u00ed, a proto auto\u0159i na z\u00e1klad\u011b kazuistiky detailn\u011bji popisuj\u00ed typy organofosforov\u00fdch slou\u010denin, mechanizmy jejich \u00fa\u010dinku na organismus, p\u0159\u00edznaky otravy, mo\u017enosti diagnostiky a l\u00e9\u010dbu.<\/p>\n<p><b>Kl\u00ed\u010dov\u00e1 slova: <\/b>otrava \u2013 nervov\u011b paralytick\u00e9 l\u00e1tky \u2013 organofosf\u00e1ty \u2013 mi\u00f3za<\/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<h6><b>Z\u00c1SADY SPR\u00c1VN\u00c9 OXYGENOTERAPIE U KRITICKY NEMOCN\u00ddCH<\/b><\/h6>\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>Abstrakt <\/b><\/p>\n<p>Kysl\u00edk je jedn\u00edm z nejpou\u017e\u00edvan\u011bj\u0161\u00edch l\u00e9k\u016f v urgentn\u00ed medic\u00edn\u011b. Je proto pot\u0159eba zn\u00e1t indikace a kontraindikace jeho u\u017eit\u00ed, stejn\u011b jako rizika vypl\u00fdvaj\u00edc\u00ed z jeho nespr\u00e1vn\u00e9ho pod\u00e1n\u00ed. V n\u00e1sleduj\u00edc\u00edm \u010dl\u00e1nku shrnujeme z\u00e1sady spr\u00e1vn\u00e9 oxygenoterapie se zam\u011b\u0159en\u00edm na pacienty v kritick\u00e9m stavu. Zvl\u00e1\u0161t\u011b c\u00edl\u00edme na skupinu pacient\u016f s chronickou obstruk\u010dn\u00ed plicn\u00ed nemoc\u00ed, kde ohledn\u011b spr\u00e1vn\u00e9 oxygenoterapie st\u00e1le panuj\u00ed m\u00fdty.<\/p>\n<p><b>Kl\u00ed\u010dov\u00e1 slova: <\/b>kysl\u00edk \u2013 oxid uhli\u010dit\u00fd \u2013 kysl\u00edkov\u00e1 maska \u2013 chronick\u00e1 obstruk\u010dn\u00ed plicn\u00ed nemoc<\/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<h6><b>P\u00c9\u010cE POSKYTOVAN\u00c1 GERIATRICK\u00ddM PACIENT\u016eM NA URGENTN\u00cdM P\u0158\u00cdJMU: DOPORU\u010cEN\u00cd EVROPSK\u00c9 PRACOVN\u00cd SKUPINY GERIATRIC EMERGENCY MEDICINE<\/b><\/h6>\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>Abstrakt <\/b><\/p>\n<p>\u00davod: Navzdory rychle rostouc\u00edmu pozn\u00e1n\u00ed v oblasti geriatrick\u00e9 urgentn\u00ed p\u00e9\u010de v Evrop\u011b chyb\u00ed zav\u00e1d\u011bn\u00ed nov\u00fdch poznatk\u016f do praxe. Takto je \u010dasto prome\u0161k\u00e1na p\u0159\u00edle\u017eitost ke zlep\u0161en\u00ed klinick\u00e9 p\u00e9\u010de o pacienta z t\u00e9to citliv\u00e9 a rostouc\u00ed \u010d\u00e1sti populace.<br \/>\nC\u00edle: C\u00edlem t\u00e9to pr\u00e1ce bylo vytvo\u0159it pragmatick\u00e1 klinick\u00e1 doporu\u010den\u00ed v oblasti geriatrick\u00e9 urgentn\u00ed p\u00e9\u010de na z\u00e1klad\u011b doporu\u010den\u00ed expert\u016f (tzv. expert consensus) a umo\u017enit jejich roz\u0161\u00ed\u0159en\u00ed nap\u0159\u00ed\u010d Evropou.<br \/>\nMetody: Pomoc\u00ed modifikovan\u00e9ho postupu Delphi byl vybr\u00e1n seznam prioritn\u00edch t\u00e9mat pro geriatrickou urgentn\u00ed p\u00e9\u010di. Pot\u00e9 multidisciplin\u00e1rn\u00ed skupina sester, geriatr\u016f a l\u00e9ka\u0159\u016f urgentn\u00ed medic\u00edny vytvo\u0159ila p\u0159ehled recentn\u00edch doporu\u010den\u00fdch postup\u016f a literatury, na jejich\u017e z\u00e1klad\u011b vytvo\u0159ila doporu\u010den\u00ed. Tato doporu\u010den\u00ed pak byla schv\u00e1lena panelem expert\u016f a stylizov\u00e1na do formy poster\u016f.<br \/>\n\u00da\u010dastn\u00edci: Multidisciplin\u00e1rn\u00ed skupina expert\u016f v oblasti geriatrick\u00e9 urgentn\u00ed p\u00e9\u010de v Evrop\u011b.<br \/>\nV\u00fdsledek: Expertn\u00ed skupina zvolila n\u00e1sleduj\u00edc\u00edch osm oblast\u00ed pro tvorbu doporu\u010den\u00fdch postup\u016f: Komplexn\u00ed geriatrick\u00e9 zhodnocen\u00ed na urgentn\u00edm p\u0159\u00edjmu, stratifikace rizika p\u0159izp\u016fsoben\u00e1 v\u011bku a k\u0159ehkosti, delirium a kognitivn\u00ed deficit, zapojen\u00ed rodiny, prost\u0159ed\u00ed urgentn\u00edho p\u0159\u00edjmu, v\u00e1\u017en\u00fd \u00faraz ve vy\u0161\u0161\u00edm v\u011bku (tzv. Silver Trauma), p\u00e9\u010de o pacienta v termin\u00e1ln\u00edm st\u00e1diu v prost\u0159ed\u00ed urgentn\u00edho p\u0159\u00edjmu.<br \/>\nHlavn\u00ed v\u00fdstup: Doporu\u010den\u00e9 postupy byly stylizov\u00e1ny do osmi poster\u016f zam\u011b\u0159en\u00fdch na nejd\u016fle\u017eit\u011bj\u0161\u00ed t\u00e9mata geriatrick\u00e9 urgentn\u00ed p\u00e9\u010de. Tyto jsou dostupn\u00e9 online na https:\/\/posters.geriemeurope.eu\/<br \/>\nZ\u00e1v\u011br: Byly vytvo\u0159eny pragmatick\u00e9 doporu\u010den\u00e9 postupy zam\u011b\u0159en\u00e9 na geriatrickou urgentn\u00ed p\u00e9\u010di v Evrop\u011b a jsou p\u0159ipraveny k roz\u0161\u00ed\u0159en\u00ed nap\u0159\u00ed\u010d Evropou.<\/p>\n<p><b>Kl\u00ed\u010dov\u00e1 slova: <\/b>Guidelines \u2013 doporu\u010den\u00e9 postupy \u2013 urgentn\u00ed medic\u00edna \u2013 geriatrie \u2013 geriatrick\u00e1 k\u0159ehkost \u2013 akutn\u00ed p\u00e9\u010de \u2013 geriatrick\u00e1 urgentn\u00ed p\u00e9\u010de.<\/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>\u00daVOD Obsah \u00davodn\u00ed slovo \u2013 Jana \u0160eblov\u00e1 URGENTN\u00cd P\u0158\u00cdJMY P\u0159\u00edjem zran\u011bn\u00e9ho pacienta do traumacentra \u2013 Jana Berkov\u00e1 Srovn\u00e1n\u00ed diagnostick\u00fdch krit\u00e9ri\u00ed SIRS a qSOFA pro \u010dasnou diagnostiku sepse \u2013 prospektivn\u00ed observa\u010dn\u00ed studie 4S \u2013 Jana \u0160eblov\u00e1, Dominika \u0160eblov\u00e1, \u0160t\u011bp\u00e1nka Bure\u0161ov\u00e1, Ji\u0159\u00ed<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[34],"tags":[],"class_list":["post-1236","post","type-post","status-publish","format-standard","hentry","category-rocnik-2021"],"_links":{"self":[{"href":"https:\/\/urgentnimedicina.cz\/index.php?rest_route=\/wp\/v2\/posts\/1236","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=1236"}],"version-history":[{"count":1,"href":"https:\/\/urgentnimedicina.cz\/index.php?rest_route=\/wp\/v2\/posts\/1236\/revisions"}],"predecessor-version":[{"id":1238,"href":"https:\/\/urgentnimedicina.cz\/index.php?rest_route=\/wp\/v2\/posts\/1236\/revisions\/1238"}],"wp:attachment":[{"href":"https:\/\/urgentnimedicina.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=1236"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/urgentnimedicina.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=1236"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/urgentnimedicina.cz\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=1236"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}