{"id":1261,"date":"2022-10-25T10:31:37","date_gmt":"2022-10-25T08:31:37","guid":{"rendered":"https:\/\/urgentnimedicina.cz\/?p=1261"},"modified":"2022-10-25T10:35:27","modified_gmt":"2022-10-25T08:35:27","slug":"obsah-2-2022","status":"publish","type":"post","link":"https:\/\/urgentnimedicina.cz\/?p=1261","title":{"rendered":"Obsah 2\/2022"},"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\u0159et\u00ed\u017een\u00ed urgentn\u00edho p\u0159\u00edjmu a mo\u017en\u00e1 \u0159e\u0161en\u00ed \u2013 Ond\u0159ej Renn\u00e9t, Jana \u0160eblov\u00e1<\/li>\n<\/ul>\n<p><b>P\u0158EDNEMOCNI\u010cN\u00cd NEODKLADN\u00c1 P\u00c9\u010cE<\/b><\/p>\n<ul>\n<li>Neodkladn\u00e9 stavy u pacient\u016f s dlouhodobou mechanickou srde\u010dn\u00ed podporou \u2013 Hynek \u0158\u00edha, J\u00e1n \u0160olt\u00e9s, Petr Kram\u00e1\u0159, Robert Rzyman, Peter Iv\u00e1k, Jan Bruthans, Petr Pavl\u00edk, Milan Ro\u010de\u0148<\/li>\n<\/ul>\n<p><b>PEDIATRIE V URGENTN\u00cd MEDIC\u00cdN\u011a<\/b><\/p>\n<ul>\n<li>Z\u00e1kladn\u00ed fyziologick\u00e9 a anatomick\u00e9 odli\u0161nosti d\u011btsk\u00fdch pacient\u016f \u2013 Pavel Heinige, Vladim\u00edr Mixa, Kate\u0159ina Fabichov\u00e1<\/li>\n<\/ul>\n<p><b>FYZIOLOGIE A URGENTN\u00cd MEDIC\u00cdNA<\/b><\/p>\n<ul>\n<li>Mo\u017enosti hodnocen\u00ed fluid responsiveness v p\u0159ednemocni\u010dn\u00ed p\u00e9\u010di \u2013 Marcela B\u00edlsk\u00e1, Ida Vitvarov\u00e1, Barbora Stadlerov\u00e1, Tom\u00e1\u0161 Pa\u0159\u00edzek, Michal Kalina, Vladim\u00edr \u010cern\u00fd, David Astapenko, Roman \u0160kulec<\/li>\n<\/ul>\n<p><b>DOPORU\u010cEN\u00c9 POSTUPY<\/b><\/p>\n<ul>\n<li>Konsensu\u00e1ln\u00ed odborn\u00e9 stanovisko Sekce urgentn\u00edch p\u0159\u00edjm\u016f SUMMK \u010cLS JEP: T\u0159\u00edd\u011bn\u00ed na urgentn\u00edm p\u0159\u00edjmu \u2013 Michal Pis\u00e1r, Pavel Kupka, Ond\u0159ej Renn\u00e9t<\/li>\n<li>Konsensu\u00e1ln\u00ed doporu\u010den\u00ed pro p\u00e9\u010di o pacienty v termin\u00e1ln\u00edm stavu v podm\u00ednk\u00e1ch urgentn\u00ed medic\u00edny \u2013 Marek Uhl\u00ed\u0159, Jana \u0160eblov\u00e1<\/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>ETIKA, PSYCHOLOGIE, PR\u00c1VO<\/b><\/p>\n<ul>\n<li>Z historie z\u00e1chrann\u00fdch slu\u017eeb \u2013 Jakub Vete\u0161n\u00edk<\/li>\n<\/ul>\n<p><b>INFORMA\u010cN\u00cd SERVIS<\/b><\/p>\n<ul>\n<li>Programov\u00e9 prohl\u00e1\u0161en\u00ed Sekce urgentn\u00edch p\u0159\u00edjm\u016f Spole\u010dnosti urgentn\u00ed medic\u00edny a medic\u00edny katastrof \u010cLS JEP<\/li>\n<\/ul>\n<hr>\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>Overcrowding of emergency departments and its possible solutions \u2013 Ond\u0159ej Renn\u00e9t, Jana \u0160eblov\u00e1<\/li>\n<\/ul>\n<p><b>PREHOSPITAL EMERGENCY CARE<\/b><\/p>\n<ul>\n<li>Emergency conditions in patients with long-term mechanical circulatory support &#8211; Hynek \u0158\u00edha, J\u00e1n \u0160olt\u00e9s, Petr Kram\u00e1\u0159, Robert Rzyman, Peter Iv\u00e1k, Jan Bruthans, Petr Pavl\u00edk, Milan Ro\u010de\u0148<\/li>\n<\/ul>\n<p><b>PAEDIATRICS IN EMERGENCY MEDICINE<\/b><\/p>\n<ul>\n<li>Basic physiological and anatomical differences in paediatric patients \u2013 Pavel Heinige, Vladim\u00edr Mixa, Kate\u0159ina Fabichov\u00e1<\/li>\n<\/ul>\n<p><b>PHYSIOLOGY AND EMERGENCY MEDICINE<\/b><\/p>\n<ul>\n<li>Prehospital evaluation of fluid responsiveness \u2013 Marcela B\u00edlsk\u00e1, Ida Vitvarov\u00e1, Barbora Stadlerov\u00e1, Tom\u00e1\u0161 Pa\u0159\u00edzek, Michal Kalina, Vladim\u00edr \u010cern\u00fd, David Astapenko, Roman \u0160kulec<\/li>\n<\/ul>\n<p><b>GUIDELINES<\/b><\/p>\n<ul>\n<li>Consensual statement of the Section of Emergency Departments of the SEDM CzMA JEP: Triage at emergency department \u2013 Michal Pis\u00e1r, Pavel Kupka, Ond\u0159ej Renn\u00e9t<\/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>ETHICS, PSYCHOLOGY, LAW<\/b><\/p>\n<ul>\n<li>From the history of Emergency Medical Systems \u2013 Jakub Vete\u0161n\u00edk<\/li>\n<\/ul>\n<p><b>INFORMATION<\/b><\/p>\n<ul>\n<li>Programme statement of the Section of Emergency Departments of the Society of Emergency and Disaster Medicone CzMA JEP<\/li>\n<\/ul>\n<hr>\n<p><span style=\"text-decoration: underline;\"><strong>ABSTRAKTY<\/strong><\/span><\/p>\n<h6><b>P\u0158ET\u00cd\u017dEN\u00cd URGENTN\u00cdHO P\u0158\u00cdJMU A MO\u017dN\u00c1 \u0158E\u0160EN\u00cd<\/b><\/h6>\n<p><b>OVERCROWDING OF EMERGENCY DEPARTMENTS AND ITS POSSIBLE SOLUTIONS<\/b><\/p>\n<p><b>Ond\u0159ej Renn\u00e9t, Jana \u0160eblov\u00e1<\/b><\/p>\n<p><b>Abstrakt <\/b><\/p>\n<p>P\u0159\u00edsp\u011bvek se zab\u00fdv\u00e1 p\u0159et\u00ed\u017een\u00edm urgentn\u00edch p\u0159\u00edjm\u016f a faktory, kter\u00e9 k n\u011bmu p\u0159isp\u00edvaj\u00ed a opat\u0159en\u00edmi, kter\u00fdmi je mo\u017en\u00e9 p\u0159et\u00ed\u017een\u00ed sn\u00ed\u017eit. P\u0159et\u00ed\u017een\u00ed je definov\u00e1no jako situace, kdy po\u010det pacient\u016f urgentn\u00edho p\u0159\u00edjmu je za hranou aktu\u00e1ln\u011b dostupn\u00e9 prostorov\u00e9 a\/nebo person\u00e1ln\u00ed kapacity. Prokazateln\u011b sni\u017euje bezpe\u010dnost a kvalitu p\u00e9\u010de, zvy\u0161uje morbiditu a mortalitu b\u011bhem n\u00e1sledn\u00e9 hospitalizace, zp\u016fsobuje odklad pot\u0159ebn\u00e9 l\u00e9\u010dby, prodlou\u017een\u00ed do stanoven\u00ed diagn\u00f3zy i prodlou\u017een\u00ed doby str\u00e1ven\u00e9 na odd\u011blen\u00ed. P\u0159et\u00ed\u017een\u00ed tak\u00e9 negativn\u011b ovliv\u0148uje spokojenost pacient\u016f a zvy\u0161uje riziko rozvoje syndromu vyho\u0159en\u00ed person\u00e1lu. Zdroje p\u0159et\u00ed\u017een\u00ed i opat\u0159en\u00ed k prevenci a sn\u00ed\u017een\u00ed maj\u00ed komponenty na vstupu, p\u0159i pr\u016fchodu i na v\u00fdstupu z urgentn\u00edho p\u0159\u00edjmu. \u00da\u010dinn\u00e1 \u0159e\u0161en\u00ed mus\u00ed b\u00fdt syst\u00e9mov\u00e1 a na v\u00edce \u00farovn\u00edch a mus\u00ed vych\u00e1zet z anal\u00fdzy dat z konkr\u00e9tn\u00edho odd\u011blen\u00ed.<\/p>\n<p><b>Kl\u00ed\u010dov\u00e1 slova: <\/b>urgentn\u00ed p\u0159\u00edjem \u2013 p\u0159et\u00ed\u017een\u00ed \u2013 kontinuita urgentn\u00ed p\u00e9\u010de \u2013 kvalita p\u00e9\u010de \u2013 bezpe\u010dnost<\/p>\n<p><b>Abstract <\/b><\/p>\n<p>The paper deals with overcrowding of emergency departments and discusses both factors leading to overcrowding and measures to reduce it. Overcrowding is defined as a situation when number of patients at emergency department exceeds either spacial and\/or personnel capacity which is available at the moment. It decreases safety and quality of care significantly, increases morbidity and mortality during hospitlaization, leads to delay in necessary care and it prolongs time to diagnostics and the lenght of stay at the department. Overcrowding has a negative impact on patients\u00b4 satisfaction and increases the risk of burnout syndrom development in personnel. The sources leading to overcrowding as well as measures to prevent and reduce it have input, throughput and output components of the emergency department. Effective solutions must include systematic and multilevel responses and they must be based on data analysis of a particular department.<\/p>\n<p><b>Key words: <\/b>emergency department \u2013 overcrowding \u2013 continuity of emergency care \u2013 quality of care \u2013 safety<\/p>\n<h6><b>NEODKLADN\u00c9 STAVY U PACIENT\u016e S DLOUHODOBOU MECHANICKOU SRDE\u010cN\u00cd PODPOROU<\/b><\/h6>\n<p><b>EMERGENCY CONDITIONS IN PATIENTS WITH LONG-TERM MECHANICAL CIRCULATORY SUPPORT<\/b><\/p>\n<p><b>Hynek \u0158\u00edha, J\u00e1n \u0160olt\u00e9s, Petr Kram\u00e1\u0159, Robert Rzyman, Peter Iv\u00e1k, Jan Bruthans, Petr Pavl\u00edk, Milan Ro\u010de\u0148<\/b><\/p>\n<p><b>Abstrakt <\/b><\/p>\n<p>Dlouhodob\u00e9 mechanick\u00e9 srde\u010dn\u00ed podpory (MSP) se staly ned\u00edlnou sou\u010d\u00e1st\u00ed l\u00e9\u010dby chronick\u00e9ho srde\u010dn\u00edho selh\u00e1n\u00ed. Pacienti jsou s t\u011bmito p\u0159\u00edstroji dimitov\u00e1ni z nemocnice dom\u016f; n\u00e1sledn\u011b doch\u00e1z\u00ed pouze na pravideln\u00e9 ambulantn\u00ed kontroly. Dlouhodob\u00e9 MSP p\u0159in\u00e1\u0161\u00ed do urgentn\u00ed medic\u00edny n\u011bkter\u00e9 odli\u0161nosti, kter\u00e9 se t\u00fdkaj\u00ed p\u0159edev\u0161\u00edm kardiovaskul\u00e1rn\u00edho syst\u00e9mu.<\/p>\n<p><b>Kl\u00ed\u010dov\u00e1 slova: <\/b>dlouhodob\u00e9 mechanick\u00e9 srde\u010dn\u00ed podpory \u2013 nepulzatiln\u00ed krevn\u00ed pr\u016ftok \u2013 krevn\u00ed tlak \u2013 antikoagulancia<\/p>\n<p><b>Abstract <\/b><\/p>\n<p>Long-term mechanical circulatory support (MCS) devices have been an integral part of the therapy of congestive heart failure. Patients with these devices are discharged home from the hospital; subsequently, they visit the hospital for regular outpatient checkups only. Long-term MCS have brought some differences to emergency medicine, which primarily concerns the cardiovascular system.<\/p>\n<p><b>Key words: <\/b>long-term mechanical circulatory support \u2013 nonpulsatile blood flow \u2013 blood pressure \u2013 anticoagulants<\/p>\n<h6><b>Z\u00c1KLADN\u00cd FYZIOLOGICK\u00c9 A ANATOMICK\u00c9 ODLI\u0160NOSTI D\u011aTSK\u00ddCH PACIENT\u016e<\/b><\/h6>\n<p><b>BASIC PHYSIOLOGICAL AND ANATOMICAL DIFFERENCES IN PAEDIATRIC PATIENTS<\/b><\/p>\n<p><b>Pavel Heinige, Vladim\u00edr Mixa, Kate\u0159ina Fabichov\u00e1<\/b><\/p>\n<p><b>Abstrakt <\/b><\/p>\n<p>Pediatrie je obor zab\u00fdvaj\u00edc\u00ed se pacienty ve v\u011bku od narozen\u00ed do devaten\u00e1cti let. B\u011bhem tohoto obdob\u00ed proch\u00e1z\u00ed lidsk\u00fd organismus dramatick\u00fdm v\u00fdvojem. Hmotnost organismu se b\u011bhem tohoto obdob\u00ed zv\u00fd\u0161\u00ed asi dvacetin\u00e1sobn\u011b a t\u011blesn\u00e1 v\u00fd\u0161ka vzroste t\u00e9m\u011b\u0159 na \u010dty\u0159n\u00e1sobek porodn\u00ed d\u00e9lky. Spole\u010dn\u011b s t\u00edmto rychl\u00fdm r\u016fstem makroorganismu rostou a anatomicky i funk\u010dn\u011b dozr\u00e1vaj\u00ed tak\u00e9 jednotliv\u00e9 org\u00e1nov\u00e9 syst\u00e9my.<br \/>\nV devaten\u00e1cti letech je ji\u017e v\u00fdvoj organismu zhruba zakon\u010den a anatomick\u00e9 pom\u011bry ani fyziologick\u00e9 funkce devaten\u00e1ctilet\u00fdch se nijak z\u00e1sadn\u011b neli\u0161\u00ed od dosp\u011bl\u00fdch. V mlad\u0161\u00edm v\u011bku jsou ov\u0161em rozd\u00edly proti dosp\u011bl\u00fdm v n\u011bkter\u00fdch aspektech pom\u011brn\u011b podstatn\u00e9, a to jak anatomicky, tak ve smyslu funkce. Obecn\u011b plat\u00ed, \u017ee anatomick\u00e9 i fyziologick\u00e9 rozd\u00edly oproti dosp\u011bl\u00fdm jsou t\u00edm v\u011bt\u0161\u00ed, \u010d\u00edm je d\u00edt\u011b mlad\u0161\u00ed. V n\u00e1sleduj\u00edc\u00edch odstavc\u00edch budou pops\u00e1ny ty nejz\u00e1sadn\u011bj\u0161\u00ed.<\/p>\n<p><b>Kl\u00ed\u010dov\u00e1 slova: <\/b>D\u00edt\u011b \u2013 pediatrick\u00fd v\u011bk \u2013 anatomick\u00e9 a fyziologick\u00e9 rozd\u00edly<\/p>\n<p><b>Abstract <\/b><\/p>\n<p>Pediatrics is a medical specialty providing medical care to individuals from birth till nineteen years of age. During this period the human body develops dramatically. The body weight increases twenty times and the body height nearly four times compared with the birth length. Together with body growth the organs and organ systems grow and mature, too.<br \/>\nThe development of organism is about to finish at the age of nineteen and anatomical proportions and physiological functions are comparable to adults then. However, there are significant differences compared to adults both anatomical and functional the earlier the age of a child is. We can say in general that the younger the child is the bigger differences are presented between childern and adults. The most important differences are discussed in this paper.<br \/>\n<b>Key words: <\/b>Child \u2013 pediatric age \u2013 anatomical and physiological differences<\/p>\n<h6><b>MO\u017dNOSTI HODNOCEN\u00cd FLUID RESPONSIVENESS V P\u0158EDNEMOCNI\u010cN\u00cd P\u00c9\u010cI<\/b><\/h6>\n<p><b>PREHOSPITAL EVALUATION OF FLUID RESPONSIVENESS<\/b><\/p>\n<p><b>Marcela B\u00edlsk\u00e1, Ida Vitvarov\u00e1, Barbora Stadlerov\u00e1, Tom\u00e1\u0161 Pa\u0159\u00edzek, Michal Kalina, Vladim\u00edr \u010cern\u00fd, David Astapenko, Roman \u0160kulec<\/b><\/p>\n<p><b>Abstrakt <\/b><\/p>\n<p>V p\u0159ednemocni\u010dn\u00ed neodkladn\u00e9 p\u00e9\u010di (PNP) je v\u00fdskyt pacient\u016f se zn\u00e1mkami \u0161oku relativn\u011b \u010dast\u00fd. Jednou z nej\u010dasn\u011bj\u0161\u00edch intervenc\u00ed u t\u011bchto pacient\u016f b\u00fdv\u00e1 pod\u00e1n\u00ed tekutinov\u00e9 v\u00fdzvy, kter\u00e1 nese \u0159adu rizik. V rozvaze o mo\u017en\u00e9m p\u0159\u00ednosu pod\u00e1n\u00ed tekutin lze vyu\u017e\u00edt metod hodnot\u00edc\u00ed tzv. fluid responsiveness (FR). Vzhledem k omezen\u00fdm diagnostick\u00fdm mo\u017enostem v PNP se v \u010dl\u00e1nku zab\u00fdv\u00e1me ot\u00e1zkou, zda v\u016fbec je re\u00e1ln\u011b mo\u017en\u00e9 v PNP hodnotit FR, a pokud ano, jak\u00fdmi metodami.<\/p>\n<p><b>Kl\u00ed\u010dov\u00e1 slova: <\/b>fluid responsiveness \u2013 tekutiny \u2013 \u0161ok \u2013 preload<\/p>\n<p><b>Abstract <\/b><\/p>\n<p>In pre-hospital emergency care (PHC), we see patients with signs of shock on a daily basis. One of the earliest interventions in these patients is the administration of fluids, but this has its risks to consider. To discern whether a patient will benefit from fluid administration, fluid responsiveness assessment can help us to decide. Given the limited diagnostic options in the PNP, in this article we address the question of whether it is even feasible to assess FR in the PNP and, if so, by what methods.<br \/>\n<b>Key words: <\/b>fluid responsiveness \u2013 fluids \u2013 shock \u2013 preload<\/p>\n<h6><b>Z HISTORIE Z\u00c1CHRANN\u00ddCH SLU\u017dEB<\/b><\/h6>\n<p><b>FROM THE HISTORY OF EMERGENCY MEDICAL SYSTEMS<\/b><\/p>\n<p><b>Jakub Vete\u0161n\u00edk<\/b><\/p>\n<p><b>Abstrakt <\/b><\/p>\n<p>S\u00ed\u0165 stanic m\u011bstsk\u00fdch zdravotnick\u00fdch z\u00e1chrann\u00fdch slu\u017eeb vznikala z iniciativy dobrovolnick\u00fdch spolk\u016f (\u201eFreiwillige Rettungsgesellschaft\u201c) na p\u0159elomu 19. a 20. stolet\u00ed. Organiza\u010dn\u00ed z\u00e1sady pro pr\u00e1ci sanitn\u00edch sbor\u016f formuloval baron doktor Jarom\u00edr Mundy (V\u00edde\u0148, 1866), prvn\u00ed l\u00e9ka\u0159, kter\u00fd zasv\u011btil profesn\u00ed \u017eivot z\u00e1chran\u00e1\u0159stv\u00ed. Podle vzoru Mundyho \u201eWiener Freiwillige Rettungsgesellschaft\u201c (1881\/82) byly z\u0159izov\u00e1ny a provozov\u00e1ny dal\u0161\u00ed z\u00e1chrann\u00e9 slu\u017eby. Vybran\u00ed pro\u0161kolen\u00ed dobrovoln\u00edci zaji\u0161\u0165ovali co mo\u017en\u00e1 nejrychlej\u0161\u00ed transport do nemocnice, kde za\u010d\u00ednala skute\u010dn\u00e1 p\u00e9\u010de o pacienta. Unik\u00e1tn\u00edm v\u00fdvojem pro\u0161la pra\u017esk\u00e1 z\u00e1chrann\u00e1 slu\u017eba (1857). V nov\u00e9m \u010ceskoslovensku p\u0159evzal \u00fa\u010dast na organizov\u00e1n\u00ed zdravotnick\u00e9 z\u00e1chrann\u00e9 slu\u017eby \u010ceskoslovensk\u00fd \u010cerven\u00fd k\u0159\u00ed\u017e (1919). Pomoc fungovala d\u00e1le v re\u017eimu dobrovoln\u00edk\u016f \u2013 vycvi\u010den\u00fdch laik\u016f a \u00faloha l\u00e9ka\u0159e byla ponejv\u00edce administrativn\u00ed a eduka\u010dn\u00ed. Po druh\u00e9 sv\u011btov\u00e9 v\u00e1lce a v 50. letech, v dob\u011b nedostatku l\u00e9\u010div, materi\u00e1lu a techniky se slu\u017eba, kter\u00fd byla vyu\u017e\u00edvan\u00e1 sp\u00ed\u0161e jako n\u00e1v\u0161t\u011bvn\u00ed \u010di p\u0159evozov\u00e1, a prov\u00e1d\u011bn\u00e1 obvykle praktick\u00fdmi l\u00e9ka\u0159i, obnovovala velmi pomalu. D\u00edky rozvoji oboru anesteziologie a resuscitace v 70. a 80. letech se prosadila nov\u00e1 koncepce p\u0159enesen\u00ed neodkladn\u00e9 zdravotn\u00ed p\u00e9\u010de do ter\u00e9nu, tzv. za pacientem, s vyu\u017eit\u00edm oborov\u00fdch zku\u0161enost\u00ed oboru anesteziologie a resuscitace. V\u00fdjezdov\u00e9 skupiny spadaly organiza\u010dn\u011b a po odborn\u00e9 str\u00e1nce pod anesteziologicko-resuscita\u010dn\u00ed odd\u011blen\u00ed nebo jednotky intenzivn\u00ed p\u00e9\u010de (JIP). Z\u0159izov\u00e1ny a materi\u00e1ln\u011b-technicky zaji\u0161\u0165ov\u00e1ny byly p\u0159\u00edslu\u0161n\u00fdmi okresn\u00edmi \u010di krajsk\u00fdmi \u00fastavy n\u00e1rodn\u00edho zdrav\u00ed (O\u00daNZ\/K\u00daNZ). Modelov\u00fdm pracovi\u0161t\u011bm spolupr\u00e1ce anesteziologie a z\u00e1chrann\u00e9 slu\u017eby bylo v 80. letech ostravsk\u00e9 odd\u011blen\u00ed prim\u00e1\u0159e MUDr. Ji\u0159\u00edho Dost\u00e1la. Dynamick\u00fd v\u00fdvoj 90. let p\u0159inesl osamostatn\u011bn\u00ed se od nemocnic (z\u0159izovateli se staly okresn\u00ed \u00fa\u0159ady), obrovsk\u00fd boom materi\u00e1ln\u00edho a technick\u00e9ho vybaven\u00ed, dokon\u010den\u00ed s\u00edt\u011b leteck\u00e9 z\u00e1chrann\u00e9 slu\u017eby (LZS) a po\u010d\u00e1tek dne\u0161n\u00ed specializovan\u00e9 centrov\u00e9 p\u00e9\u010de. S t\u00edmto p\u0159ekotn\u00fdm v\u00fdvojem se v\u0161ak objevuje nekoncep\u010dnost a n\u00e1r\u016fst n\u00e1klad\u016f. V\u00fdsledkem snah o modernizaci a racionalizaci slu\u017eby je sou\u010dasn\u00fd syst\u00e9m krajsk\u00fdch z\u00e1chrann\u00fdch slu\u017eeb podle z\u00e1kona 374\/2011 Sb..<\/p>\n<p><b>Kl\u00ed\u010dov\u00e1 slova: <\/b>historie z\u00e1chrann\u00fdch slu\u017eeb \u2013 Jarom\u00edr Mundy \u2013 MUDr. Ji\u0159\u00ed Dost\u00e1l<\/p>\n<p><b>Abstract <\/b><\/p>\n<p>The network of stations of the city&#8217;s medical emergency services developed due to the initiative of voluntary associations (&#8222;Freiwillige Rettungsgesellschaft&#8220;) at the end of the 19th and the beginning of the 20th century. The organizational principles for the work of rescue squads were formulated by Baron Dr. Jarom\u00edr Mundy (Vienna, 1866), the first doctor who dedicated his professional life to rescuing. Other emergency services were established and provided care following the example of Mundy&#8217;s &#8222;Wiener Freiwillige Rettungsgesellschaft&#8220; (1881\/82). Selected trained volunteers provided transport to the hospital as fast as possible and the necessary care of the patient was provided in the hospital. The Emergency Service of the Capital Prague (1857) went throught an unique development. The Czechoslovak Red Cross (1919) participated in organization of the emergency medical service in the new state \u2013 Czechoslovakia. The service was based on voluntary work of trained laymen, the pyhsicians had mainly administrative and educational responsibilities. After the Second World War and in the 1950s, when a shortage of medicines, material and technology occured, the service was restored very slowly and it was mostly used as a transport service or as general practicioners\u00b4 visits. It was not until the 1970s and 1980s of the 20th century that a new concept of emergency care was accepted thanks to the development of anesthesiology and resuscitation. Based on the experience of the specialisation in anaesthesiology and resuscitation with life-threatening conditions the care of the patient started to be provided right on scene. Emergency teams were organized and also trained by critical or intensive care units\u00b4specialists. The responsibility of establishing, funding and management of these services had district or regional institutes of public health. A model example of such a cooperation between critical and emergency care was the Ostrava critical care unit which head physician was Ji\u0159\u00ed Dost\u00e1l, MD. During the dynamic development in the 1990s the emergency medical services became independent on the hospitals and they were managed by district authorities. A huge boom of material and technical equipment, finishing of the heliopter emergency services\u00b4 network and establishing basics of current specialized center care took place that time. However, there were also lack of national concept and also the costs increased. The effort to modernize and rationalize the emergency medical services lead to the current regionally based system according the 374\/2011 Sb. Law on EMS.<br \/>\n<b>Key words: <\/b>history of emergency medical services \u2013 Jarom\u00edr Mundy \u2013 MUDr. Ji\u0159\u00ed Dost\u00e1l<\/p>\n","protected":false},"excerpt":{"rendered":"<p>\u00daVOD Obsah \u00davodn\u00ed slovo \u2013 Jana \u0160eblov\u00e1 URGENTN\u00cd P\u0158\u00cdJMY P\u0159et\u00ed\u017een\u00ed urgentn\u00edho p\u0159\u00edjmu a mo\u017en\u00e1 \u0159e\u0161en\u00ed \u2013 Ond\u0159ej Renn\u00e9t, Jana \u0160eblov\u00e1 P\u0158EDNEMOCNI\u010cN\u00cd NEODKLADN\u00c1 P\u00c9\u010cE Neodkladn\u00e9 stavy u pacient\u016f s dlouhodobou mechanickou srde\u010dn\u00ed podporou \u2013 Hynek \u0158\u00edha, J\u00e1n \u0160olt\u00e9s, Petr Kram\u00e1\u0159, Robert<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[36],"tags":[],"class_list":["post-1261","post","type-post","status-publish","format-standard","hentry","category-rocnik-2022"],"_links":{"self":[{"href":"https:\/\/urgentnimedicina.cz\/index.php?rest_route=\/wp\/v2\/posts\/1261","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=1261"}],"version-history":[{"count":3,"href":"https:\/\/urgentnimedicina.cz\/index.php?rest_route=\/wp\/v2\/posts\/1261\/revisions"}],"predecessor-version":[{"id":1266,"href":"https:\/\/urgentnimedicina.cz\/index.php?rest_route=\/wp\/v2\/posts\/1261\/revisions\/1266"}],"wp:attachment":[{"href":"https:\/\/urgentnimedicina.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=1261"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/urgentnimedicina.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=1261"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/urgentnimedicina.cz\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=1261"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}