{"id":1317,"date":"2023-12-07T13:45:30","date_gmt":"2023-12-07T11:45:30","guid":{"rendered":"https:\/\/urgentnimedicina.cz\/?p=1317"},"modified":"2024-05-02T09:05:08","modified_gmt":"2024-05-02T07:05:08","slug":"obsah-3-2023","status":"publish","type":"post","link":"https:\/\/urgentnimedicina.cz\/?p=1317","title":{"rendered":"Obsah 3\/2023"},"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>Pacient s hore\u010dkou a exant\u00e9mem na urgentn\u00edm p\u0159\u00edjmu \u2013 Robin \u0160\u00edn, Dalibor Sedl\u00e1\u010dek<\/li>\n<\/ul>\n<p><b>ORGANIZACE A \u0158\u00cdZEN\u00cd SYST\u00c9M\u016e<\/b><\/p>\n<ul>\n<li>N\u00e1vrh \u00faprav pro zlep\u0161en\u00ed vyu\u017eitelnosti funkce videop\u0159enosu na zdravotnick\u00e1 opera\u010dn\u00ed st\u0159ediska \u2013 Gabriela Divi\u0161kov\u00e1, Franti\u0161ek N\u011bmec, Jan Mu\u017e\u00edk<\/li>\n<\/ul>\n<p><b>FYZIOLOGIE A URGENTN\u00cd MEDIC\u00cdNA<\/b><\/p>\n<ul>\n<li>Koncept dod\u00e1vky kysl\u00edku \u2013 fyziologick\u00fd z\u00e1klad l\u00e9\u010dby kritick\u00fdch stav\u016f \u2013 Vladim\u00edr \u010cern\u00fd, David Astapenko, David \u0158eh\u00e1k<\/li>\n<\/ul>\n<p><b>VZD\u011aL\u00c1V\u00c1N\u00cd A ATESTA\u010cN\u00cd OT\u00c1ZKY<\/b><\/p>\n<ul>\n<li>Anal\u00fdza kardiopulmon\u00e1ln\u00ed resuscitace za pou\u017eit\u00ed programu CODE-STAT v r\u00e1mci z\u00e1chrann\u00e9 slu\u017eby \u2013 Viktor Gawlik, Lucie Bokov\u00e1<\/li>\n<\/ul>\n<p><b>ETIKA, PSYCHOLOGIE, PR\u00c1VO<\/b><\/p>\n<ul>\n<li>Jazykov\u00e1 bari\u00e9ra p\u0159i poskytov\u00e1n\u00ed p\u0159ednemocni\u010dn\u00ed neodkladn\u00e9 p\u00e9\u010de \u2013 Jaroslav Pekara, Eva \u010ci\u017em\u00e1rov\u00e1<\/li>\n<\/ul>\n<p><b>INFORMA\u010cN\u00cd SERVIS<\/b><\/p>\n<ul>\n<li>Programov\u00e9 prohl\u00e1\u0161en\u00ed v\u00fdboru Spole\u010dnosti urgentn\u00ed medic\u00edny a medic\u00edny katastrof \u010cLS JEP na obdob\u00ed 2023\u20132026<\/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>Patient with fever and rash at the Enmergency Department \u2013 Robin \u0160\u00edn, Dalibor Sedl\u00e1\u010dek<\/li>\n<\/ul>\n<p><b>SYSTEMS\u00b4 ORGANIZATION AND MANAGEMENT<\/b><\/p>\n<ul>\n<li>Modifications\u00b4 proposal to improve the usability of the function of video calls to medical dispatch centers \u2013 Gabriela Divi\u0161kov\u00e1, Franti\u0161ek N\u011bmec, Jan Mu\u017e\u00edk<\/li>\n<\/ul>\n<p><b>PHYSIOLOGY AND EMERGENCY MEDICINE<\/b><\/p>\n<ul>\n<li>The concept of oxygen delivery \u2013 the physiological basis of the treatment of critical conditions \u2013 Vladim\u00edr \u010cern\u00fd, David Astapenko, David \u0158eh\u00e1k<\/li>\n<\/ul>\n<p><b>EDUCATION<\/b><\/p>\n<ul>\n<li>Cardiopulmonary resuscitation anylysis using CODE-STAT program in Emergency Medical Service \u2013 Viktor Gawlik, Lucie Bokov\u00e1<\/li>\n<\/ul>\n<p><b>ETHICS, PSYCHOLOGY, LAW<\/b><\/p>\n<ul>\n<li>Language barrier in Pre-hospital Emergency Care \u2013 Jaroslav Pekara, Eva \u010ci\u017em\u00e1rov\u00e1<\/li>\n<\/ul>\n<p><b>INFORMATION<\/b><\/p>\n<ul>\n<li>Mission statement of the Board of the Czech Society for Emergency and Disaster Medicine of the Czech Medical Association J. E. Purkyn\u011b<\/li>\n<\/ul>\n<hr>\n<p><span style=\"text-decoration: underline;\"><strong>ABSTRAKTY<\/strong><\/span><\/p>\n<h6><b>PACIENT S HORE\u010cKOU A EXANT\u00c9MEM NA URGENTN\u00cdM P\u0158\u00cdJMU<\/b><\/h6>\n<p><b>PATIENT WITH FEVER AND RASH AT THE ENMERGENCY DEPARTMENT<\/b><\/p>\n<p><b>Robin \u0160\u00edn, Dalibor Sedl\u00e1\u010dek<\/b><\/p>\n<p><b>Abstrakt <\/b><\/p>\n<p>Exant\u00e9m je rychl\u00fd v\u00fdsev ko\u017en\u00edch eflorescenc\u00ed do v\u00edce lokalizac\u00ed na t\u011ble. S typickou vyr\u00e1\u017ekou doprov\u00e1zenou hore\u010dkou se na urgentn\u00edm p\u0159\u00edjmu setk\u00e1v\u00e1me p\u0159edev\u0161\u00edm v souvislosti s d\u011btsk\u00fdmi infek\u010dn\u00edmi onemocn\u011bn\u00edmi. S ohledem na zv\u00fd\u0161enou migraci z v\u00fdchodu a jihu a s p\u0159ihl\u00e9dnut\u00edm k mo\u017en\u00e9mu vyvanut\u00ed specifick\u00e9 imunity se setk\u00e1v\u00e1me s t\u011bmito onemocn\u011bn\u00edmi i u dosp\u011bl\u00fdch pacient\u016f. Zde b\u00fdv\u00e1 \u010dast\u011bji pr\u016fb\u011bh i v\u00fdsev atypick\u00fd a spol\u00e9h\u00e1me se v\u00edce na laboratorn\u00ed diagnostick\u00e9 metody. Z makul\u00f3zn\u00edch a makulopapul\u00f3zn\u00edch exant\u00e9m\u016f se nej\u010dast\u011bji setk\u00e1v\u00e1me s p\u00e1tou a \u0161estou nemoc\u00ed, tak\u00e9 se spalni\u010dkami nebo sp\u00e1lou. Z vezikul\u00f3zn\u00edch exant\u00e9m\u016f to pak b\u00fdv\u00e1 varicela a syndrom ruka-noha-\u00fasta. P\u0159edev\u0161\u00edm u virov\u00fdch exant\u00e9mov\u00fdch onemocn\u011bn\u00ed se \u010dast\u011bji ob\u00e1v\u00e1me bakteri\u00e1ln\u00edch komplikac\u00ed ne\u017e samotn\u00e9ho prim\u00e1rn\u00edho onemocn\u011bn\u00ed. V n\u011bkter\u00fdch p\u0159\u00edpadech je v\u00fdrazn\u011b nebezpe\u010dn\u00e1 infekce t\u011bhotn\u00e9 \u017eeny. Jedn\u00e1 se p\u0159edev\u0161\u00edm o varicelu.<\/p>\n<p><b>Kl\u00ed\u010dov\u00e1 slova: <\/b>hore\u010dka \u2013 exant\u00e9m \u2013 urgentn\u00ed p\u0159\u00edjem \u2013 spalni\u010dky \u2013 varicela<\/p>\n<p><b>Abstract <\/b><\/p>\n<p>Exanthema is a rapid seeding of skin rash into multiple localizations on the body. A typical rash accompanied by fever occurs in the emergency department mainly in connection with childhood infectious diseases. With regard to the increased migration from the east and south and taking into account the possible evaporation of specific immunity, we encounter these diseases even in adult patients. Here, the course and sowing are more often atypical and we rely more on laboratory diagnostic methods. Of the macular and maculopapular exanthemas, we most often encounter the fifth and sixth diseases, also measles or scarlet fever. Vesiculous exanthemas include varicella and hand-foot-mouth syndrome. Especially in viral exanthematous diseases, we are more often afraid of bacterial complications than the primary disease itself. In some cases, infection of a pregnant woman is significantly dangerous. First of all, this is varicella.<\/p>\n<p><b>Key words: <\/b>fever \u2013 exanthema \u2013 emergency department \u2013 measles \u2013 varicella<\/p>\n<h6><b>N\u00c1VRH \u00daPRAV PRO ZLEP\u0160EN\u00cd VYU\u017dITELNOSTI FUNKCE VIDEOP\u0158ENOSU NA ZDRAVOTNICK\u00c1 OPERA\u010cN\u00cd ST\u0158EDISKA<\/b><\/h6>\n<p><b>MODIFICATIONS\u00b4 PROPOSAL TO IMPROVE THE USABILITY OF THE FUNCTION OF VIDEO CALLS TO MEDICAL DISPATCH CENTERS<\/b><\/p>\n<p><b>Gabriela Divi\u0161kov\u00e1, Franti\u0161ek N\u011bmec, Jan Mu\u017e\u00edk<\/b><\/p>\n<p><b>Abstrakt <\/b><\/p>\n<p>Vyu\u017eit\u00ed funkce videop\u0159enosu v \u010cesk\u00e9 republice (\u010cR) je v porovn\u00e1n\u00ed se zahrani\u010d\u00edm velice n\u00edzk\u00e9. Z n\u00e1mi proveden\u00e9ho pr\u016fzkumu Vyu\u017eit\u00ed videop\u0159enos\u016f z mobiln\u00edch aplikac\u00ed pro p\u0159ivol\u00e1n\u00ed pomoci zdravotnick\u00fdmi opera\u010dn\u00edmi st\u0159edisky (ZOS) v \u010cR [1] vyplynulo, \u017ee \u010detnost aktivace funkce je v \u0159\u00e1dech jednotek pokus\u016f o videohovor za cel\u00fd rok. Kontrastem je nap\u0159\u00edklad Norsko, kde videop\u0159enosy tvo\u0159\u00ed a\u017e 10 % v\u0161ech t\u00eds\u0148ov\u00fdch vol\u00e1n\u00ed. D\u00e1le byla identifikov\u00e1na problematick\u00e1 m\u00edsta, mezi n\u011b\u017e spad\u00e1 mno\u017estv\u00ed krok\u016f, kter\u00e9 volaj\u00edc\u00ed mus\u00ed pro aktivaci prov\u00e9st, \u0161patn\u00e9 pokryt\u00ed sign\u00e1lem v n\u011bkter\u00fdch oblastech a tak\u00e9 n\u00edzk\u00fd z\u00e1jem o technologii ze strany oper\u00e1tor\u016f zejm\u00e9na kv\u016fli neo\u010dek\u00e1v\u00e1n\u00ed p\u0159\u00ednosn\u00fdch informac\u00ed z videa. Nedo\u0159e\u0161enou oblast tvo\u0159\u00ed legislativn\u00ed ukotven\u00ed videop\u0159enos\u016f, kter\u00e9 nejsou nahr\u00e1v\u00e1ny ani zaznamen\u00e1v\u00e1ny. Na z\u00e1klad\u011b anal\u00fdzy z\u00edskan\u00fdch dat byly navr\u017eeny \u00fapravy syst\u00e9m\u016f funkce, kter\u00e9 byly p\u0159edlo\u017eeny k vyj\u00e1d\u0159en\u00ed pracovn\u00edk\u016fm ZOS. Hodnocen\u00ed zm\u011bn prob\u011bhlo formou strukturovan\u00fdch dotazn\u00edk\u016f. Z nich vyplynula pot\u0159eba oper\u00e1tor\u016f roz\u0161\u00ed\u0159it pov\u011bdom\u00ed o benefitech funkce, pot\u0159eba dal\u0161\u00ed edukace a vytvo\u0159en\u00ed prostoru pro sd\u00edlen\u00ed zku\u0161enost\u00ed v r\u00e1mci \u010cR i zahrani\u010d\u00ed. D\u00e1le je t\u0159eba redukovat jednotliv\u00e9 kroky, tedy zv\u00e1\u017eit mo\u017enost automatick\u00e9ho spu\u0161t\u011bn\u00ed hlasit\u00e9ho odposlechu a povolen\u00ed p\u0159\u00edstupu k fotoapar\u00e1tu ji\u017e p\u0159i spu\u0161t\u011bn\u00ed videop\u0159enosu. V neposledn\u00ed \u0159ad\u011b je t\u0159eba zd\u016fraznit pot\u0159ebu legislativn\u00edch \u00faprav v t\u00e9to oblasti pro zaji\u0161t\u011bn\u00ed bezpe\u010dn\u00e9ho prost\u0159ed\u00ed na stran\u011b oper\u00e1tora i volaj\u00edc\u00edho.<\/p>\n<p><b>Kl\u00ed\u010dov\u00e1 slova: <\/b>videop\u0159enos \u2013 zdravotnick\u00e9 opera\u010dn\u00ed st\u0159edisko \u2013 telefonicky asistovan\u00e1 neodkladn\u00e1 resuscitace<\/p>\n<p><b>Abstract <\/b><\/p>\n<p>The frequency of use of the video call function in the Czech Republic is very low compared to foreign countries. Pilot inquiry concentrated on the use of video call from mobile applications for summoning help by medical operation centres in the Czech Republic [1] has shown that the frequency of activation of the function is in the order of units of attempts to make a video call in a whole year. Compared to Norway, where video calls account for up to 10 % of all emergency calls, is it very low and other problems have been identified, too. These include number of steps callers have to take to activate the funciton, poor signal coverage in some areas, low interest in the technology from dispatchers, especially for not expecting beneficial information from video. Area which hasn\u00b4t been solved yet is the legislatition as video calls are not recorded or archived. Based on the analysis of the collected data, modifications to the systems functionality were proposed and submitted to the dispatchers for comments. The evaluation of the changes was carried out in the form of structured questionnaires, which revealed the need of dispatcehrs to expand their awareness of the benefits of the function, further education and establishing a space for sharing experience within the Czech Republic and foreign countries. Furthermore, there is a need to reduce the steps needed, i.e. to consider the possibility of automatically triggering the speakerphone and allowing access to the camera already when starting the video call. Last but not least, it is necessary to point out the need for legislative changes in this area to ensure a safe environment on the side of the dispatcher and the caller, too.<\/p>\n<p><b>Key words: <\/b>Video call \u2013 medical dispatch center \u2013 telephone-assisted cardiopulmonary resuscitation<\/p>\n<h6><b>KONCEPT DOD\u00c1VKY KYSL\u00cdKU \u2013 FYZIOLOGICK\u00dd Z\u00c1KLAD L\u00c9\u010cBY KRITICK\u00ddCH STAV\u016e<\/b><\/h6>\n<p><b>THE CONCEPT OF OXYGEN DELIVERY \u2013 THE PHYSIOLOGICAL BASIS OF THE TREATMENT OF CRITICAL CONDITIONS<\/b><\/p>\n<p><b>Vladim\u00edr \u010cern\u00fd, David Astapenko, David \u0158eh\u00e1k<\/b><\/p>\n<p><b>Abstrakt <\/b><\/p>\n<p>Klinick\u00e1 fyziologie dod\u00e1vky kysl\u00edku je jednou z fundament\u00e1ln\u00edch kamen\u016f akutn\u00edch obor\u016f. Jej\u00ed porozum\u011bn\u00ed je z\u00e1sadn\u00ed pro z\u00edsk\u00e1n\u00ed spr\u00e1vn\u00fdch n\u00e1vyk\u016f v diferenci\u00e1ln\u00ed diagnostice i v terapii akutn\u00edch stav\u016f. \u010cl\u00e1nek je prvn\u00edm z pl\u00e1novan\u00e9 s\u00e9rie, kter\u00e1 si klade za c\u00edl stru\u010dn\u011b a v\u00fdsti\u017en\u011b popsat klinickou fyziologii org\u00e1nov\u00fdch syst\u00e9m\u016f s vyu\u017eit\u00edm origin\u00e1ln\u00edch infografik.<\/p>\n<p><b>Kl\u00ed\u010dov\u00e1 slova: <\/b>dod\u00e1vka kysl\u00edku \u2013 ob\u011bh \u2013 srdce \u2013 tekutinov\u00e1 terapie \u2013 vazopresor<\/p>\n<p><b>Abstract <\/b><\/p>\n<p>The clinical physiology of oxygen delivery is one of the cornerstones in the field of acute medicine. Its understanding is essential for acquiring the right habits in differential diagnosis and in the therapy of acute conditions. The article is the first of a planned series that aims to concisely describe the clinical physiology of organ systems using original infographics.<br \/>\n<b>Key words: <\/b>oxygen delivery \u2013 circulation \u2013 heart \u2013 fluid therapy \u2013 vasopressor<\/p>\n<h6><b>ANAL\u00ddZA KARDIOPULMON\u00c1LN\u00cd RESUSCITACE ZA POU\u017dIT\u00cd PROGRAMU CODE-STAT V R\u00c1MCI Z\u00c1CHRANN\u00c9 SLU\u017dBY<\/b><\/h6>\n<p><b>CARDIOPULMONARY RESUSCITATION ANYLYSIS USING CODE-STAT PROGRAM IN EMERGENCY MEDICAL SERVICE<\/b><\/p>\n<p><b>Viktor Gawlik, Lucie Bokov\u00e1<\/b><\/p>\n<p><b>Abstrakt <\/b><\/p>\n<p>V na\u0161em sd\u011blen\u00ed p\u0159edstavujeme pou\u017eit\u00ed programu CODE-STAT pro rozbor a hodnocen\u00ed prob\u011bhl\u00fdch KPR v r\u00e1mci p\u0159ednemocni\u010dn\u00ed p\u00e9\u010de Zdravotnick\u00e9 z\u00e1chrann\u00e9 slu\u017eby Libereck\u00e9ho kraje. S pomoc\u00ed programu jsme schopni analyzovat z\u00e1sahy a poskytovat zp\u011btnou vazbu o pr\u016fb\u011bhu l\u00e9ka\u0159\u016fm i zdravotnick\u00fdm z\u00e1chran\u00e1\u0159\u016fm. Data, kter\u00e1 b\u011bhem v\u00fdjezdu zaznamen\u00e1v\u00e1 monitor Lifepak 15 jsou na d\u00e1lku p\u0159enesen\u00e1 do po\u010d\u00edta\u010de, kde software umo\u017enuje na \u010dasov\u00e9 ose rozebrat jednotliv\u00e9 aspekty z\u00e1sahu jako jsou k\u0159ivka EKG, kapnografie, saturace kysl\u00edkem i dal\u0161\u00ed nem\u011b\u0159en\u00e9 hodnoty. Z\u00edskan\u00e1 data lze tak\u00e9 velice dob\u0159e pou\u017e\u00edt v r\u00e1mci v\u00fduky KPR.<\/p>\n<p><b>Kl\u00ed\u010dov\u00e1 slova: <\/b>kardiopulmon\u00e1ln\u00ed resuscitace (KPR) \u2013 zp\u011btn\u00e1 vazba \u2013 vzd\u011bl\u00e1v\u00e1n\u00ed<br \/>\nv p\u0159ednemocni\u010dn\u00ed neodkladn\u00e9 p\u00e9\u010di<\/p>\n<p><b>Abstract <\/b><\/p>\n<p>In our communication, we present the use of the CODE-STAT program for the analysis and evaluation of the performed CPR within the framework of pre-hospital care of the Emergency Medical Service of the Liberec Region. With the help of the program, we can analyze the interventions and provide feedback to doctors and paramedics. The data recorded by the Lifepak 15 monitor during EMS run are remotely transferred to a computer, where the software enables the analysis of individual aspects of the intervention on the timeline, such as the ECG curve, capnography, oxygen saturation and other unmeasured values. The obtained data can also be very well used in CPR teaching.<br \/>\n<b>Key words: <\/b>cardiopulmonary resuscitation (CPR) \u2013 feedback \u2013 education in prehospital emergency care<\/p>\n<h6><b>JAZYKOV\u00c1 BARI\u00c9RA P\u0158I POSKYTOV\u00c1N\u00cd P\u0158EDNEMOCNI\u010cN\u00cd NEODKLADN\u00c9 P\u00c9\u010cE<\/b><\/h6>\n<p><b>LANGUAGE BARRIER IN PRE-HOSPITAL EMERGENCY CARE<\/b><\/p>\n<p><b>Jaroslav Pekara, Eva \u010ci\u017em\u00e1rov\u00e1<\/b><\/p>\n<p><b>Abstrakt <\/b><\/p>\n<p>T\u00e9matem sd\u011blen\u00ed je jazykov\u00e1 bari\u00e9ra p\u0159i poskytov\u00e1n\u00ed p\u0159ednemocni\u010dn\u00ed neodkladn\u00e9 p\u00e9\u010de. Provedli jsme kvantitativn\u00ed dotazn\u00edkov\u00e9 \u0161et\u0159en\u00ed (n=104) s c\u00edlem zjistit, s jak\u00fdmi cizinci se pracovn\u00edci zdravotnick\u00e9 z\u00e1chrann\u00e9 slu\u017eby setk\u00e1vaj\u00ed nej\u010dast\u011bji a s jak\u00fdmi ciz\u00edmi jazyky sami hovo\u0159\u00ed. Na\u0161i respondenti se nej\u010dast\u011bji setk\u00e1vaj\u00ed s Ukrajinci a nejb\u011b\u017en\u011bj\u0161\u00edm ciz\u00edm jazykem respondent\u016f je angli\u010dtina. D\u00edl\u010d\u00edm c\u00edlem bylo zjistit, jak\u00fdm zp\u016fsobem p\u0159istupuje management zdravotnick\u00e9 z\u00e1chrann\u00e9 slu\u017eby k ot\u00e1zce komunikace s pacienty jin\u00fdch n\u00e1rodnost\u00ed. V\u00fdsledky pr\u016fzkumn\u00e9ho \u0161et\u0159en\u00ed pouk\u00e1zaly na to, \u017ee se management zdravotnick\u00e9 z\u00e1chrann\u00e9 slu\u017eby sna\u017e\u00ed sv\u00fdm zam\u011bstnanc\u016fm pomoci (ti\u0161t\u011bn\u00e9 materi\u00e1ly, komunika\u010dn\u00ed karty a telefonick\u00e9 tlumo\u010den\u00ed). Z\u00e1sadn\u00edm v\u00fdsledkem pr\u016fzkumu bylo zji\u0161t\u011bn\u00ed, \u017ee zp\u016fsoby p\u0159ekon\u00e1v\u00e1n\u00ed jazykov\u00e9 bari\u00e9ry nejsou pracovn\u00edky v p\u0159ednemocni\u010dn\u00ed neodkladn\u00e9 p\u00e9\u010di pln\u011b vyu\u017e\u00edv\u00e1ny.<\/p>\n<p><b>Kl\u00ed\u010dov\u00e1 slova: <\/b>cizinci \u2013 jazykov\u00e1 bari\u00e9ra \u2013 komunikace \u2013 p\u0159ednemocni\u010dn\u00ed neodkladn\u00e1 p\u00e9\u010de<\/p>\n<p><b>Abstract <\/b><\/p>\n<p>Language barrier in the provision of pre-hospital emergency care is the topic of the presented paper. We provided a quantitative survey (questionnaire survey; n=104) to determine which foreigners emergency medical service personnel encounter most frequently and what foreign languages they themselves speak. Our respondents most frequently encounter Ukrainians and the most common foreign language of respondents is English. The secondary goal of the study was to find out how the management of the ambulance service approaches the issue of communication with patients of other nationalities. The results of the survey indicated that the management of the ambulance service tries to help its staff (printed materials, communication cards and telephone interpretation). A crucial result of the survey was the finding that ways of overcoming the language barrier are not fully used by the staff in the pre-hospital emergency care.<br \/>\n<b>Key words: <\/b>foreigners \u2013 language barrier \u2013 communication \u2013 pre-hospital emergency care<\/p>\n","protected":false},"excerpt":{"rendered":"<p>\u00daVOD Obsah \u00davodn\u00ed slovo \u2013 Jana \u0160eblov\u00e1 URGENTN\u00cd P\u0158\u00cdJMY Pacient s hore\u010dkou a exant\u00e9mem na urgentn\u00edm p\u0159\u00edjmu \u2013 Robin \u0160\u00edn, Dalibor Sedl\u00e1\u010dek ORGANIZACE A \u0158\u00cdZEN\u00cd SYST\u00c9M\u016e N\u00e1vrh \u00faprav pro zlep\u0161en\u00ed vyu\u017eitelnosti funkce videop\u0159enosu na zdravotnick\u00e1 opera\u010dn\u00ed st\u0159ediska \u2013 Gabriela Divi\u0161kov\u00e1,<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[37],"tags":[],"class_list":["post-1317","post","type-post","status-publish","format-standard","hentry","category-rocnik-2023"],"_links":{"self":[{"href":"https:\/\/urgentnimedicina.cz\/index.php?rest_route=\/wp\/v2\/posts\/1317","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=1317"}],"version-history":[{"count":4,"href":"https:\/\/urgentnimedicina.cz\/index.php?rest_route=\/wp\/v2\/posts\/1317\/revisions"}],"predecessor-version":[{"id":1333,"href":"https:\/\/urgentnimedicina.cz\/index.php?rest_route=\/wp\/v2\/posts\/1317\/revisions\/1333"}],"wp:attachment":[{"href":"https:\/\/urgentnimedicina.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=1317"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/urgentnimedicina.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=1317"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/urgentnimedicina.cz\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=1317"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}