{"id":662,"date":"2014-10-14T09:07:28","date_gmt":"2014-10-14T07:07:28","guid":{"rendered":"http:\/\/urgentnimedicina.cz\/?p=662"},"modified":"2014-10-14T09:22:20","modified_gmt":"2014-10-14T07:22:20","slug":"obsah-12014","status":"publish","type":"post","link":"https:\/\/urgentnimedicina.cz\/?p=662","title":{"rendered":"Obsah 1\/2014"},"content":{"rendered":"
\u00a0 \u00a0 \u00a0\u00daVOD<\/span><\/h6>\n

\u00davodn\u00ed slovo<\/h4>\n

Jana \u0160eblov\u00e1<\/em><\/p>\n

Obsah<\/span><\/h4>\n
\u00a0 \u00a0 \u00a0KONCEPCE, \u0158\u00cdZEN\u00cd, ORGANIZACE<\/span><\/h6>\n

Adaptace zdravotnick\u00e9ho z\u00e1chran\u00e1\u0159e p\u0159i n\u00e1stupu do zam\u011bstn\u00e1n\u00ed u ZZS Karlovarsk\u00e9ho kraje<\/h4>\n

Robin \u0160\u00edn, Pavel B\u00f6hm, Milo\u0161 Kuka\u010dka<\/em><\/p>\n

\u00a0Abstrakt<\/strong><\/p>\n

Adaptace nov\u00fdch zam\u011bstnanc\u016f na jejich nov\u00e9m pracovi\u0161ti je podstatnou sou\u010d\u00e1st\u00ed person\u00e1ln\u00edho \u0159\u00edzen\u00ed a v\u00fdznamn\u00fdm prvkem mana\u017eersk\u00fdch \u010dinnost\u00ed a dovednost\u00ed. \u00dasp\u011b\u0161n\u00e9 zvl\u00e1dnut\u00ed adapta\u010dn\u00edho procesu je synergi\u00ed zam\u011bstnavatele a zam\u011bstnance prame\u00adn\u00edc\u00ed z integrace dosavadn\u00edch znalost\u00ed, zku\u0161enost\u00ed, n\u00e1vyk\u016f a vnit\u0159n\u00edch na\u0159\u00edzen\u00ed zam\u011bstnavatele. Ka\u017ed\u00e1 zdravotnick\u00e1 z\u00e1chrann\u00e1 slu\u017eba m\u00e1 sv\u00e1 krajsk\u00e1 specifika a z tohoto d\u016fvodu jsou na nov\u00e9ho zam\u011bstnance kladeny vy\u0161\u0161\u00ed n\u00e1roky na zvl\u00e1dnut\u00ed adaptace na nov\u00e9 pracovn\u00ed m\u00edsto.<\/p>\n

\u010cl\u00e1nek shrnuje adapta\u010dn\u00ed proces jako celek a uv\u00e1d\u00ed parci\u00e1ln\u00ed \u010d\u00e1sti adapta\u010dn\u00edho procesu pou\u017e\u00edvan\u00e9ho ve Zdravotnick\u00e9 z\u00e1chran\u00adn\u00e9 slu\u017eb\u011b Karlovarsk\u00e9ho kraje.<\/p>\n

\u00a0 \u00a0 \u00a0VZD\u011aL\u00c1V\u00c1N\u00cd, ZKU\u0160ENOSTI<\/span><\/h6>\n

Metodick\u00e9 cvi\u010den\u00ed Pra\u017esk\u00e1 155 \u2013 \u00daloha Nemocnice<\/h4>\n

Jaroslav Pekara<\/em><\/p>\n

Abstrakt<\/span><\/strong><\/p>\n

Metodick\u00e1 cvi\u010den\u00ed v\u00fdjezdov\u00fdch skupin zdravotnick\u00fdch z\u00e1chrann\u00fdch slu\u017eeb slou\u017e\u00ed nejen k tr\u00e9ninku dovednost\u00ed p\u0159i mimo\u0159\u00e1dn\u00fdch ud\u00e1lostech nebo p\u0159i komplikovan\u00fdch situac\u00edch. Metodick\u00e9 cvi\u010den\u00ed tak\u00e9 prov\u011b\u0159uje ka\u017edodenn\u00ed pr\u00e1ci v\u00fdjezdov\u00fdch skupin a to pr\u00e1\u00adv\u011b u nejb\u011b\u017en\u011bj\u0161\u00edch \u00fakon\u016f. N\u00e1sleduj\u00edc\u00ed sd\u011blen\u00ed reflektuje standardn\u00ed modelovou ud\u00e1lost, kter\u00e1 byla realizov\u00e1na v r\u00e1mci metodic\u00adk\u00e9ho cvi\u010den\u00ed Pra\u017esk\u00e1 155. Modelov\u00e1 \u00faloha uk\u00e1zala, \u017ee i p\u00e9\u010de o nekomplikovan\u00e9ho pacienta m\u016f\u017ee b\u00fdt prov\u00e1zena nedostatky v komunikaci nebo v z\u00e1pisu zdravotnick\u00e9 dokumentace. Profesion\u00e1ln\u00ed komunikace v\u00fdjezdov\u00fdch skupin je \u010dasto prvn\u00edm dojmem, na z\u00e1klad\u011b kter\u00e9ho pacient hodnot\u00ed pr\u00e1ci zdravotn\u00edk\u016f a odv\u00edj\u00ed se od n\u011bj i n\u00e1sledn\u00e1 d\u016fv\u011bra a spolupr\u00e1ce. Zdravotnick\u00e1 dokumen\u00adtace sou\u010dasn\u011b poskytuje zdravotn\u00edk\u016fm jedinou formu obrany pro p\u0159\u00edpadn\u00e9 reakce na st\u00ed\u017enosti pro neodborn\u00e9 poskytnut\u00ed p\u00e9\u010de.<\/span><\/p>\n

\u0158\u00edzen\u00ed a \u0159idi\u010dsk\u00e9 dovednosti<\/h4>\n

Robert Tomka<\/em><\/p>\n

Abstrakt<\/span><\/strong><\/p>\n

P\u0159\u00edsp\u011bvek analyzuje \u00falohu metodick\u00e9ho cvi\u010den\u00ed Pra\u017esk\u00e1 155, ve kter\u00e9 byly testov\u00e1ny \u0159idi\u010dsk\u00e9 dovednosti \u0159idi\u010d\u016f ze z\u00fa\u010dastn\u011bn\u00fdch zdravotnick\u00fdch z\u00e1chrann\u00fdch slu\u017eeb. C\u00edlem \u00falohy bylo porovn\u00e1n\u00ed reak\u010dn\u00edho \u010dasu a brzdn\u00e9 dr\u00e1hy bez instrukt\u00e1\u017ee a n\u00e1sledn\u011b s in\u00adstrukt\u00e1\u017e\u00ed, kdy do\u0161lo ke zlep\u0161en\u00ed uveden\u00fdch parametr\u016f o 40 %. Autor doporu\u010duje za\u0159azen\u00ed v\u00fdcviku \u0159idi\u010dsk\u00fdch dovednost\u00ed do kurz\u016f \u0159idi\u010d\u016f z\u00e1chran\u00e1\u0159\u016f.<\/span><\/p>\n

Jabloneck\u00e1 Rescue Ski 2014, 23. \u2013 25. 1. 2014 Josef\u016fv D\u016fl v Jizersk\u00fdch hor\u00e1ch \u2013 zimn\u00ed mezin\u00e1rodn\u00ed sout\u011b\u017e profesion\u00e1ln\u00edch z\u00e1chran\u00e1\u0159\u016f<\/h4>\n

Petr Hovorka<\/em><\/p>\n

Abstrakt<\/span><\/strong><\/p>\n

Jabloneck\u00e1 Rescue SKI (d\u00e1le JRS) je tradi\u010dn\u00ed zimn\u00ed mezin\u00e1rodn\u00ed sout\u011b\u017e\u00ed \u010dty\u0159\u010dlenn\u00fdch p\u011b\u0161\u00edch t\u00fdm\u016f z\u00e1chran\u00e1\u0159\u016f-profesion\u00e1l\u016f. Kompetence jsou shodn\u00e9 u RLP i RZP, p\u0159\u00edpadn\u011b jsou up\u0159esn\u011bny u jednotliv\u00fdch \u00fakol\u016f. Sout\u011b\u017e po\u0159\u00e1d\u00e1 ob\u010dansk\u00e9 sdru\u017een\u00ed JRS Me\u00addical. Autor stru\u010dn\u011b popisuje jednotliv\u00e9 odborn\u00e9 \u00falohy sout\u011b\u017ee a jejich ide\u00e1ln\u00ed \u0159e\u0161en\u00ed. Zmi\u0148uje se obecn\u011b o nej\u010dast\u011bj\u0161\u00edch chyb\u00e1ch pos\u00e1dek p\u0159i jejich pln\u011bn\u00ed.<\/span><\/p>\n

\u00a0 \u00a0 \u00a0ODBORN\u00c9 T\u00c9MA L\u00c9KA\u0158SK\u00c9<\/strong><\/span><\/h6>\n

P\u0159ednemocni\u010dn\u00ed resuscitace v Praze v roce 2013<\/h4>\n

Ond\u0159ej Fran\u011bk<\/em><\/p>\n

Abstrakt<\/strong><\/p>\n

V tomto sd\u011blen\u00ed prezentujeme v\u00fdsledky a dal\u0161\u00ed vybran\u00e9 \u00fadaje o p\u0159ednemocni\u010dn\u00edch KPCR v roce 2013 na \u00fazem\u00ed hl. m. Prahy. Sledo\u00adv\u00e1n\u00ed prob\u011bhlo v souladu s doporu\u010den\u00edm Utsteinsk\u00e9ho protokolu. V roce 2013 resuscitovaly v\u00fdjezdov\u00e9 skupiny ZZS HMP na \u00fazem\u00ed hl. m. Prahy celkem 571 pacient\u016f. 241 (42,2 %) bylo p\u0159ed\u00e1no do nemocnice s funk\u010dn\u00edm ob\u011bhem a 96 (16,8 %) p\u0159e\u017eilo p\u0159\u00edhodu s dobr\u00fdm neurologick\u00fdm v\u00fdsledkem. 159 pacient\u016f m\u011blo jako prvn\u00ed zachycen\u00fd rytmus komorovou fibrilaci. 113 z nich bylo p\u0159ed\u00e1\u00adno v nemocnici s funk\u010dn\u00edm ob\u011bhem a 81 (50,9 %) p\u0159e\u017eilo p\u0159\u00edhodu s dobr\u00fdm neurologick\u00fdm v\u00fdsledkem. Z 457 kolaps\u016f, ke kter\u00fdm do\u0161lo p\u0159ed p\u0159\u00edjezdem prvn\u00ed pos\u00e1dky z\u00e1chrann\u00e9 slu\u017eby, byla laick\u00e1 resuscitace poskytnuta v 373 p\u0159\u00edpadech, tj. v 81,6 % p\u0159\u00edpad\u016f.<\/span><\/p>\n

P\u0159ekvapiv\u00e1 p\u0159\u00ed\u010dina bezv\u011bdom\u00ed aneb S\u016fl nad zlato<\/h4>\n

Stanislav Holi\u010dek, Daniel Dvo\u0159\u00e1k, Karel Sochor, Roman \u0160kulec<\/em><\/p>\n

Abstrakt<\/span><\/strong><\/p>\n

Bezv\u011bdom\u00ed p\u0159edstavuje v akutn\u00ed medic\u00edn\u011b \u010dast\u00fd diferenci\u00e1ln\u011b diagnostick\u00fd probl\u00e9m. V\u011bt\u0161inou je zp\u016fsoben\u00e9 n\u011bkolika \u201eb\u011b\u017en\u00fdmi\u201c p\u0159\u00ed\u010dinami. V n\u00e1sleduj\u00edc\u00edm textu je pops\u00e1na m\u00e9n\u011b obvykl\u00e1 p\u0159\u00ed\u010dina t\u011b\u017ek\u00e9 poruchy v\u011bdom\u00ed v d\u016fsledku hyponatr\u00e9mie u psychiatricky nemocn\u00e9ho pacienta. \u010c\u00e1st textu je v\u011bnov\u00e1na diagnostice a p\u0159\u00ed\u010din\u00e1m hyponatr\u00e9mie. D\u016fraz je kladen na terapii a na mo\u017en\u00e9 ne\u017e\u00e1douc\u00ed \u00fa\u010dinky rychl\u00e9 korekce hladiny sod\u00edku. Auto\u0159i poukazuj\u00ed na nutnost \u0161ir\u0161\u00ed diagnostick\u00e9 rozvahy a pot\u0159ebu postupovat systematicky i ve zd\u00e1nliv\u011b p\u0159edem jasn\u00fdch p\u0159\u00edpadech.<\/span><\/p>\n

\u00a0Mezioborov\u00e9 stanovisko k pou\u017e\u00edv\u00e1n\u00ed terapeutick\u00e9 hypotermie u pacient\u016f po z\u00e1stav\u011b ob\u011bhu<\/h4>\n

Vladim\u00edr \u010cern\u00fd, Martin Mat\u011bjovi\u010d, Roman \u0160kulec, Anatolij Truhl\u00e1\u0159<\/em><\/p>\n

\u00a0 \u00a0 \u00a0 DISKUZE, POLEMIKA, N\u00c1ZORY<\/span><\/h6>\n

Money, money, money\u2026 a podivuhodn\u00fd sv\u011bt v\u011bdy<\/h4>\n

Roman \u0160kulec<\/em><\/p>\n

Odpov\u011b\u010f MUDr. \u0160kulcovi<\/h4>\n

Ond\u0159ej Fran\u011bk<\/em><\/p>\n

\u00a0 \u00a0 \u00a0RESUSCITACE \u2013 ZPRAVODAJ \u010cESK\u00c9 RESUSCITA\u010cN\u00cd RADY<\/span><\/h6>\n

Aktuality \u010cesk\u00e9 resuscita\u010dn\u00ed rady<\/h4>\n

Anatolij Truhl\u00e1\u0159, Jana \u0160eblov\u00e1<\/em><\/p>\n

Nejnov\u011bj\u0161\u00ed poznatky a nov\u00e9 n\u00e1zory na terapeutickou hypotermii po srde\u010dn\u00ed z\u00e1stav\u011b<\/span><\/h4>\n

Jarmila Dr\u00e1bkov\u00e1<\/em><\/p>\n

Mezin\u00e1rodn\u00ed studie SEDUCE<\/span><\/h4>\n

Zuzana Sedl\u00e1\u010dkov\u00e1<\/em><\/p>\n

V\u00fduka resuscitace metodou 4 stage approach<\/span><\/h4>\n

Radek Mathauser<\/em><\/p>\n

Abstrakt<\/span><\/strong><\/p>\n

Metoda 4 stage approach je jednou z \u010dasto vyu\u017e\u00edvan\u00fdch metod v\u00fduky praktick\u00fdch dovednost\u00ed zdravotnick\u00e9ho person\u00e1lu nejen v efektivn\u00edm poskytov\u00e1n\u00ed z\u00e1kladn\u00ed a roz\u0161\u00ed\u0159en\u00e9 neodkladn\u00e9 resuscitace, ale rovn\u011b\u017e k praktick\u00e9mu zvl\u00e1dnut\u00ed dal\u0161\u00edch medic\u00ednsk\u00fdch a o\u0161et\u0159ovatelsk\u00fdch v\u00fdkon\u016f. \u010cl\u00e1nek p\u0159in\u00e1\u0161\u00ed stru\u010dn\u00fd p\u0159ehled aktu\u00e1ln\u011b dostupn\u00fdch zdroj\u016f o pou\u017e\u00edvan\u00e9 metodice, kr\u00e1tk\u00e9 vysv\u011btlen\u00ed jej\u00edch jednotliv\u00fdch krok\u016f a autorovu reflexi jej\u00edho pou\u017e\u00edv\u00e1n\u00ed v r\u00e1mci certifikovan\u00fdch kurz\u016f \u010cRR\/ERC.<\/span><\/p>\n

\u00a0 \u00a0 \u00a0INFORMA\u010cN\u00cd SERVIS<\/span><\/h6>\n

Zpr\u00e1vy z v\u00fdboru Spole\u010dnosti urgentn\u00ed medic\u00edny a medic\u00edny katastrof \u010cLS JEP<\/h4>\n

Jana \u0160eblov\u00e1<\/em><\/p>\n","protected":false},"excerpt":{"rendered":"

\u00a0 \u00a0 \u00a0\u00daVOD \u00davodn\u00ed slovo Jana \u0160eblov\u00e1 Obsah \u00a0 \u00a0 \u00a0KONCEPCE, \u0158\u00cdZEN\u00cd, ORGANIZACE Adaptace zdravotnick\u00e9ho z\u00e1chran\u00e1\u0159e p\u0159i n\u00e1stupu do zam\u011bstn\u00e1n\u00ed u ZZS Karlovarsk\u00e9ho kraje Robin \u0160\u00edn, Pavel B\u00f6hm, Milo\u0161 Kuka\u010dka \u00a0Abstrakt Adaptace nov\u00fdch zam\u011bstnanc\u016f na jejich nov\u00e9m pracovi\u0161ti je podstatnou<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[14,13],"tags":[],"class_list":["post-662","post","type-post","status-publish","format-standard","hentry","category-cislo-12014","category-rocnik-2014"],"_links":{"self":[{"href":"https:\/\/urgentnimedicina.cz\/index.php?rest_route=\/wp\/v2\/posts\/662","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=662"}],"version-history":[{"count":0,"href":"https:\/\/urgentnimedicina.cz\/index.php?rest_route=\/wp\/v2\/posts\/662\/revisions"}],"wp:attachment":[{"href":"https:\/\/urgentnimedicina.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=662"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/urgentnimedicina.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=662"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/urgentnimedicina.cz\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=662"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}