{"id":673,"date":"2014-10-14T10:00:40","date_gmt":"2014-10-14T08:00:40","guid":{"rendered":"http:\/\/urgentnimedicina.cz\/?p=673"},"modified":"2014-10-14T10:00:40","modified_gmt":"2014-10-14T08:00:40","slug":"obsah-32014","status":"publish","type":"post","link":"https:\/\/urgentnimedicina.cz\/?p=673","title":{"rendered":"Obsah 3\/2014"},"content":{"rendered":"
\u00a0 \u00a0 \u00a0\u00daVOD<\/span><\/h6>\n

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

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

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

London Ambulance Service a olympijsk\u00e9 a paralympijsk\u00e9 hry v Lond\u00fdn\u011b v roce 2012<\/h4>\n

Jan Bradna, Krist\u00fdna Du\u0161kov\u00e1<\/em><\/p>\n

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

V listopadu 2012 prob\u011bhl v Bene\u0161ov\u011b 3. ro\u010dn\u00edk \u010desko-slovensk\u00e9ho kongresu Opera\u010dn\u00ed \u0159\u00edzen\u00ed ve zdravotnictv\u00ed, na kter\u00e9m vystoupil jako host Paul Tattam, tehdej\u0161\u00ed projektov\u00fd mana\u017eer opera\u010dn\u00edho st\u0159ediska London Ambulance Service. V prvn\u00ed ze sv\u00fdch dvou p\u0159edn\u00e1\u0161ek p\u0159edstavil \u010dinnost a p\u0159edev\u0161\u00edm opera\u010dn\u00ed \u0159\u00edzen\u00ed t\u00e9to nejv\u011bt\u0161\u00ed britsk\u00e9 z\u00e1chrann\u00e9 slu\u017eby, ve druh\u00e9 shrnul p\u0159\u00edpravy a zaji\u0161\u00adt\u011bn\u00ed olympijsk\u00fdch a paralympijsk\u00fdch her v Lond\u00fdn\u011b 2012. S laskav\u00fdm svolen\u00edm autora p\u0159in\u00e1\u0161\u00edme souhrn nejd\u016fle\u017eit\u011bj\u0161\u00edch informa\u00adc\u00ed z p\u0159edn\u00e1\u0161ek a n\u00e1sledn\u00e9 bohat\u00e9 diskuse.<\/span><\/p>\n

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

V\u0161erusk\u00e9 centrum extr\u00e9mn\u00ed a radia\u010dn\u00ed medic\u00edny<\/h4>\n

Leo\u0161 Navr\u00e1til, Jaroslav Racek, Gustav \u0160afr, Emil Pavl\u00edk<\/em><\/p>\n

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

Usnesen\u00edm vl\u00e1dy \u010cR ze dne 23. \u0159\u00edjna 2013 \u010d. 805 byla schv\u00e1lena Koncepce ochrany obyvatelstva do roku 2020 s v\u00fdhledem do roku 2030. D\u016fraz je v n\u00ed kladen i na rozvoj kritick\u00e9 infrastruktury, ve kter\u00e9 zdravotnick\u00e1 p\u00e9\u010de hraje v\u00fdznamnou roli. P\u0159itom problemati\u00adka p\u0159\u00edpravy zdravotnick\u00fdch za\u0159\u00edzen\u00ed i cel\u00e9ho sektoru v oblasti medic\u00edny katastrof je v \u010cesk\u00e9 republice dlouhodob\u011b podce\u0148ov\u00e1na. Nen\u00ed mo\u017en\u00e9 vylou\u010dit rozs\u00e1hl\u00e9 pr\u016fmyslov\u00e9 nebo dopravn\u00ed hav\u00e1rie, p\u0159\u00edpadn\u011b teroristick\u00fd \u00fatok, kter\u00e9 mohou ohrozit zna\u010dn\u00fd po\u010det obyvatelstva. Chyb\u00ed centr\u00e1ln\u00ed pracovi\u0161t\u011b, kter\u00e9 by danou oblast komplexn\u011b zabezpe\u010dovalo, bylo p\u0159ipraveno v kritick\u00fdch situac\u00edch zajistit pot\u0159ebnou l\u00e9ka\u0159skou p\u00e9\u010di, bylo zodpov\u011bdn\u00e9 za odbornou p\u0159\u00edpravu zdravotn\u00edk\u016f a bylo schopn\u00e9 \u0159e\u0161it a koordinovat v\u011bdec\u00adko-v\u00fdzkumnou \u010dinnost. \u010cl\u00e1nek seznamuje \u010dten\u00e1\u0159e s V\u0161erusk\u00fdm centrem extr\u00e9mn\u00ed a radia\u010dn\u00ed medic\u00edny A. M. Nikoforova v Sankt Petersburgu, kter\u00e9 tyto \u00fakoly zabezpe\u010duje pro celou Ruskou federaci. Pozornost autor\u016f byla zam\u011b\u0159ena p\u0159edev\u0161\u00edm na vybaven\u00ed a odborn\u00e9 zam\u011b\u0159en\u00ed vybran\u00fdch kl\u00ed\u010dov\u00fdch pracovi\u0161\u0165 tohoto institutu.<\/p>\n

P\u0159ehled poskytovan\u00e9 zdravotn\u00ed p\u00e9\u010de v pr\u016fb\u011bhu demonstrac\u00ed v Kyjev\u011b<\/h4>\n

Patrik Christian Cmorej, Robert Babe\u013ea<\/em><\/p>\n

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

Kyjev se stal m\u00edstem dlouhodob\u011b trvaj\u00edc\u00edch demonstrac\u00ed, jejich\u017e iniciac\u00ed bylo pozastaven\u00ed p\u0159\u00edpravy pro podpis asocia\u010dn\u00ed dohody Ukrajiny s Evropskou uni\u00ed. Zpo\u010d\u00e1tku nepo\u010detn\u00e9 demonstrace p\u0159erostly v obrovsk\u00e9 ob\u010dansk\u00e9 nepokoje zn\u00e1m\u00e9 pod pojmem Euro\u00admajdan. Demonstrace si vy\u017e\u00e1daly v\u00edce ne\u017e sto ob\u011bt\u00ed p\u0159ev\u00e1\u017en\u011b z \u0159ad aktivist\u016f a stovky zran\u011bn\u00fdch. Zdravotn\u00edci z \u010cesk\u00e9 republiky p\u0159ijali k l\u00e9\u010db\u011b v \u010desk\u00fdch nemocnic\u00edch 38 zran\u011bn\u00fdch demonstrant\u016f. Na m\u00edst\u011b ud\u00e1lost\u00ed bezprost\u0159edn\u011b po \u00fanorov\u00fdch nejkrvav\u011bj\u0161\u00edch st\u0159etech p\u016fsobil zdravotnick\u00fd t\u00fdm \u010clov\u011bka v t\u00edsni.<\/p>\n

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

Specifick\u00e9 aspekty p\u00e9\u010de o star\u0161\u00ed pacienty<\/h4>\n

Iva Holmerov\u00e1, Michaela Baumanov\u00e1, Kl\u00e1ra Sta\u0148kov\u00e1, Michal \u0160teffl, Hana Va\u0148kov\u00e1<\/em><\/p>\n

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

Demografick\u00e9 zm\u011bny p\u0159in\u00e1\u0161ej\u00ed st\u00e1rnut\u00ed populace, zejm\u00e9na pak st\u00e1rnut\u00ed star\u00e9 populace a tak\u00e9 zv\u00fd\u0161en\u00ed procenta lid\u00ed s chronick\u00fdm onemocn\u011bn\u00edm a zdravotn\u00edm posti\u017een\u00edm. Kladou tak zm\u011bn\u011bn\u00e9 n\u00e1roky na v\u0161echny segmenty zdravotn\u00ed p\u00e9\u010de v\u010detn\u011b urgentn\u00ed me\u00addic\u00edny. L\u00e9ka\u0159i se \u010dast\u011bji setk\u00e1vaj\u00ed s geriatrick\u00fdmi syndromy, zejm\u00e9na se syndromem frailty a s kognitivn\u00edmi poruchami. Dal\u0161\u00ed v\u00fd\u00adznamnou skupinu p\u0159edstavuj\u00ed pacienti v termin\u00e1ln\u00edch stadi\u00edch nevyl\u00e9\u010diteln\u00fdch onemocn\u011bn\u00ed. Specifick\u00e9 pot\u0159eby t\u011bchto skupin pacient\u016f jsou ilustrov\u00e1ny recentn\u00edmi kasuistikami.<\/p>\n

Synchronizovan\u00e1 kardioverze v p\u0159ednemocni\u010dn\u00ed neodkladn\u00e9 p\u00e9\u010di<\/h4>\n

Jana Vidunov\u00e1, Robin \u0160\u00edn<\/em><\/p>\n

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

Synchronizovan\u00e1 kardioverze je l\u00e9\u010debn\u00e1 metoda u\u017e\u00edvan\u00e1 k p\u0159eru\u0161en\u00ed n\u011bkter\u00fdch typ\u016f srde\u010dn\u00edch dysrytmi\u00ed. Jde o jednu z metod elektroimpulsoterapie. V nemocni\u010dn\u00ed p\u00e9\u010di je u\u017e\u00edv\u00e1na na jednotk\u00e1ch intenzivn\u00ed p\u00e9\u010de zejm\u00e9na intern\u00edch obor\u016f pom\u011brn\u011b rutinn\u011b. V p\u0159ednemocni\u010dn\u00ed neodkladn\u00e9 p\u00e9\u010di je jej\u00ed u\u017eit\u00ed m\u00e9n\u011b \u010dast\u00e9. Sd\u011blen\u00ed popisuje kazuistiku dev\u011btapades\u00e1tilet\u00e9ho pacienta s hemody\u00adnamicky v\u00fdznamnou komorovou tachykardi\u00ed, kter\u00e1 byla \u00fasp\u011b\u0161n\u011b \u0159e\u0161ena synchronizovanou kardioverz\u00ed.<\/p>\n

\u017divot ohrozuj\u00face stavy v tehotenstve \u2013 \u010das\u0165 II. \u2013 Komplik\u00e1cie gravidity, zastavenie obehu u tehotnej a KPR<\/h4>\n

Andrea Smolkov\u00e1<\/em><\/p>\n

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

S \u017eivot ohrozuj\u00facimi stavmi u tehotnej sa lek\u00e1r prednemocni\u010dnej zdravotnej starostlivosti nestretne vo svojej pr\u00e1ci \u010dasto a preto \u0165a\u017eko z\u00edskava a udr\u017eiava svoje zru\u010dnosti v praxi. Tak\u00e1to situ\u00e1cia v\u0161ak m\u00f4\u017ee nasta\u0165 a mus\u00edme by\u0165 na \u0148u pripraven\u00ed. Pokia\u013e sa vyvi\u00adnie ak\u00fatny stav, z\u00e1va\u017en\u00e1 komplik\u00e1cia gravidity, pr\u00edpadne zastavenie obehu v tehotenstve, je nevyhnutn\u00fd okam\u017eit\u00fd zmyslupln\u00fd koordinovan\u00fd z\u00e1sah, ktor\u00fd je n\u00e1ro\u010dn\u00fd na zoh\u013eadnenie zmien, ku ktor\u00fdm doch\u00e1dza fyziologicky v gravidite, ale aj na koordin\u00e1ciu a \u201egeneralistick\u00fd\u201c pr\u00edstup, ke\u010f\u017ee sa jedn\u00e1 o \u017eivot a zdravie dospelej tehotnej \u017eeny a jej plodu. Dobrou podmienkou pripravenosti na tak\u00fdto z\u00e1sah je poznanie zmien, ku ktor\u00fdm doch\u00e1dza v tehotenstve fyziologicky (detailnej\u0161ie sme sa im venovali v prvej \u010dasti n\u00e1\u0161ho pr\u00edspevku v minulom \u010d\u00edsle \u010dasopisu) a z\u00e1rove\u0148 poznanie a rozpoznanie mo\u017en\u00fdch komplik\u00e1ci\u00ed gravidity, ktor\u00e9 m\u00f4\u017eu vy\u00fasti\u0165 do zastavenia obehu. Okrem stavov, ktor\u00e9 s\u00fa \u0161pecifick\u00e9 pre obdobie gravidity, m\u00f4\u017ee sa tehotn\u00e1 \u017eena ocitn\u00fa\u0165 v situ\u00e1ci\u00ed, ktor\u00e1 s graviditou v\u00f4bec nes\u00favis\u00ed (traumy, intoxik\u00e1cie at\u010f), ale priebeh z\u00e1sahu je komplikovan\u00fd pr\u00e1ve graviditou.<\/p>\n

S\u00fa\u0165a\u017en\u00e1 \u00faloha Lazaret na Rallye Rejv\u00edz 2013<\/h4>\n

Andrea Smolkov\u00e1<\/em><\/p>\n

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

Na medzin\u00e1rodnej s\u00fa\u0165a\u017ei Rallye Rejv\u00edz je ka\u017edoro\u010dnou \u201epovinnou jazdou\u201c s\u00fa\u0165a\u017en\u00e1 \u00faloha v KPR. V roku 2013 autorka pr\u00edspevku ako garant \u00falohy pripravila KPR u tehotnej, kde do\u0161lo k zastaveniu obehu n\u00e1sledkom eklamptick\u00fdch k\u0155\u010dov. Autorka analyzuje a porovn\u00e1va v\u00fdsledky s\u00fa\u0165a\u017en\u00fdch pos\u00e1dok medikov (8 pos\u00e1dok MUC) a medzin\u00e1rodn\u00fdch paramedick\u00fdch pos\u00e1dok bez lek\u00e1ra (PARA \u2013 22) a s lek\u00e1rom (PHYS \u2013 8). Anal\u00fdza je zalo\u017een\u00e1 na vyhodnoten\u00ed hodnotiacej tabu\u013eky a vlastn\u00fdch postrehov, ktor\u00e9 zazna\u00admenala ako rozhodky\u0148a po\u010das s\u00fa\u0165a\u017ee.<\/p>\n

Virov\u00e1 hemoragick\u00e1 hore\u010dka Ebola v podm\u00ednk\u00e1ch p\u0159ednemocni\u010dn\u00ed neodkladn\u00e9 p\u00e9\u010de<\/h4>\n

Patrik Christian Cmorej, Robert Babe\u013ea, Richard Didi\u010d, Miroslava Cmorej Kuklov\u00e1<\/em><\/p>\n

Absktrakt<\/strong><\/p>\n

P\u0159ipravenost zdravotnick\u00fdch z\u00e1chrann\u00fdch slu\u017eeb poskytovat p\u0159ednemocni\u010dn\u00ed neodkladnou p\u00e9\u010di u pacient\u016f podez\u0159el\u00fdch z one\u00admocn\u011bn\u00ed vysoce virulentn\u00ed n\u00e1kazou je novodobou v\u00fdzvou. Sou\u010dasn\u00e1 epidemie Eboly v z\u00e1padn\u00ed Africe vede k nutnosti o\u017eiven\u00ed po\u00adstup\u016f pos\u00e1dek zdravotnick\u00fdch z\u00e1chrann\u00fdch slu\u017eeb p\u0159i poskytov\u00e1n\u00ed p\u0159ednemocni\u010dn\u00ed neodkladn\u00e9 p\u00e9\u010de u pacienta s podez\u0159en\u00edm na onemocn\u011bn\u00ed vysoce virulentn\u00ed n\u00e1kazou, p\u0159esto\u017ee riziko importace takov\u00e9ho onemocn\u011bn\u00ed je velmi n\u00edzk\u00e9.<\/p>\n

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

Stanovisko k pou\u017e\u00edv\u00e1n\u00ed metod mimot\u011bln\u00ed kardiopulmon\u00e1ln\u00ed resuscitace u dosp\u011bl\u00fdch pacient\u016f s n\u00e1hlou z\u00e1stavou ob\u011bhu<\/h4>\n

Vladim\u00edr \u010cern\u00fd, Eduard Kasal, Roman \u0160kulec, Anatolij Truhl\u00e1\u0159<\/em><\/p>\n

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

Rallye Rejv\u00edz 2014<\/h4>\n

Eva Provazn\u00edkov\u00e1, Marek Dvo\u0159\u00e1k, Jan Gretz<\/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 London Ambulance Service a olympijsk\u00e9 a paralympijsk\u00e9 hry v Lond\u00fdn\u011b v roce 2012 Jan Bradna, Krist\u00fdna Du\u0161kov\u00e1 Abstrakt V listopadu 2012 prob\u011bhl v Bene\u0161ov\u011b 3. ro\u010dn\u00edk \u010desko-slovensk\u00e9ho<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[27,13],"tags":[],"class_list":["post-673","post","type-post","status-publish","format-standard","hentry","category-cislo-32014","category-rocnik-2014"],"_links":{"self":[{"href":"https:\/\/urgentnimedicina.cz\/index.php?rest_route=\/wp\/v2\/posts\/673","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=673"}],"version-history":[{"count":0,"href":"https:\/\/urgentnimedicina.cz\/index.php?rest_route=\/wp\/v2\/posts\/673\/revisions"}],"wp:attachment":[{"href":"https:\/\/urgentnimedicina.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=673"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/urgentnimedicina.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=673"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/urgentnimedicina.cz\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=673"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}