{"id":738,"date":"2016-02-03T16:13:13","date_gmt":"2016-02-03T14:13:13","guid":{"rendered":"http:\/\/urgentnimedicina.cz\/?p=738"},"modified":"2016-02-03T16:19:57","modified_gmt":"2016-02-03T14:19:57","slug":"obsah-42015","status":"publish","type":"post","link":"https:\/\/urgentnimedicina.cz\/?p=738","title":{"rendered":"Obsah 4\/2015"},"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

Evakuace nemocnice \u2013 je n\u011bkdo skute\u010dn\u011b p\u0159ipraven?<\/h4>\n

Pavel Urb\u00e1nek, Anton\u00edn Koukal, Martin Dole\u010dek<\/em><\/p>\n

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

Krizov\u00e1 p\u0159ipravenost zdravotnictv\u00ed je vn\u00edm\u00e1na jako schopnost poskytovatel\u016f zdravotnick\u00fdch slu\u017eeb a zdravotnick\u00fdch za\u0159\u00edzen\u00ed poskytovat nezbytnou zdravotn\u00ed p\u00e9\u010di obyvatelstvu za krizov\u00fdch stav\u016f a za mimo\u0159\u00e1dn\u00fdch ud\u00e1lost\u00ed, a to v odpov\u00eddaj\u00edc\u00ed kvalit\u011b p\u0159ipraven\u00fdmi a odborn\u011b zp\u016fsobil\u00fdmi pracovn\u00edky. Aby tomu tak bylo, mus\u00ed ka\u017ed\u00e9 zdravotnick\u00e9 za\u0159\u00edzen\u00ed zpracovat traumatologick\u00fd pl\u00e1n, evakua\u010dn\u00ed pl\u00e1n a dal\u0161\u00ed krizov\u00e9 sc\u00e9n\u00e1\u0159e, se kter\u00fdmi je nutn\u00e9 sezn\u00e1mit zam\u011bstnance, nejl\u00e9pe formou \u0161kolen\u00ed a n\u00e1sledn\u00fdch praktick\u00fdch n\u00e1cvik\u016f, kdy ov\u011b\u0159\u00edme jejich proveditelnost a odhal\u00edme nedostatky. Auto\u0159i se m\u011bli mo\u017enost sezn\u00e1mit s mnoha podobami evakua\u010dn\u00edch pl\u00e1n\u016f zdravotnick\u00fdch za\u0159\u00edzen\u00ed a ob\u00e1vaj\u00ed se, \u017ee p\u0159\u00edprava na evakuaci je velice hrub\u011b podce\u0148ov\u00e1na, evakua\u010dn\u00ed pl\u00e1ny mnohdy neprovediteln\u00e9 a p\u0159edev\u0161\u00edm neov\u011b\u0159en\u00e9. Tento sv\u016fj n\u00e1zor v n\u00e1sleduj\u00edc\u00edm textu podrobn\u011bji rozeb\u00edraj\u00ed.<\/p>\n

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

Advanced trauma life support (ATLS\u00ae) kurz \u2013 pro\u010d absolvovat?<\/h4>\n

Jarom\u00edr Ko\u010d\u00ed<\/em><\/p>\n

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

\u010cl\u00e1nek p\u0159edstavuje kurz Advanced trauma life support (ATLS\u00ae) a jeho zaveden\u00ed v \u010cesk\u00e9 republice. Kurz je zalo\u017een na standardizaci postupu p\u0159i p\u00e9\u010di o pacienty se z\u00e1va\u017en\u00fdm \u00farazem a informace jsou v\u017edy validov\u00e1ny na sou\u010dasnou \u00farove\u0148 medic\u00ednsk\u00e9ho pozn\u00e1n\u00ed ve smyslu medic\u00edny zalo\u017een\u00e9 na d\u016fkazech. Je p\u0159edstavena struktura kurzu a dovednosti a kompetence, kter\u00e9 absolvent kurzu z\u00edsk\u00e1. Kurz je t\u00e9\u017e za\u0159azen do vzd\u011bl\u00e1vac\u00edho programu specializa\u010dn\u00ed zkou\u0161ky v urgentn\u00ed medic\u00edn\u011b.<\/p>\n

\u00daloha Bit\u00fanok na Z\u00e1chrane 2015 v Ko\u0161iciach<\/h4>\n

T\u00e1\u0148a Bul\u00edkov\u00e1<\/em><\/p>\n

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

\u010cl\u00e1nok prin\u00e1\u0161a stru\u010dn\u00fa anal\u00fdzu s\u00fa\u0165a\u017enej \u00falohy \u201eBit\u00fanok\u201c na Z\u00e1chrane 2015 v Ko\u0161iciach.
\nV texte je uveden\u00e9 zadanie s\u00fa\u0165a\u017enej \u00falohy, ciele a spr\u00e1vny postup pos\u00e1dky. Kv\u00f4li zamysleniu autorka samotnej \u00falohy i \u010dl\u00e1nku, pon\u00faka \u010ditate\u013eovi aj menej optim\u00e1lne a nie celkom korektn\u00e9 postupy rie\u0161enia \u00falohy jednotliv\u00fdmi pos\u00e1dkami. S\u00fa\u010das\u0165ou textu je aj stru\u010dn\u00e1 te\u00f3ria toxikol\u00f3gie inhala\u010dn\u00fdch prchav\u00fdch l\u00e1tok (solvenci\u00ed), ich zneu\u017e\u00edvanie, najm\u00e4 v soci\u00e1lne slab\u0161\u00edch skupin\u00e1ch a zdravotn\u00e9 a bezpe\u010dnostn\u00e9 rizik\u00e1.<\/p>\n

San Francisco z poh\u013eadu neodkladnej zdravotnej starostlivosti<\/h4>\n

Marek \u0160ichman<\/em><\/p>\n

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

Syst\u00e9m neodkladnej zdravotnej starostlivosti vo svete m\u00f4\u017eeme rozdeli\u0165 na dva typy. Anglo \u2013 americk\u00fd syst\u00e9m, kde je neodkladn\u00e1 zdravotn\u00e1 starostlivos\u0165 poskytovan\u00e1 nelek\u00e1rskym person\u00e1lom, paramedikmi a franko \u2013 germ\u00e1nsky syst\u00e9m, v ktorom tento typ starostlivosti je poskytovan\u00fd pos\u00e1dkami z\u00e1chrannej zdravotnej slu\u017eby s lek\u00e1rom v kombin\u00e1cii s pos\u00e1dkami bez lek\u00e1ra. Z\u00e1kladn\u00fd syst\u00e9m filozofie oboch odli\u0161n\u00fdch syst\u00e9mov by sa dal zjednodu\u0161ene definova\u0165 ako: Privies\u0165 pacienta k lek\u00e1rovi (anglo \u2013 americk\u00fd) a privies\u0165 lek\u00e1ra k pacientovi (franko \u2013 germ\u00e1nsky). Diskusie o tom, ktor\u00fd syst\u00e9m je lep\u0161\u00ed, s\u00fa \u010dast\u00e9, ale v skuto\u010dnosti je to ot\u00e1zka, na ktor\u00fa nie je mo\u017en\u00e9 jednozna\u010dne odpoveda\u0165. Tento pr\u00edspevok rozober\u00e1 osobn\u00e9 sk\u00fasenosti z\u00edskan\u00e9 v r\u00e1mci st\u00e1\u017ee so vzdel\u00e1van\u00edm zdravotn\u00edckych z\u00e1chran\u00e1rov a s poskytovan\u00edm neodkladnej zdravotnej starostlivosti v Spojen\u00fdch \u0161t\u00e1toch Americk\u00fdch, v \u0161t\u00e1te Kalifornia v meste San Francisco.<\/p>\n

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

Masivn\u00ed transfuzn\u00ed protokol \u2013 indikace a jeho praktick\u00e1 aplikace<\/h4>\n

Jarom\u00edr Ko\u010d\u00ed, Jan Trlica, Petr Lochman, Eva Ko\u010dov\u00e1, Tom\u00e1\u0161 D\u011bdek<\/em><\/p>\n

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

Krv\u00e1cen\u00ed je nej\u010dast\u011bj\u0161\u00ed p\u0159\u00ed\u010dinou odvratiteln\u00e9ho \u00famrt\u00ed u traumatizovan\u00fdch pacient\u016f. V \u010dl\u00e1nku je souhrn sou\u010dasn\u00fdch poznatk\u016f o aplikaci masivn\u00edho transf\u00fazn\u00edho protokolu. V z\u00e1v\u011bru je zm\u00edn\u011bna sou\u010dasn\u00e1 praxe Odd\u011blen\u00ed urgentn\u00ed medic\u00edny FN Hradec Kr\u00e1lov\u00e9.<\/p>\n

Modelov\u00e1n\u00ed kardiovaskul\u00e1rn\u00edho syst\u00e9mu \u2013 \u0159\u00edzen\u00ed a monitorace hemodynamick\u00fdch parametr\u016f<\/h4>\n

Nad\u011bje Havl\u00ed\u010dkov\u00e1, Jan Havl\u00edk<\/em><\/p>\n

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

Kardiovaskul\u00e1rn\u00ed syst\u00e9m je \u017eivotn\u011b d\u016fle\u017eitou org\u00e1novou soustavou zaji\u0161\u0165uj\u00edc\u00ed perfuzi tk\u00e1n\u00ed a org\u00e1n\u016f, do kter\u00fdch dod\u00e1v\u00e1 kysl\u00edk a \u017eiviny a odv\u00e1d\u00ed z nich zplodiny metabolismu. Onemocn\u011bn\u00ed kardiovaskul\u00e1rn\u00edho syst\u00e9mu pat\u0159\u00ed mezi nej\u010dast\u011bj\u0161\u00ed p\u0159\u00ed\u010diny \u00famrt\u00ed a jsou jednou z nejv\u00edce se vyskytuj\u00edc\u00edch zdravotn\u00edch komplikac\u00ed populace. Lep\u0161\u00ed porozum\u011bn\u00ed z\u00e1konitostem chov\u00e1n\u00ed kardiovaskul\u00e1rn\u00edho syst\u00e9mu, zejm\u00e9na vztah\u016fm mezi jednotliv\u00fdmi hemodynamick\u00fdmi parametry, m\u016f\u017ee p\u0159isp\u011bt k zefektivn\u011bn\u00ed diagnostiky i l\u00e9\u010dby kardiovaskul\u00e1rn\u00edch chorob. Modelov\u00e1n\u00ed kardiovaskul\u00e1rn\u00edho syst\u00e9mu je jedn\u00edm z prost\u0159edk\u016f k dosa\u017een\u00ed tohoto c\u00edle. Na modelech kardiovaskul\u00e1rn\u00edho syst\u00e9mu lze prov\u00e1d\u011bt m\u011b\u0159en\u00ed, kter\u00e1 by byla v klinick\u00e9 praxi invazivn\u00edmi \u010di dokonce destruktivn\u00edmi, navozovat r\u016fzn\u00e9 patologick\u00e9 stavy syst\u00e9mu apod., a to v\u0161e bez nutnosti z\u00e1t\u011b\u017ee pacienta. Jednou z podm\u00ednek u\u017eitnosti model\u016f je adekv\u00e1tn\u00ed mo\u017enost jejich \u0159\u00edzen\u00ed, monitorace a anal\u00fdzy. Tento \u010dl\u00e1nek se zab\u00fdv\u00e1 problematikou modelov\u00e1n\u00ed kardiovaskul\u00e1rn\u00edho syst\u00e9mu, zejm\u00e9na pak pr\u00e1v\u011b \u0159\u00edzen\u00edm a monitorac\u00ed hemodynamick\u00fdch parametr\u016f model\u016f kardiovaskul\u00e1rn\u00edho syst\u00e9mu. V \u010dl\u00e1nku je pops\u00e1n syst\u00e9m vytvo\u0159en\u00fd pro monitoraci a anal\u00fdzu hemodynamick\u00fdch parametr\u016f mechanick\u00e9ho modelu kardiovaskul\u00e1rn\u00edho syst\u00e9mu a pro jeho komplexn\u00ed \u0159\u00edzen\u00ed. Syst\u00e9m mimo jin\u00e9 umo\u017e\u0148uje telemetrick\u00fd p\u0159enos vit\u00e1ln\u00edch parametr\u016f z re\u00e1ln\u00e9ho kardiovaskul\u00e1rn\u00edho syst\u00e9mu na mechanick\u00fd model, kter\u00fd tak adaptivn\u011b m\u011bn\u00ed sv\u00e9 chov\u00e1n\u00ed na z\u00e1klad\u011b anal\u00fdzy vit\u00e1ln\u00edch funkc\u00ed monitorovan\u00e9 osoby. \u010cl\u00e1nek popisuje t\u00e9\u017e sou\u010dasn\u011b vyvinut\u00fd matematick\u00fd model kardiovaskul\u00e1rn\u00edho syst\u00e9mu v\u010d. zp\u016fsobu jeho \u0159\u00edzen\u00ed a monitorace.<\/p>\n

Syst\u00e9mov\u00e9 funk\u010dn\u00ed hodnocen\u00ed pr\u00e1ce ZOS<\/h4>\n

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

Pou\u017eitie magnetu u pacientov s ICD pos\u00e1dkami RLP\/RZP<\/h4>\n

T\u00e1\u0148a Bul\u00edkov\u00e1<\/em><\/p>\n

\u00a0 \u00a0 \u00a0ETIKA, PSYCHOLOGIE, PR\u00c1VO<\/span><\/h6>\n

Potreba kognit\u00edvnej \u0161trukt\u00fary z\u00e1chran\u00e1rov v s\u00favislosti s r\u00fdchlos\u0165ou rozhodovania a d\u013a\u017ekou\u00a0praxe<\/h4>\n

Katar\u00edna \u017diakov\u00e1 Ko\u0161\u00edkov\u00e1<\/em><\/p>\n

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

\u0160t\u00fadia sa zaober\u00e1 vz\u0165ahom osobnostn\u00e9ho kon\u0161truktu potreby kognit\u00edvnej \u0161trukt\u00fary s r\u00fdchlos\u0165ou rozhodovania a jej s\u00favislosti s d\u013a\u017ekou praxe. V\u00fdskumu sa z\u00fa\u010dastnilo 155 sk\u00fasen\u00fdch z\u00e1chran\u00e1rov, ktor\u00ed mali za \u00falohu vyrie\u0161i\u0165 100 \u00faloh triedenia pacientov pri nehode hromadn\u00e9ho postihnutia os\u00f4b pod\u013ea syst\u00e9mu START. V\u00fdsledky nepoukazuj\u00fa na v\u00fdznamn\u00fd rozdiel medzi z\u00e1chran\u00e1rmi s n\u00edzkou a vysokou potrebou \u0161trukt\u00fary v r\u00fdchlosti triedenia zranen\u00fdch v \u00falohe START. Zistili sme v\u0161ak, \u017ee medzi z\u00e1chran\u00e1rmi s n\u00edzkou a vysokou potrebou \u0161trukt\u00fary existuje \u0161tatisticky aj vysoko vecne v\u00fdznamn\u00fd rozdiel v d\u013a\u017eke praxe a vo veku.<\/p>\n

Role mu\u017e\u016f v o\u0161et\u0159ovatelstv\u00ed na jednotk\u00e1ch intenzivn\u00ed p\u00e9\u010de a resuscita\u010dn\u00edch odd\u011blen\u00edch<\/h4>\n

Jaroslav Gabrhel, Petr Snopek<\/em><\/p>\n

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

\u010cl\u00e1nek prezentuje v\u00fdsledky studie, pro kterou byli vybr\u00e1ni respondenti a respondentky pracovi\u0161\u0165 ARO a JIP dvou vybran\u00fdch nemocnic na Morav\u011b. Pr\u00e1ce se soust\u0159e\u010fuje na to, jak\u00fdm zp\u016fsobem jsou vn\u00edm\u00e1ni mu\u017ei pracuj\u00edc\u00ed na t\u011bchto odd\u011blen\u00edch jako v\u0161eobecn\u00ed o\u0161et\u0159ovatel\u00e9 a zdravotni\u010dt\u00ed z\u00e1chran\u00e1\u0159i. Resuscita\u010dn\u00ed odd\u011blen\u00ed jedn\u00e9 z vybran\u00fdch nemocnic \u00fazce spolupracuje s urgentn\u00edm p\u0159\u00edjmem, kter\u00fd s\u00eddl\u00ed v jeho t\u011bsn\u00e9m sousedstv\u00ed. Pro zpracov\u00e1n\u00ed byla vyu\u017eita kvalitativn\u00ed studie formou polostrukturovan\u00fdch rozhovor\u016f, kter\u00e9 mapovaly nejen postoje vybran\u00e9ho vzorku mu\u017e\u016f, ale i \u017een, v\u0161eobecn\u00fdch sester pracuj\u00edc\u00edch bez odborn\u00e9ho dohledu na t\u011bchto pracovi\u0161t\u00edch. V\u00fdsledky tohoto v\u00fdzkumu jsou zaj\u00edmav\u00e9 p\u0159edev\u0161\u00edm t\u00edm, \u017ee umo\u017e\u0148uj\u00ed nahl\u00e9dnout na pr\u00e1ci mu\u017e\u016f jako na \u010dinnost, kter\u00e1 m\u00e1 odli\u0161n\u00e1 specifika a priority oproti \u017een\u00e1m.<\/p>\n

\u017dena versus mu\u017e v profesi zdravotnick\u00e9ho z\u00e1chran\u00e1\u0159e<\/h4>\n

Karol\u00edna K\u0159emenov\u00e1, Eva Pfefferov\u00e1<\/em><\/p>\n

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

Tento p\u0159\u00edsp\u011bvek se zab\u00fdv\u00e1 problematikou uplatn\u011bn\u00ed absolvent\u016f, a zejm\u00e9na absolventek oboru Zdravotnick\u00fd z\u00e1chran\u00e1\u0159 v p\u0159ednemocni\u010dn\u00ed neodkladn\u00e9 p\u00e9\u010di. Autorky pr\u00e1ce se zab\u00fdvaj\u00ed d\u016fvody problematick\u00e9ho uplat\u0148ov\u00e1n\u00ed \u017een na pozici zdravotnick\u00e9ho z\u00e1chran\u00e1\u0159e ve v\u00fdjezdov\u00e9 pos\u00e1dce u zdravotnick\u00e9 z\u00e1chrann\u00e9 slu\u017eby. \u010cl\u00e1nek se v\u011bnuje sou\u010dasn\u00e9mu stavu a chodu zdravotnick\u00fdch z\u00e1chrann\u00fdch slu\u017eeb, jednotliv\u00fdm pracovn\u00edm pozic\u00edm dle mo\u017enost\u00ed uplatn\u011bn\u00ed zdravotnick\u00e9ho z\u00e1chran\u00e1\u0159e a osob\u011b zdravotnick\u00e9ho z\u00e1chran\u00e1\u0159e. V\u00fdzkumn\u00e1 \u010d\u00e1st m\u00e1 za \u00fakol zjistit postoj student\u016f a zdravotnick\u00fdch z\u00e1chran\u00e1\u0159\u016f k t\u00e9to problematice.<\/p>\n

\u00a0 \u00a0 \u00a0RESUSCITACE – ZPRAVODAJ \u010cRR<\/span><\/h6>\n

Resuscitation 2015: Kongres Evropsk\u00e9 resuscita\u010dn\u00ed rady (ERC) 2015 v Praze
\na V. symposium \u010cesk\u00e9 resuscita\u010dn\u00ed rady<\/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 Evakuace nemocnice \u2013 je n\u011bkdo skute\u010dn\u011b p\u0159ipraven? Pavel Urb\u00e1nek, Anton\u00edn Koukal, Martin Dole\u010dek Abstrakt Krizov\u00e1 p\u0159ipravenost zdravotnictv\u00ed je vn\u00edm\u00e1na jako schopnost poskytovatel\u016f zdravotnick\u00fdch slu\u017eeb a zdravotnick\u00fdch za\u0159\u00edzen\u00ed<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[28],"tags":[],"class_list":["post-738","post","type-post","status-publish","format-standard","hentry","category-rocnik-2015"],"_links":{"self":[{"href":"https:\/\/urgentnimedicina.cz\/index.php?rest_route=\/wp\/v2\/posts\/738","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=738"}],"version-history":[{"count":0,"href":"https:\/\/urgentnimedicina.cz\/index.php?rest_route=\/wp\/v2\/posts\/738\/revisions"}],"wp:attachment":[{"href":"https:\/\/urgentnimedicina.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=738"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/urgentnimedicina.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=738"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/urgentnimedicina.cz\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=738"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}