{"id":750,"date":"2016-04-11T11:37:14","date_gmt":"2016-04-11T09:37:14","guid":{"rendered":"http:\/\/urgentnimedicina.cz\/?p=750"},"modified":"2016-04-20T07:20:24","modified_gmt":"2016-04-20T05:20:24","slug":"obsah-12016","status":"publish","type":"post","link":"https:\/\/urgentnimedicina.cz\/?p=750","title":{"rendered":"Obsah 1\/2016"},"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

Zdravotnick\u00e9 z\u00e1chrann\u00e9 slu\u017eby v \u010cesk\u00e9 republice \u2013 fakta a \u010d\u00edsla<\/h4>\n

Marek Slab\u00fd<\/em><\/p>\n

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

Zdravotnick\u00e9 z\u00e1chrann\u00e9 slu\u017eby (ZZS) jsou ned\u00edlnou sou\u010d\u00e1st\u00ed zdravotn\u00edho syst\u00e9mu \u010cR a maj\u00ed jednozna\u010dn\u011b stanovenou roli v komplexu poskytovan\u00fdch zdravotn\u00edch slu\u017eeb jako jasn\u011b definovan\u00fd poskytovatel p\u0159ednemocni\u010dn\u00ed neodkladn\u00e9 p\u00e9\u010de. ZZS pln\u00ed v\u00fdznamnou \u00falohu ve zdravotn\u00ed a bezpe\u010dnostn\u00ed politice st\u00e1tu, ale maj\u00ed nezastupitelnou roli i v syst\u00e9mu krajsk\u00e9ho zdravotnictv\u00ed. Jejich \u010dinnost je upravena z\u00e1konem 374\/2011 Sb. a navazuj\u00edc\u00ed vyhl\u00e1\u0161ky zaji\u0161\u0165uj\u00ed organiza\u010dn\u00ed jednotu reakce na t\u00eds\u0148ov\u00e9 v\u00fdzvy i vybaven\u00ed a person\u00e1ln\u00ed po\u017eadavky. Na financov\u00e1n\u00ed ZZS se pod\u00edl\u00ed kraje, zdravotn\u00ed poji\u0161\u0165ovny a p\u0159\u00edsp\u011bvkem na krizovou p\u0159ipravenost i st\u00e1t. Organizace syst\u00e9mu p\u0159ednemocni\u010dn\u00ed p\u00e9\u010de v \u010cR je na vysok\u00e9 \u00farovni a zaji\u0161\u0165uje jak ka\u017edodenn\u00ed zdravotn\u00ed p\u00e9\u010di (v\u00edce ne\u017e 1 mili\u00f3n t\u00eds\u0148ov\u00fdch v\u00fdzev v \u010cR ro\u010dn\u011b), tak i p\u0159ipravenost na \u0159e\u0161en\u00ed mimo\u0159\u00e1dn\u00fdch ud\u00e1lost\u00ed. ZZS je jednou ze t\u0159\u00ed z\u00e1kladn\u00edch slo\u017eek Integrovan\u00e9ho z\u00e1chrann\u00e9ho syst\u00e9mu (IZS).<\/p>\n

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

Srovn\u00e1n\u00ed efektivity p\u00e9\u010de poskytovan\u00e9 v\u00fdjezdov\u00fdmi skupinami v\u00fdjezdov\u00fdmi skupinami s l\u00e9ka\u0159em a bez l\u00e9ka\u0159e u nemocn\u00fdch s akutn\u00edm koron\u00e1rn\u00edm syndromem s elevacemi ST \u00faseku<\/h4>\n

Libor Seneta, Ji\u0159\u00ed Ma\u0161ek, Anatolij Truhl\u00e1\u0159<\/em><\/p>\n

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

\u00davod: Spr\u00e1vn\u00fd postup u pacient\u016f s akutn\u00edm infarktem myokardu s ST elevacemi (STEMI) v p\u0159ednemocni\u010dn\u00ed neodkladn\u00e9 p\u00e9\u010di (PNP) zkracuje \u010das do proveden\u00ed perkut\u00e1nn\u00ed koron\u00e1rn\u00ed intervence (PCI) a minimalizuje n\u00e1sledky onemocn\u011bn\u00ed. PNP m\u016f\u017ee b\u00fdt v \u010cesk\u00e9 republice poskytov\u00e1na zdravotnick\u00fdmi pracovn\u00edky s rozd\u00edlnou kvalifikac\u00ed a kompetencemi.

\nC\u00edl pr\u00e1ce: Srovn\u00e1n\u00ed efektivity PNP poskytovan\u00e9 pacient\u016fm se STEMI v\u00fdjezdov\u00fdmi skupinami s p\u0159\u00edtomnost\u00ed a bez p\u0159\u00edtomnosti l\u00e9ka\u0159e.

\nMetoda: Retrospektivn\u00ed anal\u00fdza dat konsekutivn\u00edch pacient\u016f se STEMI z let 2011 a\u017e 2013. Sledovan\u00fdmi kvalitativn\u00edmi parametry byly indikace k p\u0159\u00edm\u00e9mu transportu k PCI, zah\u00e1jen\u00ed medikament\u00f3zn\u00ed l\u00e9\u010dby v PNP a p\u0159e\u017eit\u00ed do p\u0159ijet\u00ed v nemocnici p\u0159i v\u00fdskytu n\u00e1hl\u00e9 z\u00e1stavy ob\u011bhu (NZO).
\nV\u00fdsledky: Ze 625 pacient\u016f se STEMI l\u00e9ka\u0159i o\u0161et\u0159ili 385 (61,6 %) a v\u00fdjezdov\u00e9 skupiny bez l\u00e9ka\u0159e 240 (38,4 %) pacient\u016f. Z l\u00e9ka\u0159sk\u00e9 skupiny bylo 354 (92,0 %) nemocn\u00fdch sm\u011b\u0159ov\u00e1no prim\u00e1rn\u011b k PCI, v nel\u00e9ka\u0159sk\u00e9 skupin\u011b 217 (90,4 %, P = 0,507). Antiagrega\u010dn\u00ed a antikoagula\u010dn\u00ed l\u00e9\u010dba byla zah\u00e1jena u 373 (96,9 %) pacient\u016f v l\u00e9ka\u0159sk\u00e9 skupin\u011b a v nel\u00e9ka\u0159sk\u00e9 skupin\u011b u 225 (93,8 %, P = 0,061). Incidence NZO byla u nemocn\u00fdch sm\u011b\u0159ovan\u00fdch prim\u00e1rn\u011b k PCI 3,3 %. V l\u00e9ka\u0159sk\u00e9 skupin\u011b bylo resuscitov\u00e1no 14 nemocn\u00fdch, z nich\u017e 11 p\u0159e\u017eilo do p\u0159ed\u00e1n\u00ed v nemocnici, v nel\u00e9ka\u0159sk\u00e9 skupin\u011b p\u0159e\u017eili 4 nemocn\u00ed z 5 resuscitovan\u00fdch.

\nZ\u00e1v\u011br: Ve vybran\u00fdch parametrech hodnocen\u00ed p\u0159ednemocni\u010dn\u00ed l\u00e9\u010dby pacient\u016f se STEMI nebyla prok\u00e1z\u00e1na hor\u0161\u00ed kvalita poskytnut\u00e9 p\u00e9\u010de v\u00fdjezdov\u00fdmi skupinami bez p\u0159\u00edtomnosti l\u00e9ka\u0159e.<\/p>\n

Ako resuscitujeme II<\/h4>\n

Gabriel Tomko<\/em><\/p>\n

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

S\u00fa\u0165a\u017e z\u00e1chran\u00e1rov RESCUE LESNICA m\u00e1 dlhoro\u010dn\u00fa trad\u00edciu, je ob\u013euben\u00e1 a nav\u0161tevovan\u00e1 medzi z\u00e1chran\u00e1rmi. Autor pr\u00edspevku pon\u00faka \u010ditate\u013eom anal\u00fdzu z II. ro\u010dn\u00edka Majstrovstiev Slovenska v kardiopulmon\u00e1lnej resuscit\u00e1cie. Ide o s\u00fa\u0165a\u017e dvoj\u00edc v zlo\u017een\u00ed \u0161tudent, vodi\u010d \u2013 z\u00e1chran\u00e1r, z\u00e1chran\u00e1r, oper\u00e1tor, lek\u00e1r. Hodnoten\u00e1 je 10 min\u00fatov\u00e1 KPR s umelou p\u013e\u00facnou ventil\u00e1ciou pomocou ambuvaku. Cie\u013eom je overi\u0165 optim\u00e1lnos\u0165 KPR vykon\u00e1vanej zdravotn\u00edckym person\u00e1lom pracuj\u00facim v prednemocni\u010dnej urgentnej zdravotnej starostlivosti. Jednotliv\u00e9 hodnoten\u00e9 kroky s\u00fa spracovan\u00e9 v tabu\u013ek\u00e1ch a grafoch, ktor\u00e9 s\u00fa v druhej \u010dasti porovn\u00e1van\u00e9 s uplynul\u00fdmi ro\u010dn\u00edkmi majstrovstiev. Tak ako prv\u00fd, aj druh\u00fd ro\u010dn\u00edk uk\u00e1zal zna\u010dn\u00e9 rozdiely medzi jednotliv\u00fdmi pos\u00e1dkami.<\/p>\n

Invazivn\u00ed meningokokov\u00e1 onemocn\u011bn\u00ed \u2013 \u00favodn\u00ed diagnostika, l\u00e9\u010dba a transport pacient\u016f<\/h4>\n

Roman Svit\u00e1k<\/em><\/p>\n

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

V p\u0159edlo\u017een\u00e9m dokumentu jsou uvedeny hlavn\u00ed z\u00e1sady pro \u00favodn\u00ed diagnostiku, l\u00e9\u010dbu a transport pacient\u016f, u nich\u017e je vysloveno podez\u0159en\u00ed na invazivn\u00ed meningokokov\u00e9 onemocn\u011bn\u00ed (IMO). Vych\u00e1z\u00ed ze standardu pro p\u0159ednemocni\u010dn\u00ed p\u00e9\u010di, ve kter\u00e9m byla definov\u00e1na \u00faloha zdravotnick\u00e9 z\u00e1chrann\u00e9 slu\u017eby (ZZS), zejm\u00e9na v\u00fdjezdov\u00fdch skupin rychl\u00e9 l\u00e9ka\u0159sk\u00e9 pomoci (RLP). Vzhledem k vysok\u00e9 mortalit\u011b onemocn\u011bn\u00ed je role zdravotn\u00edk\u016f v p\u0159ednemocni\u010dn\u00ed p\u00e9\u010di kl\u00ed\u010dov\u00e1.<\/p>\n

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

Komunikace s psychotick\u00fdm pacientem v p\u0159ednemocni\u010dn\u00ed p\u00e9\u010di<\/h4>\n

Anna Pal\u00e1nov\u00e1, Tibor A. Bre\u010dka <\/em><\/p>\n

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

\u010cl\u00e1nek se zab\u00fdv\u00e1 komunikac\u00ed s psychotick\u00fdm pacientem v p\u0159ednemocni\u010dn\u00ed p\u00e9\u010di. V \u00favodu shrnuje d\u016fle\u017eit\u00e9 poznatky z psychologie komunikace, zejm\u00e9na pak d\u016fle\u017eit\u00e1 doporu\u010den\u00ed pro verb\u00e1ln\u00ed a nonverb\u00e1ln\u00ed komunikaci zvy\u0161uj\u00edc\u00ed bezpe\u010dnost pracovn\u00edka v p\u0159ednemocni\u010dn\u00ed p\u00e9\u010di. P\u0159in\u00e1\u0161\u00ed z\u00e1v\u011bry z kvalitativn\u00ed anal\u00fdzy p\u0159\u00edpadov\u00fdch studi\u00ed se zdravotnick\u00fdmi z\u00e1chran\u00e1\u0159i, kte\u0159\u00ed maj\u00ed zku\u0161enost s pacienty s po\u017eadovanou diagn\u00f3zou, tj. F20 \u2013 F29 dle MKN-10. V z\u00e1v\u011bru p\u0159in\u00e1\u0161\u00ed dal\u0161\u00ed doporu\u010den\u00ed pro komunikace s psychotick\u00fdm pacientem zejm\u00e9na v p\u0159ednemocni\u010dn\u00ed p\u00e9\u010di.<\/p>\n

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

Profesor William Gunn \u2013 v\u00fdznamn\u00e9 \u017eivotn\u00ed jubileum<\/h4>\n

Leo Klein<\/em><\/p>\n

Zpr\u00e1vy z v\u00fdboru \u010cLS JEP \u2013 Spole\u010dnosti urgentn\u00ed medic\u00edny a medic\u00edny katastrof za rok 2015<\/h4>\n

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

V\u00fdro\u010dn\u00ed zpr\u00e1va Sekce nel\u00e9ka\u0159sk\u00fdch zdravotnick\u00fdch pracovn\u00edk\u016f za rok 2015<\/h4>\n

Ji\u0159\u00ed Kodet, David Pe\u0159an<\/em><\/p>\n

Zdravotn\u011b soci\u00e1ln\u00ed fakulta Jiho\u010desk\u00e9 univerzity uspo\u0159\u00e1d\u00e1 mezin\u00e1rodn\u00ed kongres
\no o\u0161et\u0159ovatelstv\u00ed<\/h4>\n","protected":false},"excerpt":{"rendered":"

\u00a0 \u00a0 \u00a0\u00daVOD \u00davodn\u00ed slovo Jana \u0160eblov\u00e1 Obsah \u00a0 \u00a0 \u00a0KONCEPCE, \u0158\u00cdZEN\u00cd, ORGANIZACE Zdravotnick\u00e9 z\u00e1chrann\u00e9 slu\u017eby v \u010cesk\u00e9 republice \u2013 fakta a \u010d\u00edsla Marek Slab\u00fd Abstrakt Zdravotnick\u00e9 z\u00e1chrann\u00e9 slu\u017eby (ZZS) jsou ned\u00edlnou sou\u010d\u00e1st\u00ed zdravotn\u00edho syst\u00e9mu \u010cR a maj\u00ed jednozna\u010dn\u011b stanovenou<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[29],"tags":[],"class_list":["post-750","post","type-post","status-publish","format-standard","hentry","category-rocnik-2016"],"_links":{"self":[{"href":"https:\/\/urgentnimedicina.cz\/index.php?rest_route=\/wp\/v2\/posts\/750","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=750"}],"version-history":[{"count":0,"href":"https:\/\/urgentnimedicina.cz\/index.php?rest_route=\/wp\/v2\/posts\/750\/revisions"}],"wp:attachment":[{"href":"https:\/\/urgentnimedicina.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=750"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/urgentnimedicina.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=750"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/urgentnimedicina.cz\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=750"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}