{"id":758,"date":"2016-08-03T10:04:54","date_gmt":"2016-08-03T08:04:54","guid":{"rendered":"http:\/\/urgentnimedicina.cz\/?p=758"},"modified":"2016-08-03T10:04:54","modified_gmt":"2016-08-03T08:04:54","slug":"obsah-22016","status":"publish","type":"post","link":"https:\/\/urgentnimedicina.cz\/?p=758","title":{"rendered":"Obsah 2\/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 \u00a0VZD\u011aL\u00c1V\u00c1N\u00cd, ZKU\u0160ENOSTI<\/span><\/h6>\n

Plo\u0161n\u00e9 zaveden\u00ed p\u0159ednemocni\u010dn\u00ed ultrasonografie do praxe zdravotnick\u00e9 z\u00e1chrann\u00e9 slu\u017eby st\u0159edo\u010desk\u00e9ho kraje<\/h4>\n

Zden\u011bk Tlust\u00fd, Martina Pern\u00e1, Roman \u0160kulec<\/em><\/p>\n

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

Zdravotnick\u00e1 z\u00e1chrann\u00e1 slu\u017eba St\u0159edo\u010desk\u00e9ho kraje plo\u0161n\u011b zavedla do praxe p\u0159enosn\u00e9 ultrasonografick\u00e9 p\u0159\u00edstroje pro pou\u017eit\u00ed v p\u0159ednemocni\u010dn\u00ed p\u00e9\u010di. Pou\u017eit\u00e9 p\u0159\u00edstroje jsou kompaktn\u00ed sonografy GE-VScan s du\u00e1ln\u00ed sektorovou\/line\u00e1rn\u00ed sondou. Ultrasonografy byly rozm\u00edst\u011bny na okresn\u00ed st\u0159ediska ZZS. Pr\u00e1ce popisuje syst\u00e9m pro\u0161kolen\u00ed, mo\u017enosti pou\u017eit\u00ed v ter\u00e9nn\u00ed praxi ZZS p\u0159i diagnostice i terapeutick\u00fdch \u00fakonech. Pro praxi se pou\u017e\u00edvaj\u00ed modifikovan\u00e9 emergentn\u00ed protokoly FATE, FEEL, BLUE, FAST. Po vstupn\u00edm pro\u0161kolen\u00ed kurzem poskytovan\u00fdm ZZS autor pokra\u010doval v individu\u00e1ln\u00ed p\u0159\u00edprav\u011b a v\u00fdcviku v nemocnici pod dozorem klinick\u00e9ho specialisty a n\u00e1sledn\u011b provedl b\u011bhem 3,5 m\u011bs\u00edce 16 ultrasonografick\u00fdch vy\u0161et\u0159en\u00ed v p\u0159ednemocni\u010dn\u00ed p\u00e9\u010di. 5x do\u0161lo na z\u00e1klad\u011b vy\u0161et\u0159en\u00ed ke zm\u011bn\u011b terapeutick\u00e9 rozvahy, 1x k zaji\u0161t\u011bn\u00ed perifern\u00edho \u017eiln\u00edho vstupu v obt\u00ed\u017en\u00e9m ter\u00e9nu.<\/p>\n

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

\u0158\u00edzen\u00e1 reperfuze s c\u00edlem sn\u00ed\u017eit ischemicko-reperfuzn\u00ed po\u0161kozen\u00ed u pacient\u016f se STEMI transportovan\u00fdmi k perkut\u00e1nn\u00ed koron\u00e1rn\u00ed intervenci<\/h4>\n

Francis Mencl<\/em><\/p>\n

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

\u0158\u00edzen\u00e1 reperfuze s c\u00edlem sn\u00ed\u017eit ischemicko-reperfuzn\u00ed pos\u0161kozen\u00ed, kdy se pomoc\u00ed man\u017eety tonometru vyvol\u00e1 ischemie tk\u00e1n\u00ed vzd\u00e1len\u00fdch od myokardu u pacient\u016f se STEMI sm\u011brovan\u00fdmi k reperfuzn\u00ed l\u00e9\u010db\u011b, sni\u017euje morbiditu a mortalitu. Je to jednoduch\u00e1 technika provediteln\u00e1 jak v sanitn\u00edm voze tak na urgentn\u00edm p\u0159\u00edjmu, zat\u00edmco je pacient p\u0159ipravov\u00e1n k perkut\u00e1nn\u00ed koron\u00e1rn\u00ed intervenci; sni\u017euje riziko akutn\u00edho po\u0161kozen\u00ed ledvin, signifikantn\u011b sni\u017euje rozsah po\u0161kozen\u00ed myokardu p\u0159i infarktu a sni\u017euje riziko srde\u010dn\u00edho selh\u00e1n\u00ed a dysrytmi\u00ed b\u011bhem intervence i po n\u00ed. Tyto \u00fa\u010dinky p\u0159etrv\u00e1vaj\u00ed je\u0161t\u011b del\u0161\u00ed dobu po z\u00e1kroku a u pacient\u016f je ni\u017e\u0161\u00ed pravd\u011bpodobnost dal\u0161\u00ed koron\u00e1rn\u00ed nebo mozkov\u00e9 p\u0159\u00edhody v n\u00e1sleduj\u00edc\u00edch m\u011bs\u00edc\u00edch a\u017e letech. Krom\u011b sn\u00ed\u017een\u00e9 mortality a lep\u0161\u00ed kvality \u017eivota p\u0159in\u00e1\u0161\u00ed metoda i m\u011b\u0159iteln\u00e9 sn\u00ed\u017een\u00ed n\u00e1klad\u016f vynalo\u017een\u00fdch na zdravotn\u00ed p\u00e9\u010di.<\/p>\n

Anafylaxe v kontextu evidence based medicine<\/h4>\n

Patrik Christian Cmorej, Jaroslav Pekara, Robert Babe\u013ea, Alexandra Mamov\u00e1, Marcel Nesvadba, Oto Slowik<\/em><\/p>\n

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

Anafylaxe je vystup\u0148ovan\u00e1 alergick\u00e1 reakce, kter\u00e1 vede k bezprost\u0159edn\u00edmu ohro\u017een\u00ed \u017eivota. V sou\u010dasn\u00e9 dob\u011b je publikov\u00e1no mnoho nov\u00fdch poznatk\u016f z oblasti epidemiologie, patofyziologie, rizikov\u00fdch faktor\u016f a l\u00e9\u010dby anafylaxe. Kl\u00ed\u010dov\u00fdm atributem v managementu anafylaxe nad\u00e1le z\u016fst\u00e1v\u00e1 v\u010dasn\u00e1 intramuskul\u00e1rn\u00ed aplikace adrenalinu. \u010cl\u00e1nek poskytuje p\u0159ehled publikovan\u00fdch v\u00fdsledk\u016f v oblastech epidemiologie, patofyziologie, rizikov\u00fdch faktor\u016f, laboratorn\u00ed diagnostiky a l\u00e9\u010dby anafylaxe v letech 2014 a 2015.<\/p>\n

Doporu\u010den\u00ed k rozm\u00edst\u011bn\u00ed antidot, antis\u00e9r a antitoxin\u016f v s\u00edti poskytovatel\u016f zdravotn\u00ed p\u00e9\u010de<\/h4>\n

Jana \u0160eblov\u00e1, Sergej Zacharov, Hana Makovcov\u00e1, Daniela Pelclov\u00e1<\/em><\/p>\n

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

C\u00edlem tohoto doporu\u010den\u00ed je definovat \u00fa\u010deln\u00e9 rozm\u00edst\u011bn\u00ed antidot, antis\u00e9r a antitoxin\u016f podle stratifikace poskytovatel\u016f zdravotn\u00ed p\u00e9\u010de a t\u00e9\u017e s ohledem na klinick\u00fd pr\u016fb\u011bh a z\u00e1va\u017enost otravy tak, aby byly zaji\u0161t\u011bny v\u010dasn\u00e1 adekv\u00e1tn\u00ed terapie a optim\u00e1ln\u00ed vyu\u017eit\u00ed l\u00e9\u010div\u00fdch p\u0159\u00edpravk\u016f z hlediska jejich dostupnosti a ceny.<\/p>\n

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

\u00da\u010dinky syndromu vyho\u0159en\u00ed na pracovn\u00edky integrovan\u00e9ho z\u00e1chrann\u00e9ho syst\u00e9mu<\/h4>\n

Denisa Ralbovsk\u00e1, Rebeka Ralbovsk\u00e1<\/em><\/p>\n

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

Obsahem p\u0159\u00edsp\u011bvku je problematika syndromu vyho\u0159en\u00ed u pracovn\u00edk\u016f Integrovan\u00e9ho z\u00e1chrann\u00e9ho syst\u00e9mu. T\u00e9ma je aktu\u00e1ln\u00ed vzhledem k n\u00e1ro\u010dnosti pr\u00e1ce, zejm\u00e9na pak z psychick\u00e9 z\u00e1t\u011b\u017ee, kter\u00e1 tyto pracovn\u00edky postihuje. Teoretick\u00e1 \u010d\u00e1st obsahuje poznatky a informace, kter\u00e9 byly na\u010derp\u00e1ny z dostupn\u00e9 odborn\u00e9 literatury a je zde definov\u00e1n syndrom vyho\u0159en\u00ed a jeho p\u0159\u00edznaky. Na teoretickou \u010d\u00e1st navazuje v\u00fdzkumn\u00e1 \u010d\u00e1st. C\u00edlem je p\u0159in\u00e9st ucelen\u00fd n\u00e1hled na problematiku syndromu vyho\u0159en\u00ed u \u010dlen\u016f Integrovan\u00e9ho z\u00e1chrann\u00e9ho syst\u00e9mu. V\u00fdzkum je vytvo\u0159en\u00fd na z\u00e1klad\u011b vypln\u011bn\u00fdch anonymn\u00edch dotazn\u00edk\u016f, kter\u00e9 byly distribuovan\u00e9 mezi 288 respondenty. Z\u00edskan\u00e1 data jsou v empirick\u00e9 \u010d\u00e1sti zpracov\u00e1na ve form\u011b tabulek a graf\u016f. V z\u00e1v\u011bru jsou shrnuty v\u00fdsledky a uvedeny doporu\u010den\u00ed na minimalizaci negativn\u00edch dopad\u016f na \u010dleny Integrovan\u00e9ho z\u00e1chrann\u00e9ho syst\u00e9mu.<\/p>\n

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

20. ro\u010dn\u00edk Rallye Rejv\u00edz je za nami<\/h4>\n

Zden\u011bk Tlust\u00fd<\/em><\/p>\n

EMS 2016 Copenhagen 30. 5. \u2013 1. 6. 2016 aneb \u201eIt takes a system to save a life\u201c<\/h4>\n

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

Recenze knihy \u201cKompendium medic\u00edny katastrof\u201d<\/h4>\n

Josef \u0160torek<\/em><\/p>\n","protected":false},"excerpt":{"rendered":"

\u00a0 \u00a0 \u00a0\u00daVOD \u00davodn\u00ed slovo Jana \u0160eblov\u00e1 Obsah \u00a0 \u00a0 \u00a0VZD\u011aL\u00c1V\u00c1N\u00cd, ZKU\u0160ENOSTI Plo\u0161n\u00e9 zaveden\u00ed p\u0159ednemocni\u010dn\u00ed ultrasonografie do praxe zdravotnick\u00e9 z\u00e1chrann\u00e9 slu\u017eby st\u0159edo\u010desk\u00e9ho kraje Zden\u011bk Tlust\u00fd, Martina Pern\u00e1, Roman \u0160kulec Abstrakt Zdravotnick\u00e1 z\u00e1chrann\u00e1 slu\u017eba St\u0159edo\u010desk\u00e9ho kraje plo\u0161n\u011b zavedla do praxe p\u0159enosn\u00e9<\/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-758","post","type-post","status-publish","format-standard","hentry","category-rocnik-2016"],"_links":{"self":[{"href":"https:\/\/urgentnimedicina.cz\/index.php?rest_route=\/wp\/v2\/posts\/758","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=758"}],"version-history":[{"count":0,"href":"https:\/\/urgentnimedicina.cz\/index.php?rest_route=\/wp\/v2\/posts\/758\/revisions"}],"wp:attachment":[{"href":"https:\/\/urgentnimedicina.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=758"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/urgentnimedicina.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=758"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/urgentnimedicina.cz\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=758"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}