{"id":787,"date":"2017-12-11T10:19:26","date_gmt":"2017-12-11T08:19:26","guid":{"rendered":"http:\/\/urgentnimedicina.cz\/?p=787"},"modified":"2017-12-11T11:02:18","modified_gmt":"2017-12-11T09:02:18","slug":"obsah-12017","status":"publish","type":"post","link":"https:\/\/urgentnimedicina.cz\/?p=787","title":{"rendered":"Obsah 1\/2017"},"content":{"rendered":"<p><b>\u00daVOD <\/b><\/p>\n<ul>\n<li>\u00davodn\u00ed slovo \u2013 Jana \u0160eblov\u00e1<\/li>\n<li>Obsah<\/li>\n<\/ul>\n<p><b>KONCEPCE, \u0158\u00cdZEN\u00cd, ORGANIZACE <\/b><\/p>\n<ul>\n<li>Mo\u017en\u00fd p\u0159\u00edstup k hodnocen\u00ed p\u0159ipravenosti zdravotnick\u00e9 z\u00e1chrann\u00e9 slu\u017eby na mimo\u0159\u00e1dn\u00e9 ud\u00e1losti \u2013 Irena \u0160varcov\u00e1, Josef Navr\u00e1til<\/li>\n<li>Znalosti \u010dlen\u016f v\u00fdjezdov\u00fdch skupin v \u010dinnostech zdravotnick\u00e9 slo\u017eky v m\u00edst\u011b mimo\u0159\u00e1dn\u00e9 ud\u00e1losti s hromadn\u00fdm posti\u017een\u00edm osob \u2013 Robin \u0160\u00edn, Lud\u011bk Hejkal<\/li>\n<\/ul>\n<p><b>VZD\u011aL\u00c1V\u00c1N\u00cd, ZKU\u0160ENOSTI <\/b><\/p>\n<ul>\n<li>Vliv vyu\u017eit\u00ed e-learnigov\u00fdch text\u016f na znalosti postup\u016f kardiopulmon\u00e1ln\u00ed resuscitace u nel\u00e9ka\u0159sk\u00fdch zdravotnick\u00fdch pracovn\u00edk\u016f \u2013 Jana Heczkov\u00e1, Alan Bulava<\/li>\n<li>Vy\u0161et\u0159en\u00ed pacienta postupem ABCDE \u2013 David Pe\u0159an, Radek Mathauser, Ji\u0159\u00ed Kodet<\/li>\n<\/ul>\n<p><b>ODBORN\u00c9 T\u00c9MA L\u00c9KA\u0158SK\u00c9 <\/b><\/p>\n<ul>\n<li>Infuzn\u00ed terapie v p\u0159ednemocni\u010dn\u00ed neodkladn\u00e9 p\u00e9\u010di ve 21. stolet\u00ed v \u010cesk\u00e9 republice \u2013 Jaroslav Pekara, David Pe\u0159an<\/li>\n<\/ul>\n<p><b>ETIKA, PSYCHOLOGIE, PR\u00c1VO <\/b><\/p>\n<ul>\n<li>Kvalita \u017eivota pacient\u016f po kardiopulmon\u00e1ln\u00ed resuscitaci \u2013 Michal Podzimek, Eva Pfefferov\u00e1<\/li>\n<li>Psychosoci\u00e1ln\u00ed rozhran\u00ed integrovan\u00e9ho z\u00e1chrann\u00e9ho syst\u00e9mu na m\u00edst\u011b z\u00e1sahu \u2013 Bohumila Ba\u0161teck\u00e1<\/li>\n<\/ul>\n<p><b>INFORMA\u010cN\u00cd SERVIS <\/b><\/p>\n<ul>\n<li>Zpr\u00e1vy z v\u00fdboru Spole\u010dnosti urgentn\u00ed medic\u00edny a medic\u00edny katastrof \u010cLS JEP \u2013 Jana \u0160eblov\u00e1<\/li>\n<li>V\u00fdro\u010dn\u00ed zpr\u00e1va Sekce nel\u00e9ka\u0159sk\u00fdch zdravotnick\u00fdch pracovn\u00edk\u016f SUMMK \u010cLS JEP \u2013 Ji\u0159\u00ed Kodet, David Pe\u0159an 5<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<p><b>INTRODUCTION <\/b><\/p>\n<ul>\n<li>Editorial \u2013 Jana \u0160eblov\u00e1<\/li>\n<li>Contents<\/li>\n<\/ul>\n<p><b>CONCEPTION, MANAGEMENT, ORGANIZATION <\/b><\/p>\n<ul>\n<li>A possible approach of evaluation of EMS crisis preparedness for mass casualties \u2013 Irena \u0160varcov\u00e1, Josef Navr\u00e1til<\/li>\n<li>Knowledge of Emergency Medical Service members about activities on scene of emergency situation with dozens affected persons \u2013 Robin \u0160\u00edn, Lud\u011bk Hejkal<\/li>\n<\/ul>\n<p><b>EDUCATION, EXPERIENCE <\/b><\/p>\n<ul>\n<li>Influence of e-learning texts on nurses\u00b4 knowledge of cardiopulmonary resuscitation \u2013 Jana Heczkov\u00e1, Alan Bulava<\/li>\n<li>Patient assessment using ABCDE approach \u2013 David Pe\u0159an, Radek Mathauser, Ji\u0159\u00ed Kodet<\/li>\n<\/ul>\n<p><b>CLINICAL TOPICS AND RESEARCH <\/b><\/p>\n<ul>\n<li>Fluid resuscitation in prehospital emergency care in the 21st century in the Czech Republic \u2013 Jaroslav Pekara, David Pe\u0159an<\/li>\n<\/ul>\n<p><b>ETHICS, PSYCHOLOGY, LAW <\/b><\/p>\n<ul>\n<li>The quality of life in patients after cardiopulmonary resuscitation \u2013 Michal Podzimek, Eva Pfefferov\u00e1<\/li>\n<li>Psychosocial interface of integrated rescue system on scene of incident \u2013 Bohumila Ba\u0161teck\u00e1<\/li>\n<\/ul>\n<p><b>INFORMATION <\/b><\/p>\n<ul>\n<li>News from Society for Emergency and Disaster Medicine CzMA JEP \u2013 Jana \u0160eblov\u00e1<\/li>\n<li>2016 Report on Non-physician section of Society for Emergency and Disaster Medicine \u2013 Ji\u0159\u00ed Kodet, David Pe\u0159an<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<p><span style=\"text-decoration: underline;\"><b>ABSTRAKTY:<\/b><\/span><\/p>\n<p>&nbsp;<\/p>\n<p><strong>MO\u017dN\u00dd P\u0158\u00cdSTUP K HODNOCEN\u00cd P\u0158IPRAVENOSTI ZDRAVOTNICK\u00c9 Z\u00c1CHRANN\u00c9 SLU\u017dBY NA MIMO\u0158\u00c1DN\u00c9 UD\u00c1LOSTI<\/strong><\/p>\n<p><b>IRENA \u0160VARCOV\u00c1, JOSEF NAVR\u00c1TIL<\/b><\/p>\n<p><b>Abstrakt <\/b><\/p>\n<p>Po zvl\u00e1dnut\u00ed a vyhodnocen\u00ed mimo\u0159\u00e1dn\u00e9 ud\u00e1losti se ex post projev\u00ed aktu\u00e1ln\u00ed \u00farove\u0148 p\u0159ipravenosti zasahuj\u00edc\u00edch slo\u017eek integrova\u00adn\u00e9ho z\u00e1chrann\u00e9ho syst\u00e9mu. Jednotliv\u00e9 disproporce v \u010dinnostech jsou n\u00e1sledn\u011b odstra\u0148ov\u00e1ny, nap\u0159\u00edklad formou aktualizace kri\u00adzov\u00e9 dokumentace. Vzhledem k \u010dinnostem, kter\u00e9 poskytuje zdravotnick\u00e1 z\u00e1chrann\u00e1 slu\u017eba, maj\u00edc\u00edm p\u0159\u00edm\u00fd dopad na z\u00e1chranu \u017eivota a zdrav\u00ed osob, je nutn\u00e9 eliminovat tyto disproporce v co nejv\u011bt\u0161\u00ed m\u00ed\u0159e ex ante. Vyst\u00e1v\u00e1 pot\u0159eba naj\u00edt mechanismy, postupy, p\u0159\u00edpadn\u011b krit\u00e9ria, kter\u00e9 umo\u017en\u00ed hodnotit \u00farove\u0148 p\u0159ipravenosti zdravotnick\u00e9 z\u00e1chrann\u00e9 slu\u017eby p\u0159ed vznikem mimo\u0159\u00e1dn\u00e9 ud\u00e1losti. V p\u0159\u00edsp\u011bvku je proto pozornost zam\u011b\u0159ena na pracovi\u0161t\u011b krizov\u00e9 p\u0159ipravenosti, kter\u00e9 pln\u00ed v\u00fdznamnou \u00falohu p\u0159i p\u0159\u00edprav\u011b ZZS tak\u00e9 na zvl\u00e1d\u00e1n\u00ed MU. Jsou navr\u017eena hodnot\u00edc\u00ed krit\u00e9ria a indik\u00e1tory, kter\u00e9 je mo\u017en\u00e9 vyu\u017e\u00edt pro hodnocen\u00ed p\u0159ipravenosti uveden\u00e9ho pracovi\u0161t\u011b.<\/p>\n<p><b>Kl\u00ed\u010dov\u00e1 slova: <\/b>Zdravotnick\u00e1 z\u00e1chrann\u00e1 slu\u017eba \u2013 mimo\u0159\u00e1dn\u00e1 ud\u00e1lost \u2013 krizov\u00e1 p\u0159ipravenost \u2013 pracovi\u0161t\u011b krizov\u00e9 p\u0159ipravenosti \u2013 krit\u00e9ria \u2013 indik\u00e1tory<\/p>\n<p><b>Abstract <\/b><\/p>\n<p><b>A possible approach of evaluation of EMS crisis preparedness for mass casualties <\/b><\/p>\n<p>The current level of preparedness of the Integrated Rescue System intervening components becomes evident after the management and evaluation of a mass casualty incident. Individual disproportions in the actions taken are subsequently eliminated, e.g. in the form of updating the emergency documentation. In view of the activities provided by the Emergency Medical Services, which have a direct effect on saving lives and health of people, it is necessary to eliminate these disproportions to the largest extent possible before an emergency event occurs. It is very important to find mechanisms, procedures or, if needed, criteria that will enable the assessment of the preparedness level of the Emergency Medical Services before the occurrence of a mass casualty incident. This paper is, therefore, focused on the emergency preparedness units that play an important role in the training of the Emergency Medical Services to deal with mass casualty incidents. The paper proposes evaluation criteria and indicators that can be used for assessing preparedness within the Emergency Medical Services.<\/p>\n<p><b>Key words: <\/b>Emergency medical services \u2013 mass casualty incident \u2013 emergency preparedness \u2013 emergency preparedness unit \u2013 criteria \u2013 indicators<\/p>\n<p>&nbsp;<\/p>\n<p><strong>ZNALOSTI \u010cLEN\u016e V\u00ddJEZDOV\u00ddCH SKUPIN V \u010cINNOSTECH ZDRAVOTNICK\u00c9 SLO\u017dKY V M\u00cdST\u011a MIMO\u0158\u00c1DN\u00c9 UD\u00c1LOSTI S HROMADN\u00ddM POSTI\u017dEN\u00cdM OSOB<\/strong><\/p>\n<p><b>ROBIN \u0160\u00cdN, LUD\u011aK HEJKAL<\/b><\/p>\n<p><b>Abstrakt <\/b><\/p>\n<p>Mimo\u0159\u00e1dn\u00e1 ud\u00e1lost s hromadn\u00fdm posti\u017een\u00edm osob je v\u017edy ud\u00e1lost\u00ed ovliv\u0148uj\u00edc\u00ed provoz zdravotnick\u00e9 z\u00e1chrann\u00e9 slu\u017eby a samo\u00adz\u0159ejm\u011b i p\u0159\u00edmo zat\u011b\u017euj\u00edc\u00ed oper\u00e1tory zdravotnick\u00e9ho opera\u010dn\u00edho st\u0159ediska a \u010dleny v\u00fdjezdov\u00fdch skupin, kte\u0159\u00ed se pod\u00edlej\u00ed na prov\u00e1\u00add\u011bn\u00ed z\u00e1chrann\u00fdch prac\u00ed v m\u00edst\u011b ud\u00e1losti. Pro spr\u00e1vnou aplikaci postup\u016f zdravotnick\u00e9 slo\u017eky v m\u00edst\u011b mimo\u0159\u00e1dn\u00e9 ud\u00e1losti s hro\u00admadn\u00fdm posti\u017een\u00edm osob je nutn\u00e9 dob\u0159e zn\u00e1t souvisej\u00edc\u00ed p\u0159edpisy, p\u0159edev\u0161\u00edm traumatologick\u00fd pl\u00e1n poskytovatele zdravotnick\u00e9 z\u00e1chrann\u00e9 slu\u017eby, souvisej\u00edc\u00ed typovou \u010dinnosti pro spole\u010dn\u00fd z\u00e1sah slo\u017eek integrovan\u00e9ho z\u00e1chrann\u00e9ho syst\u00e9mu a celost\u00e1tn\u011b plat\u00adn\u00e9 odborn\u00e9 doporu\u010den\u00e9 postupy. Pro zji\u0161t\u011bn\u00ed znalost\u00ed \u010dlen\u016f v\u00fdjezdov\u00fdch skupin byl vypracov\u00e1n dotazn\u00edk, kter\u00fd byl n\u00e1sledn\u011b distribuov\u00e1n na pracovi\u0161t\u00edch poskytovatel\u016f zdravotnick\u00e9 z\u00e1chrann\u00e9 slu\u017eby. Celkem bylo distribuov\u00e1no 300 dotazn\u00edk\u016f, z nich se 215 vr\u00e1tilo vypln\u011bn\u00fdch. Z v\u00fdsledk\u016f lze dovodit, \u017ee \u010dlenov\u00e9 v\u00fdjezdov\u00fdch skupin nemaj\u00ed st\u00e1le za\u017eit\u00e9 p\u0159edev\u0161\u00edm postupy spr\u00e1vn\u00e9ho t\u0159\u00edd\u011bn\u00ed a s t\u00edm souvisej\u00edc\u00edho pou\u017eit\u00ed standardizovan\u00e9 identifika\u010dn\u00ed a t\u0159\u00edd\u00edc\u00ed karty. V\u00fdrazn\u00e9 obt\u00ed\u017ee lze pozorovat nap\u0159\u00edklad u pou\u017e\u00ed\u00adv\u00e1n\u00ed t\u0159\u00edd\u00edc\u00edch kategori\u00ed I., II.a, II.b, a to v\u010detn\u011b jejich mo\u017en\u00e9ho kombinov\u00e1n\u00ed.<\/p>\n<p><b>Kl\u00ed\u010dov\u00e1 slova: <\/b>mimo\u0159\u00e1dn\u00e1 ud\u00e1lost \u2013 hromadn\u00e9 posti\u017een\u00ed osob \u2013 zdravotnick\u00e1 slo\u017eka \u2013 START \u2013 identifika\u010dn\u00ed a t\u0159\u00edd\u00edc\u00ed karta<\/p>\n<p><b>Abstract <\/b><\/p>\n<p><b>Knowledge of Emergency Medical Service members about activities on scene of emergency situation with dozens affected persons <\/b><\/p>\n<p>Emergency situation with dozens affected persons is always an event which has an impact on activities of Emergency Medical Services and also directly burdens medical dispatchers and members of the EMS teams involved in rescue operations on scene of multiple victim accident. Knowledge of related legislation, particularly the disaster plan of Emergency Medical Services provider, related type activities for the joint interventions of the Integrated Rescue System and valid nationwide guidelines are needed for the correct application of health care providers\u00b4 operations on scene of an emergency situation with mass casualty. A questionnaire was drawn up in order to determine the knowledge of EMS team members, and later it was distributed to Emergency Medical Services providers\u00b4 bases. Overall a 300 questionnaires were distributed, of which 215 were returned completed. Results of the questionnaire showed, that EMS team members are not used to deal with the primarily processes of adequate triage and also with the related use of standardized identification and triage tags. Significant problems with using the classification categories I., II.a, II.b, including their possible combinations were found.<\/p>\n<p><b>Key words: <\/b>emergency situation \u2013 mass casualties &#8211; medical service \u2013 START \u2013 identification and triage tag<\/p>\n<p>&nbsp;<\/p>\n<p><strong>VLIV VYU\u017dIT\u00cd E-LEARNIGOV\u00ddCH TEXT\u016e NA ZNALOSTI POSTUP\u016e KARDIO-PULMON\u00c1LN\u00cd RESUSCITACE U NEL\u00c9KA\u0158SK\u00ddCH ZDRAVOTNICK\u00ddCH PRACOVN\u00cdK<\/strong>\u016e<\/p>\n<p><b>JANA HECZKOV\u00c1, ALAN BULAVA<\/b><\/p>\n<p><b>Abstrakt <\/b><\/p>\n<p><b>\u00davod: <\/b>A\u010dkoli u srde\u010dn\u00edch z\u00e1stav ve zdravotnick\u00e9m za\u0159\u00edzen\u00ed je nad\u011bje na p\u0159e\u017eit\u00ed zhruba dvojn\u00e1sobn\u00e1 ve srovn\u00e1n\u00ed se srde\u010dn\u00ed z\u00e1\u00adstavou mimo nemocnici, jedn\u00e1 se o stav s velmi vysokou mortalitou. Prvn\u00edm krokem v procesu p\u0159edch\u00e1zen\u00ed t\u011bchto ud\u00e1lost\u00ed je pravideln\u00e9 vzd\u011bl\u00e1v\u00e1n\u00ed zam\u011bstnanc\u016f a jeho opakov\u00e1n\u00ed minim\u00e1ln\u011b po 1 a\u017e 2 letech. C\u00edlem proveden\u00e9 studie bylo analyzovat vliv vyu\u017eit\u00ed e-learningov\u00fdch opor na znalosti postup\u016f kardiopulmon\u00e1ln\u00ed resuscitace (KPR).<\/p>\n<p><b>Metody: <\/b>Pro hodnocen\u00ed efektivity e-learningov\u00e9 p\u0159\u00edpravy za\u0159azen\u00e9 p\u0159ed kurzem veden\u00fdm lektorem byly vyu\u017eity v\u00fdsledky v\u011bdo\u00admostn\u00edch test\u016f proveden\u00fdch p\u0159ed (n=122) a po za\u0159azen\u00ed e-learningov\u00e9 p\u0159\u00edpravy (n=1086) do pravideln\u00e9ho vzd\u011bl\u00e1v\u00e1n\u00ed nel\u00e9ka\u0159\u00adsk\u00fdch zdravotnick\u00fdch pracovn\u00edk\u016f v oblasti KPR. Hlavn\u00ed skupinu testovan\u00fdch tvo\u0159ily sestry.<\/p>\n<p><b>V\u00fdsledky<\/b>: V testech dosahovaly nejvy\u0161\u0161\u00edho hodnocen\u00ed sestry pracovi\u0161\u0165 intenzivn\u00ed p\u00e9\u010de (IP), n\u00e1sledov\u00e1ny sestrami standardn\u00edch odd\u011blen\u00ed (SO). U obou skupin je pak patrn\u00e9 v\u00fdznamn\u00e9 zlep\u0161en\u00ed znalost\u00ed po za\u0159azen\u00ed e-learningov\u00e9 p\u0159\u00edpravy (p &lt; 0,001). Mimo to ob\u011b skupiny sester dosahovaly v testech po zm\u011bn\u011b ve zp\u016fsobu vzd\u011bl\u00e1v\u00e1n\u00ed lep\u0161\u00edch v\u00fdsledk\u016f ne\u017e ostatn\u00ed nel\u00e9ka\u0159\u0161t\u00ed pracovn\u00edci (NL) a pomocn\u00fd zdravotnick\u00fd person\u00e1l (PZP). NL v\u0161ak dosahovali vy\u0161\u0161\u00ed \u00fasp\u011b\u0161nosti v porovn\u00e1n\u00ed se skupinami sester testovan\u00fdmi p\u0159ed zm\u011bnou vzd\u011bl\u00e1v\u00e1n\u00ed. Obdobn\u00fd v\u00fdsledek byl zaznamen\u00e1n i v hodnocen\u00ed znalost\u00ed PZP.<\/p>\n<p><b>Z\u00e1v\u011br: <\/b>Anal\u00fdza v\u00fdsledk\u016f vzd\u011bl\u00e1vac\u00edch test\u016f prok\u00e1zala pozitivn\u00ed vliv e-learningov\u00e9 p\u0159\u00edpravy na kognitivn\u00ed znalosti zdravotnic\u00adk\u00fdch pracovn\u00edk\u016f p\u0159ed n\u00e1slednou praktickou v\u00fdukou vedenou lektorem. Pro posouzen\u00ed vlivu e-learningov\u00e9 p\u0159\u00edpravy na retenci znalosti v dob\u011b do opakov\u00e1n\u00ed kurzu, stejn\u011b jako na schopnost vyu\u017eit\u00ed t\u011bchto znalost\u00ed b\u011bhem n\u00e1cviku praktick\u00fdch dovednost\u00ed a schopnost vyu\u017eit\u00ed t\u011bchto znalost\u00ed v re\u00e1ln\u00e9 praxi v\u0161ak bude zapot\u0159eb\u00ed dal\u0161\u00edho v\u00fdzkumn\u00e9ho \u0161et\u0159en\u00ed.<\/p>\n<p><b>Kl\u00ed\u010dov\u00e1 slova: <\/b>Vzd\u011bl\u00e1v\u00e1n\u00ed v KPR \u2013 e-learning \u2013 testov\u00e1n\u00ed znalost\u00ed<\/p>\n<p><b>Abstract <\/b><\/p>\n<p><b>Influence of e-learning texts on nurses\u00b4 knowledge of cardiopulmonary resuscitation <\/b><\/p>\n<p><b>Introduction: <\/b>Although the chance for survival of in-hospital cardiac arrest is roughly double compared to out-of-hospital cardiac arrest, the mortality rate is still very high. First step in preventing such an event in healthcare facility is staff education, which should be repeated every 1\u20132 years. The aim of our study was to analyse impact of pre-course e-learning on cognitive knowledge related to providing cardio pulmonary resuscitation (CPR).<\/p>\n<p><b>Methods: <\/b>To evaluate the impact of e-learning implemented prior to instructor-led CPR courses, the results of knowledge tests conducted before (n=122) and after (n=1086) e-learning were used among the group of non-medical healthcare workers in university hospital. The main tested group were nurses.<\/p>\n<p><b>Results: <\/b>Nurses working in intensive care units (ICU), followed by nurses working in the regular ward (RW), achieved the highest score in tests conducted prior as well as after the change in pre-course learning. There was also significant improvement in knowledge after implementing e-learning (p &lt; 0.001). Both ICU and RW nurses tested after the change achieved higher score then other non-medical (NM) and auxiliary staff (AU). However, if compared to nurses tested prior the change, NM staff achieved higher results then RW nurses as well as ICU nurses. Similarly, AU staff tested after e-learning education achieved better score when compared to nurses tested before e-learning education.<\/p>\n<p><b>Conclusion: <\/b>Our results demonstrated positive impact of e-learning on cognitive knowledge prior subsequent instructor-led training. However, the impact on retention of knowledge as well as the impact on ability to use this knowledge in real practice will require further research.<\/p>\n<p><b>Key words: <\/b>CPR courses \u2013 e-learning \u2013 cognitive knowledge \u2013 pre-course learning<\/p>\n<p>&nbsp;<\/p>\n<p><strong>VY\u0160ET\u0158EN\u00cd PACIENTA POSTUPEM ABCDE<\/strong><\/p>\n<p><b>DAVID PE\u0158AN, RADEK MATHAUSER, JI\u0158\u00cd KODET<\/b><\/p>\n<p><b>Abstrakt <\/b><\/p>\n<p>Vy\u0161et\u0159en\u00ed pacienta je z\u00e1kladn\u00ed dovednost\u00ed v\u0161ech zdravotnick\u00fdch pracovn\u00edk\u016f. V kurzu Advanced Life Support (ALS) je prakticky pou\u017e\u00edv\u00e1n standardizovan\u00fd postup ABCDE (ABCDE approach) prim\u00e1rn\u011b zam\u011b\u0159en\u00fd na kl\u00ed\u010dov\u00e9 oblasti p\u0159e\u017eit\u00ed. Vzhledem k syst\u00e9\u00admov\u00e9mu \u0159e\u0161en\u00ed je tento postup vhodn\u00fd tak\u00e9 pro strukturovan\u00fd z\u00e1pis do zdravotnick\u00e9 dokumentace. \u010cl\u00e1nek p\u0159in\u00e1\u0161\u00ed z\u00e1kladn\u00ed sezn\u00e1men\u00ed s filosofi\u00ed, obsahem a v\u00fdznamem ABCDE p\u0159\u00edstupu.<\/p>\n<p><b>Kl\u00ed\u010dov\u00e1 slova: <\/b>z\u00e1kladn\u00ed vy\u0161et\u0159en\u00ed \u2013 postup ABCDE \u2013 kurz ALS Provider<\/p>\n<p><b>Abstract <\/b><\/p>\n<p><b>Patient assessment using ABCDE approach <\/b><\/p>\n<p>Patient assessment is one of the basic skills which are used by all health care professionals. The Advanced Life Support Provider (ALS) Course teaches a standardized approach \u2013 the ABCDE, which is focused on the life threatening problems first. Through standardization of this approach it is useful as a protocol for writing a patient report, as well. This article brings the philosophy, content, meaning and importance of the ABCDE approach.<\/p>\n<p><b>Key words: <\/b>patient assessment \u2013 ABCDE approach \u2013 ALS Provider Course<\/p>\n<p>&nbsp;<\/p>\n<p><strong>INFUZN\u00cd TERAPIE V P\u0158EDNEMOCNI\u010cN\u00cd NEODKLADN\u00c9 P\u00c9\u010cI VE 21. STOLET\u00cd V \u010cESK\u00c9 REPUBLICE<\/strong><\/p>\n<p><b>JAROSLAV PEKARA, DAVID PE\u0158AN<\/b><\/p>\n<p><b>Abstrakt <\/b><\/p>\n<p>\u010cl\u00e1nek popisuje pr\u016fzkum mezi Zdravotnick\u00fdmi z\u00e1chrann\u00fdmi slu\u017ebami v \u010cR z hlediska pou\u017eit\u00ed krystaloidn\u00edch a koloidn\u00edch rozto\u00adk\u016f. Jako metodu pr\u016fzkumu jsme pou\u017eili sm\u00ed\u0161en\u00fd design \u2013 pr\u016fzkumn\u00e9 dotazn\u00edkov\u00e9 \u0161et\u0159en\u00ed mezi jednotliv\u00fdmi ZZS v \u010cR dopln\u011bn\u00e9 o rozhovory s 50 zdravotnick\u00fdmi z\u00e1chran\u00e1\u0159i (ZZ) z cel\u00e9 \u010cR. Komparace prob\u00edhala v souladu s doporu\u010den\u00edmi k tekutinov\u00e9 resusci\u00adtaci (Doporu\u010den\u00ed pro \u017divot ohro\u017euj\u00edc\u00ed krv\u00e1cen\u00ed, Guidelines NICE, European Guidelines for Management of Bleeding). Z hlavn\u00edch v\u00fdsledk\u016f vyplynulo, \u017ee 7 ZZS odeb\u00edr\u00e1 5 a v\u00edce infuzn\u00edch roztok\u016f, pouze 2 ZZS v \u010cR nepou\u017e\u00edvaj\u00ed koloidn\u00ed roztoky, a \u017ee t\u0159i r\u016fzn\u00e9 balancovan\u00e9 krystaloidn\u00ed roztoky jsou zastoupeny u 11 ZZS v \u010cR. Z hlediska kvalitativn\u00ed studie jsme nalezli nedostatky v teku\u00adtinov\u00e9 resuscitaci u prost\u00e9 hypovol\u00e9mie a u l\u00e9\u010dby pop\u00e1lenin. V\u00fdstupem \u010dl\u00e1nku je n\u00e1vrh pro vybaven\u00ed vozidel ZZS nezbytn\u00fdmi infuzn\u00edmi roztoky v \u010cR.<\/p>\n<p><b>Kl\u00ed\u010dov\u00e1 slova: <\/b>Hypovol\u00e9mie \u2013 Infuzn\u00ed roztok \u2013 Balancovan\u00e9 roztoky \u2013 Zdravotnick\u00fd z\u00e1chran\u00e1\u0159<\/p>\n<p><b>Abstract <\/b><\/p>\n<p><b>Fluid resuscitation in prehospital emergency care in the 21<\/b><b>st <\/b><b>century in the Czech Republic <\/b><\/p>\n<p>This article describes a research between Emergency Medical Services (EMS) in the Czech Republic from the point of using in\u00adfusion therapy in the emergency medicine. In the methodology we used a mixed design (a qualitative questionnaire research between EMS in the Czech Republic and qualitative interviews with 50 paramedics from whole Czech Republic). The comparison was performed in compliance with guidelines of fluid resuscitation (Czech guidelines for management of critical bleeding, Guide\u00adlines NICE, European Guidelines for Management of Bleeding). The main results are: 7 EMS in the Czech Republic subscribes 5 and more infusions, only 2 EMS do not use colloid infusions and 11 EMS use balanced infusions. From the point of qualitative research we found out shortages in fluid resuscitation of hypovolemia and burns. The main outcome of this article is a recommendation about equipment of infusions for EMS in the Czech Republic.<\/p>\n<p><b>Key words: <\/b>Hypovolemia \u2013 Infusion \u2013 Balanced solutions \u2013 Paramedic<\/p>\n<p>&nbsp;<\/p>\n<p><strong>KVALITA \u017dIVOTA PACIENT\u016e PO KARDIOPULMON\u00c1LN\u00cd RESUSCITACI<\/strong><\/p>\n<p><b>MICHAL PODZIMEK, EVA PFEFFEROV\u00c1<\/b><\/p>\n<p><b>Abstrakt <\/b><\/p>\n<p>Tento p\u0159\u00edsp\u011bvek se zab\u00fdv\u00e1 problematikou hodnocen\u00ed kvality \u017eivota u pacient\u016f po kardiopulmon\u00e1ln\u00ed resuscitaci, kte\u0159\u00ed prod\u011blali n\u00e1hlou z\u00e1stavu ob\u011bhu v mimonemocni\u010dn\u00edm prost\u0159ed\u00ed v plze\u0148sk\u00e9m kraji. Krom\u011b z\u00e1kladn\u00edch informac\u00ed t\u00fdkaj\u00edc\u00edch se neodkladn\u00e9 resuscitace, se v \u010dl\u00e1nku v\u011bnujeme p\u0159edev\u0161\u00edm vymezen\u00ed kvality \u017eivota a metod\u00e1m jej\u00edho m\u011b\u0159en\u00ed. Ve v\u00fdzkumn\u00e9 \u010d\u00e1sti jsme u dvou pacient\u016f po kardiopulmon\u00e1ln\u00ed resuscitaci, pomoc\u00ed kazuistik, zji\u0161\u0165ovali specifika p\u0159ednemocni\u010dn\u00ed a nemocni\u010dn\u00ed neodkladn\u00e9 p\u00e9\u010de. Pomoc\u00ed rozhovor\u016f a dotazn\u00edkov\u00e9ho \u0161et\u0159en\u00ed jsme zkoumali kvalitu \u017eivota u t\u011bchto dvou vybran\u00fdch pacient\u016f v kontextu jejich fyzick\u00fdch, psychick\u00fdch a soci\u00e1ln\u00edch pot\u0159eb.<\/p>\n<p><b>Kl\u00ed\u010dov\u00e1 slova: <\/b>n\u00e1hl\u00e1 z\u00e1stava ob\u011bhu \u2013 kardiopulmon\u00e1ln\u00ed resuscitace \u2013 p\u0159ednemocni\u010dn\u00ed neodkladn\u00e1 p\u00e9\u010de \u2013 nemocni\u010dn\u00ed neod\u00adkladn\u00e1 p\u00e9\u010de \u2013 kvalita \u017eivota<\/p>\n<p><b>Abstract <\/b><\/p>\n<p><b>The quality of life in patients after cardiopulmonary resuscitation <\/b><\/p>\n<p>Intent of this article was to objectively describe the issue of quality of life in patients after cardiopulmonary resuscitation who experienced out-of-hospital cardiac arrest in Pilsen district, Czech republic. Main purpose of theoretical section is to define quality of life and methods of its measurement. In the practical part, we used case studies to investigate the specifics of prehospital and hospital emergency care of two patients after cardiopulmonary resuscitation. Using interviews and questionnaires, we examined the quality of life in these two patients in the context of their physical, psychological and social needs.<\/p>\n<p><b>Key words: <\/b>cardiac arrest \u2013 cardiopulmonary resuscitation \u2013 prehospital emergency care \u2013 hospital emergency care \u2013 quality of life<\/p>\n<p>&nbsp;<\/p>\n<p><strong>PSYCHOSOCI\u00c1LN\u00cd ROZHRAN\u00cd INTEGROVAN\u00c9HO Z\u00c1CHRANN\u00c9HO SYST\u00c9MU NA M\u00cdST\u011a Z\u00c1SAHU<\/strong><\/p>\n<p><b>BOHUMILA BA\u0160TECK\u00c1<\/b><\/p>\n<p><b>Abstrakt <\/b><\/p>\n<p>Integrovan\u00fd z\u00e1chrann\u00fd syst\u00e9m m\u00e1 jako ka\u017ed\u00fd syst\u00e9m svoje hranice (pomez\u00ed \u010di rozhran\u00ed), kde se dot\u00fdk\u00e1 jin\u00fdch syst\u00e9m\u016f. \u010cl\u00e1nek se zam\u011b\u0159uje na psychosoci\u00e1ln\u00ed rozhran\u00ed mezi IZS garantovan\u00fdm st\u00e1tem a mezi \u201elaickou ve\u0159ejnost\u00ed\u201c na m\u00edst\u011b z\u00e1sahu. Vyu\u017e\u00edv\u00e1 kontext\u016f prvn\u00ed psychick\u00e9 pomoci a \u010dern\u00e9ho humoru pro ilustraci jeho \u00faskal\u00ed. Rozhran\u00ed popisuje t\u00e9\u017e pohledem z\u00e1chran\u00e1\u0159ky, kter\u00e1 se ze zachra\u0148uj\u00edc\u00ed osoby a krizov\u00e9 interventky stala osobou ud\u00e1lost\u00ed p\u0159\u00edmo zasa\u017eenou.<\/p>\n<p><b>Kl\u00ed\u010dov\u00e1 slova: <\/b>sd\u00edlen\u00e1 zasa\u017eenost \u2013 soucit \u2013 prvn\u00ed psychick\u00e1 pomoc \u2013 \u010dern\u00fd humor \u2013 rozhodov\u00e1n\u00ed v situaci nejistoty \u2013 ve\u0159ejnost p\u0159i mimo\u0159\u00e1dn\u00fdch ud\u00e1lostech<\/p>\n<p><b>Abstract <\/b><\/p>\n<p><b>Psychosocial interface of integrated rescue system on scene of incident <\/b><\/p>\n<p>Integrated rescue system \u2013 as every other system &#8211; has its borders (boundary, interface). The article aims at the psychosocial interface between the state-guaranteed integrated rescue system and the \u201clay public\u201d system in the place of operation. It uses the contexts of first psychological aid and gallows humor to illustrate the pitfalls that are embedded in this interface. The perspective of female paramedic who changed her roles from medical rescuer to the bereaved person in the place of operation is introduced.<\/p>\n<p><b>Key words: <\/b>shared impact \u2013 compassion \u2013 first psychological aid \u2013 gallows humor \u2013 decision-making in uncertainty \u2013 the public in the context of extraordinary events<\/p>\n","protected":false},"excerpt":{"rendered":"<p>\u00daVOD \u00davodn\u00ed slovo \u2013 Jana \u0160eblov\u00e1 Obsah KONCEPCE, \u0158\u00cdZEN\u00cd, ORGANIZACE Mo\u017en\u00fd p\u0159\u00edstup k hodnocen\u00ed p\u0159ipravenosti zdravotnick\u00e9 z\u00e1chrann\u00e9 slu\u017eby na mimo\u0159\u00e1dn\u00e9 ud\u00e1losti \u2013 Irena \u0160varcov\u00e1, Josef Navr\u00e1til Znalosti \u010dlen\u016f v\u00fdjezdov\u00fdch skupin v \u010dinnostech zdravotnick\u00e9 slo\u017eky v m\u00edst\u011b mimo\u0159\u00e1dn\u00e9 ud\u00e1losti s hromadn\u00fdm<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[30],"tags":[],"class_list":["post-787","post","type-post","status-publish","format-standard","hentry","category-rocnik-2017"],"_links":{"self":[{"href":"https:\/\/urgentnimedicina.cz\/index.php?rest_route=\/wp\/v2\/posts\/787","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=787"}],"version-history":[{"count":0,"href":"https:\/\/urgentnimedicina.cz\/index.php?rest_route=\/wp\/v2\/posts\/787\/revisions"}],"wp:attachment":[{"href":"https:\/\/urgentnimedicina.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=787"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/urgentnimedicina.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=787"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/urgentnimedicina.cz\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=787"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}