{"id":798,"date":"2017-12-11T10:54:36","date_gmt":"2017-12-11T08:54:36","guid":{"rendered":"http:\/\/urgentnimedicina.cz\/?p=798"},"modified":"2017-12-11T11:04:27","modified_gmt":"2017-12-11T09:04:27","slug":"obsah-22017","status":"publish","type":"post","link":"https:\/\/urgentnimedicina.cz\/?p=798","title":{"rendered":"Obsah 2\/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>V\u00fdznam L\u00e9ka\u0159sk\u00e9 slu\u017eby prvn\u00ed pomoci v syst\u00e9mu zdravotnick\u00fdch za\u0159\u00edzen\u00ed \u2013 Marina Levko, Mil\u0161 Velem\u00ednsk\u00fd sr., Ingrid Baloun<\/li>\n<li>\u0158e\u0161en\u00ed hromadn\u00e9ho posti\u017een\u00ed zdrav\u00ed\/osob v p\u0159ednemocni\u010dn\u00ed neodkladn\u00e9 p\u00e9\u010di \u2013 nov\u011b ji\u017e jen rychle a zb\u011bsile? \u2013 Pavel Urb\u00e1nek, Martin Dole\u010dek, Anton\u00edn Koukal, Petr Nestrojil<\/li>\n<\/ul>\n<p><b>VZD\u011aL\u00c1V\u00c1N\u00cd, ZKU\u0160ENOSTI <\/b><\/p>\n<ul>\n<li>Vyu\u017eit\u00ed pacientsk\u00e9ho simul\u00e1toru k hodnocen\u00ed schopnosti pou\u017eit\u00ed metody t\u0159\u00edd\u011bn\u00ed START \u2013 Michal Vesel\u00fd<\/li>\n<\/ul>\n<p><b>ODBORN\u00c9 T\u00c9MA L\u00c9KA\u0158SK\u00c9 <\/b><\/p>\n<ul>\n<li>Centra p\u00e9\u010de o nemocn\u00e9 po srde\u010dn\u00ed z\u00e1stav\u011b \u2013 Spole\u010dn\u00e9 stanovisko odborn\u00fdch spole\u010dnost\u00ed \u2013 Petr O\u0161\u0165\u00e1dal, Richard Rokyta, Martin Bal\u00edk et al.<\/li>\n<li>Konsensu\u00e1ln\u00ed stanovisko pro c\u00edlenou regulaci t\u011blesn\u00e9 teploty v p\u0159ednemocni\u010dn\u00ed neodkladn\u00e9 p\u00e9\u010di u nemocn\u00fdch po mimonemocni\u010dn\u00ed n\u00e1hl\u00e9 z\u00e1stav\u011b ob\u011bhu \u2013 Roman \u0160kulec, Jana \u0160eblov\u00e1, Anatolij Truhl\u00e1\u0159<\/li>\n<li>P\u0159ednemocni\u010dn\u00ed p\u00e9\u010de o termick\u00fd \u00faraz \u2013 Pavel Brychta, Robert Zaj\u00ed\u010dek, Yvona Kaloudov\u00e1 et. al.<\/li>\n<li>Poskytov\u00e1n\u00ed telefonick\u00fdch informac\u00ed o obvykl\u00e9m postupu v p\u0159\u00edpad\u011b nez\u00e1va\u017en\u00fdch zdravotn\u00edch obt\u00ed\u017e\u00ed \u2013 Ond\u0159ej Fran\u011bk<\/li>\n<li>Je poskytov\u00e1n\u00ed informac\u00ed o obvykl\u00e9m postupu a alternativn\u00ed \u0159e\u0161en\u00ed m\u00e9n\u011b z\u00e1va\u017en\u00fdch zdravotn\u00edch pot\u00ed\u017e\u00ed oper\u00e1tory zdravotnick\u00e9 t\u00eds\u0148ov\u00e9 linky bezpe\u010dn\u00e9 a efektivn\u00ed? \u2013 Marie Str\u00e1nsk\u00e1, Jaroslava Janouchov\u00e1, Ond\u0159ej Fran\u011bk<\/li>\n<li>Pou\u017e\u00edv\u00e1n\u00ed sk\u00f3re NACA v podm\u00ednk\u00e1ch PNP \u2013 Ond\u0159ej Fran\u011bk<\/li>\n<\/ul>\n<p><b>ETIKA, PSYCHOLOGIE, PR\u00c1VO <\/b><\/p>\n<ul>\n<li>V\u00e1\u0161e\u0148 sb\u011bratelsk\u00e1 \u2013 David Dvo\u0159\u00e1\u010dek<\/li>\n<\/ul>\n<p><b>DISKUZE \u2013 POLEMIKA \u2013 N\u00c1ZORY <\/b><\/p>\n<ul>\n<li>Nekone\u010dn\u00fd p\u0159\u00edb\u011bh \u010desk\u00e9 medic\u00edny katastrof \u2013 Pavel Urb\u00e1nek<\/li>\n<\/ul>\n<p><b>INFORMA\u010cN\u00cd SERVIS <\/b><\/p>\n<ul>\n<li>Spr\u00e1va z 8. Stredoeur\u00f3pskeho kongresu urgentnej medic\u00edny a medic\u00edny katastrof vo Vyhniach \u2013 T\u00e1\u0148a Bul\u00edkov\u00e1<\/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>Importance of the out-of-hours emergency service in the system of healthcare facilities \u2013 Marina Levko, Milo\u015b Velem\u00ednsk\u00fd sr., Ingrid Baloun<\/li>\n<li>Multiple victims incident\u00b4s management in prehospital emergency care \u2013 only quickly and furiously from now? \u2013 Pavel Urb\u00e1nek, Martin Dole\u010dek, Anton\u00edn Koukal, Petr Nestrojil<\/li>\n<\/ul>\n<p><b>EDUCATION, EXPERIENCE <\/b><\/p>\n<ul>\n<li>Utilization of patient simulator manikin for evaluation of START triage tool \u2013 Michal Vesel\u00fd<\/li>\n<\/ul>\n<p><b>CLINICAL TOPICS AND RESEARCH <\/b><\/p>\n<ul>\n<li>Cardiac arrest centers \u2013 Consensual statement of scientific societies \u2013 Petr O\u0161\u0165\u00e1dal, Richard Rokyta, Martin Bal\u00edk et al.<\/li>\n<li>Consensual statement for targeted temperature management in patients after out-of-hospital cardiar arrest in prehospital emergency care \u2013 Roman \u0160kulec, Jana \u0160eblov\u00e1, Anatolij Truhl\u00e1\u0159<\/li>\n<li>Guidelines for prehospital burn trauma \u2013 Pavel Brychta, Robert Zaj\u00ed\u010dek, Yvona Kaloudov\u00e1 et. al.<\/li>\n<li>Providing telephone information about common management in cases of minor medical emergencies \u2013 Ond\u0159ej Fran\u011bk<\/li>\n<li>Are providing of telephone information about common management and alternative solution in cases of minor medical emergencies safe and effective? \u2013 Marie Str\u00e1nsk\u00e1, Jaroslava Janouchov\u00e1, Ond\u0159ej Fran\u011bk<\/li>\n<li>Using of NACA score in prehospital emergency care \u2013 Ond\u0159ej Fran\u011bk<\/li>\n<\/ul>\n<p><b>ETHICS, PSYCHOLOGY, LAW <\/b><\/p>\n<ul>\n<li>Collecting passion \u2013 David Dvo\u0159\u00e1\u010dek<\/li>\n<\/ul>\n<p><b>DISCUSSION, OPINION <\/b><\/p>\n<ul>\n<li>Never-ending story of Czech disaster medicine \u2013 Pavel Urb\u00e1nek<\/li>\n<\/ul>\n<p><b>INFORMATION <\/b><\/p>\n<ul>\n<li>Information about 8th Central European Congress of Disaster and Emergency Medicine \u2013 T\u00e1\u0148a Bul\u00edkov\u00e1<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<p><b><span style=\"text-decoration: underline;\">ABSTRAKTY:<\/span><\/b><\/p>\n<p>&nbsp;<\/p>\n<p><b>V\u00ddZNAM L\u00c9KA\u0158SK\u00c9 SLU\u017dBY PRVN\u00cd POMOCI V SYST\u00c9MU ZDRAVOTNICK\u00ddCH ZA\u0158\u00cdZEN\u00cd <\/b><\/p>\n<p><b>MARINA LEVKO, MILO\u0160 VELEM\u00cdNSK\u00dd SR., INGRID BALOUN<\/b><b> <\/b><\/p>\n<p><b>Abstrakt <\/b><\/p>\n<p>V sou\u010dasn\u00e9 dob\u011b se vede \u0161irok\u00e1 diskuze o v\u00fdznamu existence l\u00e9ka\u0159sk\u00e9 slu\u017eby prvn\u00ed pomoci (d\u00e1le jen LSPP). Tendence sm\u011b\u0159uj\u00ed k jejich postupn\u00e9mu ru\u0161en\u00ed.<\/p>\n<p>C\u00edlem sd\u011blen\u00ed je zd\u016fraznit pot\u0159ebu existence t\u011bchto za\u0159\u00edzen\u00edch ve ve\u010dern\u00edch hodin\u00e1ch a o sv\u00e1tc\u00edch v m\u00edstech, kde nejsou l\u016f\u017ekov\u00e1 odd\u011blen\u00ed nemocnic, ov\u0161em za p\u0159edpokladu kvalitn\u00edho person\u00e1ln\u00edho i technick\u00e9ho vybaven\u00ed.<\/p>\n<p><b>Metoda:<\/b> Auto\u0159i podrobn\u011b zhodnotili t\u0159i pracovi\u0161t\u011b LSPP v Jiho\u010desk\u00e9m kraji. Zaj\u00edmali se o jejich person\u00e1ln\u00ed a technick\u00e9 vybaven\u00ed, frekvenci diagn\u00f3z u pacient\u016f, organiza\u010dn\u00ed zaji\u0161t\u011bn\u00ed p\u00e9\u010de a o po\u010dty okam\u017eit\u011b odeslan\u00fdch pacient\u016f na vy\u0161\u0161\u00ed pracovi\u0161t\u011b, tj. \u201eo\u0161et\u00ad\u0159\u00edm, vyk\u00e1\u017eu a ode\u0161lu\u201c. Z tohoto aspektu se hodnotila i kvalita o\u0161et\u0159en\u00ed a virtu\u00e1ln\u00ed ekonomick\u00e1 n\u00e1ro\u010dnost.<\/p>\n<p><b>V\u00fdsledky:<\/b> Po organiza\u010dn\u00ed a odborn\u00e9 anal\u00fdze \u010dinnosti t\u0159ech LSPP auto\u0159i dosp\u011bli k n\u00e1zoru, \u017ee existence t\u011bchto za\u0159\u00edzen\u00edch ve ve\u00ad\u010dern\u00edch hodin\u00e1ch a o sv\u00e1tc\u00edch v m\u00edstech, kde nejsou l\u016f\u017ekov\u00e1 odd\u011blen\u00ed nemocnic je od\u016fvodn\u011bn\u00e1 za p\u0159edpokladu kvalitn\u00edho person\u00e1ln\u00edho i technick\u00e9ho vybaven\u00ed.<\/p>\n<p><b>Z\u00e1v\u011br:<\/b> Auto\u0159i na podklad\u011b rozbor\u016f \u010dinnost\u00ed t\u011bchto t\u0159ech za\u0159\u00edzen\u00ed navrhuj\u00ed, aby \u0159\u00e1dn\u011b vybaven\u00e9 a funguj\u00edc\u00ed LPPS v m\u00edstech, kde nen\u00ed l\u016f\u017ekov\u00e9 odd\u011blen\u00ed, z\u016fstaly zachovan\u00e9. Pro pacienty, zvl\u00e1\u0161t\u011b v turistick\u00e9 sez\u00f3n\u011b je jejich existence v\u00fdhodn\u00e1 a nevy\u017eaduje komplikovan\u00fd kontakt s l\u00e9ka\u0159em. Obavy o duplicitn\u00ed platby za prvn\u00ed o\u0161et\u0159en\u00ed jsou neopodstatn\u011bn\u00e9.<\/p>\n<p><b>Kl\u00ed\u010dov\u00e1 slova: <\/b>L\u00e9ka\u0159sk\u00e1 slu\u017eba prvn\u00ed pomoci \u2013 postaven\u00ed v syt\u00e9mu \u2013 zaji\u0161t\u011bn\u00ed organiza\u010dn\u00ed, person\u00e1ln\u00ed a technick\u00e9<\/p>\n<p><b>Abstract <\/b><\/p>\n<p><b>Importance of the out-of-hours emergency service in the system of healthcare facilities <\/b><\/p>\n<p>The importance of the out-of-hours emergency services is widely discussed at the time. There is a tendency to cancel this type of service.<\/p>\n<p>The aim of the presented paper is to emphasize the necessary existence of these organizations during evenings, weekends and holidays in locations without inpatient departments of hospitals, provided the quality of equipment and personnel is of a high level.<\/p>\n<p><b>Methods:<\/b> The authors performed a detailed evaluation of three out-of-hours emergency services located in the South-Bohemian Region. They were interested in staff members and equipment of these organizations, frequency of diagnoses in patients, management of patient care and numbers of patients directly referred to higher level facilities, i.e. \u201cto examine, to report and to send off\u201d. Quality of care and virtual economic demands were also evaluated from this point of view.<\/p>\n<p><b>Results:<\/b> Based on organizational and professional analyses of the three out-of-hours emergency services, the authors concluded that the existence of these organizations is necessary during evenings, weekends and holidays in locations without inpatient departments of hospitals, provided the quality of equipment and personnel is of a high level.<\/p>\n<p><b>Conclusion:<\/b> Based on analyses of activities of the three organizations, the authors suggest that appropriately equipped and functional out-of-hours emergency services should be maintained in locations without inpatient departments. Their existence is beneficial for the patients particularly during the tourist season when one needs not complicated contacts with physicians. Fear of duplicity in financial covering of the first line treatment is not justified.<\/p>\n<p><b>Key words: <\/b>out-of-hours emergency services \u2013 position in system \u2013 organizational, personal and technical resources<\/p>\n<p>&nbsp;<\/p>\n<p><b>\u0158E\u0160EN\u00cd HROMADN\u00c9HO POSTI\u017dEN\u00cd ZDRAV\u00cd\/OSOB V P\u0158EDNEMOCNI\u010cN\u00cd NEODKLADN\u00c9 P\u00c9\u010cI \u2013 NOV\u011a JI\u017d JEN RYCHLE A ZB\u011aSILE? <\/b><\/p>\n<p><b>PAVEL URB\u00c1NEK, MARTIN DOLE\u010cEK, ANTON\u00cdN KOUKAL, PETR NESTROJIL<\/b><\/p>\n<p><b>Abstrakt <\/b><\/p>\n<p>Z\u00e1kladem \u00fasp\u011b\u0161n\u00e9ho \u0159e\u0161en\u00ed hromadn\u00e9ho posti\u017een\u00e9 zdrav\u00ed \u010di osob nen\u00ed co nejrychleji zah\u00e1jen\u00e9 o\u0161et\u0159ov\u00e1n\u00ed jedince, ale v\u010dasn\u011b zah\u00e1jen\u00e9 a spr\u00e1vn\u011b proveden\u00e9 rozt\u0159\u00edd\u011bn\u00ed v\u0161ech pacient\u016f na m\u00edst\u011b mimo\u0159\u00e1dn\u00e9 ud\u00e1losti. Na tom se shodnou v\u0161ichni, av\u0161ak \u010d\u00e1st odborn\u00e9 ve\u0159ejnosti by r\u00e1da znovu revidovala st\u00e1vaj\u00edc\u00ed doporu\u010den\u00e9 postupy, proto\u017ee se domn\u00edv\u00e1, \u017ee je t\u0159eba postup t\u0159\u00edd\u011bn\u00ed zrych\u00adlit a zjednodu\u0161it. Auto\u0159i tohoto \u010dl\u00e1nku se sna\u017e\u00ed v n\u00e1sleduj\u00edc\u00edm textu objasnit, pro\u010d jsou platn\u00e9 doporu\u010den\u00e9 postupy optim\u00e1ln\u00edm \u0159e\u0161en\u00edm pro definitivn\u00ed z\u00e1chranu co nejv\u011bt\u0161\u00edho po\u010dtu posti\u017een\u00fdch. O priorit\u00e1ch o\u0161et\u0159en\u00ed a odsunu a jejich kombinaci je t\u0159eba rozhodnout velice zodpov\u011bdn\u011b ji\u017e v p\u0159ednemocni\u010dn\u00ed f\u00e1zi, co\u017e za pomoci barevn\u00fdch p\u00e1sk\u016f nelze zajistit bez sn\u00ed\u017een\u00ed kvality p\u00e9\u010de.<\/p>\n<p><b>Kl\u00ed\u010dov\u00e1 slova: <\/b>hromadn\u00e9 posti\u017een\u00ed zdrav\u00ed \u010di osob \u2013 medic\u00edna katastrof \u2013 mimo\u0159\u00e1dn\u00e1 ud\u00e1lost \u2013 START \u2013 t\u0159\u00edd\u011bn\u00ed \u2013 t\u0159\u00edd\u00edc\u00ed a identifi\u00adka\u010dn\u00ed karta \u2013 zdravotnick\u00e1 z\u00e1chrann\u00e1 slu\u017eba \u2013 zdravotnick\u00e9 za\u0159\u00edzen\u00ed<\/p>\n<p><b>Abstract <\/b><\/p>\n<p><b>Multiple victims incident\u00b4s management in prehospital emergency care \u2013 only quickly and furiously from now? <\/b><\/p>\n<p>Timely and appropriate triage of all patients on scene of multiple victim incident or disaster is essential for successful management of any multiple victim incident and disaster. Individual treatment provided immediately after reaching the site of incident is not a solution in these situations. There is general consensus about this statement but part of the experts suggests revision of current guidelines in favour of more simple and rapid triage. The authors clarify in presented paper why the current guidelines offer the best solution for definitive rescue of majority of affected population. The priorities of treatment and priorities of transport must be decided with the utmost responsibility in the prehospital phase of mass casualty management which is not possible without decrease of quality of care by using just colours instead of triage tags.<\/p>\n<p><b>Key words: <\/b>mass casualty incident \u2013 disaster medicine \u2013 disaster \u2013 START \u2013 triage \u2013 triage and identification tag \u2013 emergency medical service \u2013 health care facility<\/p>\n<p>&nbsp;<\/p>\n<p><b>VYU\u017dIT\u00cd PACIENTSK\u00c9HO SIMUL\u00c1TORU K HODNOCEN\u00cd SCHOPNOSTI POU\u017dIT\u00cd METODY T\u0158\u00cdD\u011aN\u00cd START <\/b><\/p>\n<p><b>MICHAL VESEL\u00dd<\/b><\/p>\n<p><b>Abstrakt <\/b><\/p>\n<p>V sou\u010dasnosti prob\u00edh\u00e1 diskuze ohledn\u011b vyu\u017e\u00edv\u00e1n\u00ed metody START zam\u011bstnanci zdravotnick\u00fdch z\u00e1chrann\u00fdch slu\u017eeb. C\u00edlem p\u0159ed\u00adkl\u00e1dan\u00e9ho textu je stanoven\u00ed v\u00fdchoz\u00edch hodnot pro dal\u0161\u00ed testov\u00e1n\u00ed a navr\u017een\u00ed zp\u016fsobu spolupr\u00e1ce slo\u017eek integrovan\u00e9ho z\u00e1\u00adchrann\u00e9ho syst\u00e9mu, pokud budou zm\u011bn\u011bna st\u00e1vaj\u00edc\u00ed doporu\u010den\u00ed pro vyu\u017eit\u00ed metody t\u0159\u00edd\u011bn\u00ed START. Byl vyzkou\u0161en pacientsk\u00fd simul\u00e1tor k hodnocen\u00ed schopnost\u00ed t\u0159\u00eddit ran\u011bn\u00e9. Pro z\u00edsk\u00e1n\u00ed dat bylo vyu\u017eito dotazn\u00edkov\u00e9ho \u0161et\u0159en\u00ed a t\u0159\u00edd\u011bn\u00ed na pacientsk\u00e9m simul\u00e1toru SimMan 3G. \u00da\u010dastnilo se 126 p\u0159\u00edslu\u0161n\u00edk\u016f hasi\u010dsk\u00e9ho z\u00e1chrann\u00e9ho sboru (d\u00e1le jen HZS) a 68 zam\u011bstnanc\u016f zdravot\u00adnick\u00e9 z\u00e1chrann\u00e9 slu\u017eby (d\u00e1le jen ZZS). Ka\u017ed\u00fd \u00fa\u010dastn\u00edk m\u011bl za \u00fakol p\u0159i\u0159adit priority 20 pacient\u016fm. Byly hodnoceny parametry cel\u00adkov\u00e1 \u00fasp\u011b\u0161nost, nadt\u0159\u00edd\u011bn\u00ed, podt\u0159\u00edd\u011bn\u00ed, senzitivita a specificita pro \u010dervenou prioritu a celkov\u00fd \u010das pot\u0159ebn\u00fd k p\u0159i\u0159azen\u00ed priorit, v\u0161e v dotazn\u00edku a na simul\u00e1toru. Byl zji\u0161t\u011bn statisticky v\u00fdznamn\u00fd rozd\u00edl mezi v\u00fdsledky v dotazn\u00edku a na simul\u00e1toru. Zam\u011bstnanci ZZS m\u011bli lep\u0161\u00ed v\u00fdsledky ne\u017e p\u0159\u00edslu\u0161n\u00edci HZS. Simul\u00e1tor se osv\u011bd\u010dil jako vhodn\u00fd n\u00e1stroj k hodnocen\u00ed schopnosti t\u0159\u00eddit ran\u011bn\u00e9. Po\u00adda\u0159ilo se stanovit v\u00fdchoz\u00ed hodnoty pro dal\u0161\u00ed testov\u00e1n\u00ed.<\/p>\n<p><b>Kl\u00ed\u010dov\u00e1 slova: <\/b>hromadn\u00e9 posti\u017een\u00ed osob \u2013 p\u0159edt\u0159\u00edd\u011bn\u00ed \u2013 t\u0159\u00edd\u011bn\u00ed START \u2013 pacientsk\u00fd simul\u00e1tor<\/p>\n<p><b>Abstract <\/b><\/p>\n<p><b>Utilization of patient simulator manikin for evaluation of START triage tool <\/b><\/p>\n<p>The use of START disaster triage by Emergency Medical Service (EMS) is discussed nowadays. The aim of this paper is to set initial values for further testing and to suggest a way of cooperation of fire rescue and EMS at the scene of mass casualty incident while providing START disaster triage. A patient simulator was tested whether it can be used to evaluate triage practising. A questionnaire and a patient simulator were used to obtain the data. 126 fire fighters and 68 EMS providers participated in this research. Each participant was asked to assign priority to 20 patients in the questionnaire and at the simulator. Parameters such as total accuracy, overtriage, undertriage, sensitivity and specificity for red priority and total time for assigning priorities were evaluated, each parameter in the questionnaire and on the simulator. Statistically significant difference was found between the results in the questionnaire and at the patient simulator. EMS providers were more successful in priorities assigning. The simulator was proved to be a suitable tool to evaluate triage practising. Initial values for further testing were set successfully.<\/p>\n<p><b>Key words: <\/b>mass casualty incident \u2013 primary triage \u2013 START disaster triage \u2013 patient simulator<\/p>\n<p>&nbsp;<\/p>\n<p><b>JE POSKYTOV\u00c1N\u00cd INFORMAC\u00cd O OBVYKL\u00c9M POSTUPU A ALTERNATIVN\u00cd \u0158E\u0160EN\u00cd M\u00c9N\u011a Z\u00c1VA\u017dN\u00ddCH ZDRAVOTN\u00cdCH POT\u00cd\u017d\u00cd OPER\u00c1TORY ZDRAVOTNICK\u00c9 T\u00cdS\u0147OV\u00c9 LINKY BEZPE\u010cN\u00c9 A EFEKTIVN\u00cd?<\/b><\/p>\n<p><b>MARIE STR\u00c1NSK\u00c1, JAROSLAVA JANOUCHOV\u00c1, OND\u0158EJ FRAN\u011aK<\/b><\/p>\n<p><b>Abstrakt <\/b><\/p>\n<p>C\u00edlem sd\u011blen\u00ed je p\u0159edstavit metodiku a v\u00fdsledky pilotn\u00edho ov\u011b\u0159ov\u00e1n\u00ed bezpe\u010dnosti poskytovan\u00fdch informac\u00ed volaj\u00edc\u00edm, kte\u0159\u00ed kon\u00adtaktovali t\u00eds\u0148ovou linku 155 z d\u016fvodu m\u00e9n\u011b z\u00e1va\u017en\u00e9ho zdravotn\u00edho stavu (teplot).<\/p>\n<p>Ov\u011b\u0159ovac\u00ed studie prob\u011bhla na ZZS HMP formou telefonick\u00e9ho strukturovan\u00e9ho rozhovoru s volaj\u00edc\u00edmi s odstupem 1\u20134 t\u00fddn\u016f po prvotn\u00edm kontaktu.<\/p>\n<p>Pou\u017eit\u00e1 metodika je vhodn\u00e1 pro nam\u00e1tkov\u00e9 ov\u011b\u0159ov\u00e1n\u00ed kvality a monitorov\u00e1n\u00ed dal\u0161\u00edho osudu pacient\u016f, u kter\u00fdch bylo vol\u00e1n\u00ed na linku 155 \u0159e\u0161eno alternativn\u00edm zp\u016fsobem, bez v\u00fdjezdu voz\u016f ZZS. Alternativn\u00ed \u0159e\u0161en\u00ed bylo volaj\u00edc\u00edmi vn\u00edm\u00e1no pozitivn\u011b ve 100 % p\u0159\u00edpad\u016f. Na z\u00e1klad\u011b zp\u011btn\u00e9ho vyhodnocen\u00ed bylo zji\u0161t\u011bno, \u017ee 72 % t\u011bchto ud\u00e1lost\u00ed se skute\u010dn\u011b poda\u0159ilo p\u0159esm\u011brovat mimo sys\u00adt\u00e9m pohotovostn\u00ed l\u00e9ka\u0159sk\u00e9 p\u00e9\u010de a 87 % mimo syst\u00e9m p\u0159ednemocni\u010dn\u00ed neodkladn\u00e9 p\u00e9\u010de. Nebyla zji\u0161t\u011bna \u017e\u00e1dn\u00e1 ne\u010dekan\u00e1 akut\u00adn\u00ed p\u0159\u00edhoda, kter\u00e1 by si vy\u017e\u00e1dala nutnost n\u00e1sledn\u00e9 intervence ZZS, p\u0159\u00edpad\u011b akutn\u00ed hospitalizace.<\/p>\n<p><b>Kl\u00ed\u010dov\u00e1 slova: <\/b>opera\u010dn\u00ed st\u0159edisko zdravotnick\u00e9 z\u00e1chrann\u00e9 slu\u017eby \u2013 bezpe\u010dnost pacienta \u2013 m\u00e9n\u011b z\u00e1va\u017en\u00e9 zdravotn\u00ed stavy<\/p>\n<p><b>Abstract <\/b><\/p>\n<p><b>Are providing of telephone information about common management and alternative solution in cases of minor medical emergencies safe and effective? <\/b><\/p>\n<p>Pilot evaluation of safety of telephone information provided to callers of emergency medical line (155 in CR) who presented with low priority medical cases (uncomplicated fever) is the goal of this paper.<\/p>\n<p>Pilot study took place at EMS of the Capital Prague. A structured interview with callers was provided within 1 \u2013 4 weeks after primary dispatch contact for fever.<\/p>\n<p>Contacting emergency line 155 was solved by alternative way without dispatching EMS ambulance to scene. Presented method is appropriate for random safety check and further patient\u00b4s condition develepment monitoring. This alternative solution was positively accepted in 100 % of callers. Based on our feedback analysis we have found that 72 % of cases were redirected away from emergency medical system and 87 % away from prehospital emergency care. No serious adverse effect with consequent EMS intervention nor any hospitalisation was reported.<\/p>\n<p><b>Key words: <\/b>medical dispatch center \u2013 patient safety \u2013 low priority medical cases<\/p>\n","protected":false},"excerpt":{"rendered":"<p>\u00daVOD \u00davodn\u00ed slovo \u2013 Jana \u0160eblov\u00e1 Obsah KONCEPCE, \u0158\u00cdZEN\u00cd, ORGANIZACE V\u00fdznam L\u00e9ka\u0159sk\u00e9 slu\u017eby prvn\u00ed pomoci v syst\u00e9mu zdravotnick\u00fdch za\u0159\u00edzen\u00ed \u2013 Marina Levko, Mil\u0161 Velem\u00ednsk\u00fd sr., Ingrid Baloun \u0158e\u0161en\u00ed hromadn\u00e9ho posti\u017een\u00ed zdrav\u00ed\/osob v p\u0159ednemocni\u010dn\u00ed neodkladn\u00e9 p\u00e9\u010di \u2013 nov\u011b ji\u017e jen rychle<\/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-798","post","type-post","status-publish","format-standard","hentry","category-rocnik-2017"],"_links":{"self":[{"href":"https:\/\/urgentnimedicina.cz\/index.php?rest_route=\/wp\/v2\/posts\/798","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=798"}],"version-history":[{"count":0,"href":"https:\/\/urgentnimedicina.cz\/index.php?rest_route=\/wp\/v2\/posts\/798\/revisions"}],"wp:attachment":[{"href":"https:\/\/urgentnimedicina.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=798"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/urgentnimedicina.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=798"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/urgentnimedicina.cz\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=798"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}