{"id":810,"date":"2017-12-11T11:19:13","date_gmt":"2017-12-11T09:19:13","guid":{"rendered":"http:\/\/urgentnimedicina.cz\/?p=810"},"modified":"2017-12-11T12:33:50","modified_gmt":"2017-12-11T10:33:50","slug":"obsah-32017","status":"publish","type":"post","link":"https:\/\/urgentnimedicina.cz\/?p=810","title":{"rendered":"Obsah 3\/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>VZD\u011aL\u00c1V\u00c1N\u00cd, ZKU\u0160ENOSTI <\/b><\/p>\n<ul>\n<li>Mimo\u0159\u00e1dn\u00e1 ud\u00e1lost s hromadn\u00fdm posti\u017een\u00edm osob zp\u016fsoben\u00e1 novoviry \u2013 Robin \u0160\u00edn, Dalibor Sedl\u00e1\u010dek<\/li>\n<li>7. ro\u010dn\u00edk s\u00fa\u0165a\u017ee MUC. RR na Rallye Rejv\u00edz 2017 \u2013 T\u00e1\u0148a Bul\u00edkov\u00e1, Jan Mar\u0161\u00e1lek, Viliam Dobi\u00e1\u0161, Jitka Gur\u0148\u00e1kov\u00e1<\/li>\n<\/ul>\n<p><b>ODBORN\u00c9 T\u00c9MA L\u00c9KA\u0158SK\u00c9 <\/b><\/p>\n<ul>\n<li>Telefonicky asistovan\u00e1 prvn\u00ed pomoc (TAPP) \u2013 Ond\u0159ej Fran\u011bk, Anatolij Truhl\u00e1\u0159, Jaroslava Kren\u010d\u00edkov\u00e1, Roman \u0160kulec, Karel \u0160t\u011bp\u00e1nek, Tom\u00e1\u0161 Va\u0148atka<\/li>\n<\/ul>\n<p><b>ETIKA, PSYCHOLOGIE, PR\u00c1VO <\/b><\/p>\n<ul>\n<li>Etick\u00e1 dilemata urgentn\u00ed medic\u00edny \u2013 n\u00e1zory zdravotn\u00edk\u016f na indikace a kontraindikace neodkladn\u00e9 resuscitace u pacient\u016f trp\u00edc\u00edch z\u00e1va\u017en\u00fdm chronick\u00fdm onemocn\u011bn\u00edm \u2013 Milana Pokorn\u00e1, Jana \u0160eblov\u00e1, Roman Sk\u0159ipsk\u00fd<\/li>\n<li>Vliv psychick\u00e9 z\u00e1t\u011b\u017ee u \u010dlen\u016f Integrovan\u00e9ho z\u00e1chrann\u00e9ho syst\u00e9mu \u2013 Dana Rebeka Ralbovsk\u00e1, Robin \u0160\u00edn, Denisa Charlotte Ralbovsk\u00e1<\/li>\n<\/ul>\n<p><b>INFORMA\u010cN\u00cd SERVIS <\/b><\/p>\n<ul>\n<li>Ohl\u00e9dnut\u00ed za prvn\u00edm ro\u010dn\u00edkem konference Jiho\u010desk\u00fd den p\u0159ednemocni\u010dn\u00ed neodkladn\u00e9 p\u00e9\u010de \u2013 Pavel Proch\u00e1ska, Ji\u0159\u00ed Majstr<\/li>\n<li>Evropsk\u00e9 konference 2017 \u2013 Jana \u0160eblov\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>EDUCATION, EXPERIENCE <\/b><\/p>\n<ul>\n<li>Emergency Situation with Mass Casualty caused by Norovirus Infection \u2013 Robin \u0160\u00edn, Dalibor Sedl\u00e1\u010dek<\/li>\n<li>7th year of MUC. RR competition of students of medical universities at Rally Rejv\u00edz 2017 \u2013 T\u00e1\u0148a Bul\u00edkov\u00e1, Jan Mar\u0161\u00e1lek, Viliam Dobi\u00e1\u0161, Jitka Gur\u0148\u00e1kov\u00e1<\/li>\n<\/ul>\n<p><b>CLINICAL TOPICS AND RESEARCH <\/b><\/p>\n<ul>\n<li>Telephone assisted first aid \u2013 Ond\u0159ej Fran\u011bk, Anatolij Truhl\u00e1\u0159, Jaroslava Kren\u010d\u00edkov\u00e1, Roman \u0160kulec, Karel \u0160t\u011bp\u00e1nek, Tom\u00e1\u0161 Va\u0148atka<\/li>\n<\/ul>\n<p><b>ETHICS, PSYCHOLOGY, LAW <\/b><\/p>\n<ul>\n<li>Ethical dilemmas in emergency medicine \u2013 health care professionals\u00b4 opinion on indications and contraindications of advanced life support in patients with severe chronic disease \u2013 Milana Pokorn\u00e1, Jana \u0160eblov\u00e1, Roman Sk\u0159ipsk\u00fd<\/li>\n<li>Impact of psychological stress on professionals of the Integrated Rescue System \u2013 Dana Rebeka Ralbovsk\u00e1, Robin \u0160\u00edn, Denisa Charlotte Ralbovsk\u00e1<\/li>\n<\/ul>\n<p><b>INFORMATION <\/b><\/p>\n<ul>\n<li>Information about the first conference South Bohemian day of pre-hospital emergency care \u2013 Pavel Proch\u00e1ska, Ji\u0159\u00ed Majstr<\/li>\n<li>European congresses 2017 \u2013 Jana \u0160eblov\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>MIMO\u0158\u00c1DN\u00c1 UD\u00c1LOST S HROMADN\u00ddM POSTI\u017dEN\u00cdM OSOB ZP\u016eSOBEN\u00c1 NOROVIRY <\/b><\/p>\n<p><b>ROBIN \u0160\u00cdN, DALIBOR SEDL\u00c1\u010cEK<\/b><\/p>\n<p><b>Abstrakt <\/b><\/p>\n<p>\u010cl\u00e1nek p\u0159edstavuje m\u00e9n\u011b obvyklou formu mimo\u0159\u00e1dn\u00e9 ud\u00e1losti s hromadn\u00fdm posti\u017een\u00edm osob ve form\u011b akutn\u00ed gastroenteritidy, kter\u00e1 je zp\u016fsoben\u00e1 noroviry. Noroviry jsou mal\u00e9 neobalen\u00e9 RNA viry, kter\u00e9 jsou u lid\u00ed \u010dast\u00fdm p\u016fvodcem akutn\u00ed gastroenteritidy. Vzplanut\u00ed hromadn\u00e9 n\u00e1kazy je lehk\u00e9 z d\u016fvodu snadn\u00e9ho p\u0159enosu, velmi n\u00edzk\u00e9 infek\u010dn\u00ed d\u00e1vky, kr\u00e1tk\u00e9 inkuba\u010dn\u00ed doby, snadn\u00e9\u00adho p\u0159e\u017e\u00edv\u00e1n\u00ed v prost\u0159ed\u00ed a chyb\u011bn\u00ed trval\u00e9 imunity po p\u0159ekonan\u00e9m onemocn\u011bn\u00ed. Kazuistika p\u0159edstavuje z\u00e1sah poskytovatele zdravotnick\u00e9 z\u00e1chrann\u00e9 slu\u017eby v m\u00edst\u011b mimo\u0159\u00e1dn\u00e9 ud\u00e1losti s hromadnou n\u00e1kazou zp\u016fsobenou noroviry. Jednalo se o \u0161kolu v p\u0159\u00edrod\u011b na \u00fazem\u00ed b\u00fdval\u00e9ho okresu Plze\u0148-sever, kde bylo sti\u017eeno akutn\u00ed gastroenteritidou 56 d\u011bt\u00ed a 2 dosp\u011bl\u00e9 osoby. Pops\u00e1na je reakce sp\u00e1dov\u00e9ho zdravotnick\u00e9ho opera\u010dn\u00edho st\u0159ediska, nasazov\u00e1n\u00ed sil a prost\u0159edk\u016f zdravotnick\u00e9 slo\u017eky, postup v m\u00edst\u011b ud\u00e1losti, organizace odsunu do zdravotnick\u00fdch za\u0159\u00edzen\u00ed a postup p\u0159i p\u0159\u00edjmu nemocn\u00fdch d\u011bt\u00ed a jejich l\u00e9\u010db\u011b na Klinice infek\u010dn\u00edch nemoc\u00ed a cestovn\u00ed medic\u00edny Fakultn\u00ed nemocnice Plze\u0148.<\/p>\n<p><b>Kl\u00ed\u010dov\u00e1 slova: <\/b>hromadn\u00e9 posti\u017een\u00ed osob \u2013 akutn\u00ed provirov\u00e1 gastroenteritida \u2013 traumatologick\u00fd pl\u00e1n \u2013 t\u0159\u00edd\u011bn\u00ed<\/p>\n<p><b>Abstract <\/b><\/p>\n<p><b>Emergency Situation with Mass Casualty caused by Norovirus Infection <\/b><\/p>\n<p>The article presents a less common emergency situation with a mass casualty in the form of acute gastroenteritis caused by norovirus infection. Noroviruses are small non covered RNA viruses that are common source of acute gastroentritis. The spreading of mass infection is easy because of simple transmission, very low infective dose, short time of incubation, easy survival in the environment and lack of permanent immunity after overcoming the disease. The case report describes emergency medical service provider\u00b4s intervention on scene of multiple victim incident caused by norovirus infection. The incident was situated in the school camp in the former district of Pilsen &#8211; North, where 56 children and 2 adults suffered from acute gastroenteritis. The reaction of regional Medical Dispatch Center, deployed resources of Emergency Medical Service, on scene management and organization of transport to medical centers are described in the paper. The articela also deals with the procces of ill children\u00b4s admission and treatment at the Department of Infectious Diseases and Travel Medicine of the University Hospital and Medical School Plze\u0148.<\/p>\n<p><b>Key words: <\/b>mass casualty incident \u2013 acute norovirous gastroenteritis \u2013 disaster plan \u2013 triage<\/p>\n<p>&nbsp;<\/p>\n<p><b>7. RO\u010cN\u00cdK S\u00da\u0164A\u017dE MUC. RR NA RALLYE REJV\u00cdZ 2017<\/b><\/p>\n<p><b>T\u00c1\u0147A BUL\u00cdKOV\u00c1, JAN MAR\u0160\u00c1LEK, VILIAM DOBI\u00c1\u0160, JITKA GUR\u0147\u00c1KOV\u00c1, ZDEN\u011aK TLUST\u00dd<\/b><\/p>\n<p><b>Abstrakt <\/b><\/p>\n<p>\u010cl\u00e1nok sa zaober\u00e1 anal\u00fdzou 7. ro\u010dn\u00edka MUC. Rallye Rejv\u00edz (MUC. RR) \u2013 s\u00fa\u0165a\u017ee pos\u00e1dok \u0161tudentov 4. \u2013 6. ro\u010dn\u00edka lek\u00e1rskych fak\u00falt (medikov), ktor\u00e1 prebehla ako s\u00fa\u010das\u0165 21. ro\u010dn\u00edka Rallye Rejv\u00edz 2017, najv\u00e4\u010d\u0161ej z\u00e1chran\u00e1rskej s\u00fa\u0165a\u017ee, v m\u00e1ji v Koutech nad Desnou. Do MUC. R sa toho roku zapojilo dev\u00e4\u0165 pos\u00e1dok (sedem \u010desk\u00fdch, jedna slovensk\u00e1 a jedna po\u013esk\u00e1). Autori predkladaj\u00fa porovnanie v\u00fdsledkov v jednotliv\u00fdch odborn\u00fdch \u00faloh\u00e1ch, MUC verzus n\u00e1rodn\u00e1 s\u00fa\u0165a\u017e pos\u00e1dok RLP (RLP-NAT). Dosiahnut\u00e9 priemern\u00e9 bodov\u00e9 zisky pos\u00e1dok MUC a RLP-NAT s\u00fa spracovan\u00e9 graficky.<\/p>\n<p><b>K\u013e\u00fa\u010dov\u00e9 slov\u00e1: <\/b>s\u00fa\u0165a\u017e \u0161tudentov lek\u00e1rskych fak\u00falt a lek\u00e1rskych pos\u00e1dok \u2013 odborn\u00e9 metodick\u00e9 \u00falohy \u2013 porovnanie<\/p>\n<p><b>Abstract <\/b><\/p>\n<p><b>7<\/b><b>th <\/b><b>year of MUC. RR competition of students of medical universities at Rally Rejv\u00edz 2017 <\/b><\/p>\n<p>The article deals with the analysis of the 7th year of the MUC. Rallye Rejv\u00edz (MUC. RR) \u2013 Competition of students of the 4th \u2013 6th years of medical universities, which took place as part of the 21st Rallye Rejv\u00edz 2017, the largest competition of Emergency Medical Services, in May in Kouty nad Desnou. Nine crews joined the MUC. RR this year (seven Czech, one Slovak and one Polish). The authors present a comparison of the results in the individual professional tasks, MUC versus the RLP national competition (RLP-NAT). The average points earnings achieved by MUC and RLP-NAT crews are processed graphically.<\/p>\n<p><b>Key words: <\/b>competition of students of medical universities and physicians crews \u2013 professional methodological tasks \u2013 comparison<b><\/b><\/p>\n<p><b>\u00a0<\/b><\/p>\n<p><b>ETICK\u00c1 DILEMATA URGENTN\u00cd MEDIC\u00cdNY \u2013 N\u00c1ZORY ZDRAVOTN\u00cdK\u016e NA INDIKACE A KONTRAINDIKACE NEODKLADN\u00c9 RESUSCITACE U PACIENT\u016e TRP\u00cdC\u00cdCH Z\u00c1VA\u017dN\u00ddM CHRONICK\u00ddM ONEMOCN\u011aN\u00cdM <\/b><\/p>\n<p><b>MILANA POKORN\u00c1, JANA \u0160EBLOV\u00c1, ROMAN SK\u0158IPSK\u00dd<\/b><\/p>\n<p><b>Abstrakt <\/b><\/p>\n<p><b>\u00davod:<\/b> V podm\u00ednk\u00e1ch p\u0159ednemocni\u010dn\u00ed neodkladn\u00e9 p\u00e9\u010de se zdravotn\u00edci pom\u011brn\u011b \u010dasto setk\u00e1vaj\u00ed se situacemi, kdy nemaj\u00ed dostatek informac\u00ed o kontraindikac\u00edch neodkladn\u00e9 resuscitace vzhledem k termin\u00e1ln\u00edmu stavu nevyl\u00e9\u010diteln\u00e9ho onemocn\u011bn\u00ed pacienta, p\u0159\u00edpadn\u011b kdy je na m\u00edst\u011b z\u00e1sahu jako prvn\u00ed pos\u00e1dka se zdravotnick\u00fdm z\u00e1chran\u00e1\u0159em a pro absenci jist\u00fdch zn\u00e1mek smrti resus\u00adcitaci z forenzn\u00edch d\u016fvod\u016f zah\u00e1j\u00ed.<\/p>\n<p><b>Metoda:<\/b> V pr\u016fb\u011bhu celost\u00e1tn\u00ed oborov\u00e9 konference urgentn\u00ed medic\u00edny Dost\u00e1lovy dny provedli auto\u0159i v roce 2015 pilotn\u00ed dotazn\u00edkov\u00fd pr\u016fzkum, kter\u00fd zji\u0161\u0165oval n\u00e1zory \u00fa\u010dastn\u00edk\u016f konference na zah\u00e1jen\u00ed \u010di nezah\u00e1jen\u00ed roz\u0161\u00ed\u0159en\u00e9 kardiopulmon\u00e1ln\u00ed resuscitace (KPR) v p\u011bti popsan\u00fdch modelov\u00fdch situac\u00edch z\u00e1stavy ob\u011bhu, a v p\u0159\u00edpad\u011b rozhodnut\u00ed o zah\u00e1jen\u00ed KPR zji\u0161\u0165ovali d\u016fvod. Uv\u00e1d\u011bn\u00e9 d\u016fvody byly ve v\u0161ech dotazech toto\u017en\u00e9. \u00da\u010dast v pr\u016fzkumu byla dobrovoln\u00e1 a byla zaji\u0161t\u011bna anonymita respondent\u016f. Nebyla zji\u0161\u0165ov\u00e1na \u017e\u00e1dn\u00e1 jin\u00e1 demografick\u00e1 data krom\u011b v\u011bku, pohlav\u00ed a pracovn\u00edho za\u0159azen\u00ed. V\u00fdsledky byly zpracov\u00e1ny z\u00e1kladn\u00ed deskriptivn\u00ed statistikou.<\/p>\n<p><b>V\u00fdsledky:<\/b> Z 212 odevzdan\u00fdch dotazn\u00edk\u016f bylo zpracov\u00e1no 205, 7 bylo vy\u0159azeno pro ne\u00faplnost odpov\u011bd\u00ed na v\u00fdzkumn\u00e9 ot\u00e1zky. 26 ze zpracovan\u00fdch dotazn\u00edk\u016f obsahovalo v\u0161echny odpov\u011bdi, ale nikoliv demografick\u00e1 data. Z p\u011bti modelov\u00fdch situac\u00ed byla v\u011bt\u0161i\u00adnov\u00e1 shoda ve dvou; v obou p\u0159\u00edpadech se jednalo o pozorovan\u00fd kolaps a sou\u010dasn\u011b pacienta s p\u0159edpokl\u00e1danou plnou aktivitou fyzickou i psychickou, jednoho mlad\u0161\u00edho, jednoho seniora. V t\u011bchto dvou p\u0159\u00edpadech se respondenti i shodli na d\u016fvodu zah\u00e1jen\u00ed, co\u017e byla v\u00edra v n\u00e1vrat do plnohodnotn\u00e9ho \u017eivota. V ostatn\u00edch t\u0159ech p\u0159\u00edpadech (pacientka seniorsk\u00e9ho v\u011bku s Mb. Alzheimer dlouhodob\u011b upoutan\u00e1 na l\u016f\u017eko, mu\u017e \u2013 kvadruplegik st\u0159edn\u00edch let po opakovan\u00fdch KPR a pobytech na ARO a mlad\u0161\u00ed mu\u017e, kter\u00fd utrp\u011bl devastuj\u00edc\u00ed kraniotrauma neslu\u010diteln\u00e9 se \u017eivotem) byly n\u00e1zory na zah\u00e1jen\u00ed KPR nejednotn\u00e9, p\u0159i\u010dem\u017e uv\u00e1d\u011bn\u00e9 d\u016fvody byly p\u0159ev\u00e1\u017en\u011b jin\u00e9, ne\u017e nad\u011bje na p\u0159\u00edzniv\u00fd v\u00fdsledek resuscita\u010dn\u00edho \u00fasil\u00ed.<\/p>\n<p><b>Z\u00e1v\u011br:<\/b> V okam\u017eiku z\u00e1sahu zdravotnick\u00e9 z\u00e1chrann\u00e9 slu\u017eby je velmi obt\u00ed\u017en\u00e9 vyhodnotit ve\u0161ker\u00e9 \u00fadaje, kter\u00e9 rozhoduj\u00ed o zah\u00e1jen\u00ed \u010di nezah\u00e1jen\u00ed resuscitace. Zdravotn\u00edci ZZS nemaj\u00ed v okam\u017eiku n\u00e1hl\u00e9 z\u00e1stavy \u010dasto jinou mo\u017enost ne\u017e resuscitaci zah\u00e1jit kv\u016fli nedostatku informac\u00ed nebo z forenzn\u00edch d\u016fvod\u016f. Krit\u00e9ria DNR (do not resuscitace) nebo AND (allow natural death), p\u0159\u00edpadn\u011b p\u0159\u00e1n\u00ed pacienta o obsahu a \u00farovni p\u00e9\u010de by m\u011blo b\u00fdt zaps\u00e1no ve zdravotnick\u00e9 dokumentaci a nejbli\u017e\u0161\u00ed p\u0159\u00edbuzn\u00ed \u010di pe\u010dovatel\u00e9 by s n\u00edm m\u011bli b\u00fdt sezn\u00e1meni a ztoto\u017en\u011bni.<\/p>\n<p><b>Kl\u00ed\u010dov\u00e1 slova: <\/b>indikace a kontraindikace neodkladn\u00e9 resuscitace \u2013 paliativn\u00ed p\u00e9\u010de \u2013 pokyny neresuscitovat (DNR) \u2013 p\u0159edem vyslo\u00adven\u00e1 p\u0159\u00e1n\u00ed<\/p>\n<p><b>Abstract <\/b><\/p>\n<p><b>Ethical dilemmas in emergency medicine \u2013 health care professionals\u00b4 opinion on indications and contraindications of advanced life support in patients with severe chronic disease <\/b><\/p>\n<p><b>Introduction:<\/b> Emergency health care professionals face quite often situations with lack of information about contraindications of advanced life support (ALS) in terminally ill patients. Similarly, when paramedic team is on scene as the first response team and they must start ALS due to the legislation in case when obvious signs of death are not present.<\/p>\n<p><b>Methods:<\/b> The authors provided a pilot questionnaire survey among participants of national emergency medicine congress Dost\u00e1lovy dny in 2015. The survey mapped opinion of respondents about providing or withdrawing ALS in five described model situations of cardiac arrest. In case of choosing to provide ALS they were asked also for reason why they should start resuscitation. The options of reasons for providing ALS were the same in all five cases. Participation in the survey was voluntary and the respondents answered anonymously. No other demographic data than age, gender and professional role were asked. Basic descriptive statistics was used for the analysis.<\/p>\n<p><b>Results:<\/b> 205 out of 212 questionnaires were enrolled in the pilot study, 7 were excluded for incomplete answers. Complete answers but no data on age, gender and professional role were in 26 of enrolled questionnares. In two of 5 model situations the participants were mostly in agreement: in these 2 cases a witnessed cardiac arrest was described and both patients (one middle aged and the other of senior age) were physically and mentally capable and active. The reason most often chosen in those two patients was expectancy of possible recovery should the resuscitation be successful. Opininon on the remaining 3 cases (a long-term imobile senior patient with dementia, a middle-aged patient with quadruplegia and severe case history with repeated resuscitations and critical care unit hospitlaizations, and a young man with devastating brain injury) were inhomogenous. The selected reasons were different than hope for recovery.<\/p>\n<p><b>Key words: <\/b>indications and contraindications of advanced life support \u2013 palliative care \u2013 do not resuscitace orders (DNR) \u2013 advanced directives<\/p>\n<p><b>\u00a0<\/b><\/p>\n<p><b>VLIV PSYCHICK\u00c9 Z\u00c1T\u011a\u017dE U \u010cLEN\u016e INTEGROVAN\u00c9HO Z\u00c1CHRANN\u00c9HO SYST\u00c9MU <\/b><\/p>\n<p><b>DANA REBEKA RALBOVSK\u00c1, ROBIN \u0160\u00cdN, DENISA CHARLOTTE RALBOVSK\u00c1<\/b><b> <\/b><\/p>\n<p><b>Abstrakt <\/b><\/p>\n<p>P\u0159\u00edsp\u011bvek se zab\u00fdv\u00e1 problematikou vyu\u017eit\u00ed posttraumatick\u00e9 interven\u010dn\u00ed p\u00e9\u010de u \u010dlen\u016f zasahuj\u00edc\u00edch slo\u017eek Integrovan\u00e9ho z\u00e1\u00adchrann\u00e9ho syst\u00e9mu. C\u00edlem v\u00fdzkumn\u00e9ho \u0161et\u0159en\u00ed bylo zjistit, jak \u010dlenov\u00e9 zasahuj\u00edc\u00edch slo\u017eek integrovan\u00e9ho z\u00e1chrann\u00e9ho syst\u00e9mu vn\u00edmaj\u00ed mo\u017enost poskytov\u00e1n\u00ed posttraumatick\u00e9 interven\u010dn\u00ed p\u00e9\u010de a jak se k t\u00e9to mo\u017enosti stav\u00ed z hlediska jej\u00edho vyu\u017eit\u00ed. Pomoc\u00ed nestandardizovan\u00e9ho anonymn\u00edho dotazn\u00edku jsme zji\u0161\u0165ovali, jak velk\u00e1 je psychick\u00e1 z\u00e1t\u011b\u017e samotn\u00fdch z\u00e1chran\u00e1\u0159\u016f, kte\u0159\u00ed poskytuj\u00ed prvn\u00ed psychologickou pomoc ob\u011btem na m\u00edst\u011b mimo\u0159\u00e1dn\u00e9 ud\u00e1losti. D\u00e1le n\u00e1s zaj\u00edmaly pocity a emoce \u010dlen\u016f z\u00e1chrann\u00fdch t\u00fdm\u016f po psychicky n\u00e1ro\u010dn\u00e9m z\u00e1sahu. Zji\u0161\u0165ovali jsme po jak\u00e9m druhu z\u00e1sahu by profesion\u00e1lov\u00e9 nejpravd\u011bpodobn\u011bji vyhledali slu\u017eby psychologa nebo \u010dlena posttraumatick\u00e9ho interven\u010dn\u00edho t\u00fdmu. V z\u00e1v\u011bru pr\u00e1ce jsme zkoumali, zda samotn\u00ed \u010dlenov\u00e9 integro\u00advan\u00e9ho z\u00e1chrann\u00e9ho syst\u00e9mu maj\u00ed z\u00e1jem se v oblasti psychosoci\u00e1ln\u00ed interven\u010dn\u00ed p\u00e9\u010de vzd\u011bl\u00e1vat a zda maj\u00ed z\u00e1jem sami pomoc poskytovat, a\u0165 u\u017e ob\u011btem mimo\u0159\u00e1dn\u00fdch ud\u00e1lost\u00ed nebo sv\u00fdm koleg\u016fm.<\/p>\n<p><b>Kl\u00ed\u010dov\u00e1 slova: <\/b>integrovan\u00fd z\u00e1chrann\u00fd syst\u00e9m \u2013 psychick\u00e1 z\u00e1t\u011b\u017e \u2013 posttraumatick\u00e1 interven\u010dn\u00ed p\u00e9\u010de \u2013 posttraumatick\u00e1 stresov\u00e1 porucha<\/p>\n<p><b>Abstract <\/b><\/p>\n<p><b>Impact of psychological stress on professionals of the Integrated Rescue System <\/b><\/p>\n<p>This paper discusses the issue of post-traumatic intervention care provided to professionals within the Integrated Rescue System. The research aims to examine how professionals within emergency and rescue services understand the option of post-traumatic intervention care and how they consider it beneficial for them. We have used a non-structured questionnaire for the research part of the study to find what is the amount of psychological stress of crisis intervents while providing the first psychological aid to the victims on site. We are also interested in the feeling and emotions of the members of rescue teams after an intervention which has been psychologically stressful. We have studied after which type of emergency response would the professionals ask for help of a psychologist or a member of posttraumatic intervention team. We have also explored whether the professionals of the Integrated Rescue System are interested in training in the area of psychosocial intervention care and if they are willing to provide this help by themselves \u2013 either to the victims of emergency situations or to their colleagues.<\/p>\n<p><b>Key words: <\/b>integrated rescue system \u2013 psychologiocal stress \u2013 post-traumatic intervention care \u2013 post-traumatic stress disorder<b><\/b><\/p>\n","protected":false},"excerpt":{"rendered":"<p>\u00daVOD \u00davodn\u00ed slovo \u2013 Jana \u0160eblov\u00e1 Obsah VZD\u011aL\u00c1V\u00c1N\u00cd, ZKU\u0160ENOSTI Mimo\u0159\u00e1dn\u00e1 ud\u00e1lost s hromadn\u00fdm posti\u017een\u00edm osob zp\u016fsoben\u00e1 novoviry \u2013 Robin \u0160\u00edn, Dalibor Sedl\u00e1\u010dek 7. ro\u010dn\u00edk s\u00fa\u0165a\u017ee MUC. RR na Rallye Rejv\u00edz 2017 \u2013 T\u00e1\u0148a Bul\u00edkov\u00e1, Jan Mar\u0161\u00e1lek, Viliam Dobi\u00e1\u0161, Jitka Gur\u0148\u00e1kov\u00e1<\/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-810","post","type-post","status-publish","format-standard","hentry","category-rocnik-2017"],"_links":{"self":[{"href":"https:\/\/urgentnimedicina.cz\/index.php?rest_route=\/wp\/v2\/posts\/810","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=810"}],"version-history":[{"count":0,"href":"https:\/\/urgentnimedicina.cz\/index.php?rest_route=\/wp\/v2\/posts\/810\/revisions"}],"wp:attachment":[{"href":"https:\/\/urgentnimedicina.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=810"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/urgentnimedicina.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=810"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/urgentnimedicina.cz\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=810"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}