{"id":832,"date":"2018-02-13T08:45:03","date_gmt":"2018-02-13T06:45:03","guid":{"rendered":"http:\/\/urgentnimedicina.cz\/?p=832"},"modified":"2018-02-13T08:47:02","modified_gmt":"2018-02-13T06:47:02","slug":"obsah-42017-2","status":"publish","type":"post","link":"https:\/\/urgentnimedicina.cz\/?p=832","title":{"rendered":"Obsah 4\/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>N\u00e1vrh metodick\u00e9ho postupu hodnocen\u00ed krizov\u00e9 p\u0159ipravenosti \u2013 <i>Irena \u0160varcov\u00e1, Josef Navr\u00e1til <\/i><\/li>\n<\/ul>\n<p><b>ODBORN\u00c9 T\u00c9MA L\u00c9KA\u0158SK\u00c9 <\/b><\/p>\n<ul>\n<li>Sv\u011bdky spat\u0159en\u00fd kolaps s laickou resuscitac\u00ed a defibrilovateln\u00fdm srde\u010dn\u00edm rytmem hlavn\u00edm prediktorem \u00fasp\u011b\u0161n\u00e9ho p\u0159e\u017eit\u00ed mimonemocni\u010dn\u00ed n\u00e1hl\u00e9 z\u00e1stavy ob\u011bhu \u2013 <i>Michal Plodr, Jaroslava Kren\u010d\u00edkov\u00e1, Monika Praunov\u00e1, Anatolij Truhl\u00e1\u0159 <\/i><\/li>\n<li>Ultrasonograficky navigovan\u00e1 kanylace perifern\u00ed \u017e\u00edly v p\u0159ednemocni\u010dn\u00ed neodkladn\u00e9 p\u00e9\u010di \u2013 <i>Roman \u0160kulec, Jitka Callerov\u00e1 <\/i><\/li>\n<li>Sledov\u00e1n\u00ed netechnick\u00fdch dovednost\u00ed p\u0159i resuscitaci \u2013 <i>David Pe\u0159an, Jana Kubalov\u00e1 <\/i><\/li>\n<li>Otrava oxidom uho\u013enat\u00fdm. Dve kr\u00e1tke kazuistiky zo z\u00e1chran\u00e1rskej praxe \u2013 T\u00e1\u0148a Bul\u00edkov\u00e1<\/li>\n<\/ul>\n<p><b>ETIKA, PSYCHOLOGIE, PR\u00c1VO <\/b><\/p>\n<ul>\n<li>Komunikace s klientem se sluchov\u00fdm posti\u017een\u00edm v p\u0159ednemocni\u010dn\u00ed neodkladn\u00e9 p\u00e9\u010di \u2013 <i>Martina Mukn\u0161n\u00e1blov\u00e1 <\/i><\/li>\n<\/ul>\n<p><b>DISKUZE, POLEMIKA, N\u00c1ZORY <\/b><\/p>\n<ul>\n<li>Resuscitovat! \u2013 v\u017edy a za v\u0161ech okolnost\u00ed? \u2013 <i>Jana \u0160eblov\u00e1 <\/i><\/li>\n<\/ul>\n<p><b>INFORMA\u010cN\u00cd SERVIS <\/b><\/p>\n<ul>\n<li>Newborn Life Support z pohledu \u00fa\u010dastn\u00edka \u2013 <i>Robert Pleskot <\/i><\/li>\n<li>Obsah ro\u010dn\u00edku 2017<\/li>\n<\/ul>\n<p><b>\u00a0<\/b><\/p>\n<p><b>INTRODUCTION <\/b><\/p>\n<ul>\n<li>Editorial \u2013 <i>Jana \u0160eblov\u00e1 <\/i><\/li>\n<li>Contents<\/li>\n<\/ul>\n<p><b>CONCEPTION, MANAGEMENT, ORGANIZATION <\/b><\/p>\n<ul>\n<li>Draft methodology for evaluating emergency preparedness \u2013 <i>Irena \u0160varcov\u00e1, Josef Navr\u00e1til <\/i><\/li>\n<\/ul>\n<p><b>CLINICAL TOPICS AND RESEARCH <\/b><\/p>\n<ul>\n<li>The bystander-witnessed collapse with CPR and shockable rhythm as the main predictor of a successful survival after out-of-hospital cardiac arrest \u2013 <i>Michal Plodr, Jaroslava Kren\u010d\u00edkov\u00e1, Monika Praunov\u00e1, Anatolij Truhl\u00e1\u0159 <\/i><\/li>\n<li>Ultrasound guided peripheral vein cannulation in pre-hospital emergency care \u2013 <i>Roman \u0160kulec, Jitka Callerov\u00e1 <\/i><\/li>\n<li>Non-technical skills observation during resuscitation \u2013 <i>David Pe\u0159an, Jana Kubalov\u00e1 <\/i><\/li>\n<li>Carbon monoxide intoxication in prehospital care \u2013 two case reports \u2013 <i>T\u00e1\u0148a Bul\u00edkov\u00e1 <\/i><\/li>\n<\/ul>\n<p><b>ETHICS, PSYCHOLOGY, LAW <\/b><\/p>\n<ul>\n<li>Communication with client with hearing impairment in prehospital emergency care \u2013 <i>Martina Mukn\u0161n\u00e1blov\u00e1 <\/i><\/li>\n<\/ul>\n<p><b>DISCUSSION, OPINION <\/b><\/p>\n<ul>\n<li>Resuscitation anytime and under all circumstances? \u2013 <i>Jana \u0160eblov\u00e1 <\/i><\/li>\n<\/ul>\n<p><b>INFORMATION <\/b><\/p>\n<ul>\n<li>Newborn Life Support from participant\u00b4s point of view \u2013 <i>Robert Pleskot <\/i><\/li>\n<li>Contents of the year 2017<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<p><span style=\"text-decoration: underline;\"><strong>ABSTRAKTY<\/strong><\/span><\/p>\n<p>&nbsp;<\/p>\n<p><b>N\u00c1VRH METODICK\u00c9HO POSTUPU HODNOCEN\u00cd KRIZOV\u00c9 P\u0158IPRAVENOSTI <\/b><\/p>\n<p><b>IRENA \u0160VARCOV\u00c1, JOSEF NAVR\u00c1TIL<\/b><b> <\/b><\/p>\n<p><b>Abstrakt <\/b><\/p>\n<p>P\u0159\u00edsp\u011bvek p\u0159edkl\u00e1d\u00e1 mo\u017en\u00fd n\u00e1vrh metodick\u00e9ho postupu pro hodnocen\u00ed \u00farovn\u011b krizov\u00e9 p\u0159ipravenosti zdravotnick\u00e9 z\u00e1chrann\u00e9 slu\u017eby (ZZS) na mimo\u0159\u00e1dn\u00e9 ud\u00e1losti. Z rozboru sou\u010dasn\u00e9ho stavu vyplynulo, \u017ee p\u0159\u00edstupy jednotliv\u00fdch ZZS kraj\u016f \u010cesk\u00e9 republiky nejsou k napl\u0148ov\u00e1n\u00ed \u00faloh krizov\u00e9 p\u0159ipravenosti na mimo\u0159\u00e1dn\u00e9 ud\u00e1losti ve stanoven\u00fdch oblastech identick\u00e9. Aktu\u00e1ln\u00ed zp\u016fsob v hodnocen\u00ed i ve zvy\u0161ov\u00e1n\u00ed kvality krizov\u00e9 p\u0159ipravenosti ZZS je nesourod\u00fd a nen\u00ed komplexn\u011b kontrolov\u00e1n. Jsou sice vymezeny standardy stanovuj\u00edc\u00ed z\u00e1vazn\u00e1 doporu\u010den\u00ed pro zvl\u00e1d\u00e1n\u00ed mimo\u0159\u00e1dn\u00e9 ud\u00e1losti s hromadn\u00fdm posti\u017een\u00edm osob, ale v sou\u010dasnosti neexistuj\u00ed vhodn\u00e9 n\u00e1stroje vyu\u017eiteln\u00e9 pro komplexn\u00ed hodnocen\u00ed krizov\u00e9 p\u0159ipravenosti.<\/p>\n<p><b>Kl\u00ed\u010dov\u00e1 slova: <\/b><i>Hodnocen\u00ed krizov\u00e9 p\u0159ipravenosti \u2013 hromadn\u00e9 posti\u017een\u00ed osob \u2013 indik\u00e1tory \u2013 krit\u00e9ria \u2013 metodick\u00fd postup \u2013 mimo\u0159\u00e1dn\u00e1 ud\u00e1lost \u2013 zdravotnick\u00e1 z\u00e1chrann\u00e1 slu\u017eba <\/i><\/p>\n<p><b>Abstract <\/b><\/p>\n<p><b>Draft methodology for evaluating emergency preparedness <\/b><\/p>\n<p>The paper presents a draft methodology for evaluating emergency preparedness of emergency medical services (EMS). Evaluation of the current state of emergency preparedness has shown that procedures used by regional EMS in the Czech Republic in executing emergency preparedness tasks are not identical in all stipulated areas. Current procedures used to evaluate and improve the quality of emergency response preparedness of the EMS are neither harmonized nor comprehensively controlled. While standards establishing binding recommendations for dealing with mass casualty incidents are in place, no suitable instruments currently exist for a comprehensive evaluation of emergency preparedness.<\/p>\n<p><b>Key words: <\/b>Emergency preparedness evaluation \u2013 mass casualty incidents \u2013 indicators \u2013 criteria \u2013 methodology \u2013 emergency situation \u2013 emergency medical services<\/p>\n<p>&nbsp;<\/p>\n<p><b>SV\u011aDKY SPAT\u0158EN\u00dd KOLAPS S LAICKOU RESUSCITAC\u00cd A DEFIBRILOVATELN\u00ddM SRDE\u010cN\u00cdM RYTMEM HLAVN\u00cdM PREDIKTOREM \u00daSP\u011a\u0160N\u00c9HO P\u0158E\u017dIT\u00cd MIMONEMOCNI\u010cN\u00cd N\u00c1HL\u00c9 Z\u00c1STAVY OB\u011aHU <\/b><\/p>\n<p><b>MICHAL PLODR, JAROSLAVA KREN\u010c\u00cdKOV\u00c1, MONIKA PRAUNOV\u00c1, ANATOLIJ TRUHL\u00c1\u0158<\/b><b> <\/b><\/p>\n<p><b>Abstrakt <\/b><\/p>\n<p>Auto\u0159i p\u0159edkl\u00e1daj\u00ed retrospektivn\u00ed anal\u00fdzu v\u00fdsledk\u016f l\u00e9\u010dby nemocn\u00fdch s mimonemocni\u010dn\u00ed n\u00e1hlou z\u00e1stavou ob\u011bhu v Kr\u00e1lov\u00e9hradec\u00adk\u00e9m kraji za celoro\u010dn\u00ed obdob\u00ed leden a\u017e prosinec 2016. C\u00edlem pr\u00e1ce bylo zjistit z\u00e1vislost mezi kvalitn\u00edm p\u0159e\u017eit\u00edm a \u00favodn\u00edm srde\u010dn\u00edm rytmem, p\u0159\u00edtomnost\u00ed sv\u011bdka kolapsu a prov\u00e1d\u011bn\u00edm laick\u00e9 resuscitace p\u0159ed p\u0159\u00edjezdem v\u00fdjezdov\u00e9 skupiny zdravotnick\u00e9 z\u00e1chrann\u00e9 slu\u017eby. Sv\u011bdky spat\u0159en\u00fd kolaps se zah\u00e1jenou laickou resuscitac\u00ed a defibrilovateln\u00fdm srde\u010dn\u00edm rytmem byl hlavn\u00edm prediktorem \u00fasp\u011b\u0161n\u00e9ho p\u0159e\u017eit\u00ed mimonemocni\u010dn\u00ed n\u00e1hl\u00e9 z\u00e1stavy ob\u011bhu zaji\u0161\u0165uj\u00edc\u00ed 43,5 % p\u0159e\u017eit\u00ed do propu\u0161t\u011bn\u00ed s dobr\u00fdm neurologick\u00fdm v\u00fdsled\u00adkem (5,5 nemocn\u00fdch\/100 000\/rok). P\u0159i spat\u0159en\u00e9 z\u00e1stav\u011b, ale bez laick\u00e9 resuscitace, byl oproti nespat\u0159en\u00fdm kolaps\u016fm vy\u0161\u0161\u00ed po\u010det nemocn\u00fdch p\u0159ed\u00e1n po obnoven\u00ed ob\u011bhu do nemocnice (33,9 vs. 10,4 %), ale neurologick\u00fd v\u00fdsledek byl v obou skupin\u00e1ch shodn\u00fd (1,8 vs. 2,0 %). Ve skupin\u011b spat\u0159en\u00fdch kolaps\u016f se zah\u00e1jenou laickou resuscitac\u00ed p\u0159e\u017eilo do propu\u0161t\u011bn\u00ed s dobr\u00fdm neurologick\u00fdm v\u00fdsledkem 18,9 % nemocn\u00fdch bez ohledu na \u00favodn\u00ed rytmus (p &lt; 0,0001). Asystolii nep\u0159e\u017eil s dobr\u00fdm neurologick\u00fdm v\u00fdsledkem \u017e\u00e1dn\u00fd nemocn\u00fd bez ohledu na jak\u00e9koliv dal\u0161\u00ed faktory. Pr\u00e1ce potvrdila, \u017ee spat\u0159en\u00e1 z\u00e1stava s defibrilovateln\u00fdm rytmem a laickou resuscitac\u00ed poskytuje nejvy\u0161\u0161\u00ed \u0161anci na kvalitn\u00ed p\u0159e\u017eit\u00ed.<\/p>\n<p><b>Kl\u00ed\u010dov\u00e1 slova: <\/b>resuscitace \u2013 mimonemocni\u010dn\u00ed n\u00e1hl\u00e1 z\u00e1stava ob\u011bhu \u2013 fibrilace<\/p>\n<p><b>Abstract <\/b><\/p>\n<p><b>The bystander-witnessed collapse with CPR and shockable rhythm as the main predictor of a successful survival after out-of-hospital cardiac arrest <\/b><\/p>\n<p>The authors present a retrospecitve analysis of outcomes of out-of-hospital cardiac arrest (OHCA) treated in the Hradec Kr\u00e1lov\u00e9 region within the one year period from January to December, 2016. The aim of the study was to determine a relation between a quality survival and an initial rhythm, bystander-witnessed collapse with cardiopulmonary resuscitation (CPR) before the arrival of Emergency Medical Service. The bystander-witnessed collapse with CPR and shockable rhythm was the main predictor of a successful survival after OHCA with 43,5 % survival rate to hospital discharge with a good neurological outcome (5,5 patients\/100 000\/year). In case of bystander-witnessed collapse without CPR, a higher number of patients, in comparison with unwitnessed collapses, was handed over at the hospital with return of spontaneous circulation (ROSC) (33,9 vs. 10,4 %), however, the neurological outcome was the same in both groups (1,8 vs. 2,0 %). In the group of bystander-witnessed collapses with CPR, 18,9 % of patients, regardless of the initial rhythm (p &lt; 0,0001), survived to hospital discharge with good neurological outcomes. None of the patients survived asystole with the good neurological outcome regardless any other factors. The study confirmed that witnessed cardiac arrest with shockable rhythm and bystander-witnessed CPR leads to the best chance for the quality survival after OHCA.<\/p>\n<p><b>Key words: <\/b>cardiopulmonary resuscitation \u2013 out-of-hospital cardiac arrest \u2013 ventricular fibrillation<\/p>\n<p>&nbsp;<\/p>\n<p><b>ULTRASONOGRAFICKY NAVIGOVAN\u00c1 KANYLACE PERIFERN\u00cd \u017d\u00cdLY V P\u0158EDNEMOCNI\u010cN\u00cd NEODKLADN\u00c9 P\u00c9\u010cI <\/b><\/p>\n<p><b>ROMAN \u0160KULEC, JITKA CALLEROV\u00c1<\/b><b> <\/b><\/p>\n<p><b>Abstrakt <\/b><\/p>\n<p><span style=\"text-decoration: underline;\">\u00davod: <\/span>Ultrasonografick\u00e1 navigace p\u0159i zav\u00e1d\u011bn\u00ed perifern\u00edho \u017eiln\u00edho katetru (PVC) m\u016f\u017ee zv\u00fd\u0161it \u00fasp\u011b\u0161nost kanylace. Proto jsme se rozhodli ov\u011b\u0159it tuto metodu v p\u0159ednemocni\u010dn\u00ed neodkladn\u00e9 p\u00e9\u010di (PNP). Za c\u00edle jsme si zvolili porovn\u00e1n\u00ed metod ultrasonograficky kontrolovan\u00e9ho zav\u00e1d\u011bn\u00ed a konven\u010dn\u00ed kanylace perifern\u00ed \u017e\u00edly bez ultrasonografick\u00e9 navigace zejm\u00e9na z hlediska \u00fasp\u011b\u0161nosti zaveden\u00ed PVC prvn\u00edm pokusem, celkov\u00e9 \u00fasp\u011b\u0161nosti kanylace a \u010dasu pot\u0159ebn\u00e9ho k zaveden\u00ed PVC.<\/p>\n<p><span style=\"text-decoration: underline;\">Metody: <\/span>Provedli jsme pilotn\u00ed pseudorandomizovanou prospektivn\u00ed klinickou studii. Pacienty spl\u0148uj\u00edc\u00ed krit\u00e9ria za\u0159azen\u00ed a neza\u0159azen\u00ed jsme randomizovali k ultrasonograficky kontrolovan\u00e9mu zaveden\u00ed PVC (skupina UPVC) pomoc\u00ed p\u0159enosn\u00e9ho ultrasonografick\u00e9ho p\u0159\u00edstroje nebo ke konven\u010dn\u00ed kanylaci perifern\u00ed \u017e\u00edly bez ultrasonografick\u00e9 kontroly (skupina CPVC). B\u011bhem p\u0159ednemocni\u010dn\u00edho o\u0161et\u0159en\u00ed jsme sledovali a porovnali uveden\u00e9 c\u00edle.<\/p>\n<p><span style=\"text-decoration: underline;\">V\u00fdsledky: <\/span>Do souboru bylo za\u0159azeno 58 nemocn\u00fdch, pr\u016fm\u011brn\u00fd v\u011bk byl 60,8 \u00b1 13,4 let. \u00dasp\u011b\u0161nost prvn\u00edho pokusu o zaveden\u00ed ve skupin\u011b UPVC byla 91,9 %, ve skupin\u011b CPVC 76,2 % (p = 0,204). Celkov\u00e1 \u00fasp\u011b\u0161nost byla vy\u0161\u0161\u00ed ve skupin\u011b UPVC ne\u017e CPVC (100,0 % versus 90,5 %, p = 0,050). Anal\u00fdzou podskupiny pacient\u016f, u kter\u00fdch byla kanylace \u00fasp\u011b\u0161n\u00e1, nebyl zji\u0161t\u011bn rozd\u00edl v \u010dase pot\u0159ebn\u00e9m na kanylaci (UPVC skupina: 75 \u00b1 56 s; CPVC skupina: 95 \u00b1 91 s; p = 0,300).<\/p>\n<p><span style=\"text-decoration: underline;\">Z\u00e1v\u011bry: <\/span>I na pom\u011brn\u011b mal\u00e9m souboru pacient\u016f jsme zjistili trend k vy\u0161\u0161\u00ed \u00fasp\u011b\u0161nosti zaveden\u00ed perifern\u00ed \u017eiln\u00ed kanyly prvn\u00edm poku\u00adsem, vy\u0161\u0161\u00ed celkovou \u00fasp\u011b\u0161nost kanylace p\u0159i pou\u017eit\u00ed ultrasonografick\u00e9 navigace ve srovn\u00e1n\u00ed s konven\u010dn\u00edm postupem bez pom\u016fcek k zobrazen\u00ed \u017eiln\u00edho \u0159e\u010di\u0161t\u011b. \u010cas pot\u0159ebn\u00fd ke kanylaci se mezi skupinami neli\u0161il.<\/p>\n<p><b>Kl\u00ed\u010dov\u00e1 slova: <\/b>p\u0159ednemocni\u010dn\u00ed neodkladn\u00e1 p\u00e9\u010de \u2013 perifern\u00ed \u017eiln\u00ed katetr \u2013 ultrasonografick\u00e1 navigace<\/p>\n<p><b>Abstract <\/b><\/p>\n<p><b>Ultrasound guided peripheral vein cannulation in pre-hospital emergency care <\/b><\/p>\n<p><span style=\"text-decoration: underline;\">Introductio<\/span>n: Ultrasound guidance of peripheral venous catheter (PVC) insertion can increase the success rate of cannulation. Therefore, we have decided to assess this method in pre-hospital emergency care (PEC). We compared the method of ultrasound guided PVC insertion and conventional cannulation technique with regard to the success of the first attempt of PVC insertion, the overall success of the cannulation and the time required to introduce PVC.<\/p>\n<p><span style=\"text-decoration: underline;\">Methods: <\/span>We performed a pseudo-randomized prospective clinical trial. Patients meeting the inclusion and exclusion criteria were randomized to the ultrasound guided insertion of PVC (UPVC group) using a portable ultrasonographic device or conventional peripheral vein cannulation without ultrasonographic control (CPVC group). We monitored and compared the goals of the study.<\/p>\n<p><span style=\"text-decoration: underline;\">Results: <\/span>A total of 58 patients were enrolled, they were 60.8\u00b113.4 years old. The success rate of the first attempt was 91.9% in the UPVC group was 91.9 % and 76.2% in the CPVC group (p=0.204). Overall success rate was higher in the UPVC than in the CPVC group (100.0 % versus 90.5 %, p=0.050). An analysis of a subgroup of the patients in whom overall success has been reached, we did not identify the difference in the time required for the procedure (UPVC group: 75\u00b156, CPVC group: 95\u00b191 s, p=0.300).<\/p>\n<p><span style=\"text-decoration: underline;\">Conclusions: <\/span>Regardless of the small sample size, we identified a trend towards higher success of the first attempt of cannulation and higher overall success associated with ultrasound guided cannulation compared to conventional procedure without visualization of the venous circulation. The time required for cannulation did not differ between groups.<\/p>\n<p><b>Key words: <\/b>pre-hospital emergency care \u2013 peripheral venous cathether \u2013 ultrasound guidance<\/p>\n<p>&nbsp;<\/p>\n<p><b>SLEDOV\u00c1N\u00cd NETECHNICK\u00ddCH DOVEDNOST\u00cd P\u0158I RESUSCITACI <\/b><\/p>\n<p><b>DAVID PE\u0158AN, JANA KUBALOV\u00c1<\/b><\/p>\n<p><b>Abstrakt <\/b><\/p>\n<p>A\u017e 80 % v\u0161ech chyb je zp\u016fsobeno selh\u00e1n\u00edm lidsk\u00e9ho faktoru. Z letectv\u00ed se do medic\u00edny p\u0159ej\u00edm\u00e1 syst\u00e9m \u0159\u00edzen\u00ed lidsk\u00fdch zdroj\u016f za krizov\u00fdch situac\u00ed (CRM). Z\u00e1klad netechnick\u00fdch dovednost\u00ed tvo\u0159\u00ed celkem \u010dty\u0159i oblasti (t\u00fdmov\u00e1 spolupr\u00e1ce a veden\u00ed t\u00fdmu; roz\u00adhodovac\u00ed proces; rozd\u011blov\u00e1n\u00ed \u00fakol\u016f; situa\u010dn\u00ed pov\u011bdom\u00ed), kter\u00e9 navz\u00e1jem spojuje komunikace. Na z\u00e1klad\u011b zku\u0161enost\u00ed koleg\u016f z Velk\u00e9 Brit\u00e1nie (Cooper at al, 2010; Napier et al, 2009) jsme vytvo\u0159ili tabulku pro sledov\u00e1n\u00ed parametr\u016f netechnick\u00fdch dovednost\u00ed. Celkem byly netechnick\u00e9 dovednosti sledov\u00e1ny u 31 t\u00fdm\u016f. V prost\u0159ed\u00ed medic\u00edny a zdravotnictv\u00ed obecn\u011b m\u00e1me velmi pokro\u010dil\u00e9 technologie, v\u010detn\u011b p\u0159\u00edstroj\u016f, kter\u00e9 hl\u00eddaj\u00ed, zda technologie spr\u00e1vn\u011b pou\u017e\u00edv\u00e1me. Potenci\u00e1ln\u00ed prostor pro chybu p\u0159edstavuj\u00ed ne\u00adtechnick\u00e9 dovednosti. Na z\u00e1klad\u011b uveden\u00fdch pozorov\u00e1n\u00ed bychom m\u011bli netechnick\u00e9 dovednosti v r\u00e1mci CRM tr\u00e9novat a v\u011bnovat jim adekv\u00e1tn\u00ed pozornost.<\/p>\n<p><b>Kl\u00ed\u010dov\u00e1 slova: <\/b>netechnick\u00e9 dovednosti \u2013 resuscitace \u2013 CRM<\/p>\n<p><b>Abstract <\/b><\/p>\n<p><b>Non-technical skills observation during resuscitation <\/b><\/p>\n<p>Eighty percent of errors occur as a result of human failure. CRM first originated in aviation and medicine has adopted these procedures into its own processes. Non-technical skills consist of four areas (Teamwork and Team Leading, Decision-making, Task management, Situational awareness) under the umbrella of communication. Based on experience of colleagues from United Kingdom (Cooper et al, 2010; Napier et al, 2009) we build a form for non-technical skills observation. We observe non-technical skills in 31 medical teams. The medical and healthcare environment generally has very advanced technologies, including devices that monitor whether technology is being used properly. The potential space for error is in non-technical skills that, based on our observation, should be trained and given adequate attention within CRM.<\/p>\n<p><b>Key words: <\/b>non-technical skills \u2013 resuscitation \u2013 CRM<\/p>\n<p>&nbsp;<\/p>\n<p><b>OTRAVA OXIDOM UHO\u013dNAT\u00ddM. DVE KR\u00c1TKE KAZUISTIKY ZO Z\u00c1CHRAN\u00c1RSKEJ PRAXE <\/b><\/p>\n<p><b>T\u00c1\u0147A BUL\u00cdKOV\u00c1<\/b><b> <\/b><\/p>\n<p><b>Abstrakt <\/b><\/p>\n<p align=\"center\">Motto: \u201ePrax je najlep\u0161ia u\u010dite\u013eka.\u201c\u00a0Marcus Tullius Cicero<\/p>\n<p>Otrava oxidom uho\u013enat\u00fdm je v\u00fdznamn\u00fdm zdravotn\u00fdm, soci\u00e1lnym a ekonomick\u00fdm probl\u00e9mom v\u00e4\u010d\u0161iny vyspel\u00fdch kraj\u00edn sveta. Zauj\u00edma prv\u00e9 miesto medzi n\u00e1hodn\u00fdmi otravami v Eur\u00f3pe i severnej Amerike. Ro\u010dne umiera na Slovensku 125\u2013150 \u013eud\u00ed (2\u20133 pr\u00ed\u00adpady na 100 000 obyvate\u013eov za rok) (1), pri\u010dom \u013eah\u0161ie formy otravy \u2013 asi 30 % nie s\u00fa v prvom kontakte spr\u00e1vne diagnostikovan\u00e9 pre ne\u0161pecifick\u00e9 pr\u00edznaky. Naj\u010dastej\u0161ie z\u00e1meny s\u00fa za chr\u00edpku, \u00fanavov\u00fd a depres\u00edvny syndr\u00f3m, gastroenterit\u00eddu , otravu alkoholom a in\u00fdmi l\u00e1tkami, cievnu mozgov\u00fa pr\u00edhodu a in\u00e9. (2,3) Probl\u00e9mom u pre\u017eiv\u0161\u00edch s\u00fa trval\u00e9 neurologick\u00e9 n\u00e1sledky, poruchy pam\u00e4te, zmeny osobnosti. V \u010dl\u00e1nku s\u00fa uveden\u00e9 z\u00e1kladn\u00e9 charakteristiky otravy CO, v\u00fdskyt, pr\u00edznaky, diagnostika a lie\u010dba v prednemoc\u00adni\u010dnej starostlivosti. S\u00fa\u010das\u0165ou s\u00fa dve kr\u00e1tke kazuistiky z v\u00fdjazdu z\u00e1chrannej zdravotnej slu\u017eby.<\/p>\n<p><b>K\u013a\u00fa\u010dov\u00e9 slov\u00e1: <\/b>oxid uho\u013enat\u00fd \u2013 otrava \u2013 kysl\u00edkov\u00e1 lie\u010dba \u2013 detektor CO<\/p>\n<p><b>Abstract <\/b><\/p>\n<p><b>Carbon monoxide intoxication in prehospital care <\/b><\/p>\n<p align=\"center\">Motto: &#8222;Experience is the best teacher.&#8220;\u00a0Marcus Tullius Cicero<\/p>\n<p>Carbon monoxide (CO) poisoning is a major health, social and economic problem for most of the developed countries in the world. It occupies the first place between accidental intoxications in Europe and North America. There are 125\u2013150 people per year in the country (2\u20133 cases per 100,000 inhabitants per year) [1], with mild forms of intoxication \u2013 about 30% are not properly diagnosed for nonspecific symptoms in the first contact. The most common mistaken diagnoses are: influenza, fatigue and depressive syndrome, gastroenteritis, alcohol and other poisoning, stroke, and others. [2,3] Those who survived have permanent neurological consequences, memory disorders, personality changes. The article presents the basic characteristics of CO intoxication, its incidence, symptoms, diagnosis and treatment in prehospital care. Two short case reports from the emergency medical service are presented in the paper.<\/p>\n<p><b>Key words: <\/b>carbon monoxide \u2013 intoxication \u2013 oxygen therapy \u2013 carbon monoxide detector<\/p>\n<p>&nbsp;<\/p>\n<p><b>KOMUNIKACE S KLIENTEM SE SLUCHOV\u00ddM POSTI\u017dEN\u00cdM V P\u0158EDNEMOCNI\u010cN\u00cd NEODKLADN\u00c9 P\u00c9\u010cI <\/b><\/p>\n<p><b>MARTINA MUKN\u0160N\u00c1BLOV\u00c1<\/b><b> <\/b><\/p>\n<p><b>Abstrakt <\/b><\/p>\n<p>U nesly\u0161\u00edc\u00edch lid\u00ed neexistuje optim\u00e1ln\u00ed jedna metoda nebo zp\u016fsob komunikace se sly\u0161\u00edc\u00edmi, ale m\u00e1me k dispozici \u0161irok\u00e9 spektrum komunika\u010dn\u00edch prost\u0159edk\u016f \u010di mo\u017enost\u00ed k p\u0159ekon\u00e1n\u00ed dorozum\u00edvac\u00edch bari\u00e9r. Komunikace nesly\u0161\u00edc\u00edch prob\u00edh\u00e1 na dvou \u00farovn\u00edch \u2013 intrakulturn\u00ed (dorozum\u00edv\u00e1n\u00ed nesly\u0161\u00edc\u00edch mezi sebou \u010dasto znakov\u00fdm jazykem) a interkulturn\u00ed (dorozum\u00edv\u00e1n\u00ed nesly\u0161\u00edc\u00edch se sly\u0161\u00edc\u00edmi). Mo\u017enost\u00ed jsou zp\u016fsoby or\u00e1ln\u00ed komunikace, simult\u00e1nn\u00ed, tot\u00e1ln\u00ed, bilingv\u00e1ln\u00ed komunikace a jin\u00e9. Nedosl\u00fdchav\u00fd pacient je indikov\u00e1n k pou\u017e\u00edv\u00e1n\u00ed sluchadla nebo kochle\u00e1rn\u00edho implant\u00e1tu dle m\u00edsta vady sluchu. Druh\u016f sluchadel je mnoho, z\u00e1kladn\u00ed typy jsou z\u00e1v\u011bsn\u00e1, kapesn\u00ed, nitrou\u0161n\u00ed, br\u00fdlov\u00e1. Ne v\u017edy m\u00e1 jedinec ale sluchadlo u sebe a n\u00e1sledn\u011b je pot\u0159eba komunikaci velmi p\u0159izp\u016fsobit jeho mo\u017enostem.<\/p>\n<p><b>Kl\u00ed\u010dov\u00e1 slova: <\/b>Sluchov\u00e9 posti\u017een\u00ed \u2013 p\u0159ednemocni\u010dn\u00ed p\u00e9\u010de \u2013 komunikace \u2013 nesly\u0161\u00edc\u00ed<\/p>\n<p><b>Abstract <\/b><\/p>\n<p><b>Communication with client with hearing impairment in prehospital emergency care <\/b><\/p>\n<p>There is not just one, single, optimal way or kind of communication for communication with deaf people but there is a broad spectrum of means or options that can be used to overcome communication barriers. The communication with deaf people runs at 2 levels \u2013 there is an intracultural level (when two or more deaf people are communicating with each other e.g. via sign language) and intercultural level (a communication between hearing and deaf people). The overall spectrum of means include oral communication, simultaneous communication, total communication, bilingual communication and others. A hard of hearing patient is typically recommended to use a hearing aid or cochlea implant based on the hearing defect\u2019s location. There are many types of hearing aids, the most common types include hanging, pocket, intra-aural or spectacle hearing aids. Not always the patients have hearing aids with them, if so the communication has to be adjusted to actual possibilities.<\/p>\n<p><b>Key word: <\/b>hearing impairment \u2013 prehospital care \u2013 communication \u2013 deaf<\/p>\n","protected":false},"excerpt":{"rendered":"<p>\u00daVOD \u00davodn\u00ed slovo \u2013 Jana \u0160eblov\u00e1 Obsah KONCEPCE, \u0158\u00cdZEN\u00cd, ORGANIZACE N\u00e1vrh metodick\u00e9ho postupu hodnocen\u00ed krizov\u00e9 p\u0159ipravenosti \u2013 Irena \u0160varcov\u00e1, Josef Navr\u00e1til ODBORN\u00c9 T\u00c9MA L\u00c9KA\u0158SK\u00c9 Sv\u011bdky spat\u0159en\u00fd kolaps s laickou resuscitac\u00ed a defibrilovateln\u00fdm srde\u010dn\u00edm rytmem hlavn\u00edm prediktorem \u00fasp\u011b\u0161n\u00e9ho p\u0159e\u017eit\u00ed mimonemocni\u010dn\u00ed n\u00e1hl\u00e9<\/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-832","post","type-post","status-publish","format-standard","hentry","category-rocnik-2017"],"_links":{"self":[{"href":"https:\/\/urgentnimedicina.cz\/index.php?rest_route=\/wp\/v2\/posts\/832","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=832"}],"version-history":[{"count":0,"href":"https:\/\/urgentnimedicina.cz\/index.php?rest_route=\/wp\/v2\/posts\/832\/revisions"}],"wp:attachment":[{"href":"https:\/\/urgentnimedicina.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=832"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/urgentnimedicina.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=832"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/urgentnimedicina.cz\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=832"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}