{"id":856,"date":"2018-08-22T13:59:25","date_gmt":"2018-08-22T11:59:25","guid":{"rendered":"http:\/\/urgentnimedicina.cz\/?p=856"},"modified":"2018-08-22T13:59:25","modified_gmt":"2018-08-22T11:59:25","slug":"obsah-2-2018","status":"publish","type":"post","link":"https:\/\/urgentnimedicina.cz\/?p=856","title":{"rendered":"Obsah 2\/2018"},"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>T\u00c9MA ROKU: D\u00cdT\u011a JAKO PACIENT V URGENTN\u00cd P\u00c9\u010cI<\/b><\/p>\n<ul>\n<li>D\u011btsk\u00e1 p\u0159ednemocni\u010dn\u00ed a urgentn\u00ed p\u00e9\u010de z hlediska syst\u00e9mov\u00e9ho \u0159e\u0161en\u00ed \u2013<i><\/i>Jana \u0160eblov\u00e1, Jitka Dissou<\/li>\n<li>D\u011btsk\u00fd urgentn\u00ed p\u0159\u00edjem \u2013 <i>Jitka Dissou<\/i><\/li>\n<li>Z\u00e1kladn\u00ed zhodnocen\u00ed a intervence u kriticky nemocn\u00e9ho d\u00edt\u011bte \u2013 <i>Jana Djakow<\/i><\/li>\n<li>Akutn\u00ed stavy u d\u011bt\u00ed v kontextu ABCDE \u2013 <i>Katar\u00edna Vesel\u00e1<\/i><\/li>\n<li>Neodkladn\u00e1 resuscitace d\u011bt\u00ed \u2013 <i>Jana Djakow<\/i><\/li>\n<li>N\u00e1hl\u00e1 z\u00e1stava ob\u011bhu po z\u00e1sahu fotbalov\u00fdm m\u00ed\u010dem do hrudn\u00edku \u2013 <i>Jana Kubalov\u00e1, Petr \u0160toura\u010d<\/i><\/li>\n<li>\u0160okov\u00e9 stavy v pediatrii \u2013 <i>Petr Dominik<\/i><\/li>\n<li>Polytrauma u d\u011bt\u00ed \u2013 <i>Pavel Heinige, Martin Prchl\u00edk, Martin Fajt<\/i><\/li>\n<li>\u00darazy hlavy u d\u011bt\u00ed \u2013 <i>Kate\u0159ina Fabichov\u00e1, J\u00falia Mikl\u00f3\u0161ov\u00e1<\/i><\/li>\n<li>Analgosedace d\u011btsk\u00fdch pacient\u016f v p\u0159ednemocni\u010dn\u00ed p\u00e9\u010di &#8211; <i>Franti\u0161ek Kolek, Vladim\u00edr Mixa<\/i><\/li>\n<li>Pediatrick\u00fd protokol a jeho vyu\u017eit\u00ed v praxi &#8211; <i>Petr Kolouch, Katar\u00edna Vesel\u00e1<\/i><\/li>\n<li>Zabezpe\u010den\u00ed transportu novorozenc\u016f &#8211; <i>V\u00e1clav Vobruba<\/i><\/li>\n<li>Transport nedono\u0161en\u00e9ho novorozence &#8211; <i>Jan \u0160irc, Zbyn\u011bk Stra\u0148\u00e1k<\/i><\/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>D\u011aTSK\u00c1 P\u0158EDNEMOCNI\u010cN\u00cd A URGENTN\u00cd P\u00c9\u010cE Z HLEDISKA SYST\u00c9MOV\u00c9HO \u0158E\u0160EN\u00cd<\/b><\/p>\n<p><b>JANA \u0160EBLOV\u00c1, JITKA DISSOU<\/b><\/p>\n<p><b>Abstrakt<\/b><\/p>\n<p>Autorky pod\u00e1vaj\u00ed p\u0159ehled mo\u017en\u00fdch syst\u00e9mov\u00fdch \u0159e\u0161en\u00ed v oblasti p\u00e9\u010de o akutn\u00ed a urgentn\u00ed d\u011btsk\u00e9 pacienty. Rozeb\u00edraj\u00ed v\u00fdhody a nev\u00fdhody jednotliv\u00fdch model\u016f p\u00e9\u010de a srovn\u00e1vaj\u00ed situaci v \u010cesk\u00e9 republice s n\u011bkter\u00fdmi evropsk\u00fdmi st\u00e1ty. Uv\u00e1d\u011bj\u00ed i specifika d\u011btsk\u00e9ho v\u011bku a z toho vypl\u00fdvaj\u00edc\u00ed odli\u0161nosti oproti urgentn\u00ed p\u00e9\u010di o dosp\u011blou populaci.<\/p>\n<p><b>Kl\u00ed\u010dov\u00e1 slova: <\/b>urgentn\u00ed p\u00e9\u010de \u2013 d\u011btsk\u00fd pacient \u2013 urgentn\u00ed p\u0159\u00edjem \u2013 anatomick\u00e9 a fyziologick\u00e9 odli\u0161nosti d\u011bt\u00ed<\/p>\n<p><b>Abstract<\/b><\/p>\n<p><b>A system approach to paediatric prehospital and hospital emergency care<\/b><\/p>\n<p>The authors present possible system models of acute and emergency care of paediatric patients. They analyse advantages and drawbacks of each of the presented model of care and they compare the situation in the Czech Republic with some other European countries. They also mention specific features of children\u00b4s age and differences which influences provision of emergency care compared with care of adult population.<\/p>\n<p><b>Key words: <\/b>Emergency care \u2013 paediatric patient \u2013 emergency department \u2013 anatomical and physiological differences of children<\/p>\n<p>&nbsp;<\/p>\n<p><b>Z\u00c1KLADN\u00cd ZHODNOCEN\u00cd A INTERVENCE U KRITICKY NEMOCN\u00c9HO D\u00cdT\u011aTE<\/b><\/p>\n<p><b>JANA DJAKOW<\/b><\/p>\n<p><b>Abstrakt<\/b><\/p>\n<p>Souborn\u00fd \u010dl\u00e1nek shrnuje problematiku z\u00e1kladn\u00edho zhodnocen\u00ed a rychl\u00e9ho inici\u00e1ln\u00edho zaji\u0161t\u011bn\u00ed kriticky nemocn\u00e9ho d\u00edt\u011bte. Popisuje jednotliv\u00e9 kroky postupu ABCDE a nejd\u016fle\u017eit\u011bj\u0161\u00ed inici\u00e1ln\u00ed strategie ke stabilizaci d\u00edt\u011bte s respira\u010dn\u00edm \u010di ob\u011bhov\u00fdm selh\u00e1v\u00e1n\u00edm.<\/p>\n<p><b>Kl\u00ed\u010dov\u00e1 slova: <\/b>D\u011bti \u2013 respira\u010dn\u00ed selh\u00e1n\u00ed \u2013 ob\u011bhov\u00e9 selh\u00e1n\u00ed \u2013 ABCDE \u2013 resuscitace d\u011bt\u00ed<\/p>\n<p><b>Abstract<\/b><\/p>\n<p><b>Basic evaluation and intervention in critically ill child<\/b><\/p>\n<p>This review recapitulates recent knowledge on recognition and treatment of critically ill child. It describes steps summarized in ABCDE approach and the most important strategies to stabilize child with respiratory or circulatory failure.<\/p>\n<p><b>Key words: <\/b>Children \u2013 respiratory failure \u2013 circulatory failure \u2013 ABCDE \u2013 paediatric life support<\/p>\n<p>&nbsp;<\/p>\n<p><b>AKUTN\u00cd STAVY U D\u011aT\u00cd V KONTEXTU ABCDE<\/b><\/p>\n<p><b>KATAR\u00cdNA VESEL\u00c1<\/b><\/p>\n<p><b>Abstrakt<\/b><\/p>\n<p>N\u00e1sleduj\u00edc\u00ed text poskytuje stru\u010dn\u00fd p\u0159ehled nej\u010dast\u011bj\u0161\u00edch akutn\u00edch stav\u016f u d\u011bt\u00ed z pohledu l\u00e9ka\u0159e urgentn\u00ed medic\u00edny, a to v kontextu syst\u00e9mu ABCDE. Ohro\u017een\u00ed pr\u016fchodnosti d\u00fdchac\u00edch cest je v d\u011btsk\u00e9m v\u011bku zp\u016fsobeno zejm\u00e9na aspirac\u00ed ciz\u00edho t\u011blesa a akutn\u00ed epiglotitidou. Z poruch d\u00fdchac\u00edho syst\u00e9mu pat\u0159\u00ed, v p\u0159ednemocni\u010dn\u00ed neodkladn\u00e9 p\u00e9\u010di, mezi nej\u010dast\u011bj\u0161\u00ed v\u00fdjezdy onemocn\u011bn\u00ed akutn\u00ed laryngitidou, exacerbace astma bronchiale \u010di bronchiolitida. V oblasti selh\u00e1v\u00e1n\u00ed kardiovaskul\u00e1rn\u00edho syst\u00e9mu se pojedn\u00e1n\u00ed zam\u011b\u0159uje na management arytmi\u00ed a zvl\u00e1dnut\u00ed hypovolemie v d\u011btsk\u00e9m v\u011bku. U poruch CNS je to zejm\u00e9na o\u0161et\u0159en\u00ed pediatrick\u00e9ho pacienta s k\u0159e\u010demi. Posledn\u00ed \u010d\u00e1st je v\u011bnov\u00e1na traumatick\u00fdm stav\u016fm u d\u011bt\u00ed a intoxikac\u00edm.<\/p>\n<p><b>Kl\u00ed\u010dov\u00e1 slova: <\/b>p\u0159\u00edstup ABCDE \u2013 akutn\u00ed stavy \u2013 d\u00edt\u011b \u2013 d\u00edt\u011b v PNP \u2013 pediatrick\u00fd pacient \u2013 urgentn\u00ed medic\u00edna<\/p>\n<p><b>Abstract<\/b><\/p>\n<p><b>The ABCDE approach to emergencies in children<\/b><\/p>\n<p>The following text provides a brief overview of the ABCDE approach from the perspective of a medical practitioner to the most common emergencies in children. Foreign body aspiration and acute epiglottitis are the main threats of the airways during childhood. Respiratory disorders are the most frequently caused by outbreaks of acute laryngitis, exacerbation of bronchial asthma, or bronchiolitis in prehospital emergency care. In the field of cardiovascular failure, the paper focuses on the management of arrhythmias and hypovolemia in children. Paediatric patients are mainly treated for convulsions when facing CNS disorders. The last part is devoted to traumatic conditions in children and intoxications.<\/p>\n<p><b>Key words: <\/b>ABCDE approach \u2013 emergencies \u2013 child \u2013 child in pre-hospital care \u2013 paediatric patient \u2013 emergency medicine<\/p>\n<p>&nbsp;<\/p>\n<p><b>NEODKLADN\u00c1 RESUSCITACE D\u011aT\u00cd<\/b><\/p>\n<p><b>JANA DJAKOW<\/b><\/p>\n<p><b>Abstrakt<\/b><\/p>\n<p>Souborn\u00fd \u010dl\u00e1nek shrnuje problematiku neodkladn\u00e9 resuscitace pacient\u016f d\u011btsk\u00e9ho v\u011bku. Shrnuje patofyziologii srde\u010dn\u00ed z\u00e1stavy u d\u011bt\u00ed a sou\u010dasn\u00e9 doporu\u010den\u00e9 postupy z\u00e1kladn\u00ed a roz\u0161\u00ed\u0159en\u00e9 resuscitace d\u011bt\u00ed podle Evropsk\u00e9 resuscita\u010dn\u00ed rady (aktualizace 2017).<\/p>\n<p><b>Kl\u00ed\u010dov\u00e1 slova: <\/b>Kardiopulmon\u00e1ln\u00ed resuscitace \u2013 d\u011bti \u2013 srde\u010dn\u00ed z\u00e1stava \u2013 z\u00e1kladn\u00ed neodkladn\u00e1 resuscitace d\u011bt\u00ed\u2013 roz\u0161\u00ed\u0159en\u00e1 neodkladn\u00e1 resuscitace d\u011bt\u00ed<\/p>\n<p><b>Abstract<\/b><\/p>\n<p><b>Paediatric Life Support<\/b><\/p>\n<p>This review recapitulates recent knowledge on paediatric life support. It summarizes possible pathways leading to the cardiorespiratory arrest in children and European Resuscitation Council Guidelines for paediatric cardiac arrest (updated in 2017).<\/p>\n<p><b>Key words: <\/b>Life support \u2013 children \u2013 cardiac arrest \u2013 paediatric basic life support \u2013 paediatric advanced life support<\/p>\n<p>&nbsp;<\/p>\n<p><b>N\u00c1HL\u00c1 Z\u00c1STAVA OB\u011aHU PO Z\u00c1SAHU FOTBALOV\u00ddM M\u00cd\u010cEM DO HRUDN\u00cdKU<\/b><\/p>\n<p><b>JANA KUBALOV\u00c1, PETR \u0160TOURA\u010c<\/b><\/p>\n<p><b>Abstrakt<\/b><\/p>\n<p>\u00davod: P\u0159\u00edm\u00fd z\u00e1sah m\u00ed\u010dem do hrudn\u00edku v oblasti prekordia m\u016f\u017ee zp\u016fsobit n\u00e1hlou srde\u010dn\u00ed smrt, zejm\u00e9na u d\u011bt\u00ed a mlad\u00fdch lid\u00ed, ani\u017e by bylo p\u0159\u00edtomno struktur\u00e1ln\u00ed onemocn\u011bn\u00ed srdce nebo trauma. V literatu\u0159e lze nal\u00e9zt \u0159adu podobn\u00fdch kazuistik, jim\u017e je p\u0159isuzov\u00e1na diagn\u00f3za tzv. \u201esrde\u010dn\u00ed komoce\u201c. Prezentovan\u00e1 kazuistika odpov\u00edd\u00e1 podobn\u00e9mu modelu \u2013 k n\u00e1hl\u00e9 z\u00e1stav\u011b ob\u011bhu do\u0161lo u 16let\u00e9ho mlad\u00e9ho mu\u017ee, bezprost\u0159edn\u011b po z\u00e1sahu fotbalov\u00fdm m\u00ed\u010dem do oblasti prekordia.<br \/>\nMetody: kazuistika, studium odborn\u00e9 literatury, vyhled\u00e1van\u00ed odkaz\u016f<br \/>\nV\u00fdsledky: ROSC nastal po pod\u00e1n\u00ed jednoho defibrila\u010dn\u00edho v\u00fdboje 250J pro p\u0159\u00edtomnou fibrilaci komor.<br \/>\nZ\u00e1v\u011br: V odborn\u00e9 literatu\u0159e lze nal\u00e9zt podobn\u00e9 p\u0159\u00edpadov\u00e9 studie i rewiew studie zahrnuj\u00edc\u00ed maxim\u00e1ln\u011b des\u00edtky kazuistik. V\u011bt\u0161inou se jedn\u00e1 o d\u011bti nebo velmi mlad\u00e9, p\u0159ev\u00e1\u017en\u011b mu\u017ee do 18 let. Ud\u00e1lost se stala ve v\u011bt\u0161in\u011b p\u0159\u00edpad\u016f p\u0159i organizovan\u00e9m sout\u011b\u017en\u00edm sportu. Spole\u010dn\u00fdm jmenovatelem byl kolaps bezprost\u0159edn\u011b n\u00e1sleduj\u00edc\u00ed \u010di po kr\u00e1tk\u00e9 chv\u00edli n\u00e1sleduj\u00edc\u00ed po tup\u00e9m z\u00e1sahu do hrud\u00acn\u00edku do oblasti prekordia, kter\u00fd vedl ke vzniku fibrilace komor. Jednalo se v\u011bt\u0161in\u011b p\u0159\u00edpad\u016f o relativn\u011b b\u011b\u017en\u00e9 \u00fadery do hrudn\u00edku, kter\u00e9 nijak nenazna\u010dovaly, \u017ee by mohly zp\u016fsobit smrt. I kdy\u017e resuscitace byla zah\u00e1jena v\u011bt\u0161inou do 3 min, p\u0159e\u017eit\u00ed pacient\u016f bylo n\u00edzk\u00e9. Na z\u00e1klad\u011b experiment\u00e1ln\u00edho modelu na mlad\u00fdch prasatech se ukazuje, \u017ee ke vzniku fibrilace komor vede \u00fader, kter\u00fd je na\u010dasovan\u00fd mezi 30\u201315 msec p\u0159ed vrcholem T vlny na EKG.<\/p>\n<p><b>Kl\u00ed\u010dov\u00e1 slova: <\/b>srde\u010dn\u00ed komoce \u2013 n\u00e1hl\u00e1 z\u00e1stava ob\u011bhu u mlad\u00fdch osob \u2013 fibrilace komor \u2013 organizovan\u00fd sport<\/p>\n<p><b>Abstract<\/b><\/p>\n<p><b>Cardiac arrest caused by chest impact by a football ball<\/b><\/p>\n<p>Introduction: Direct precordial impact by a ball can lead to sudden cardiac death even without structural myocardial illness or trauma, especially in children and young people. There are numerous case reports published and the diagnose of \u201emyocardial commotion\u201c is stated in these cases. The presented case report meets these criteria \u2013 cardiac arrest in 16 years old young man occurred immediately after precordial football\u00b4s ball impact.<br \/>\nMethods: case report, literary search<br \/>\nResults: ROSC emerged after delivering one defibrillation shock 250 J for ventricular fibrillation.<br \/>\nConclusion: Up to tens of similar case reports can be found in literature. Children and young people, mostly men, are the most frequently affected. The published events happened during organised competitions in most of the cases. Collapse immediately following a precordial blunt trauma of the chest which caused ventricular fibrillation was the unifying feature of the published cases. The impact was relatively common not suggesting that it can cause death. Despite life support was provided early, within 3 minutes, the survival rates were low. Experimental study in piggs proved that ventricular fibrillation is caused by the impact with timing 30\u201315 msec before ECG T wave peak.<\/p>\n<p><b>Key words: <\/b>cardiac commotion \u2013 cardiac arrest in young people \u2013 ventricular fibrillation \u2013 organised sport competitions<\/p>\n<p>&nbsp;<\/p>\n<p><b>\u0160OKOV\u00c9 STAVY V PEDIATRII<\/b><\/p>\n<p><b>PETR DOMINIK<\/b><\/p>\n<p><b>Abstrakt<\/b><\/p>\n<p>\u0160ok je celosv\u011btov\u011b hlavn\u00ed p\u0159\u00ed\u010dinou morbidity a mortality v d\u011btsk\u00e9 populaci. \u0160ok je definov\u00e1n jako stav akutn\u00edho energetick\u00e9ho selh\u00e1n\u00ed, kter\u00fd je zp\u016fsoben nedostate\u010dnou dod\u00e1vkou kysl\u00edku, gluk\u00f3zy a funk\u010dn\u00edm selh\u00e1n\u00edm mitochondri\u00ed na \u00farovni bun\u011bk. Kli\u00acnick\u00fd stav \u0161oku je diagnostikov\u00e1n na z\u00e1klad\u011b zji\u0161t\u011bn\u00ed vit\u00e1ln\u00edch funkc\u00ed, fyzik\u00e1ln\u00edch vy\u0161et\u0159en\u00ed a laboratorn\u00edch \u00fadaj\u016f, i kdy\u017e jeho rozpozn\u00e1n\u00ed u pediatrick\u00e9ho pacienta m\u016f\u017ee b\u00fdt zejm\u00e9na v \u010dasn\u00e9 f\u00e1zi velmi obt\u00ed\u017en\u00e9.<br \/>\nTento \u010dl\u00e1nek se zab\u00fdv\u00e1 r\u016fzn\u00fdmi patofyziologick\u00fdmi klasifikacemi \u0161oku a jejich etiologi\u00ed. Sna\u017e\u00edm se uk\u00e1zat aktu\u00e1ln\u00ed diagnostick\u00e9 a terapeutick\u00e9 strategie, kter\u00e9 pomohou v\u00e9st \u00fa\u010dinnou l\u00e9\u010dbu p\u0159i resuscitaci d\u00edt\u011bte v \u0161oku.<\/p>\n<p><b>Kl\u00ed\u010dov\u00e1 slova: <\/b>\u0161okov\u00fd stav \u2013 d\u011blen\u00ed a etiologie \u0161oku \u2013 vy\u0161et\u0159en\u00ed \u2013 objemov\u00e1 resuscitace \u2013 d\u00edt\u011b<\/p>\n<p><b>Abstract<\/b><\/p>\n<p><b>Shock condition in paediatry<\/b><\/p>\n<p>Worldwide, shock is a leading cause of morbidity and mortality in the paediatric population. Shock is defined as a state of acute energy failure due to inadequate glucose substrate delivery, oxygen delivery or mitochondrial failure at the cellular level. The clinical state of shock is diagnosed on the basis of vital signs, physical examination, and laboratory data, although its recognition in the paediatric patient can be difficult.<br \/>\nThis article reviews different pathophysiologic classifications of shock and their etiologies. I try to show current diagnostic and therapeutic strategies which can help to guide the most effective and appropriate treatment for resuscitating the child in shock.<\/p>\n<p><b>Key words: <\/b>shock condition \u2013 division and etiology of shock \u2013 examination \u2013 volume resuscitation \u2013 child<\/p>\n<p>&nbsp;<\/p>\n<p><b>ANALGOSEDACE D\u011aTSK\u00ddCH PACIENT\u016e V P\u0158EDNEMOCNI\u010cN\u00cd P\u00c9\u010cI<\/b><\/p>\n<p><b>FRANTI\u0160EK KOLEK, VLADIM\u00cdR MIXA<\/b><\/p>\n<p><b>Abstrakt<\/b><\/p>\n<p>Analgezie a sedace pat\u0159\u00ed mezi d\u016fle\u017eitou sou\u010d\u00e1st p\u0159ednemocni\u010dn\u00ed neodkladn\u00e9 p\u00e9\u010de a pro ka\u017edou v\u011bkovou kategorii m\u00e1 sv\u00e1 specifika. D\u011btsk\u00fd pacient vy\u017eaduje na rozd\u00edl od dosp\u011bl\u00e9ho jin\u00e9 d\u00e1vkov\u00e1n\u00ed l\u00e9\u010div, l\u00e1tky maj\u00ed jinou farmakokinetiku, \u010dast\u00e9 je pou\u017eit\u00ed alternativn\u00edch aplika\u010dn\u00edch cest a n\u011bkter\u00e1 farmaka jsou u d\u011bt\u00ed kontraindikov\u00e1na. N\u00e1sleduj\u00edc\u00ed \u010dl\u00e1nek nab\u00edz\u00ed p\u0159ehled jednotliv\u00fdch l\u00e1tek a vhodn\u00e9 kombinace pro r\u016fzn\u00e9 klinick\u00e9 situace u d\u011bt\u00ed.<\/p>\n<p><b>Kl\u00ed\u010dov\u00e1 slova: <\/b>analgezie \u2013 sedace \u2013 d\u011bti \u2013 p\u0159ednemocni\u010dn\u00ed p\u00e9\u010de<\/p>\n<p><b>Abstract<\/b><\/p>\n<p><b>Prehospital analgesia and sedation in paediatric patients<\/b><\/p>\n<p>Analgesia and sedation are the important part of prehospital emergency care. Analgosedation is different for each age group. The paediatric patient requires another dosage of sadatives, the substances have different pharmacokinetics, doctors and paramedics often use alternative ways of administration and some drugs are contraindicated for children. This article presents the list of the medications and the appropriate combinations for different clinical situations for children.<\/p>\n<p><b>Key words: <\/b>analgesia \u2013 sedation \u2013 children \u2013 prehospital emergency care<\/p>\n<p>&nbsp;<\/p>\n<p><b>PEDIATRICK\u00dd PROTOKOL A JEHO VYU\u017dIT\u00cd V PRAXI<\/b><\/p>\n<p><b>PETR KOLOUCH, KATAR\u00cdNA VESEL\u00c1<\/b><\/p>\n<p><b>Abstrakt<\/b><\/p>\n<p>Pediatrick\u00fd protokol je zp\u016fsob organizace p\u00e9\u010de o d\u011btsk\u00e9ho pacienta, kter\u00fd pom\u00e1h\u00e1 zajistit bezpe\u010dn\u00e9 d\u00e1vkov\u00e1n\u00ed l\u00e9k\u016f a pou\u017eit\u00ed pom\u016fcek vhodn\u00e9 velikosti pro zdravotn\u00edky, kte\u0159\u00ed nejsou rutinn\u011b konfrontov\u00e1ni s d\u011btsk\u00fdm pacientem. Jeho koncepce vych\u00e1z\u00ed z p\u016fvodn\u00ed pr\u00e1ce Jamese Broselowa a Roberta Lutona, kte\u0159\u00ed v roce 1985 popsali korelaci mezi v\u00fd\u0161kou a v\u00e1hou d\u011btsk\u00e9ho pacienta dle 50. percentilu. Na tomto z\u00e1klad\u011b vznikla tzv. Broselow tape, p\u00e1ska, kde jsou kategorie d\u011bt\u00ed rozd\u011bleny do barevn\u00fdch z\u00f3n ve vazb\u011b na jejich v\u00fd\u0161ku. Pediatrick\u00fd protokol je \u010deskou adaptaci t\u00e9to p\u00e1sky.<\/p>\n<p><b>Kl\u00ed\u010dov\u00e1 slova: <\/b>Broselow \u2013 Broselow tape \u2013 p\u00e9\u010de o d\u011btsk\u00e9ho pacienta \u2013 pediatrick\u00fd protokol<\/p>\n<p><b>Abstract<\/b><\/p>\n<p><b>Paediatric protocol and its use in practice<\/b><\/p>\n<p>The paediatric protocol is a way of ensuring that health workers who do not routinely deal with children will use appropriate equipment and administer safe doses of medication when treating children. It is conceptually based on the original work of James Broselow and Robert Luton, who in 1985 described the correlation between the height and weight of children to the 50th percentile. On this basis a so-called Broselow tape was created where the children are divided into coloured categories according to their height. The paediatric protocol is a Czech adaptation of this tape.<\/p>\n<p><b>Key words: <\/b>Broselow \u2013 Broselow tape \u2013 paediatric care \u2013 paediatric protocol<\/p>\n<p>&nbsp;<\/p>\n<p><b>ZABEZPE\u010cEN\u00cd TRANSPORTU NOVOROZENC\u016e<\/b><\/p>\n<p><b>V\u00c1CLAV VOBRUBA<\/b><\/p>\n<p><b>Abstrakt<\/b><\/p>\n<p>Problematika p\u0159evozu novorozenc\u016f a novorozenc\u016f s n\u00edzkou porodn\u00ed hmotnost\u00ed m\u00e1 sv\u00e1 specifika p\u0159edev\u0161\u00edm z pohledu n\u011bkter\u00fdch l\u00e9\u010debn\u00fdch a o\u0161et\u0159ovac\u00edch postup\u016f, po\u017eadavk\u016f na p\u0159\u00edstrojov\u00e9 vybaven\u00ed pro zaji\u0161t\u011bn\u00fd p\u0159evoz. P\u0159evozy zaji\u0161\u0165uj\u00ed v \u010cesk\u00e9 republice p\u0159evozov\u00e9 slu\u017eby novorozenc\u016f p\u0159i perinatologick\u00fdch centrech v\u011bt\u0161inou ve spolupr\u00e1ci se sp\u00e1dovou z\u00e1chrannou slu\u017ebou.<\/p>\n<p><b>Kl\u00ed\u010dov\u00e1 slova: <\/b>novorozenec \u2013 novorozenec s n\u00edzkou porodn\u00ed hmotnost\u00ed \u2013 transport<\/p>\n<p><b>Abstract<\/b><\/p>\n<p><b>Transport of newborns<\/b><\/p>\n<p>Transport of newborns and low-weight newborns has specific demands for treatment, management of care and technical equipment needed for interhospital transports. The transports of these patients are provided by specialised transport services of perineonatal centers in cooperation with regional Emergency medical service.<\/p>\n<p><b>Key words: <\/b>newborn \u2013 low-weight newborn \u2013 transport<\/p>\n","protected":false},"excerpt":{"rendered":"<p>\u00daVOD \u00davodn\u00ed slovo \u2013 Jana \u0160eblov\u00e1 Obsah T\u00c9MA ROKU: D\u00cdT\u011a JAKO PACIENT V URGENTN\u00cd P\u00c9\u010cI D\u011btsk\u00e1 p\u0159ednemocni\u010dn\u00ed a urgentn\u00ed p\u00e9\u010de z hlediska syst\u00e9mov\u00e9ho \u0159e\u0161en\u00ed \u2013Jana \u0160eblov\u00e1, Jitka Dissou D\u011btsk\u00fd urgentn\u00ed p\u0159\u00edjem \u2013 Jitka Dissou Z\u00e1kladn\u00ed zhodnocen\u00ed a intervence u kriticky<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[31],"tags":[],"class_list":["post-856","post","type-post","status-publish","format-standard","hentry","category-rocnik-2018"],"_links":{"self":[{"href":"https:\/\/urgentnimedicina.cz\/index.php?rest_route=\/wp\/v2\/posts\/856","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=856"}],"version-history":[{"count":0,"href":"https:\/\/urgentnimedicina.cz\/index.php?rest_route=\/wp\/v2\/posts\/856\/revisions"}],"wp:attachment":[{"href":"https:\/\/urgentnimedicina.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=856"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/urgentnimedicina.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=856"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/urgentnimedicina.cz\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=856"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}