{"id":870,"date":"2019-03-12T12:23:19","date_gmt":"2019-03-12T10:23:19","guid":{"rendered":"http:\/\/urgentnimedicina.cz\/?p=870"},"modified":"2019-03-12T12:31:47","modified_gmt":"2019-03-12T10:31:47","slug":"obsah-4-2018","status":"publish","type":"post","link":"https:\/\/urgentnimedicina.cz\/?p=870","title":{"rendered":"Obsah 4\/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>ODBORN\u00c9 T\u00c9MA L\u00c9KA\u0158SK\u00c9<\/b><\/p>\n<ul>\n<li>V\u00fdznam svodu aVR p\u0159i hodnocen\u00ed EKG v urgentn\u00edch situac\u00edch \u2013 <i>Roman \u0160kulec, David Astapenko, Vlasta Dost\u00e1lov\u00e1, Jan Bene\u0161, Pavel Role\u010dek, Vladim\u00edr \u010cern\u00fd<\/i><\/li>\n<li>Porovn\u00e1n\u00ed efektivity telefonicky asistovan\u00e9 neodkladn\u00e9 resuscitace v z\u00e1vislosti na pou\u017eit\u00fdch instrukc\u00edch: prospektivn\u00ed randomizovan\u00e1 simula\u010dn\u00ed studie \u2013 <i>Michal Plodr, Jan Leke\u0161, V\u00edt Musil, V\u00e1clav Bl\u00e1ha, Anatolij Truhl\u00e1\u0159<\/i><\/li>\n<li>Neklid a delirium u senior\u016f, diagnostick\u00fd algoritmus \u2013 <i>Milena Bret\u0161najdrov\u00e1<\/i><\/li>\n<li>P\u0159\u00edb\u011bh jedn\u00e9 deprese &#8211; <i>Jana \u0160eblov\u00e1, Jan Tvrd\u00edk, Jan V\u010del\u00e1k<\/i><\/li>\n<\/ul>\n<p><b>INFORMA\u010cN\u00cd SERVIS<\/b><\/p>\n<ul>\n<li>Zpr\u00e1va o \u010dinnosti v\u00fdboru Spole\u010dnosti urgentn\u00ed medic\u00edny a medic\u00edny katastrof \u010cLS JEP ve funk\u010dn\u00edm obdob\u00ed 2015\u20132018 \u2013 <i>Jana \u0160eblov\u00e1, Roman G\u0159ego\u0159, Anatolij Truhl\u00e1\u0159, Milan Tich\u00e1\u010dek, Petr Hub\u00e1\u010dek<\/i><\/li>\n<li>V\u00fdro\u010dn\u00ed zpr\u00e1va Sekce nel\u00e9ka\u0159sk\u00fdch zdravotnick\u00fdch pracovn\u00edk\u016f za rok 2018 \u2013 <i>Ji\u0159\u00ed Kodet, David Pe\u0159an<\/i><\/li>\n<li>Evropa a urgentn\u00ed medic\u00edna v letech 2018\u20132019 \u2013 <i>Jana \u0160eblov\u00e1<\/i><\/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>CLINICAL TOPICS AND RESEARCH<\/b><\/p>\n<ul>\n<li>The position of aVR ECG lead in medical emergencies \u2013 <i>Roman \u0160kulec, David Astapenko, Vlasta Dost\u00e1lov\u00e1, Jan Bene\u0161, Pavel Role\u010dek, Vladim\u00edr \u010cern\u00fd<\/i><\/li>\n<li>Comparison of the effectiveness of dispatcher-assisted cardiopulmonary resuscitation depending on the instructions used: a prospective randomized simulation study \u2013 <i>Michal Plodr, Jan Leke\u0161, V\u00edt Musil, V\u00e1clav Bl\u00e1ha, Anatolij Truhl\u00e1\u0159<\/i><\/li>\n<li>Agitation and delirium in the elderly, diagnostic algorithm \u2013 <i>Milena Bret\u0161najdrov\u00e1<\/i><\/li>\n<li>A story of one depression &#8211; <i>Jana \u0160eblov\u00e1, Jan Tvrd\u00edk, Jan V\u010del\u00e1k<\/i><\/li>\n<\/ul>\n<p><b>INFORMATION<\/b><\/p>\n<ul>\n<li>Report of the board of the Society for Emergency and Disaster Medicine CzMA JEP in the years 2015\u20132018 \u2013 <i>Jana \u0160eblov\u00e1, Roman G\u0159ego\u0159, Anatolij Truhl\u00e1\u0159, Milan Tich\u00e1\u010dek, Petr Hub\u00e1\u010dek<\/i><\/li>\n<li>Non-physician section\u00b4s 2018 annual report \u2013 <i>Ji\u0159\u00ed Kodet, David Pe\u0159an<\/i><\/li>\n<li>Europe and emergency medicine 2018\u20132019 \u2013 <i>Jana \u0160eblov\u00e1<\/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>V\u00ddZNAM SVODU aVR P\u0158I HODNOCEN\u00cd EKG V URGENTN\u00cdCH SITUAC\u00cdCH<\/b><\/p>\n<p><b>ROMAN \u0160KULEC, DAVID ASTAPENKO, VLASTA DOST\u00c1LOV\u00c1, JAN BENE\u0160, PAVEL ROLE\u010cEK, VLADIM\u00cdR \u010cERN\u00dd<\/b><\/p>\n<p><b>Abstrakt <\/b><\/p>\n<p>Hodnocen\u00ed dvan\u00e1ctisvodov\u00e9ho elektrokardiografick\u00e9ho z\u00e1znamu je rutinn\u00ed sou\u010d\u00e1st\u00ed z\u00e1kladn\u00edho vy\u0161et\u0159en\u00ed u pacient\u016f s p\u0159\u00edtomnost\u00ed klinick\u00fdch p\u0159\u00edznak\u016f sv\u011bd\u010d\u00edc\u00edch pro kardiovaskul\u00e1rn\u00ed onemocn\u011bn\u00ed v r\u00e1mci prvn\u00edho kontaktu. Interpretace n\u00e1lezu ve svodu aVR b\u00fdv\u00e1 \u010dasto opom\u00edjeno. V \u010dl\u00e1nku auto\u0159i poskytuj\u00ed p\u0159ehled situac\u00ed, kdy je hodnocen\u00ed elektrokardiografick\u00fdch zm\u011bn ve svodu aVR velmi p\u0159\u00ednosn\u00e9 a m\u016f\u017ee z\u00e1sadn\u011b ovlivnit pl\u00e1n dal\u0161\u00edho diagnosticko-l\u00e9\u010debn\u00e9ho postupu. Jedn\u00e1 se p\u0159edev\u0161\u00edm o akutn\u00ed koron\u00e1rn\u00ed syndrom, akutn\u00ed perikarditidu, pravidelnou tachykardii s \u0161irok\u00fdmi nebo \u0161t\u00edhl\u00fdmi QRS komplexy plicn\u00ed embolii a intoxikaci tricyklick\u00fdmi antidepresivy.<\/p>\n<p><b>Kl\u00ed\u010dov\u00e1 slova: <\/b>dvan\u00e1ctisvodov\u00e9 EKG \u2013 aVR<\/p>\n<p><b>Abstract <\/b><\/p>\n<p><b>The position of aVR ECG lead in medical emergencies<\/b><\/p>\n<p>Evaluation of twelve-lead electrocardiogram is a routine part of initial emergency assessment of patients presenting with severe cardiovascular symptoms. However, aVR lead is traditionally neglected in this process. The authors provide an overview of clinical situations where aVR lead assessment is beneficial and can have a significant impact on further management. These include clinical setting of acute coronary syndrome, acute pericarditis, regular wide complex tachycardia and narrow complex tachycardia, pulmonary embolism and tricyclic antidepressant overdose.<\/p>\n<p><b>Key words: <\/b>twelve-lead ECG \u2013 aVR<\/p>\n<p>&nbsp;<\/p>\n<p><b>POROVN\u00c1N\u00cd EFEKTIVITY TELEFONICKY ASISTOVAN\u00c9 NEODKLADN\u00c9 RESUSCITACE V Z\u00c1VISLOSTI NA POU\u017dIT\u00ddCH INSTRUKC\u00cdCH: PROSPEKTIVN\u00cd RANDOMIZOVAN\u00c1 SIMULA\u010cN\u00cd STUDIE<\/b><\/p>\n<p><b>MICHAL PLODR, JAN LEKE\u0160, V\u00cdT MUSIL, V\u00c1CLAV BL\u00c1HA, ANATOLIJ TRUHL\u00c1\u0158<\/b><\/p>\n<p><b>Abstrakt <\/b><\/p>\n<p>Auto\u0159i p\u0159edkl\u00e1daj\u00ed v\u00fdsledky prospektivn\u00ed simula\u010dn\u00ed anal\u00fdzy zab\u00fdvaj\u00edc\u00ed se problematikou formulace instrukc\u00ed b\u011bhem aplikace telefonicky asistovan\u00e9 neodkladn\u00e9 resuscitace. C\u00edlem studie bylo zjistit rozd\u00edly v efektivit\u011b prov\u00e1d\u011bn\u00e9 resuscitace u dvou typ\u016f pou\u017eit\u00fdch instrukc\u00ed s d\u016frazem na schopnost dos\u00e1hnout doporu\u010den\u00e9 hloubky komprese a frekvence nep\u0159\u00edm\u00e9 srde\u010dn\u00ed mas\u00e1\u017ee. Byla pou\u017eita roz\u0161\u00ed\u0159en\u00e1 detailn\u00ed instrukce (SOFT verze) a instrukce ve stru\u010dn\u00e9 verzi (HARD verze). Bylo randomizov\u00e1no 49 dobrovoln\u00edk\u016f pro skupinu SOFT, resp. 50 proband\u016f pro skupinu HARD. Anal\u00fdza dosa\u017een\u00fdch v\u00fdsledk\u016f neprok\u00e1zala statisticky v\u00fdznamn\u00fd rozd\u00edl v pou\u017eit\u00ed obou typ\u016f instrukc\u00ed. Pr\u016fm\u011brn\u00e1 hloubka komprese byla v obou skupin\u00e1ch nedosta\u010duj\u00edc\u00ed (23,7 mm pro SOFT, resp. 25,6 mm pro HARD skupinu, OR1,9 (\u22120,6; 4,4), p = 0,11). V proveden\u00e9 studii jsme neprok\u00e1zali statisticky v\u00fdznamn\u00fd efekt vybran\u00e9ho typu instrukc\u00ed na kvalitu prov\u00e1d\u011bn\u00e9 simulovan\u00e9 laick\u00e9 resuscitace.<\/p>\n<p><b>Kl\u00ed\u010dov\u00e1 slova: <\/b>telefonicky asistovan\u00e1 neodkladn\u00e1 resuscitace \u2013 resuscitace \u2013 simulace<\/p>\n<p><b>Abstract <\/b><\/p>\n<p><b>Comparison of the effectiveness of dispatcher-assisted cardiopulmonary resuscitation depending on the instructions used: a prospective randomized simulation study<\/b><\/p>\n<p>The authors present results of prospective randomized simulated study focused on instructions and phrase formulation during dispatcher-assisted cardiopulmonary resuscitation (D-A CPR). The main aim of this study was to recognize differences in the effectiveness of resuscitation between two forms of instructions with emphasis on recommended compression depth and frequency. The more detailed, standardized instruction (SOFT group) and simplified instruction (HARD group) were used. There were randomized 49 subjects in the SOFT group and 50 subjects in the HARD group. The analysis of observed results did not reveal differences. The average compression depth was insufficient for both groups (23,7 mm SOFT, resp. 25,6 mm HARD; OR1,9 (\u22120,6; 4,4), p = 0,11. Statistically significant differences between standard and simplified form of instructions during D-A CPR were not proven.<\/p>\n<p><b>Key words: <\/b>dispatcher-assisted cardiopulmonary resuscitation \u2013 resuscitation \u2013 simulation<\/p>\n<p>&nbsp;<\/p>\n<p><b>NEKLID A DELIRIUM U SENIOR\u016e, DIAGNOSTICK\u00dd ALGORITMUS<\/b><\/p>\n<p><b>MILENA BRET\u0160NAJDROV\u00c1<\/b><\/p>\n<p><b>Abstrakt <\/b><\/p>\n<p>Neklid a delirium je u senior\u016f \u010dast\u00fdm p\u0159\u00edznakem, kter\u00fd signalizuje nebezpe\u010d\u00ed a riziko pro pacienta. Jedn\u00e1 se multifaktori\u00e1ln\u00ed p\u0159\u00ed\u010dinu t\u00e9to zm\u011bny v oblasti kognice. Velmi z\u00e1le\u017e\u00ed na v\u010dasn\u00e9 diagnostice, diferenci\u00e1ln\u00ed diagnostice a adekv\u00e1tn\u00ed symptomatick\u00e9 i kauz\u00e1ln\u00ed terapii. Senior vy\u017eaduje na rozd\u00edl od dosp\u011bl\u00e9ho pacienta jin\u00e9 d\u00e1vkov\u00e1n\u00ed l\u00e9\u010div, l\u00e1tky maj\u00ed jinou farmakokinetiku. N\u00e1sleduj\u00edc\u00ed \u010dl\u00e1nek nab\u00edz\u00ed p\u0159ehled vhodn\u00fdch l\u00e1tek \u010di kombinac\u00ed k \u0159e\u0161en\u00ed klinick\u00e9 situace \u2013 neklidu, deliria.<\/p>\n<p><b>Kl\u00ed\u010dov\u00e1 slova: <\/b>neklid \u2013 delirium \u2013 senior \u2013 symptomatick\u00e1 a kaus\u00e1ln\u00ed terapie<\/p>\n<p><b>Abstract <\/b><\/p>\n<p><b>Agitation and delirium in the elderly, diagnostic algorithm<\/b><\/p>\n<p>Agitation and delirium is a frequent symptom in the elderly, being a sign of danger and increased risk to the patient. Changes in the field of cognition have multifactorial causes. Timely diagnosis, differential diagnosis, and adequate symptomatic and causal therapy are of the highest importance. Unlike adult patients, seniors require a different dosage of medication and the substances have different pharmacokinetics. The presented paper provides an overview of appropriate medication and of recommended combinations of medical drugs used for management of the clinical situation \u2013 restlessness, delirium.<\/p>\n<p><b>Key words: <\/b>agitation \u2013 delirium \u2013 elderly \u2013 symptomatic and causal therapy<\/p>\n<p>&nbsp;<\/p>\n<p><b>P\u0158\u00cdB\u011aH JEDN\u00c9 DEPRESE<\/b><\/p>\n<p><b>JANA \u0160EBLOV\u00c1, JAN TVRD\u00cdK, JAN V\u010cEL\u00c1K<\/b><\/p>\n<p><b>Abstrakt <\/b><\/p>\n<p>Auto\u0159i prezentuj\u00ed kazuistiku pacienta s anamn\u00e9zou intraven\u00f3zn\u00edho ab\u00fazu drog, odeslan\u00e9ho z psychiatrie na urgentn\u00ed p\u0159\u00edjem k zaji\u0161t\u011bn\u00ed \u017eiln\u00ed linky pro rehydrataci p\u0159i febriln\u00edm stavu. Pravou p\u0159\u00ed\u010dinou kritick\u00e9ho stavu byl rozs\u00e1hl\u00fd intrakrani\u00e1ln\u00ed absces. I kdy infek\u010dn\u00ed komplikace u osob s injek\u010dn\u00ed aplikac\u00ed drog jsou pom\u011brn\u011b \u010dast\u00e9 \u2013 zejm\u00e9na hepatitidy B a C, povrchov\u00e9 tromboflebitidy a z\u00e1n\u011btliv\u00e9 procesy m\u011bkk\u00fdch tk\u00e1ni, invazivn\u011b se \u0161\u00ed\u0159\u00edc\u00ed infekce, septick\u00e9 stavy, bakteri\u00e1ln\u00ed endokarditidy a dal\u0161\u00ed, mozkov\u00fd absces je raritn\u00ed diagn\u00f3zou i u t\u00e9to specifick\u00e9 subpopulace. S ohledem na anamnestick\u00e1 data se snadno zam\u011bn\u00ed za jinou diagn\u00f3zu, nez\u0159\u00eddka z psychiatrick\u00e9ho okruhu.<\/p>\n<p><b>Kl\u00ed\u010dov\u00e1 slova: <\/b>infek\u010dn\u00ed komplikace u\u017eivatel\u016f drog \u2013 mozkov\u00fd absces<\/p>\n<p><b>Abstract <\/b><\/p>\n<p><b>A story of one depression<\/b><\/p>\n<p>The authors present a case report of a pacient with intravenous drug abuse in the case history. A young man was transported to an emergency department from a psychiatric hospital with a request to provide an intravenous access for fluid replacement due to patient\u00b4s febrile condition. The real cause of patient\u00b4s critical condition was a large intracranial abscess. However infections in patients with intravenous drug abuse are quite common \u2013 namely B and C hepatitis, superficial thromboflebitis and soft tissue inflammations, invasive infections, sepsis, bacterial endocarditis and others, the brain abscess is a rare diagnosis even in this specific subpopulation group. The symptoms are often misdiagnosed as a psychiatric illness based on case history of drug abuse.<\/p>\n<p><b>Key words: <\/b>infection complications in drug abusers \u2013 brain abscess<\/p>\n","protected":false},"excerpt":{"rendered":"<p>\u00daVOD \u00davodn\u00ed slovo \u2013 Jana \u0160eblov\u00e1 Obsah ODBORN\u00c9 T\u00c9MA L\u00c9KA\u0158SK\u00c9 V\u00fdznam svodu aVR p\u0159i hodnocen\u00ed EKG v urgentn\u00edch situac\u00edch \u2013 Roman \u0160kulec, David Astapenko, Vlasta Dost\u00e1lov\u00e1, Jan Bene\u0161, Pavel Role\u010dek, Vladim\u00edr \u010cern\u00fd Porovn\u00e1n\u00ed efektivity telefonicky asistovan\u00e9 neodkladn\u00e9 resuscitace v z\u00e1vislosti<\/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-870","post","type-post","status-publish","format-standard","hentry","category-rocnik-2018"],"_links":{"self":[{"href":"https:\/\/urgentnimedicina.cz\/index.php?rest_route=\/wp\/v2\/posts\/870","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=870"}],"version-history":[{"count":0,"href":"https:\/\/urgentnimedicina.cz\/index.php?rest_route=\/wp\/v2\/posts\/870\/revisions"}],"wp:attachment":[{"href":"https:\/\/urgentnimedicina.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=870"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/urgentnimedicina.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=870"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/urgentnimedicina.cz\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=870"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}