{"id":929,"date":"2020-02-13T11:27:10","date_gmt":"2020-02-13T09:27:10","guid":{"rendered":"http:\/\/urgentnimedicina.cz\/?p=929"},"modified":"2020-04-08T07:44:11","modified_gmt":"2020-04-08T05:44:11","slug":"obsah-4-2019","status":"publish","type":"post","link":"https:\/\/urgentnimedicina.cz\/?p=929","title":{"rendered":"Obsah 4\/2019"},"content":{"rendered":"<p><b>\u00daVOD<\/b><\/p>\n<ul>\n<li>Obsah<\/li>\n<li>\u00davodn\u00ed slovo \u2013 Jana \u0160eblov\u00e1<\/li>\n<\/ul>\n<p><b>P\u0158EDNEMOCNI\u010cN\u00cd NEODKLADN\u00c1 P\u00c9\u010cE<\/b><\/p>\n<ul>\n<li>Formul\u00e1\u0159 pro strukturovan\u00e9 p\u0159ed\u00e1v\u00e1n\u00ed informac\u00ed o pacientovi \u2013 tvorba pomoc\u00ed ak\u010dn\u00edho v\u00fdzkumu a modifikovan\u00e9 Delphi metody \u2013 David Pe\u0159an, Jaroslav Pekara, Jaroslav Val\u00e1\u0161ek, Patrik Cmorej<\/li>\n<\/ul>\n<p><b>ORGANIZACE A \u0158\u00cdZEN\u00cd SYST\u00c9M\u016e<\/b><\/p>\n<ul>\n<li>Standardizace p\u00e9\u010de na zdravotnick\u00e9 z\u00e1chrann\u00e9 slu\u017eb\u011b a standardy p\u00e9\u010de \u2013 David Pe\u0159an, Jaroslav Pekara, Patrik Cmorej<\/li>\n<\/ul>\n<p><b>DIAGNOSTICK\u00c9 METODY<\/b><\/p>\n<ul>\n<li>Point of care ultrasonografick\u00e1 diagnostika hlubok\u00e9 \u017eiln\u00ed tromb\u00f3zy doln\u00edch kon\u010detin v urgentn\u00ed medic\u00edn\u011b \u2013 Barbora Pakostov\u00e1, Roman \u0160kulec, Tom\u00e1\u0161 Pa\u0159\u00edzek, Vladim\u00edr \u010cern\u00fd<\/li>\n<\/ul>\n<p><b>FYZIOLOGIE A URGENTN\u00cd MEDIC\u00cdNA<\/b><\/p>\n<ul>\n<li>Akutn\u00ed stresov\u00e1 reakce \u2013 m\u016f\u017eeme ji c\u00edtit v kostech? \u2013 David Astapenko, Vladim\u00edr \u010cern\u00fd<\/li>\n<\/ul>\n<p><b>VZD\u011aL\u00c1V\u00c1N\u00cd A ATESTA\u010cN\u00cd OT\u00c1ZKY<\/b><\/p>\n<ul>\n<li>Jak na atestaci z urgentn\u00ed medic\u00edny? \u2013 Katar\u00edna Vesel\u00e1, Jana Kubalov\u00e1, Jana \u0160eblov\u00e1<\/li>\n<li>Potenci\u00e1l rie\u0161enia simulovan\u00fdch \u00faloh pre zvy\u0161ovanie kvality v\u00fdkonu profesion\u00e1lov v zdravotnej z\u00e1chrannej slu\u017ebe \u2013 Jitka Gur\u0148\u00e1kov\u00e1, Peter Gr\u00f6pel<\/li>\n<\/ul>\n<p><b>ETIKA, PSYCHOLOGIE, PR\u00c1VO<\/b><\/p>\n<ul>\n<li>Rozhodov\u00e1n\u00ed a informovanost pacient\u016f o CMP: hled\u00e1n\u00ed smyslupln\u00fdch cest \u2013 Iva \u0160m\u00eddov\u00e1, Lucie Vondr\u00e1\u010dkov\u00e1, Robert Mikul\u00edk<\/li>\n<\/ul>\n<p><b>INFORMA\u010cN\u00cd SERVIS<\/b><\/p>\n<ul>\n<li>\u010cesk\u00e1 republika centrem evropsk\u00e9 urgentn\u00ed medic\u00edny pro rok 2019 \u2013 Kongres EUSEM 12. \u2013 16. 10. 2019, Kongresov\u00e9 centrum Praha \u2013 Jana \u0160eblov\u00e1, Jaroslav Pekara, David Pe\u0159an<\/li>\n<li>Recenze knihy \u201eL\u00e9ka\u0159sk\u00e1 prvn\u00ed pomoc\u201c \u2013 Patrik Christian Cmorej<\/li>\n<\/ul>\n<p><b>INTRODUCTION<\/b><\/p>\n<ul>\n<li>Contents<\/li>\n<li>Editorial \u2013 Jana \u0160eblov\u00e1<\/li>\n<\/ul>\n<p><b>PREHOSPITAL EMERGENCY CARE<\/b><\/p>\n<ul>\n<li>The form for a structured patient\u00b4s information handover \u2013 creation by action research and modified Delphi method \u2013 David Pe\u0159an, Jaroslav Pekara, Jaroslav Val\u00e1\u0161ek, Patrik Cmorej<\/li>\n<\/ul>\n<p><b>SYSTEMS ORGANIZATION AND MANAGEMENT<\/b><\/p>\n<ul>\n<li>Standardization of care in emergency medical services and standards of care \u2013 David Pe\u0159an, Jaroslav Pekara, Patrik Cmorej<\/li>\n<\/ul>\n<p><b>DIAGNOSTIC METHODS<\/b><\/p>\n<ul>\n<li>Point of care ultrasonographic diagnostics of deep venous thrombosis of the lower extremities in emergency medicine \u2013 Barbora Pakostov\u00e1, Roman \u0160kulec, Tom\u00e1\u0161 Pa\u0159\u00edzek, Vladim\u00edr \u010cern\u00fd<\/li>\n<\/ul>\n<p><b>PHYSIOLOGY AND EMERGENCY MEDICINE<\/b><\/p>\n<ul>\n<li>Acute stress response \u2013 can we feel it in our bones? \u2013 David Astapenko, Vladim\u00edr \u010cern\u00fd<\/li>\n<\/ul>\n<p><b>EDUCATION<\/b><\/p>\n<ul>\n<li>How to pass the specialisation exam in emergency medicine? \u2013 Katar\u00edna Vesel\u00e1, Jana Kubalov\u00e1, Jana \u0160eblov\u00e1<\/li>\n<li>The benefits of simulation-based exercises for performance quality of emergency medical services professionals \u2013 Jitka Gur\u0148\u00e1kov\u00e1, Peter Gr\u00f6pel<\/li>\n<\/ul>\n<p><b>ETHICS, PSYCHOLOGY, LAW<\/b><\/p>\n<ul>\n<li>Decision making and stroke awareness: looking for meaningfull strategies \u2013 Iva \u0160m\u00eddov\u00e1, Lucie Vondr\u00e1\u010dkov\u00e1, Robert Mikul\u00edk<\/li>\n<\/ul>\n<p><b>INFORMATION<\/b><\/p>\n<ul>\n<li>\u010cesk\u00e1 republika centrem evropsk\u00e9 urgentn\u00ed medic\u00edny pro rok 2019 \u2013 Kongres EUSEM 12. \u2013 16. 10. 2019, Kongresov\u00e9 centrum Praha \u2013 Jana \u0160eblov\u00e1, Jaroslav Pekara, David Pe\u0159an<\/li>\n<li>Review of the book \u201el\u00e9ka\u0159sk\u00e1 prvn\u00ed pomoc\u201c (First Medical aid) \u2013 Patrik Christian Cmorej<\/li>\n<\/ul>\n<p><span style=\"text-decoration: underline;\"><strong>ABSTRAKTY<\/strong><\/span><\/p>\n<p><b>FORMUL\u00c1\u0158 PRO STRUKTUROVAN\u00c9 P\u0158ED\u00c1V\u00c1N\u00cd INFORMAC\u00cd O PACIENTOVI \u2013 TVORBA POMOC\u00cd AK\u010cN\u00cdHO V\u00ddZKUMU A MODIFIKOVAN\u00c9 DELPHI METODY<\/b><\/p>\n<p><b>THE FORM FOR A STRUCTURED PATIENT\u00b4S INFORMATION HANDOVER \u2013 CREATION BY ACTION RESEARCH AND MODIFIED DELPHI METHOD<\/b><\/p>\n<p><b>David Pe\u0159an, Jaroslav Pekara, Jaroslav Val\u00e1\u0161ek, Patrik Cmorej<\/b><\/p>\n<p><b>Abstrakt <\/b><\/p>\n<p>Chyby v komunikaci mezi zdravotn\u00edky byly vyhodnoceny jako jedna z hlavn\u00edch p\u0159\u00ed\u010din preventabiln\u00edch pochyben\u00ed ve zdravotnictv\u00ed a nedostate\u010dn\u00e9 p\u0159ed\u00e1n\u00ed informac\u00ed o pacientovi m\u016f\u017ee v\u00e9st k jeho po\u0161kozen\u00ed a vzniku chyby v pozd\u011bj\u0161\u00ed f\u00e1zi l\u00e9\u010dby. Standardizac\u00ed a zlep\u0161en\u00edm procesu p\u0159ed\u00e1n\u00ed pacient\u016f m\u016f\u017ee b\u00fdt zlep\u0161ena bezpe\u010dnost poskytovan\u00e9 p\u00e9\u010de. Kvalita p\u0159ed\u00e1v\u00e1n\u00ed pacient\u016f se li\u0161\u00ed. Rozd\u00edly byly nalezeny v metod\u011b p\u0159ed\u00e1v\u00e1n\u00ed, jazyce, \u00farovni vzd\u011bl\u00e1n\u00ed a zku\u0161enost\u00ed. Z tohoto d\u016fvodu se Zdravotnick\u00e1 z\u00e1chrann\u00e1 slu\u017eba hl. m. Prahy rozhodla standardizovat p\u0159ed\u00e1v\u00e1n\u00ed informac\u00ed z p\u0159ednemocni\u010dn\u00ed p\u00e9\u010de sm\u011brem ke kontaktn\u00edm m\u00edst\u016fm nemocnic.<br \/>\n\u010cl\u00e1nek p\u0159edstavuje postup p\u0159i v\u00fdb\u011bru a tvorb\u011b formul\u00e1\u0159e pro strukturovan\u00e9 p\u0159ed\u00e1n\u00ed informac\u00ed o pacientovi pomoc\u00ed ak\u010dn\u00edho v\u00fdzkumu a modifikovan\u00e9 Delphi metody.<br \/>\nPrezentovan\u00fd formul\u00e1\u0159 obsahuje z\u00e1sadn\u00ed informace pro identifikaci poskytovatele p\u0159ednemocni\u010dn\u00ed p\u00e9\u010de a v\u00fdjezdov\u00e9 skupiny, z\u00e1kladn\u00ed popis onemocn\u011bn\u00ed nebo \u00farazu, vit\u00e1ln\u00ed hodnoty pacienta a provedenou terapii. Formul\u00e1\u0159 je uzp\u016fsoben jak pro pacienty s ni\u017e\u0161\u00ed prioritou o\u0161et\u0159en\u00ed, tak pro kriticky ohro\u017een\u00e9.<\/p>\n<p><b>Kl\u00ed\u010dov\u00e1 slova: <\/b>standardizace \u2013 av\u00edzo \u2013 urgentn\u00ed medic\u00edna \u2013 p\u0159ednemocni\u010dn\u00ed p\u00e9\u010de \u2013 bezpe\u010dnost p\u00e9\u010de<\/p>\n<p><b>Abstract <\/b><\/p>\n<p>Failures in communication have been identified as a major cause of preventable medical errors and of poor handovers resulting in adverse effects for the patient. Miscommunication and information loss during handover are acknowledged as contributing factors to adverse events. Patient safety can be improved by ameliorating the handover process and by standardising the processes. The quality of patient handover varies, the chief differences being in the handover method, language, level of education and expertise. For this reason, the Prague Emergency Medical Services decided to standardise the process of information handover from pre-hospital to in-hospital care.<br \/>\nThis paper presents a process for choosing and creating a system of structured information handover using action research and the modified Delphi method.<br \/>\nThe presented system contains essential information for identifying the pre-hospital care provider and the crew, the basic disease or injury, the patient&#8217;s vital signs and the treatment. The system is tailored to both low and high priority patients.<\/p>\n<p><b>Key words: <\/b>Standardisation \u2013 Pre-notification \u2013 Emergency Medicine \u2013 Pre-hospital Care \u2013 Safety<\/p>\n<p><b>STANDARDIZACE P\u00c9\u010cE NA ZDRAVOTNICK\u00c9 Z\u00c1CHRANN\u00c9 SLU\u017dB\u011a A STANDARDY P\u00c9\u010cE<\/b><\/p>\n<p><b>STANDARDIZATION OF CARE IN EMERGENCY MEDICAL SERVICES AND STANDARDS OF CARE<\/b><\/p>\n<p><b>David Pe\u0159an, Jaroslav Pekara, Patrik Cmorej<\/b><\/p>\n<p><b>Abstrakt <\/b><\/p>\n<p>\u00davod: Zdravotnick\u00e9 z\u00e1chrann\u00e9 slu\u017eby se stejn\u011b jako dal\u0161\u00ed poskytovatel\u00e9 zdravotn\u00edch slu\u017eeb \u0159\u00edd\u00ed standardy p\u00e9\u010de, kter\u00e9 zahrnuj\u00ed jak organizaci slu\u017eeb, tak p\u0159\u00edm\u00e9 poskytov\u00e1n\u00ed zdravotn\u00ed p\u00e9\u010de.<br \/>\nMetoda: C\u00edlem \u010dl\u00e1nku je pomoc\u00ed kvalitativn\u00ed metody v\u00fdzkumu \u2013 tematick\u00e9 anal\u00fdzy \u2013 identifikovat jednotliv\u00e9 standardy nebo \u010d\u00e1sti p\u0159edpis\u016f aplikovateln\u00e9 na prost\u0159ed\u00ed zdravotnick\u00fdch z\u00e1chrann\u00fdch slu\u017eeb, u kter\u00fdch je mo\u017en\u00e9 pomoc\u00ed standardizace postupu, v\u010detn\u011b aplikace doporu\u010den\u00fdch postup\u016f, algoritm\u016f, kontroln\u00edch list\u016f a dal\u0161\u00edch kognitivn\u00edch pom\u016fcek, zv\u00fd\u0161it bezpe\u010dnost pacient\u016f.<br \/>\nV\u00fdsledky: Byly identifikov\u00e1ny \u010dty\u0159i dokumenty, ve kter\u00fdch byly pomoc\u00ed k\u00f3dov\u00e1n\u00ed vyhled\u00e1v\u00e1ny oblasti vhodn\u00e9 pro aplikaci standardizace a v nich celkem \u010dty\u0159i skupiny k\u00f3d\u016f \u2013 (1) Obecn\u00e1 doporu\u010den\u00ed ke zlep\u0161en\u00ed p\u00e9\u010de, (2) Standardizace zdravotn\u00ed p\u00e9\u010de, (3) Standardizace komunikace, (4) Technick\u00e9 a organiza\u010dn\u00ed procesy.<br \/>\nZ\u00e1v\u011br: V\u0161echny analyzovan\u00e9 dokumenty obsahuj\u00ed oblasti vhodn\u00e9 ke standardizaci proces\u016f. Z proveden\u00e9 anal\u00fdzy vypl\u00fdv\u00e1, \u017ee nejv\u011bt\u0161\u00ed oblast\u00ed pro standardizaci je samotn\u00e9 poskytov\u00e1n\u00ed odborn\u00e9 p\u00e9\u010de pacient\u016fm. Do pop\u0159ed\u00ed se dost\u00e1vaj\u00ed i netechnick\u00e9 dovednosti a oblasti komunikace je rovn\u011b\u017e v\u011bnov\u00e1n zna\u010dn\u00fd prostor, p\u0159edev\u0161\u00edm p\u0159ed\u00e1v\u00e1n\u00ed informac\u00ed o pacientech. Posledn\u00ed oblast\u00ed je zach\u00e1zen\u00ed s l\u00e9\u010div\u00fdmi p\u0159\u00edpravky, prevence infekc\u00ed a technick\u00e1 p\u0159\u00edprava pom\u016fcek.<\/p>\n<p><b>Kl\u00ed\u010dov\u00e1 slova: <\/b>standardizace \u2013 standardy \u2013 urgentn\u00ed medic\u00edna \u2013 p\u0159ednemocni\u010dn\u00ed p\u00e9\u010de \u2013 bezpe\u010dnost<\/p>\n<p><b>Abstract <\/b><\/p>\n<p>Introduction: Emergency medical services as well as other health care providers follow the standards of care that include both the organization of services and the medical care.<br \/>\nMethod: The aim of the article is to identify, by means of qualitative research method \u2013 thematic analysis \u2013 individual standards or parts of regulations applicable to the emergency medical services environment, which can be improved by standardization of the procedure, including the application of guidelines, algorithms, checklists and other cognitive aids, to improve safety of patients.<br \/>\nResults: Four documents were identified in which areas for standardization were searched and four groups of codes were identified \u2013 (1) General recommendations for improving care, (2) Standardizing health care, (3) Standardizing communication, (4) Technical and organizational processes.<br \/>\nConclusion: All analysed documents contain areas suitable for process standardization. The analysis shows that the biggest area for standardization is the medical care. Non-technical skills are also at the forefront, and a lot of space is also devoted to communication, especially in the area of handover of information about patients. The last area is the management and application of drugs, the prevention of infections and the technical preparation of equipment.<\/p>\n<p><b>Key words: <\/b>Standardisation \u2013 Standards \u2013 Emergency Medicine \u2013 Pre-hospital care \u2013 Safety<\/p>\n<p><b>POINT OF CARE ULTRASONOGRAFICK\u00c1 DIAGNOSTIKA HLUBOK\u00c9 \u017dILN\u00cd TROMB\u00d3ZY DOLN\u00cdCH KON\u010cETIN V URGENTN\u00cd MEDIC\u00cdN\u011a<\/b><\/p>\n<p><b>POINT OF CARE ULTRASONOGRAPHIC DIAGNOSTICS OF DEEP VENOUS THROMBOSIS OF THE LOWER EXTREMITIES IN EMERGENCY MEDICINE<\/b><\/p>\n<p><b>Barbora Pakostov\u00e1, Roman \u0160kulec, Tom\u00e1\u0161 Pa\u0159\u00edzek, Vladim\u00edr \u010cern\u00fd<\/b><\/p>\n<p><b>Abstrakt <\/b><\/p>\n<p>Prvn\u00ed volba zobrazovac\u00ed metody v diagnostice hlubok\u00e9 \u017eiln\u00ed tromb\u00f3zy (H\u017dT) je celokon\u010detinov\u00e9 ultrasonografick\u00e9 vy\u0161et\u0159en\u00ed. Jde o vy\u0161et\u0159en\u00ed expertn\u00ed, \u010dasov\u011b n\u00e1ro\u010dn\u00e9, a ne v\u017edy ihned dostupn\u00e9. V urgentn\u00ed diagnostice H\u017dT je ale mo\u017en\u00e9 vyu\u017e\u00edt zobrazovac\u00ed Point- -of-Care ultrasonografie, p\u0159edev\u0161\u00edm dvojm\u00edstnou nebo roz\u0161\u00ed\u0159enou kompresn\u00ed ultrasonografii. V \u010dl\u00e1nku auto\u0159i uv\u00e1d\u00ed p\u0159ehled ultrasonografick\u00fdch metod vhodn\u00fdch pro Point-of-Care diagnostiku H\u017dT v\u010detn\u011b kritick\u00e9ho zhodnocen\u00ed jejich spolehlivosti a praktick\u00e9ho n\u00e1vodu k proveden\u00ed.<\/p>\n<p><b>Kl\u00ed\u010dov\u00e1 slova: <\/b>urgentn\u00ed medic\u00edna \u2013 hlubok\u00e1 \u017eiln\u00ed tromb\u00f3za \u2013 ultrasonografie<\/p>\n<p><b>Abstract <\/b><\/p>\n<p>The complete compression ultrasound has been considered to be an imaging method of the first choice for diagnostics of deep vein thrombosis (DVT). However, it is an expert examination, time consuming and not always immediately available. Thus, methods of Point-of-Care ultrasound, especially two-region compression ultrasound may be used in an emergency setting. In the article, the authors present an overview of Point-of-Care ultrasound methods of DVT diagnostics, including a critical appraisal of its reliability and a practical instruction for carrying out the examination.<\/p>\n<p><b>Key words: <\/b>emergency medicine \u2013 deep vein thrombosis \u2013 ultrasound<\/p>\n<p><b>AKUTN\u00cd STRESOV\u00c1 REAKCE \u2013 M\u016e\u017dEME JI C\u00cdTIT V KOSTECH?<\/b><\/p>\n<p><b>ACUTE STRESS RESPONSE \u2013 CAN WE FEEL IT IN OUR BONES?<\/b><\/p>\n<p><b>David Astapenko, Vladim\u00edr \u010cern\u00fd<\/b><\/p>\n<p><b>Abstrakt <\/b><\/p>\n<p>Akutn\u00ed stresov\u00e1 reakce je fylogeneticky determinovan\u00e1 odpov\u011b\u010f organizmu na hroz\u00edc\u00ed nebo prob\u00edhaj\u00edc\u00ed po\u0161kozen\u00ed tk\u00e1n\u00ed. Sou\u010d\u00e1st\u00ed reakce je aktivace sympatick\u00e9ho nervov\u00e9ho syst\u00e9mu a neuroendokrinn\u00ed osy hypotalamus \u2013 hypof\u00fdza \u2013 nadledviny. Bu\u0148ky kostn\u00ed tk\u00e1n\u011b, osteoblasty, produkuj\u00ed hormon osteokalcin, kter\u00fd je zodpov\u011bdn\u00fd za precipitaci cel\u00e9 reakce. Zvy\u0161uje vytrvalost kostern\u00edho svalstva, sni\u017euje inzulinovou rezistenci a zlep\u0161uje kr\u00e1tkodobou pam\u011b\u0165. Z biologick\u00e9ho pohledu nejsme v akutn\u00ed f\u00e1zi z\u00e1visl\u00ed pouze na hladin\u011b katecholamin\u016f, nicm\u00e9n\u011b jejich role v klinick\u00e9 medic\u00edn\u011b je nenahraditeln\u00e1.<\/p>\n<p><b>Kl\u00ed\u010dov\u00e1 slova: <\/b>akutn\u00ed stresov\u00e1 reakce \u2013 osteokalcin \u2013 nadledviny<\/p>\n<p><b>Abstract <\/b><\/p>\n<p>An acute stress reaction is a phylogenetically conserved response of the organism to impending or ongoing tissue damage. The reaction involves activation of the sympathetic nervous system and the neuroendocrine axis of the hypothalamus \u2013 pituitary gland \u2013 adrenal glands. Bone tissue cells, osteoblasts, produce hormone osteocalcin, which is responsible for precipitation of the entire reaction. It increases skeletal muscle endurance, decreases insulin resistance and sharpens short term memory. In fact, we are not dependent on the level of catecholamines in the acute phase, but their clinical indications are indisputable.<\/p>\n<p><b>Key words: <\/b>acute stress response \u2013 osteocalcin \u2013 adrenal glands<\/p>\n<p><b>POTENCI\u00c1L RIE\u0160ENIA SIMULOVAN\u00ddCH \u00daLOH PRE ZVY\u0160OVANIE KVALITY V\u00ddKONU PROFESION\u00c1LOV V ZDRAVOTNEJ Z\u00c1CHRANNEJ SLU\u017dBE<\/b><\/p>\n<p><b>THE BENEFITS OF SIMULATION-BASED EXERCISES FOR PERFORMANCE QUALITY OF EMERGENCY MEDICAL SERVICES PROFESSIONALS<\/b><\/p>\n<p><b>Jitka Gur\u0148\u00e1kov\u00e1, Peter Gr\u00f6pel<\/b><\/p>\n<p><b>Abstrakt <\/b><\/p>\n<p>T\u00e1to prierezov\u00e1 replika\u010dn\u00e1 \u0161t\u00fadia overuje, \u010di d\u013a\u017eka praxe v zdravotn\u00edctve a v zdravotnej z\u00e1chrannej slu\u017ebe (ZZS) a po\u010det doteraz absolvovan\u00fdch simula\u010dn\u00fdch s\u00fa\u0165a\u017e\u00ed predikuj\u00fa kvalitu v\u00fdkonu zdravotn\u00edckych z\u00e1chran\u00e1rov v simulovan\u00fdch \u00faloh\u00e1ch Rallye Rejv\u00edz. Do \u0161t\u00fadie sa zapojilo 63 \u00fa\u010dastn\u00edkov (38 % z po\u010dtu v\u0161etk\u00fdch \u00fa\u010dastn\u00edkov) medzin\u00e1rodnej s\u00fa\u0165a\u017ee pos\u00e1dok ZZS Rallye Rejv\u00edz 2016, s priemernou praxou v zdravotn\u00edctve 7.51 rokov, priemernou praxou v ZZS 5.10 rokov a priemern\u00fdm po\u010dtom 4.40 doteraz absolvovan\u00fdch simula\u010dn\u00fdch s\u00fa\u0165a\u017e\u00ed. Nebol preuk\u00e1zan\u00fd \u017eiadny signifikantn\u00fd vz\u0165ah medzi d\u013a\u017ekou praxe v zdravotn\u00edctve, ani d\u013a\u017ekou praxe v ZZS s v\u00fdkonom participantov v Rallye Rejv\u00edz 2016. Na druhej strane, po\u010det absolvovan\u00fdch simula\u010dn\u00fdch s\u00fa\u0165a\u017e\u00ed signifikantne koreloval s kvalitou v\u00fdkonu v Rallye Rejv\u00edz 2016 (r = 0.26, p = 0.049). Okrem toho sa objavil interak\u010dn\u00fd efekt po\u010dtu absolvovan\u00fdch simula\u010dn\u00fdch s\u00fa\u0165a\u017e\u00ed s d\u013a\u017ekou praxe v ZZS \u2013 z rie\u0161enia predch\u00e1dzaj\u00facich simulovan\u00fdch s\u00fa\u0165a\u017en\u00fdch \u00faloh profitovali viac profesion\u00e1li s men\u0161ou d\u013a\u017ekou praxe v ZZS (\u03b2 = \u20130.32, p = 0.018). Tieto zistenia \u010diasto\u010dne replikuj\u00fa doteraj\u0161\u00ed v\u00fdskum a potvrdzuj\u00fa v\u00fdhody rie\u0161enia simulovan\u00fdch s\u00fa\u0165a\u017en\u00fdch \u00faloh ako efekt\u00edvnej met\u00f3dy celo\u017eivotn\u00e9ho vzdel\u00e1vania pracovn\u00edkov ZZS.<\/p>\n<p><b>Kl\u00ed\u010dov\u00e1 slova: <\/b>simul\u00e1cie \u2013 v\u00fdkon \u2013 zdravotn\u00e1 z\u00e1chrann\u00e1 slu\u017eba \u2013 Rallye Rejv\u00edz<\/p>\n<p><b>Abstract <\/b><\/p>\n<p>This cross-sectional replication study tested whether simulation use and years of practice predicted the quality of performance among emergency medical services (EMS) professionals. Data were collected during a simulation-based EMS competition (Rallye Rejv\u00edz). Participants were 63 EMS professionals, which was 38 % of all competitors. They had in average 7.51 years of healthcare practice and 5.10 years of EMS practice and had previously participated in 4.40 simulation events. The prior participation in simulation events correlated significantly with participants\u2019 competition performance (r = 0.26, p = 0.049). In contrast, neither the years of healthcare practice nor the years of EMS practice significantly predicted performance. Furthermore, there was an interaction of simulation use and years of EMS practice: less experienced EMS professionals benefited more from prior simulation use (\u03b2 = \u20130.32, p = 0.018). These results partly replicate previous literature and support the benefits of simulation use as a relevant educational method for EMS professionals.<\/p>\n<p><b>Key words: <\/b>simulation \u2013 emergency medical services \u2013 paramedic \u2013 performance \u2013 Rallye Rejv\u00edz<\/p>\n<p><b>ROZHODOV\u00c1N\u00cd A INFORMOVANOST PACIENT\u016e O CMP: HLED\u00c1N\u00cd SMYSLUPLN\u00ddCH CEST<\/b><\/p>\n<p><b>DECISION MAKING AND STROKE AWARENESS: LOOKING FOR MEANINGFULL STRATEGIES<\/b><\/p>\n<p><b>Iva \u0160m\u00eddov\u00e1, Lucie Vondr\u00e1\u010dkov\u00e1, Robert Mikul\u00edk<\/b><\/p>\n<p><b>Abstrakt <\/b><\/p>\n<p>C\u00edl: Reakce pacient\u016f na vznik p\u0159\u00edznak\u016f c\u00e9vn\u00ed mozkov\u00e9 p\u0159\u00edhody (CMP) je \u010dasto nedostate\u010dn\u00e1. C\u00edlem tohoto v\u00fdzkumu bylo identifikovat zdroje znalost\u00ed pacient\u016f a jedinc\u016f volaj\u00edc\u00edch z\u00e1chrannou slu\u017ebu a kl\u00ed\u010dov\u00e9 momenty pro rozhodnut\u00ed p\u0159ivolat l\u00e9ka\u0159kou pomoc p\u0159i podez\u0159en\u00ed na CMP. Zji\u0161t\u011bn\u00ed nazna\u010duj\u00ed sm\u011br efektivn\u011bj\u0161\u00edho nastaven\u00ed z\u00e1sah\u016f na poli urgentn\u00ed medic\u00edny.<br \/>\nSoubor a metodika: Studie vyu\u017e\u00edv\u00e1 kvalitativn\u00ed p\u0159\u00edstup, metodu osobn\u00edch hloubkov\u00fdch rozhovor\u016f s dan\u00fdm tematick\u00fdm sch\u00e9matem. Rozhovory byly provedeny s 12 pacienty, 6 p\u0159\u00edbuzn\u00fdmi a s ob\u011bma stranami ve dvou p\u0159\u00edpadech. Sb\u011br dat doplnilo 6 setk\u00e1n\u00ed s person\u00e1lem nemocnice.<br \/>\nV\u00fdsledky: K rozhodnut\u00ed p\u0159ivolat l\u00e9ka\u0159e vedla p\u0159edchoz\u00ed zku\u0161enost s CMP a uv\u011bdom\u011bn\u00ed, \u017ee je n\u011bco v nepo\u0159\u00e1dku. Roli hr\u00e1ly tak\u00e9 osoby z okol\u00ed pacient\u016f a jejich zku\u0161enost \u010di znalost. Rozhodovac\u00ed proces se odehr\u00e1v\u00e1 na pozad\u00ed obav z p\u0159ijet\u00ed role pacienta a o\u010dek\u00e1v\u00e1n\u00ed s t\u00edm spojen\u00fdch. K procesu rekonvalescence se poj\u00ed o\u010dek\u00e1v\u00e1n\u00ed a z\u00e1rove\u0148 nejistota.<br \/>\nZ\u00e1v\u011bry: Pokud pacienti nemaj\u00ed p\u0159edchoz\u00ed zku\u0161enost s CMP nebo l\u00e9ka\u0159e nezavol\u00e1 n\u011bkdo jin\u00fd, k rozhodnut\u00ed volat l\u00e9ka\u0159e nevede schopnost \u201ediagnostikovat\u201c CMP, ale pocit, \u017ee je n\u011bco v nepo\u0159\u00e1dku. Pro zv\u00fd\u0161en\u00ed efektu vzd\u011bl\u00e1vac\u00edch kampan\u00ed na zv\u00fd\u0161en\u00ed pov\u011bdom\u00ed a spr\u00e1vn\u00e9 reakce lid\u00ed na CMP je vhodn\u00e9 c\u00edlit na specifick\u00e9 rizikov\u00e9 skupiny a jejich okol\u00ed, jak nazna\u010dily \u017eivotn\u00ed situace zkouman\u00fdch p\u0159\u00edpad\u016f. Prosp\u011b\u0161n\u00e1 by na poli urgentn\u00ed medic\u00edny mohla b\u00fdt multidisciplin\u00e1rn\u00ed spolupr\u00e1ce akcentuj\u00edc\u00ed medic\u00ednsk\u00fd i spole\u010densk\u00fd rozm\u011br CMP.<\/p>\n<p><b>Kl\u00ed\u010dov\u00e1 slova: <\/b>c\u00e9vn\u00ed mozkov\u00e1 p\u0159\u00edhoda \u2013 informovanost pacient\u016f \u2013 rozhodov\u00e1n\u00ed pacient\u016f \u2013 zdravotn\u00ed p\u00e9\u010de \u2013 komunitn\u00ed vzd\u011bl\u00e1v\u00e1n\u00ed<\/p>\n<p><b>Abstract <\/b><\/p>\n<p>Aim: Reaction of the lay public to a stroke event is often insufficient. The aim of this research was to identify the sources of stroke knowledge of stroke patients or their relatives who called emergency for suspected stroke event, and the key moments for the decision to call emergency. Findings indicate direction in more effective management of cases in Emergency medicine.<br \/>\nSample and methods: This is a qualitative study using semi- -structured deep personal interviews. 12 stroke patient were interviewed, 6 relatives of stroke patients and, in two cases, both patient and his\/her relative. Also, 6 meetings with hospital personnel were conducted.<br \/>\nResults: The decision to call ambulance was based on previous stroke experience and realization that something was wrong. Also, other people and their knowledge or experience were important. The decision making is set in the complex setting with patient\u2019s concerns about accepting patient\u2019s role and expectations connected to it. The recovery process is connected both to hopes and uncertainties about the outcome.<br \/>\nConclusions: When the patients do not have previous stroke experience and the doctor is not called by a witness of the event, then the decision to call a doctor is based not on the recognition of the stroke symptoms, but on the perception that something is terribly wrong. For the educational campaigns to be more effective, they need to be targeted to the high-risk subgroups. This knowledge was derived from the experience and life situation of the cases included in the study. Multidisciplinary cooperation connecting not only medical but also social approach could be beneficial in emergency medicine.<\/p>\n<p><b>Key words: <\/b>Stroke \u2013 Awareness \u2013 Decision making \u2013 Health care \u2013 Community health education<\/p>\n","protected":false},"excerpt":{"rendered":"<p>\u00daVOD Obsah \u00davodn\u00ed slovo \u2013 Jana \u0160eblov\u00e1 P\u0158EDNEMOCNI\u010cN\u00cd NEODKLADN\u00c1 P\u00c9\u010cE Formul\u00e1\u0159 pro strukturovan\u00e9 p\u0159ed\u00e1v\u00e1n\u00ed informac\u00ed o pacientovi \u2013 tvorba pomoc\u00ed ak\u010dn\u00edho v\u00fdzkumu a modifikovan\u00e9 Delphi metody \u2013 David Pe\u0159an, Jaroslav Pekara, Jaroslav Val\u00e1\u0161ek, Patrik Cmorej ORGANIZACE A \u0158\u00cdZEN\u00cd SYST\u00c9M\u016e Standardizace<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[32],"tags":[],"class_list":["post-929","post","type-post","status-publish","format-standard","hentry","category-rocnik-2019"],"_links":{"self":[{"href":"https:\/\/urgentnimedicina.cz\/index.php?rest_route=\/wp\/v2\/posts\/929","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=929"}],"version-history":[{"count":0,"href":"https:\/\/urgentnimedicina.cz\/index.php?rest_route=\/wp\/v2\/posts\/929\/revisions"}],"wp:attachment":[{"href":"https:\/\/urgentnimedicina.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=929"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/urgentnimedicina.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=929"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/urgentnimedicina.cz\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=929"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}