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Basic life support in children

Basic life support in children
First Aid in children already bring to the trespassing acute stress and severe emotional component. Come and try out at home possible realistic scenario to help the child, which is described in the current recommendations of the European Resuscitation Council.

LF MU | disciplína: Akutní medicína | klíčová slova: BLS in children, gasping, KPR in children | publikováno: 20. 12. 2011

Basic life support in adults

Basic life support in adults
Mastering the principles of cardiopulmonary resuscitation should belong to the personal equipment of each man. Algorithm in accordance with the current guidelines of the European Resuscitation Council lead through possible pitfalls of this for amateurs and experts crucial life-saving activity.

LF MU | disciplína: Akutní medicína | klíčová slova: BLS, consciousness, gasping, AED, CPR | publikováno: 20. 12. 2011

Basic life support: choking in adults

Basic life support: choking in adults
The algorithm focuses on one of the themes of first aid (Basic Life Support, BLS) directly endangered the patient's life.  His comletation can be useful for both the layman and the person in acute situations already versed. The algorithm was created in accordance with the current guidelines of the European Resuscitation Council 2010.

LF MU | disciplína: Akutní medicína | klíčová slova: BLS, choking, airway obstruction, Heimlich maneuver | publikováno: 20. 12. 2011

Car accident

Car accident
Technical first aid is an indispensable part of pre-hospital care. How about you? Do you know, how to proceed in a traffic accident?

LF MU | disciplína: Akutní medicína | klíčová slova: accident scene safety, first contact, communication with the emergency services dispatcher, rescue plan | publikováno: 21. 12. 2011

Craniocerebral trauma

Craniocerebral trauma
Craniocerebral trauma is the most severe injury group, which is associated with high mortality and severe permanent consequences. At present, the frequency of brain and skull injury is increasing,it often occurs  as a part of a polytrauma. In our algorithm you will get familiar with direct acute brain injury and its treatment.

LF MU | disciplína: Akutní medicína | klíčová slova: anisocoria, manitol, decompresive craniektomy | publikováno: 20. 12. 2011

Acute postoperative pain management - 2009

Acute postoperative pain management - 2009
Acute postoperative pain management is a multidisciplinary task in which they are responsible both anesthesiologist, surgeon, attending physicians and nurses of postoperative department. For this reason, there is often a transfer of responsibilities between the involved medical staff, and often a poor care of the patient's pain. Early postoperative pain treatment can prevent its chronification. Therefore, we present here the algorithm for the treatment of postoperative pain after pulmonary surgery.

LF MU | disciplína: Akutní medicína | klíčová slova: postoperative pain, epidural block, therapeutic strategy, analgesic ladder | publikováno: 20. 12. 2011

Hypothermia

Hypothermia
Rub frostbite with snow? Limber up to heat yourself? Check your knowledge in our algorithm of first aid in the mountains.

LF MU | disciplína: Akutní medicína | klíčová slova: hypothermia, emergency medical assistance, frostbites, warming up | publikováno: 21. 12. 2011

Serious head injuries - invasive monitoring

Serious head injuries - invasive monitoring
Everyone can be involved in a serious car accident. Our algorithm offers you sequence of actions by serious head injury and its solution using invasive approaches.

LF MU | disciplína: Akutní medicína | klíčová slova: racoon eyes, coniotomy, cannulation | publikováno: 20. 12. 2011

Water rescue I

Water rescue I
The basic rules of water rescue...or How to help drowning person without drowning yourself.

LF MU | disciplína: Akutní medicína | klíčová slova: drowning, safety, technique of rescue | publikováno: 21. 12. 2011

Water rescue II

Water rescue II
The basic rules of water rescue...or How to help drowning person without drowning yourself.

LF MU | disciplína: Akutní medicína | klíčová slova: drowning, consciousness, rescue, cessation of CPR | publikováno: 21. 12. 2011

Analgesia in a GP practice

Analgesia in a GP practice
Sufficient analgesia in the practitioners´ ambulance is often underestimated part of daily routine in patients care. We can often see underdosing of analgesics due to fear of overdose or addiction to opioids.Therefore, we present here the algorithm with a possible therapeutic procedure for chronic hip pain.  

LF MU | disciplína: Akutní medicína | klíčová slova: pain intensity (VAS), NSAIDs, analgesics-antipyretics, opioids | publikováno: 23. 12. 2011

Acute coronary syndrome - 2011

Acute coronary syndrome - 2011
Myocardial infarction (heart attack) is one of the most common causes of death in our population. Many risk factors contributing to its genesis are spread widely such as smoking, obesity, junk food, lack of exercise, high blood pressure and diabetes mellitus. Our algorithm presents you the right way to diagnose and treat heart attack as so as the most frequent mistakes that can endanger the patient.

LF MU | disciplína: Akutní medicína | klíčová slova: risk factors, myocardial infarction (heart attack), dual antiaggregation therapy, troponin, coronarography | publikováno: 22. 12. 2011

Analgesia in dentistry

Analgesia in dentistry
The algorithm describes two painful situations in orofacial areas. The first focuses on an acute postoperative pain after third molar surgery and recommended strategy for analgesia. The second situation concentrates on a chronic pain in temporomandibular joint. Besides, the second one also offers a therapy in various stages of the disease. Students should learn (about) not only recommended principles of conservative treatment, but also possible subsequent surgical therepy.

LF MU | disciplína: Akutní medicína | klíčová slova: preemptive analgesia, acute postoperative pain, chronic pain, analgesic strategies | publikováno: 22. 12. 2011

Post-dural Puncture Headache

Post-dural Puncture Headache
Postdural puncture headache is one of the complications of central blockades.  It arises most often in connection with a previous puncture of  epidural or spinal space as a result of perforation of the dura mater and arachnoidea. A cerebrospinal fluid is leaking from the gap in dura mater. It leads to a drop  of pressure of cerebrospinal fluid and it can cause headaches. The following algorithm will try to bring the diagnosis and the treatment of this condition.

LF MU | disciplína: Akutní medicína | klíčová slova: epidural anesthesia, postdural puncture headache, blood patch | publikováno: 2. 5. 2012

Syncope in dentistry

Syncope in dentistry
The algorithm describes a real situation at the dentist - the extraction of the wisdom teeth combined with a pre-operative complication: a syncope complication. Each step of such a situation is outlined to comprehend the whole complexity of the syncope. Sub-questions then one by one describe the evolving state of the patient and offer solutions to particular steps. The correct answer to each of the questions will enable every student to finish the algorithm successfully.

LF MU | disciplína: Akutní medicína | klíčová slova: syncope, fear, autotransfusion position, ephedrine | publikováno: 22. 12. 2011

Toxic reactions to local anaesthetics

Toxic reactions to local anaesthetics
Local anaesthetics are widely used by anaesthesiologists, surgeons or general practitioners. There is a risk of severe toxic reactions, which may lead to fatal sequels. This algorithm presents possibilities of minimalisation of the risk and offers the guideline by treatment of severe cardiovascular complication according to current opinions.

LF MU | disciplína: Akutní medicína | klíčová slova: toxic reaction, infraclavicular block, bupivacaine, lipid emulsion | publikováno: 22. 12. 2011

Toxic reaction to local anaesthetics in dentistry

Toxic reaction to local anaesthetics in dentistry
The algorithm describes a real situation of a toxic reaction to local anesthetic at the dentist. It generally shows the development from relative overdose to absolute overdose of local anestehticum. The algorithm should thus also contribute to adoptation of important procedures when solving such an acute state.

LF MU | disciplína: Akutní medicína | klíčová slova: local anaesthetics, regional anesthesia, toxic reaction, Supracain (articaine) | publikováno: 22. 12. 2011

Electrical injury

Electrical injury
The Injury caused by an electric current can often threaten a human life. We would like to demonstrate how to act when you witness this kind of accident.

LF MU | disciplína: Akutní medicína | klíčová slova: cardiac rhythm disturbances, asystole, ventricular fibrillation, burns | publikováno: 22. 12. 2012

Severe allergic reaction

Severe allergic reaction
Severe allergic reaction is life-threatening. It may be observed after insect bite, after eating specific food or using some drugs. Most important is early diagnosis and immediate treatment. This algorithm presents possibility of diagnosis and treatment of this severe state.

LF MU | disciplína: Akutní medicína | klíčová slova: allergie, anaphylactic reaction, adrenalin, bronchospasm | publikováno: 22. 12. 2011

Diabetes mellitus

Diabetes mellitus
The Diabetes mellitus algorithm describes step-by-step prehospital and subsequently hospital process of treatment of the hyperglycaemic coma. The algorithm is processed in the prehospital phase from the perspective of a non-medical professional and a medical professional at the scene of an incident to make sure to emphasize basic life functions.

LF MU | disciplína: Akutní medicína | klíčová slova: hypo/hyperglycemic coma, glycemia, insulin, glucagon | publikováno: 31. 12. 2012

Anaphylaxis in obstetrics - amniotic fluid embolism

Anaphylaxis in obstetrics - amniotic fluid embolism
Amniotic fluid embolism is a rare but very serious and dramatic complication in pregnancy. It is one of the most common causes of maternal death worldwide, with mortality approaching 80%. Diagnosis is based only on clinical signs, it is used the elimination procedure - "diagnosis per exclusionem". This algorithm describes from the perspective of an anesthesiologist this emergent situation and subsequent diagnosis.

LF MU | disciplína: Akutní medicína | klíčová slova: amniotic fluid embolism, delivery, anaphylaxis | publikováno: 26. 12. 2012

Methanol intoxication

Methanol intoxication
Methanol intoxication has become a very actual topic within last year. The great danger of accidental poisoning lies in inability to recognize methanol while drinking it and distinguish it from ethanol and so avoid drinking greater amount of it. This algorithm takes us through the situation from ensuring the patient in prehospital care until professional treatment and therapy in the hospital.

LF MU | disciplína: Akutní medicína | klíčová slova: methanol, ethanol, intoxication | publikováno: 26. 12. 2012

Childbirth in the field

Childbirth in the field
Childbirth in the field is situation which can confront every one of us. For this case an algorithm was created, where you find yourself in the position of emergency doctor called to assist the progressing childbirth. Here is your chance to get familiar with the proper medical guidance of the childbirth in the field.

LF MU | disciplína: Akutní medicína | klíčová slova: labor, childbirth, newborn, bleeding | publikováno: 26. 12. 2012

Meningococcal sepsis

Meningococcal sepsis
Meningococcal sepsis, meningococcal meningitis and sepsis combinated with menigitis are caused by gram negative diplococcus Neisseria meningitidis and are understood under exression invasive meningococcal disease. Appreciable part of population are healthy carriers of this microbe. On the other hand it can cause fulminant and often fatal disease. Algorithm shows a typical case of IMD and the most important principles of its treatment.

LF MU | disciplína: Akutní medicína | klíčová slova: sepsis, meningococcus, antibiotics | publikováno: 26. 12. 2012

Peripartal bleeding - 2013

Peripartal bleeding - 2013
Peripartal life-threatening haemorrhage is defined as sudden and uncontrolled blood loss, which is clinically estimated at 1500 ml and more, and which is associated with the onset of clinical and/or laboratory signs of tissue hypoperfusion.

LF MU | disciplína: Akutní medicína | klíčová slova: labor, massive bleeding, fluid resuscitation | publikováno: 31. 5. 2013

Acute abdomen from a anesthesiological viewpoint

Acute abdomen from a anesthesiological viewpoint
Acute abdomen is one of the classic cases of acute medicine. Due to the threat of serious complications it is necessary to recognize it early and treat appropriately. In the case of surgical intervention, the patient is at high risk of aspiration of gastric contents during induction of general anesthesia. Our algorithm focuses on the topic from the perspective of anesthesiologist, especially on the correct rapid induction of anesthesia (Rapid Sequence Induction-RSI, flash introduction, crush introduction).

LF MU | disciplína: Akutní medicína | klíčová slova: rapid sequence induction, crush induction, intubation, relaxometry | publikováno: 31. 5. 2013

Eclampsia

Eclampsia
Eclampsia is life-threatening pregnancy complication that is characteristic by tonic-clonic seizures. The patient is usually warned by obvious symptoms, but sometimes the eclampsia appears unexpected. It requires immediate intervention of seizure suppression, high blood pressure decrease and quick delivery. Due to the seriousness, an unexpected beginning and the progress, the main protection is prevention and diagnosis of preeclampsia that is easily treatable.

LF MU | disciplína: Akutní medicína | klíčová slova: pregnancy, convulsions, preeclampsia | publikováno: 3. 6. 2013

Perakutní průběh těžké septické endokarditidy

Perakutní průběh těžké septické endokarditidy
76letá pacientka v domácí péči, ošetřována rodinou. Poslední dny nejedla, málo pila. Obtížný kontakt. Na emergency přivezena pro progresi poruchy vědomí a rozvoj febrilí s podezřením na uroinfekt. Rychle progredující ventilační selhání indikuje k napojení na UPV, nutná podpora vazopresory. Nasazena empirická ATB terapie - Amoksiklav 1,2 g i.v. co 8 hod k pokrytí ev. močové infekce. Po rychlé progresi celkového stavu došlo po 8 hodinách pobytu v nemocnici k exitu. Pitevní nález potvrdil jako zdroj sepse nejen močový infekt, ale zejména přítomnost infikovaných chlopenních vegetací s perikarditidou.

LF MU | disciplína: Akutní medicína | klíčová slova: Krevní řečiště, septický šok, případy s úmrtím | publikováno: 9. 7. 2013

ALS in adult

ALS in adult
Heart arrest is one of the common life-threatening situation which can face all of us during normal life especially then medical stuff in hospitals. Our algorithm describes briefly and exatly basic life supporting actions in case of heart arrest and advanced life support provided by emergency team. 

LF MU | disciplína: Akutní medicína | klíčová slova: CPR, adrenaline, defibrilation | publikováno: 26. 2. 2013

Suicidalita

Suicidalita
RZP přiváží na Krizové centrum FN Brno ženu po intoxikaci medikamenty. Dle dostupné dokumentace je somaticky sledována pro hypothyreózu (užívá Euthyrox), jinak zdravá. Je svobodná, bezdětná, více informací není aktuálně k dispozici. Dle posádky RZP pacientka zanechala dopis na rozloučenou (dopis s sebou nemají) a užila ne zcela známé množství léků (cca 40 tbl. Rivotril 0.5 mg). Na KC přivezena na lehátku, pro výraznou malátnost není schopná přejít z lehátka na sedačku.

LF MU | disciplína: Psychiatrie, psychologie, sexuologie | ...: Array | publikováno: 16. 7. 2014


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