V roku 2020 vyrazili posádky záchrannej zdravotnej služby na Slovensku k 509 725 primárnych zásahov. Bolesti na hrudníku pritom patria k jedným z najčastejších dôvodov pre výjazdy posádok záchrannej zdravotnej služby. V prednemocničnej starostlivosti, aj napriek minimálnym diagnostickým pomôckam správne rozhodnúť a to najmä podľa anamnézy a fyzikálneho vyšetrenia. I napriek správnemu iniciálnemu zhodnoteniu pacienta v prednemocničnej zdravotnej starostlivosti a správnej diferenciálnej diagnostike nám zostávajú niektoré diagnózy nedostupné. Medzi ne patrí aj Takotsubo syndróm alebo ľudovo nazývaný syndróm zlomeného srdca, ktorý v prednemocničnej fáze nevieme potvrdiť, avšak vieme pacienta liečiť symptomaticky a smerovať ho do správneho zdravotníckeho zariadenia. V kazuistike popisujeme možno až neuveriteľnú zhodu okolností, ktoré viedli k ohrozeniu života troch ľudí.
In 2020, the teams of emergency medical services in Slovakia were dispatched to 509,725 primary interventions. Chest pain is one of the most common reasons for dispatching emergency medical services. Due to facts mentioned above, it is very important, despite lack of diagnostic means, to evaluate the situation correctly, while examination is based mainly on case history and physical examination. Even if the primary evaluation of patient in prehospital medical care and differential diagnostics are right, some diagnoses remain unobtainable. Takotsubo syndrome, also called “brokenheart syndrome”, is one of those we are unable to confirm. However, we can provide the patient adequate symptomatic care and transport him/her to the appropriate medical facility. A case report with maybe incredible coincidence leading to possible fatal outcome in three patients is described in this paper.
- MeSH
- Chest Pain etiology MeSH
- Middle Aged MeSH
- Humans MeSH
- Takotsubo Cardiomyopathy * diagnosis therapy MeSH
- Emergency Medical Services MeSH
- Treatment Outcome MeSH
- Check Tag
- Middle Aged MeSH
- Humans MeSH
- Female MeSH
- Publication type
- Case Reports MeSH
Článok sa zaoberá analýzou 7. ročníka MUC. Rallye Rejvíz (MUC. RR) – súťaže posádok študentov 4. – 6. ročníka lekárskych fakúlt (medikov), ktorá prebehla ako súčasť 21. ročníka Rallye Rejvíz 2017, najväčšej záchranárskej súťaže, v máji v Koutech nad Desnou. Do MUC. R sa toho roku zapojilo deväť posádok (sedem českých, jedna slovenská a jedna poľská). Autori predkladajú porovnanie výsledkov v jednotlivých odborných úlohách, MUC verzus národná súťaž posádok RLP (RLP-NAT). Dosiahnuté priemerné bodové zisky posádok MUC a RLP-NAT sú spracované graficky.
The article deals with the analysis of the 7th year of the MUC. Rallye Rejvíz (MUC. RR) – Competition of students of the 4th – 6th years of medical universities, which took place as part of the 21st Rallye Rejvíz 2017, the largest competition of Emergency Medical Services, in May in Kouty nad Desnou. Nine crews joined the MUC. RR this year (seven Czech, one Slovak and one Polish). The authors present a comparison of the results in the individual professional tasks, MUC versus the RLP national competition (RLP-NAT). The average points earnings achieved by MUC and RLP-NAT crews are processed graphically.
- Keywords
- soutěže,
- MeSH
- Emergency Responders MeSH
- Humans MeSH
- Critical Care * MeSH
- Students, Medical MeSH
- Emergency Medical Services * manpower MeSH
- Education MeSH
- Check Tag
- Humans MeSH
- MeSH
- Air Ambulances * MeSH
- Humans MeSH
- Attitude to Death MeSH
- Accidents, Occupational mortality MeSH
- Death MeSH
- Check Tag
- Humans MeSH
- Publication type
- Personal Narrative MeSH
- Keywords
- akutní zmatenost,
- MeSH
- Diagnosis, Differential MeSH
- Humans MeSH
- Emergency Medical Services MeSH
- Confusion diagnosis etiology therapy MeSH
- Check Tag
- Humans MeSH
- MeSH
- Chest Pain MeSH
- Diagnostic Errors MeSH
- Diagnosis, Differential * MeSH
- Adult MeSH
- Dyspnea MeSH
- Hypoglycemia MeSH
- Middle Aged MeSH
- Humans MeSH
- Signs and Symptoms MeSH
- Aged MeSH
- Emergency Medical Services * MeSH
- Confusion MeSH
- Check Tag
- Adult MeSH
- Middle Aged MeSH
- Humans MeSH
- Male MeSH
- Aged MeSH
- Female MeSH
- Publication type
- Case Reports MeSH
- MeSH
- Child MeSH
- Domestic Violence MeSH
- Adult MeSH
- European Union MeSH
- Mass Casualty Incidents MeSH
- Congresses as Topic MeSH
- Humans MeSH
- Disaster Medicine methods organization & administration trends MeSH
- Advanced Cardiac Life Support methods utilization MeSH
- Ambulances manpower MeSH
- Societies, Medical organization & administration utilization MeSH
- Terrorism MeSH
- Emergency Medical Services methods organization & administration trends MeSH
- Check Tag
- Child MeSH
- Adult MeSH
- Humans MeSH
- MeSH
- Diagnostic Techniques and Procedures MeSH
- Hyperbaric Oxygenation methods utilization MeSH
- Congresses as Topic MeSH
- Humans MeSH
- Disaster Medicine methods organization & administration education MeSH
- Interdisciplinary Communication MeSH
- Certification utilization legislation & jurisprudence MeSH
- Carbon Monoxide Poisoning diagnosis nursing therapy MeSH
- Multiple Trauma diagnosis nursing therapy MeSH
- Emergency Medicine methods organization & administration education MeSH
- Education methods organization & administration MeSH
- Check Tag
- Humans MeSH
- Geographicals
- Slovakia MeSH
- MeSH
- Medical Errors prevention & control adverse effects MeSH
- Humans MeSH
- Evidence-Based Medicine methods standards MeSH
- Nursing Care methods standards MeSH
- Evidence-Based Nursing methods standards MeSH
- First Aid methods standards MeSH
- Accidents MeSH
- Emergency Medicine methods standards MeSH
- Check Tag
- Humans MeSH
- MeSH
- Congresses as Topic organization & administration utilization MeSH
- Humans MeSH
- International Cooperation MeSH
- Preceptorship MeSH
- Allied Health Personnel education MeSH
- Ambulances manpower utilization MeSH
- Students, Health Occupations MeSH
- Emergency Treatment methods MeSH
- Emergency Medical Services methods MeSH
- Check Tag
- Humans MeSH
- Publication type
- Problems and Exercises MeSH
