[{"@context":"https:\/\/schema.org\/","@type":"Article","@id":"https:\/\/www.saneko.cz\/co-se-deje-po-autonehode\/#Article","mainEntityOfPage":"https:\/\/www.saneko.cz\/co-se-deje-po-autonehode\/","headline":"Co se d\u011bje po autonehod\u011b?","name":"Co se d\u011bje po autonehod\u011b?","description":"Snad ka\u017ed\u00fd z\u00a0mlad\u00fdch lid\u00ed si nemocni\u010dn\u00ed p\u00e9\u010di spoj\u00ed sp\u00ed\u0161 ne\u017e p\u00e9\u010di o chronick\u00e1 onemocn\u011bn\u00ed, tak s\u00a0r\u016fzn\u00fdmi \u00farazy. Jedn\u00e1 se o logick\u00fd fenom\u00e9n, jeliko\u017e je tato pot\u0159eba nemoci pro mlad\u00e9 lidi mnohem pochopiteln\u011bj\u0161\u00ed a bli\u017e\u0161\u00ed. Co ale p\u0159esn\u011b zahrnuje nemocni\u010dn\u00ed p\u00e9\u010de o pacienta v\u00a0urgentn\u00edm stavu? Pokud je pacient p\u0159ivezen ve velmi v\u00e1\u017en\u00e9m stavu, nej\u010dast\u011bji po dopravn\u00ed…","datePublished":"2023-07-04","dateModified":"2024-03-05","author":{"@type":"Person","@id":"https:\/\/www.saneko.cz\/author\/#Person","name":"","url":"https:\/\/www.saneko.cz\/author\/","identifier":1,"image":{"@type":"ImageObject","@id":"https:\/\/secure.gravatar.com\/avatar\/a414941ff2b86a79f1a70a433f21d60df00047fefe742a46b6fded139881a475?s=96&d=mm&r=g","url":"https:\/\/secure.gravatar.com\/avatar\/a414941ff2b86a79f1a70a433f21d60df00047fefe742a46b6fded139881a475?s=96&d=mm&r=g","height":96,"width":96}},"publisher":{"@type":"Organization","name":"saneko.cz","logo":{"@type":"ImageObject","@id":"\/logo.png","url":"\/logo.png","width":600,"height":60}},"image":{"@type":"ImageObject","@id":"https:\/\/www.saneko.cz\/wp-content\/uploads\/art486783_16x9_20261011_104623_MctkY2.jpg","url":"https:\/\/www.saneko.cz\/wp-content\/uploads\/art486783_16x9_20261011_104623_MctkY2.jpg","height":0,"width":0},"url":"https:\/\/www.saneko.cz\/co-se-deje-po-autonehode\/","about":["Zdrav\u00ed"],"wordCount":374,"articleBody":"\tSnad ka\u017ed\u00fd z\u00a0mlad\u00fdch lid\u00ed si nemocni\u010dn\u00ed p\u00e9\u010di spoj\u00ed sp\u00ed\u0161 ne\u017e p\u00e9\u010di o chronick\u00e1 onemocn\u011bn\u00ed, tak s\u00a0r\u016fzn\u00fdmi \u00farazy. Jedn\u00e1 se o logick\u00fd fenom\u00e9n, jeliko\u017e je tato pot\u0159eba nemoci pro mlad\u00e9 lidi mnohem pochopiteln\u011bj\u0161\u00ed a bli\u017e\u0161\u00ed. Co ale p\u0159esn\u011b zahrnuje nemocni\u010dn\u00ed p\u00e9\u010de o pacienta v\u00a0urgentn\u00edm stavu? Pokud je pacient p\u0159ivezen ve velmi v\u00e1\u017en\u00e9m stavu, nej\u010dast\u011bji po dopravn\u00ed nehod\u011b, je nutno nejd\u0159\u00edve zjistit, co pacienta aktu\u00e1ln\u011b ohro\u017euje. Existuje plno doporu\u010den\u00fdch postup\u016f, kter\u00e9 se sna\u017e\u00ed zefektivnit pr\u00e1ci zdravotn\u00edk\u016f a vylou\u010dit v\u011bt\u0161\u00ed i men\u0161\u00ed chyby. Zdravotn\u00edci se tak \u0159\u00edd\u00ed pomoc\u00ed ATLS syst\u00e9mu, kter\u00fd rozd\u011bluje o\u0161e\u0159en\u00ed na prim\u00e1rn\u00ed a sekund\u00e1rn\u00ed. V\u00a0r\u00e1mci prim\u00e1rn\u00edho o\u0161et\u0159en\u00ed se mus\u00ed diagnostikovat a zal\u00e9\u010dit to, co pacienta p\u0159\u00edmo ohro\u017euje na \u017eivot\u011b. \t\tSekund\u00e1rn\u00ed pak zahrnuje o\u0161et\u0159en\u00ed t\u011bch zran\u011bn\u00ed, kter\u00e9 mohou po\u010dkat. Pokud se jedn\u00e1 o hemodynamicky nestabiln\u00edho pacienta, pak se postupuje pomoc\u00ed ABCDE. A zna\u010d\u00ed Airways, tedy l\u00e9ka\u0159i zajist\u00ed pr\u016fchoz\u00ed d\u00fdchac\u00ed cesty. B znamen\u00e1 breathing\/ventilation v\u00a0tento moment radiologov\u00e9 zkontroluj\u00ed, zda se v\u00a0hrudn\u00ed dutin\u011b nenach\u00e1z\u00ed kolekce vzduchu nebo krve, kter\u00e1 by omezovala d\u00fdch\u00e1n\u00ed. Mohou b\u00fdt ud\u011bl\u00e1ny RTG sn\u00edmky, na kter\u00fdch bude patrno poran\u011bn\u00ed a poloha katetr\u016f \u010di dr\u00e9n\u016f. \tN\u00e1sleduje p\u00edsmeno C jako circulation. U pacient\u016f, kte\u0159\u00ed jev\u00ed zn\u00e1mky vnit\u0159n\u00edho krv\u00e1cen\u00ed, je proveden ultrazvuk b\u0159i\u0161n\u00ed dutiny, zda se v\u00a0n\u00ed nenach\u00e1z\u00ed voln\u00e1 tekutina (krev). Toto vy\u0161et\u0159en\u00ed se zkr\u00e1cen\u011b naz\u00fdv\u00e1 FAST. Dopln\u011bno m\u016f\u017ee b\u00fdt tak\u00e9 RTG hrudn\u00edku a plic. D ji\u017e pat\u0159\u00ed mezi sekund\u00e1rn\u00ed vy\u0161et\u0159en\u00ed a zna\u010d\u00ed disability\/neurological status. V\u00a0t\u00e9to \u010d\u00e1sti se prov\u00e1d\u00ed CT vy\u0161et\u0159en\u00ed. E znamen\u00e1 enviromental control a zahrnuje zji\u0161t\u011bn\u00ed a o\u0161et\u0159en\u00ed pop\u00e1lenin, hypotermii\u2026 Vy\u0161et\u0159en\u00ed hemodynamicky stabiln\u00edho pacienta m\u016f\u017ee zahrnovat celot\u011blov\u00e9 CT nebo ultrazvuk a observaci, podle toho, zda mechanismus p\u00e1du pravd\u011bpodobn\u011b vedl nebo nevedl k\u00a0poran\u011bn\u00ed.                                                                                                                                                                                                                                                                                                                                                                                                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