[{"@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&Aring;&frac34;d&Atilde;&frac12; z&Acirc;&nbsp;mlad&Atilde;&frac12;ch lid&Atilde;&shy; si nemocni&Auml;n&Atilde;&shy; p&Atilde;&copy;&Auml;i spoj&Atilde;&shy; sp&Atilde;&shy;&Aring;&iexcl; ne&Aring;&frac34; p&Atilde;&copy;&Auml;i o chronick&Atilde;&iexcl; onemocn&Auml;&#8250;n&Atilde;&shy;, tak s&Acirc;&nbsp;r&Aring;&macr;zn&Atilde;&frac12;mi &Atilde;&ordm;razy. Jedn&Atilde;&iexcl; se o logick&Atilde;&frac12; fenom&Atilde;&copy;n, jeliko&Aring;&frac34; je tato pot&Aring;&#8482;eba nemoci pro mlad&Atilde;&copy; lidi mnohem pochopiteln&Auml;&#8250;j&Aring;&iexcl;&Atilde;&shy; a bli&Aring;&frac34;&Aring;&iexcl;&Atilde;&shy;. Co ale p&Aring;&#8482;esn&Auml;&#8250; zahrnuje nemocni&Auml;n&Atilde;&shy; p&Atilde;&copy;&Auml;e o pacienta v&Acirc;&nbsp;urgentn&Atilde;&shy;m stavu? Pokud je pacient p&Aring;&#8482;ivezen ve velmi v&Atilde;&iexcl;&Aring;&frac34;n&Atilde;&copy;m stavu, nej&Auml;ast&Auml;&#8250;ji po dopravn&Atilde;&shy;&hellip;","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\/car-accident-1660670_640.jpg","url":"https:\/\/www.saneko.cz\/wp-content\/uploads\/car-accident-1660670_640.jpg","height":0,"width":0},"url":"https:\/\/www.saneko.cz\/co-se-deje-po-autonehode\/","about":["Zdrav\u00ed"],"wordCount":760,"articleBody":"Snad ka&Aring;&frac34;d&Atilde;&frac12; z&Acirc;&nbsp;mlad&Atilde;&frac12;ch lid&Atilde;&shy; si nemocni&Auml;n&Atilde;&shy; p&Atilde;&copy;&Auml;i spoj&Atilde;&shy; sp&Atilde;&shy;&Aring;&iexcl; ne&Aring;&frac34; p&Atilde;&copy;&Auml;i o chronick&Atilde;&iexcl; onemocn&Auml;&#8250;n&Atilde;&shy;, tak s&Acirc;&nbsp;r&Aring;&macr;zn&Atilde;&frac12;mi &Atilde;&ordm;razy. Jedn&Atilde;&iexcl; se o logick&Atilde;&frac12; fenom&Atilde;&copy;n, jeliko&Aring;&frac34; je tato pot&Aring;&#8482;eba nemoci pro mlad&Atilde;&copy; lidi mnohem pochopiteln&Auml;&#8250;j&Aring;&iexcl;&Atilde;&shy; a bli&Aring;&frac34;&Aring;&iexcl;&Atilde;&shy;. Co ale p&Aring;&#8482;esn&Auml;&#8250; zahrnuje nemocni&Auml;n&Atilde;&shy; p&Atilde;&copy;&Auml;e o pacienta v&Acirc;&nbsp;urgentn&Atilde;&shy;m stavu? Pokud je pacient p&Aring;&#8482;ivezen ve velmi v&Atilde;&iexcl;&Aring;&frac34;n&Atilde;&copy;m stavu, nej&Auml;ast&Auml;&#8250;ji po dopravn&Atilde;&shy; nehod&Auml;&#8250;, je nutno nejd&Aring;&#8482;&Atilde;&shy;ve zjistit, co pacienta aktu&Atilde;&iexcl;ln&Auml;&#8250; ohro&Aring;&frac34;uje. Existuje plno doporu&Auml;en&Atilde;&frac12;ch postup&Aring;&macr;, kter&Atilde;&copy; se sna&Aring;&frac34;&Atilde;&shy; zefektivnit pr&Atilde;&iexcl;ci zdravotn&Atilde;&shy;k&Aring;&macr; a vylou&Auml;it v&Auml;&#8250;t&Aring;&iexcl;&Atilde;&shy; i men&Aring;&iexcl;&Atilde;&shy; chyby. Zdravotn&Atilde;&shy;ci se tak &Aring;&#8482;&Atilde;&shy;d&Atilde;&shy; pomoc&Atilde;&shy; ATLS syst&Atilde;&copy;mu, kter&Atilde;&frac12; rozd&Auml;&#8250;luje o&Aring;&iexcl;e&Aring;&#8482;en&Atilde;&shy; na prim&Atilde;&iexcl;rn&Atilde;&shy; a sekund&Atilde;&iexcl;rn&Atilde;&shy;. V&Acirc;&nbsp;r&Atilde;&iexcl;mci prim&Atilde;&iexcl;rn&Atilde;&shy;ho o&Aring;&iexcl;et&Aring;&#8482;en&Atilde;&shy; se mus&Atilde;&shy; diagnostikovat a zal&Atilde;&copy;&Auml;it to, co pacienta p&Aring;&#8482;&Atilde;&shy;mo ohro&Aring;&frac34;uje na &Aring;&frac34;ivot&Auml;&#8250;. Sekund&Atilde;&iexcl;rn&Atilde;&shy; pak zahrnuje o&Aring;&iexcl;et&Aring;&#8482;en&Atilde;&shy; t&Auml;&#8250;ch zran&Auml;&#8250;n&Atilde;&shy;, kter&Atilde;&copy; mohou po&Auml;kat. Pokud se jedn&Atilde;&iexcl; o hemodynamicky nestabiln&Atilde;&shy;ho pacienta, pak se postupuje pomoc&Atilde;&shy; ABCDE. A zna&Auml;&Atilde;&shy; Airways, tedy l&Atilde;&copy;ka&Aring;&#8482;i zajist&Atilde;&shy; pr&Aring;&macr;choz&Atilde;&shy; d&Atilde;&frac12;chac&Atilde;&shy; cesty. B znamen&Atilde;&iexcl; breathing\/ventilation v&Acirc;&nbsp;tento moment radiologov&Atilde;&copy; zkontroluj&Atilde;&shy;, zda se v&Acirc;&nbsp;hrudn&Atilde;&shy; dutin&Auml;&#8250; nenach&Atilde;&iexcl;z&Atilde;&shy; kolekce vzduchu nebo krve, kter&Atilde;&iexcl; by omezovala d&Atilde;&frac12;ch&Atilde;&iexcl;n&Atilde;&shy;. Mohou b&Atilde;&frac12;t ud&Auml;&#8250;l&Atilde;&iexcl;ny RTG sn&Atilde;&shy;mky, na kter&Atilde;&frac12;ch bude patrno poran&Auml;&#8250;n&Atilde;&shy; a poloha katetr&Aring;&macr; &Auml;i dr&Atilde;&copy;n&Aring;&macr;. N&Atilde;&iexcl;sleduje p&Atilde;&shy;smeno C jako circulation. U pacient&Aring;&macr;, kte&Aring;&#8482;&Atilde;&shy; jev&Atilde;&shy; zn&Atilde;&iexcl;mky vnit&Aring;&#8482;n&Atilde;&shy;ho krv&Atilde;&iexcl;cen&Atilde;&shy;, je proveden ultrazvuk b&Aring;&#8482;i&Aring;&iexcl;n&Atilde;&shy; dutiny, zda se v&Acirc;&nbsp;n&Atilde;&shy; nenach&Atilde;&iexcl;z&Atilde;&shy; voln&Atilde;&iexcl; tekutina (krev). Toto vy&Aring;&iexcl;et&Aring;&#8482;en&Atilde;&shy; se zkr&Atilde;&iexcl;cen&Auml;&#8250; naz&Atilde;&frac12;v&Atilde;&iexcl; FAST. Dopln&Auml;&#8250;no m&Aring;&macr;&Aring;&frac34;e b&Atilde;&frac12;t tak&Atilde;&copy; RTG hrudn&Atilde;&shy;ku a plic. D ji&Aring;&frac34; pat&Aring;&#8482;&Atilde;&shy; mezi sekund&Atilde;&iexcl;rn&Atilde;&shy; vy&Aring;&iexcl;et&Aring;&#8482;en&Atilde;&shy; a zna&Auml;&Atilde;&shy; disability\/neurological status. V&Acirc;&nbsp;t&Atilde;&copy;to &Auml;&Atilde;&iexcl;sti se prov&Atilde;&iexcl;d&Atilde;&shy; CT vy&Aring;&iexcl;et&Aring;&#8482;en&Atilde;&shy;. E znamen&Atilde;&iexcl; enviromental control a zahrnuje zji&Aring;&iexcl;t&Auml;&#8250;n&Atilde;&shy; a o&Aring;&iexcl;et&Aring;&#8482;en&Atilde;&shy; pop&Atilde;&iexcl;lenin, hypotermii&acirc;&#8364;&brvbar; Vy&Aring;&iexcl;et&Aring;&#8482;en&Atilde;&shy; hemodynamicky stabiln&Atilde;&shy;ho pacienta m&Aring;&macr;&Aring;&frac34;e zahrnovat celot&Auml;&#8250;lov&Atilde;&copy; CT nebo ultrazvuk a observaci, podle toho, zda mechanismus p&Atilde;&iexcl;du pravd&Auml;&#8250;podobn&Auml;&#8250; vedl nebo nevedl k&Acirc;&nbsp;poran&Auml;&#8250;n&Atilde;&shy;.                                                                                                                                                                                                                                                                                                                                                                                                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