{"id":11385521,"date":"2012-07-15T00:00:00","date_gmt":"2012-07-14T22:00:00","guid":{"rendered":"https:\/\/alertdiver.eu\/uncategorized-cs_cz\/traumaticke-uklouznuti\/"},"modified":"2012-07-15T00:00:00","modified_gmt":"2012-07-14T22:00:00","slug":"traumaticke-uklouznuti","status":"publish","type":"post","link":"https:\/\/alertdiver.eu\/cs_CZ\/clanky\/traumaticke-uklouznuti\/","title":{"rendered":"Traumatick\u00e9 uklouznut\u00ed"},"content":{"rendered":"

Protagonistou na\u0161eho “\u0161\u0165astn\u00e9ho p\u0159\u00edb\u011bhu” je t\u0159icetilet\u00fd pot\u00e1p\u011b\u010dsk\u00fd instruktor, kter\u00fd odcestoval do Thajska, tedy do zem\u011b zn\u00e1m\u00e9 jako r\u00e1j pro milovn\u00edky pot\u00e1p\u011b\u010dsk\u00fdch aktivit v p\u0159ekr\u00e1sn\u00e9m podmo\u0159sk\u00e9m prost\u0159ed\u00ed. Stalo se mu to 4. kv\u011btna. Kdy\u017e se vracel po ponoru do \u010dlunu, uklouzl na \u017eeb\u0159\u00edku a poranil si nohu. Jednalo se o otev\u0159enou zlomeninu komplikovanou vyklouben\u00edm a p\u0159etr\u017een\u00edm \u0161lachy \u010dtvrt\u00e9ho prstu na noze. Nav\u00edc utrp\u011bl od\u0159eniny na tv\u00e1\u0159i a na nose.<\/p>\n

Byl p\u0159evezen do nejbli\u017e\u0161\u00ed kliniky na ostrov\u011b Koh Tao, kde se mu dostalo prvn\u00ed pomoci, ale toto zdravotn\u00ed za\u0159\u00edzen\u00ed bylo p\u0159\u00edli\u0161 mal\u00e9 a skromn\u00e9 na poskytnut\u00ed adekv\u00e1tn\u00edho z\u00e1sahu a proveden\u00ed nutn\u00e9 operace nohy, kter\u00e1 byla ve skute\u010dn\u011b \u0161patn\u00e9m stavu. Na\u0161t\u011bst\u00ed je tento pot\u00e1p\u011b\u010d \u010dlenem DAN, proto zavolal na na\u0161i mezin\u00e1rodn\u00ed t\u00eds\u0148ovou linku, kde mu byla doporu\u010dena v\u011bt\u0161\u00ed a l\u00e9pe vybaven\u00e1 nemocnice Bangkok Samui Hospital v Koh Samui. Person\u00e1l DAN za\u010dal ihned organizovat p\u0159evoz z prvn\u00edho za\u0159\u00edzen\u00ed do zm\u00edn\u011bn\u00e9 v\u011bt\u0161\u00ed nemocnice.<\/p>\n

Od okam\u017eiku nehody a\u017e po p\u0159\u00edjezd do adekv\u00e1tn\u00ed nemocnice uplynulo jeden\u00e1ct hodin. U tohoto druhu zran\u011bn\u00ed existovalo velk\u00e9 nebezpe\u010d\u00ed infekce a nevyhnutelnou operaci bylo pot\u0159eba prov\u00e9st co nejd\u0159\u00edve. Pacienta, kter\u00fd byl po celou dobu velmi vylekan\u00fd a znepokojen\u00fd, opakovan\u011b uklid\u0148ovali zdravotn\u00edci z DAN pravideln\u00fdmi telefon\u00e1ty i vyhodnocov\u00e1n\u00edm a vysv\u011btlov\u00e1n\u00edm podm\u00ednek a l\u00e9\u010dby v nemocnici v Bankoku. Tak\u00e9 mu byla zaru\u010dena okam\u017eit\u00e1 zdravotn\u00ed podpora ve smyslu p\u0159\u00edm\u00e9 finan\u010dn\u00ed \u00fahrady v\u0161ech l\u00e9\u010debn\u00fdch n\u00e1klad\u016f vznikl\u00fdch v m\u00edstn\u00edch zdravotn\u00edch za\u0159\u00edzen\u00edch. Nakonec se tento pacient uklidnil a mohl se soust\u0159edit na sv\u00e9 uzdravov\u00e1n\u00ed.<\/p>\n

Z po\u010d\u00e1tku v\u0161e nasv\u011bd\u010dovalo tomu, \u017ee operace prob\u011bhla bez probl\u00e9m\u016f: pacient str\u00e1vil \u0161est dn\u016f v nemocnici na antibiotik\u00e1ch, podstupoval fyzioterapii a pot\u00e9 byl z nemocnice propu\u0161t\u011bn. P\u0159i n\u00e1sledn\u00e9 kontrole se v\u0161ak objevily ur\u010dit\u00e9 probl\u00e9my a nebezpe\u010d\u00ed gangr\u00e9ny – co\u017e vynutilo druhou hospitalizaci na dobu 5 dn\u016f. Zdravotn\u00edci z DAN, kte\u0159\u00ed p\u0159\u00edpad pr\u016fb\u011b\u017en\u011b sledovali a \u010dasto komunikovali s person\u00e1lem zm\u00edn\u011bn\u00e9 thajsk\u00e9 nemocnice, za\u0159\u00eddili propu\u0161t\u011bn\u00ed pacienta do dom\u00e1c\u00edho o\u0161et\u0159ov\u00e1n\u00ed. Pot\u00e9 DAN u\u010dinil v\u0161echny kroky pot\u0159ebn\u00e9 pro n\u00e1vrat dom\u016f (v\u010detn\u011b leteck\u00e9 rezervace v business class, aby mohl pacient cestovat s nata\u017eenou kon\u010detinou ve zv\u00fd\u0161en\u00e9 poloze). Zdravotn\u00edci z DAN pak s t\u00edmto pacientem-pot\u00e1p\u011b\u010dem komunikovali i po jeho n\u00e1vratu dom\u016f, a sice a\u017e do 26. kv\u011btna, kdy se situace kone\u010dn\u011b stabilizovala.<\/p>\n

Tento p\u0159\u00edb\u011bh m\u00e1 sice \u0161\u0165astn\u00fd konec, ale n\u00e1klady na l\u00e9\u010dbu popsan\u00e9ho zran\u011bn\u00ed i s n\u00e1sledn\u00fdmi zdravotn\u00edmi komplikacemi dos\u00e1hly v\u00fd\u0161e 13 000,- €. To v\u0161e bylo uhrazeno z poji\u0161t\u011bn\u00ed DAN.<\/p>\n

Nehody na \u017eeb\u0159\u00edku probl\u00e9m nedostate\u010dn\u00e9 informovanosti<\/strong><\/p>\n

V posledn\u00edch n\u011bkolika letech byl DAN pom\u011brn\u011b \u010dasto kontaktov\u00e1n kv\u016fli probl\u00e9mu<\/a>, jemu\u017e se v\u0161eobecn\u011b v\u011bnuje m\u00e1lo pozornosti, ale kter\u00e9ho by si m\u011bli b\u00fdt v\u0161ichni pot\u00e1p\u011b\u010di, majitel\u00e9 \u010dlun\u016f i jejich pos\u00e1dky neust\u00e1le velmi dob\u0159e v\u011bdomi: poteci\u00e1ln\u00edho nebezpe\u010d\u00ed v\u00fdstupn\u00edch \u017eeb\u0159\u00edk\u016f.<\/p>\n

Jak\u00e9 nebezpe\u010d\u00ed se v nich skr\u00fdv\u00e1?
<\/strong><\/p>\n

Jedn\u00e1 se o lehk\u00e1 zran\u011bn\u00ed po\u010d\u00ednaje od\u0159eninami (v\u011bt\u0161inou rukou, ale nejen t\u011bch – jak nazna\u010duje shora uveden\u00fd p\u0159\u00edpad) a\u017e po traumatickou amputaci jednoho nebo i v\u00edce prst\u016f.
Nav\u00edc mohou konstruk\u010dn\u011b nevhodn\u011b \u0159e\u0161en\u00e9 \u017eeb\u0159\u00edky, kter\u00e9 neposkytuj\u00ed bezpe\u010dnou a pevnou oporu pro nohy (i s ploutvemi), snadno zap\u0159i\u010dinit p\u00e1d zp\u011bt do vody, kdy\u017e se pot\u00e1p\u011b\u010d sna\u017e\u00ed vystoupit do \u010dlunu. Takov\u00e9 nehody mohou zp\u016fsobit pot\u00e1p\u011b\u010di v\u00e1\u017en\u00e9 trauma.<\/p>\n

Jak tedy vypad\u00e1 spr\u00e1vn\u00fd v\u00fdstupn\u00fd \u017eeb\u0159\u00edk? <\/strong><\/p>\n

Nejnebezpe\u010dn\u011bj\u0161\u00ed \u010d\u00e1st\u00ed \u017eeb\u0159\u00edku jsou z\u00e1v\u011bsy, kter\u00e9 se pou\u017e\u00edvaj\u00ed k jeho slo\u017een\u00ed v \u010dlunu b\u011bhem j\u00edzdy. Velmi d\u016fle\u017eit\u00e9 je tak\u00e9 um\u00edst\u011bn\u00ed \u017eeb\u0159\u00edku k boku \u010dlunu. Kdy\u017e tam \u017eeb\u0159\u00edk “nesed\u00ed” pevn\u011b a je p\u0159\u00edli\u0161 voln\u00fd, pohybuje se v\u0161emi sm\u011bry a p\u0159i zhoupnut\u00ed \u010dlunu do strany m\u016f\u017ee zachytit celou ruku nebo prsty a p\u0159irazit je k boku \u010dlunu.
Stejn\u00e9 nebezpe\u010d\u00ed plat\u00ed i pro situaci, kdy je \u017eeb\u0159\u00edk um\u00edst\u011bn na z\u00e1di, nebo\u0165 \u010dlun se m\u016f\u017ee neo\u010dek\u00e1van\u011b prudce zhoupnut dozadu a dop\u0159edu. Pravd\u011bpodobnost nehody je v\u011bt\u0161\u00ed v p\u0159\u00edpad\u011b, kdy je odstup mezi zav\u011b\u0161en\u00fdm \u017eeb\u0159\u00edkem a bokem\/z\u00e1d\u00ed \u010dlunu nedostate\u010dn\u00fd.<\/p>\n

Co se t\u00fd\u010de nebezpe\u010d\u00ed p\u00e1du pot\u00e1p\u011b\u010de ze \u017eeb\u0159\u00edku, zde plat\u00ed, \u017ee se mus\u00ed br\u00e1t v \u00favahu konstrukce i technick\u00e9 proveden\u00ed \u017eeb\u0159\u00edku. P\u0159\u00edli\u0161 \u00fazk\u00fd nebo kr\u00e1tk\u00fd \u017eeb\u0159\u00edk je nevhodn\u00fd pro v\u00fdstup s ploutvemi. Tak\u00e9 je-li vyroben z kluzk\u00e9ho materi\u00e1lu, p\u0159edstavuje zv\u00fd\u0161en\u00e9 nebezpe\u010d\u00ed uklouznut\u00ed. Oba faktory je nutno br\u00e1t v \u00favahu p\u0159i po\u0159izov\u00e1n\u00ed (nebo v\u00fdm\u011bn\u011b) \u017eeb\u0159\u00edku kv\u016fli v\u011bt\u0161\u00ed bezpe\u010dnosti.<\/p>\n

P\u0159i v\u00fdstupu pomoc\u00ed \u017eeb\u0159\u00edku bu\u010fte v\u017edy maxim\u00e1ln\u011b opatrn\u00ed, i kdy\u017e vystupujete do sv\u00e9ho vlastn\u00edho \u010dlunu!<\/strong><\/p>\n","protected":false},"excerpt":{"rendered":"

Protagonistou na\u0161eho “\u0161\u0165astn\u00e9ho p\u0159\u00edb\u011bhu” je t\u0159icetilet\u00fd pot\u00e1p\u011b\u010dsk\u00fd instruktor, kter\u00fd odcestoval do Thajska, tedy do zem\u011b zn\u00e1m\u00e9 jako r\u00e1j pro milovn\u00edky pot\u00e1p\u011b\u010dsk\u00fdch aktivit v p\u0159ekr\u00e1sn\u00e9m podmo\u0159sk\u00e9m…<\/p>\n","protected":false},"author":1,"featured_media":11373710,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[384],"tags":[],"authors":[856],"class_list":["post-11385521","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-clanky","authors-dan-europe-staff-cs_cz"],"acf":[],"yoast_head":"\nTraumatick\u00e9 uklouznut\u00ed - Alert Diver<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/alertdiver.eu\/cs_CZ\/clanky\/traumaticke-uklouznuti\/\" \/>\n<meta property=\"og:locale\" content=\"cs_CZ\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Traumatick\u00e9 uklouznut\u00ed - 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