{"id":11385526,"date":"2010-10-15T00:00:00","date_gmt":"2010-10-14T22:00:00","guid":{"rendered":"https:\/\/alertdiver.eu\/uncategorized-cs_cz\/neurologicke-vysetreni-primo-v-terenu\/"},"modified":"2010-10-15T00:00:00","modified_gmt":"2010-10-14T22:00:00","slug":"neurologicke-vysetreni-primo-v-terenu","status":"publish","type":"post","link":"https:\/\/alertdiver.eu\/cs_CZ\/clanky\/neurologicke-vysetreni-primo-v-terenu\/","title":{"rendered":"Neurologick\u00e9 vy\u0161et\u0159en\u00ed p\u0159\u00edmo v ter\u00e9nu."},"content":{"rendered":"<p style=\"text-align: justify;\">U p\u0159ibli\u017en\u011b dvou t\u0159etin pot\u00e1p\u011b\u010d\u016f s dekompresn\u00edm onemocn\u011bn\u00edm se vyskytuj\u00ed p\u0159\u00edznaky po\u0161kozen\u00ed nervov\u00e9 soustavy. Tyto p\u0159\u00edznaky jsou \u010dasto v\u00e1gn\u00ed a mohou z\u016fstat pot\u00e1p\u011b\u010dem nepov\u0161imnuty. Proto se \u010dasto ignoruj\u00ed jako nez\u00e1va\u017en\u00e9 nebo nesouvisej\u00edc\u00ed s pot\u00e1p\u011bn\u00edm. <br \/>Aby se pomohlo pot\u00e1p\u011b\u010d\u016fm ur\u010dit, zdali je zran\u011bn\u00ed zp\u016fsobeno pouze no\u0161en\u00edm tlakov\u00fdch lahv\u00ed (viz souvisej\u00edc\u00ed \u010dl\u00e1nek o bolestech zad v EAD \u010d. 2-10), nebo m\u00e1 spojitost s pot\u00e1p\u011bn\u00edm, vytvo\u0159ila DAN pro pot\u00e1p\u011b\u010de program pro neurologick\u00e9 vy\u0161et\u0159en\u00ed p\u0159\u00edmo v ter\u00e9nu. D\u016fkladn\u00e9, \u00fa\u010dinn\u00e9 a jednoduch\u00e9 neurologick\u00e9 vy\u0161et\u0159en\u00ed pom\u016f\u017ee pot\u00e1p\u011b\u010d\u016fm p\u0159i l\u00e9\u010den\u00ed troj\u00edm zp\u016fsobem:<\/p>\n<ol>\n<li style=\"text-align: justify;\">Zdravotni\u010dt\u00ed profesion\u00e1lov\u00e9 a zdravotnick\u00fd person\u00e1l DAN budou m\u00edt spolehliv\u00fd syst\u00e9m pro posuzov\u00e1n\u00ed nal\u00e9havosti v p\u0159\u00edpad\u011b pot\u00e1p\u011b\u010dsk\u00fdch nehod (d\u00edky p\u0159\u00edznak\u016fm sd\u011blen\u00fdm jim pot\u00e1p\u011b\u010di p\u0159\u00edmo z m\u00edsta ud\u00e1losti).<\/li>\n<li style=\"text-align: justify;\">\u0160kolen\u00ed klinick\u00e9ho person\u00e1lu v odlehl\u00fdch oblastech, kde se pot\u00e1p\u011b\u010di pot\u00e1p\u011bj\u00ed, je \u010dasto obt\u00ed\u017en\u011b dostupn\u00e9 a mnohdy nespolehliv\u00e9.<\/li>\n<li style=\"text-align: justify;\">Podle v\u00fdzkum\u016f prov\u00e1d\u011bn\u00fdch DAN pot\u00e1p\u011b\u010di \u010dasto ot\u00e1lej\u00ed se zah\u00e1jen\u00edm krok\u016f pot\u0159ebn\u00fdch p\u0159i nal\u00e9hav\u00fdch zdravotn\u00edch p\u0159\u00edhod\u00e1ch s kysl\u00edkovou prvn\u00ed pomoc\u00ed i s vy\u017e\u00e1d\u00e1n\u00edm si nasazen\u00ed definitivn\u00ed l\u00e9\u010dby, proto\u017ee si odm\u00edtaj\u00ed p\u0159ipustit z\u00e1va\u017enost existuj\u00edc\u00edch p\u0159\u00edznak\u016f. D\u00edky jednoduch\u00e9mu testu, kter\u00fd pot\u00e1p\u011b\u010di uk\u00e1\u017ee, zda m\u00e1 \u010di nem\u00e1 probl\u00e9m, mohou zran\u011bn\u00ed pot\u00e1p\u011b\u010di z\u00edskat p\u0159\u00edmo na m\u00edst\u011b pomoc a o\u0161et\u0159en\u00ed (nap\u0159. kysl\u00edk) rychleji, proto\u017ee p\u0159\u00edznaky byly spr\u00e1vn\u011b vyhodnoceny.<\/li>\n<\/ol>\n<p style=\"text-align: justify;\">Zdravotn\u00ed stav by m\u011bli diagnostikovat pouze zdravotni\u010dt\u00ed profesion\u00e1lov\u00e9. Informace z\u00edskan\u00e9 p\u0159i neurologick\u00e9m vy\u0161et\u0159en\u00ed v ter\u00e9nu pomohou l\u00e9ka\u0159iodborn\u00edkovi na pot\u00e1p\u011b\u010dskou medic\u00ednu pochopit rozsah zran\u011bn\u00ed a jak se zm\u011bnilo (vyvinulo) b\u011bhem doby, kter\u00e9 bylo zapot\u0159eb\u00ed pro dopravu pot\u00e1p\u011b\u010de z m\u00edsta p\u0159\u00edhody do definitivn\u00ed p\u00e9\u010de. Do p\u011bti oblast\u00ed vyhodnocovan\u00fdch jako sou\u010d\u00e1st neurologick\u00e9ho vy\u0161et\u0159en\u00ed v er\u00e9nu pat\u0159\u00ed zji\u0161\u0165ov\u00e1n\u00ed:<\/p>\n<ul>\n<li style=\"text-align: justify;\">unkce ment\u00e1ln\u00ed<\/li>\n<li style=\"text-align: justify;\">funkce obli\u010dejov\u00e9<\/li>\n<li style=\"text-align: justify;\">funkce motorick\u00e9<\/li>\n<li style=\"text-align: justify;\">funkc\u00ed smyslov\u00fdch<\/li>\n<li style=\"text-align: justify;\">koordinace a rovnov\u00e1hy<\/li>\n<\/ul>\n<p style=\"text-align: justify;\"><strong>Dal\u0161\u00ed mo\u017enosti<\/strong><br \/>Programy pro neurologick\u00e9 vy\u0161et\u0159en\u00ed p\u0159\u00edmo v ter\u00e9nu existuj\u00ed ji\u017e \u0159adu let a n\u011bkolik nov\u00fdch verz\u00ed je pr\u00e1v\u011b v tisku, a to v\u010detn\u011b program\u016f ur\u010den\u00fdch pro U.S. Navy a NOAA (National Oceanic and Atmospheric Administration). Po prostudov\u00e1n\u00ed t\u011bchto program\u016f v\u0161ak odborn\u00edci DAN usoudili, \u017ee mnoho test\u016f je zde pro b\u011b\u017en\u00e9ho pot\u00e1p\u011b\u010de v rekrea\u010dn\u00edm prost\u0159ed\u00ed nepraktick\u00fdch. Jsou ur\u010deny k pou\u017eit\u00ed pot\u00e1p\u011b\u010di v technicky vysoce vybaven\u00e9m a zabezpe\u010den\u00e9m prost\u0159ed\u00ed, ne pro pot\u00e1p\u011b\u010de v pot\u00e1p\u011b\u010dsk\u00fdch \u010dlunech.<br \/>Dr. Richard Moon, \u0159editel zdravotn\u00ed sekce DAN America, spolu s dr. Waynem Massey, neurologem Zdravotn\u00edho st\u0159ediska Duke University, kter\u00fd m\u00e1 dlouholet\u00e9 zku\u0161enosti s l\u00e9\u010dbou zran\u011bn\u00fdch pot\u00e1p\u011b\u010d\u016f, sou\u010dasn\u00e9 programy d\u016fkladn\u011b prostudovali a rozhodli, co je pro vy\u0161et\u0159en\u00ed p\u0159\u00edmo v ter\u00e9nu opravdu podstatn\u00e9, nutn\u00e9 a praktick\u00e9.<br \/>&nbsp;<\/p>\n<p style=\"text-align: justify;\"><strong>Mus\u00ed se zjistit, o co vlastn\u011b jde<\/strong> <br \/>Zpr\u00e1va DAN o dekompresn\u00edch onemocn\u011bn\u00edch, smrteln\u00fdch nehod\u00e1ch p\u0159i pot\u00e1p\u011bn\u00ed a v\u00fdzkumn\u00fdch pot\u00e1p\u011b\u010dsk\u00fdch projektech obsahuje mnoho p\u0159\u00edpad\u016f pot\u00e1p\u011b\u010d\u016f, u kter\u00fdch se po ponorech projevily p\u0159\u00edznaky neurologick\u00fdch komplikac\u00ed. Tyto p\u0159\u00edznaky \u010dasto z\u016fst\u00e1vaj\u00ed n\u011bkolik hodin nebo dokonce dn\u016f bez pov\u0161imnut\u00ed, proto\u017ee nikoho nenapadlo se jimi zab\u00fdvat n\u011bjak hloub\u011bji. Podle nejnov\u011bj\u0161\u00ed zpr\u00e1vy \u010din\u00ed pr\u016fm\u011brn\u00e1 prodleva, po kter\u00e9 se za\u010dne kv\u016fli n\u011bjak\u00fdm p\u0159\u00edznak\u016fm s l\u00e9\u010dbou, 19 hodin.<br \/>&nbsp;<\/p>\n<p style=\"text-align: justify;\">P\u0159itom nejvy\u0161\u0161\u00ed procento \u00favodn\u00edch p\u0159\u00edznak\u016f se objevovalo ji\u017e b\u011bhem jedn\u00e9 hodiny od v\u00fdstupu na hladinu po ponoru. Dal\u0161\u00ed v\u00fdznamn\u00e9 procento pot\u00e1p\u011b\u010d\u016f sice za\u010dalo poci\u0165ovat p\u0159\u00edznaky dekompresn\u00edho onemocn\u011bn\u00ed (DCI), ale je\u0161t\u011b se vr\u00e1tili do vody a provedli dal\u0161\u00ed ponor.<br \/>T\u0159i daleko nej\u010dast\u011bj\u0161\u00ed p\u0159\u00edznaky dekompresn\u00edho onemocn\u011bn\u00ed jsou pocit necitlivosti a brn\u011bn\u00ed, bolest a svalov\u00e1 slabost. V\u0161echny t\u0159i p\u0159\u00edznaky signalizuj\u00ed neurologick\u00e9 probl\u00e9my a dekompresn\u00ed onemocn\u011bn\u00ed.<br \/>\u010casto se \u0159\u00edk\u00e1, \u017ee pot\u00e1p\u011b\u010di \u010dekaj\u00ed dlouho s vyhled\u00e1n\u00edm l\u00e9ka\u0159sk\u00e9 pomoci, proto\u017ee si prost\u011b necht\u011bj\u00ed probl\u00e9m p\u0159ipustit. Nebo si probl\u00e9m uv\u011bdomuj\u00ed, ale hledaj\u00ed si pro n\u011bj n\u011bjak\u00e9 v\u00fdmluvy a ban\u00e1ln\u00ed p\u0159\u00ed\u010diny. Pouze kdy\u017e probl\u00e9m p\u0159etrv\u00e1v\u00e1, rozhodnou se kone\u010dn\u011b vyhledat pomoc.<br \/>&nbsp;<\/p>\n<p style=\"text-align: justify;\">V jednom p\u0159\u00edpad\u011b se pot\u00e1p\u011b\u010d po vyno\u0159en\u00ed na hladinu c\u00edtil jaksi &ldquo;mimo&rdquo; a asi p\u016fl hodiny si nemohl vzpomenout na jm\u00e9na sv\u00fdch koleg\u016f v \u010dlunu. V medic\u00edn\u011b se tomu \u0159\u00edk\u00e1 &ldquo;zm\u011bn\u011bn\u00fd ment\u00e1ln\u00ed stav&rdquo;, kter\u00fd vy\u017eaduje okam\u017eitou reakci. V tomto konkr\u00e9tn\u00edm p\u0159\u00edpad\u011b se neu\u010dinilo v\u016fbec nic a pot\u00e1p\u011b\u010d se pot\u00e1p\u011bl d\u00e1l. O n\u011bkolik dn\u00ed pozd\u011bji byl l\u00e9\u010den na dekompresn\u00ed onemocn\u011bn\u00ed DCI.<br \/>P\u0159i vypl\u0148ov\u00e1n\u00ed z\u00e1znamu o vy\u0161et\u0159en\u00ed (v \u010d\u00e1sti nazvan\u00e9 historie) se mus\u00ed ur\u010dit, zdali se jedn\u00e1 o pot\u00e1p\u011b\u010dsk\u00e9 zran\u011bn\u00ed, nebo zdali mohly b\u00fdt p\u0159\u00edznaky zp\u016fsobeny n\u011bjak\u00fdm p\u0159edchoz\u00edm stavem. P\u0159i neurologick\u00e9m vy\u0161et\u0159en\u00ed v ter\u00e9nu jde v podstat\u011b o jak\u00e9si interview: Toto vy\u0161et\u0159en\u00ed m\u00e1 z\u00fa\u017eit mo\u017enosti pro posouzen\u00ed, co se vlastn\u011b stalo, a poskytnout informace, kter\u00e9 se sd\u011bl\u00ed o\u0161et\u0159uj\u00edc\u00edmu l\u00e9ka\u0159i. Rychl\u00e9 vyhodnocen\u00ed situace a p\u0159esv\u011bd\u010den\u00ed zran\u011bn\u00e9ho pot\u00e1p\u011b\u010de, \u017ee m\u00e1 asi probl\u00e9m, je d\u016fle\u017eit\u00fd prvn\u00ed krok. A zkr\u00e1cen\u00ed prodlevy mezi rozpozn\u00e1n\u00edm p\u0159\u00edznaku a l\u00e9\u010dbou je pro prvn\u00ed pomoc naprosto kl\u00ed\u010dov\u00e9.<br \/>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>U p\u0159ibli\u017en\u011b dvou t\u0159etin pot\u00e1p\u011b\u010d\u016f s dekompresn\u00edm onemocn\u011bn\u00edm se vyskytuj\u00ed p\u0159\u00edznaky po\u0161kozen\u00ed nervov\u00e9 soustavy. Tyto p\u0159\u00edznaky jsou \u010dasto v\u00e1gn\u00ed a mohou z\u016fstat pot\u00e1p\u011b\u010dem nepov\u0161imnuty. Proto&#8230;<\/p>\n","protected":false},"author":1,"featured_media":11373810,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[384],"tags":[],"authors":[968],"class_list":["post-11385526","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-clanky","authors-eric-douglas-cs_cz"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v24.2 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Neurologick\u00e9 vy\u0161et\u0159en\u00ed p\u0159\u00edmo v ter\u00e9nu. - 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\/neurologicke-vysetreni-primo-v-terenu\/\" \/>\n<meta property=\"og:locale\" content=\"cs_CZ\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Neurologick\u00e9 vy\u0161et\u0159en\u00ed p\u0159\u00edmo v ter\u00e9nu. - Alert Diver\" \/>\n<meta property=\"og:description\" content=\"U p\u0159ibli\u017en\u011b dvou t\u0159etin pot\u00e1p\u011b\u010d\u016f s dekompresn\u00edm onemocn\u011bn\u00edm se vyskytuj\u00ed p\u0159\u00edznaky po\u0161kozen\u00ed nervov\u00e9 soustavy. 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