{"id":7283,"date":"2015-11-22T09:55:19","date_gmt":"2015-11-22T08:55:19","guid":{"rendered":"http:\/\/www.sdhsvatepole.cz\/?p=7283"},"modified":"2015-11-22T09:55:19","modified_gmt":"2015-11-22T08:55:19","slug":"nove-doporucene-postupy-pro-resuscitaci-rijen-2015","status":"publish","type":"post","link":"https:\/\/www.sdhsvatepole.cz\/archiv\/nove-doporucene-postupy-pro-resuscitaci-rijen-2015\/","title":{"rendered":"Nov\u00e9 doporu\u010den\u00e9 postupy pro resuscitaci &#8211; \u0159\u00edjen 2015"},"content":{"rendered":"<p><span style=\"color: #ff0000;\"><strong>Jak asi v\u00edte, v \u0159\u00edjnu 2015 vy\u0161ly nov\u00e9 doporu\u010den\u00e9 postupy pro resuscitaci, kter\u00e9 vydala Evropsk\u00e1 resuscita\u010dn\u00ed rada.<\/strong> <\/span>My v\u00e1m je zde p\u0159edkl\u00e1d\u00e1me, v\u010detn\u011b obr\u00e1zku se sch\u00e9matem jak postupovat a na co si d\u00e1t pozor.<\/p>\n<p><strong>Je\u0161t\u011b ne\u017e za\u010dnete cokoliv d\u011bla a n\u011bkoho zachra\u0148ovat, tak zajist\u011bte bezpe\u010d\u00ed sob\u011b.<br \/>\n<\/strong>Bezpe\u010d\u00ed zachr\u00e1nce v\u017edy a\u017e na prvn\u00edm m\u00edst\u011b.\u00a0Pokud tenhle bod ve sch\u00e9matu nevid\u00edte, kouk\u00e1te spr\u00e1vn\u011b. Nen\u00ed tam. Pravd\u011bpodobn\u011b kv\u016fli tomu, \u017ee to nen\u00ed p\u0159\u00edmo sou\u010d\u00e1st resuscitace, ale prvn\u00ed pomoci obecn\u011b. Nebezpe\u010d\u00ed aktivn\u011b hledejte! V\u011bnujte v\u017edy alespo\u0148 10 vte\u0159in tomu, \u017ee se uklidn\u00edte a rozhl\u00e9dnete po okol\u00ed. Pokud vid\u00edte \u010dlov\u011bka, kter\u00fd le\u017e\u00ed na zemi a neh\u00fdbe se, je dobr\u00e9 na n\u011bj nejprve zavolat z d\u00e1lky. Kdy\u017e nezareaguje, m\u016f\u017eete se k n\u011bmu p\u0159ibl\u00ed\u017eit.<\/p>\n<p><a href=\"https:\/\/www.sdhsvatepole.cz\/archiv\/wp-content\/uploads\/2015\/11\/jak_resuscitovat_doporucene_postupy_kpr_2015.jpg\"><img decoding=\"async\" class=\"aligncenter size-full wp-image-7285\" src=\"https:\/\/www.sdhsvatepole.cz\/archiv\/wp-content\/uploads\/2015\/11\/jak_resuscitovat_doporucene_postupy_kpr_2015.jpg\" alt=\"\" width=\"699\" height=\"992\" srcset=\"https:\/\/www.sdhsvatepole.cz\/archiv\/wp-content\/uploads\/2015\/11\/jak_resuscitovat_doporucene_postupy_kpr_2015-211x300.jpg 211w, https:\/\/www.sdhsvatepole.cz\/archiv\/wp-content\/uploads\/2015\/11\/jak_resuscitovat_doporucene_postupy_kpr_2015.jpg 699w\" sizes=\"(max-width: 699px) 100vw, 699px\" \/><\/a><\/p>\n<p><strong>1) Bezv\u011bdom\u00ed, ned\u00fdch\u00e1 norm\u00e1ln\u011b = resuscituj!<\/strong><br \/>\nNejprve je t\u0159eba vy\u0161et\u0159it z\u00e1kladn\u00ed \u017eivotn\u00ed funkce \u2014 to abychom v\u011bd\u011bli, zda budeme resuscitovat (KPR pot\u0159ebuje \u010dlov\u011bk, kter\u00fd je v bezv\u011bdom\u00ed a ned\u00fdch\u00e1 norm\u00e1ln\u011b) a zda je v\u016fbec pot\u0159eba volat z\u00e1chrannou slu\u017ebu. Budeme tedy vy\u0161et\u0159ovat v\u011bdom\u00ed a d\u00fdch\u00e1n\u00ed.<\/p>\n<p><strong>Vy\u0161et\u0159en\u00ed v\u011bdom\u00ed<\/strong><br \/>\nHlasit\u011b na posti\u017een\u00e9ho promluvte. Pokud nereaguje, zat\u0159este mu rameny. Pokud nezareaguje, je v bezv\u011bdom\u00ed. Bezv\u011bdom\u00ed znamen\u00e1 z\u00e1sadn\u00ed zdravotn\u00ed komplikaci a je to \u017eivot ohro\u017euj\u00edc\u00ed stav. Pokud je v bezv\u011bdom\u00ed, rozhodn\u011b pot\u0159ebuje pomoc.<\/p>\n<p><strong>Vy\u0161et\u0159en\u00ed dechu<\/strong><br \/>\nZaklo\u0148te posti\u017een\u00e9mu hlavu tak, \u017ee budete tla\u010dit na jeho \u010delo a tahat za bradu. P\u0159i z\u00e1klonu hlavy klademe d\u016fraz p\u0159edev\u0161\u00edm na tu ruku, kter\u00e1 tah\u00e1 bradu posti\u017een\u00e9ho sm\u011brem vzh\u016fru. P\u0159edev\u0161\u00edm d\u00edky n\u00ed zabr\u00e1n\u00edte zapadnut\u00ed jazyka. Dr\u017ete hlavu po\u0159\u00e1d v z\u00e1klonu a p\u0159itom p\u0159ibli\u017ete sv\u00e9 ucho k obli\u010deji posti\u017een\u00e9ho. O\u010dima p\u0159itom sledujte jeho hrudn\u00edk. 10 vte\u0159in (ty si poctiv\u011b napo\u010d\u00edtejte) poslouchejte a d\u00edvejte se, jak d\u00fdch\u00e1. Mo\u017en\u00e9 jsou dva v\u00fdsledky:<\/p>\n<p>a) D\u00fdch\u00e1 norm\u00e1ln\u011b = d\u00fdch\u00e1 zhruba stejn\u011b jako j\u00e1, nad\u00fdchne se aspo\u0148 2x za 10 vte\u0159in. Udr\u017eujte z\u00e1klon hlavy, kontrolujte, zda nep\u0159est\u00e1v\u00e1 d\u00fdchat norm\u00e1ln\u011b, volejte na z\u00e1chranku.<br \/>\nb) Ned\u00fdch\u00e1 norm\u00e1ln\u011b = chr\u010d\u00ed, lap\u00e1 po vzduchu, ned\u00fdch\u00e1 v\u016fbec \u010di je jeho d\u00fdch\u00e1n\u00ed jinak odli\u0161n\u00e9 od norm\u00e1lu. Budete resuscitovat (a volat z\u00e1chranku).<\/p>\n<p><strong>2) Vol\u00e1n\u00ed na t\u00eds\u0148ovou linku<\/strong><br \/>\nVol\u00e1n\u00ed na t\u00eds\u0148ovou linku \u2014 Um\u00edte si na telefonu aktivovat reproduktor (hlasit\u00fd odposlech)? Tak abyste jej mohli polo\u017eit vedle sebe, hovo\u0159it s oper\u00e1torem t\u00eds\u0148ov\u00e9 linky a p\u0159itom m\u00edt ob\u011b ruce voln\u00e9 na prov\u00e1d\u011bn\u00ed nep\u0159\u00edm\u00e9 srde\u010dn\u00ed mas\u00e1\u017ee? Pokud to neum\u00edte, nau\u010dte se to. Te\u010f hned.<\/p>\n<p><span style=\"color: #ff0000;\">Po\u0159\u00e1d plat\u00ed, \u017ee v \u010cR je v\u00fdhodn\u011bj\u0161\u00ed volat na linku 155 (Zdravotnick\u00e1 z\u00e1chrann\u00e1 slu\u017eba) ne\u017e na evropskou linku t\u00eds\u0148ov\u00e9ho vol\u00e1n\u00ed 112. Tu vyu\u017eijte a\u017e budete \u0159e\u0161it, jak resuscitovat v zahrani\u010d\u00ed.<\/span><\/p>\n<p>A \u017ee ji\u017e v bl\u00edzk\u00e9 budoucnosti by mohly pom\u00e1hat z\u00e1chran\u00e1\u0159i i takto v p\u0159elidn\u011bn\u00fdch a dopravou ucpan\u00fdch m\u011bstech dokazuje toto video.<\/p>\n<div class=\"video-shortcode\"><iframe width=\"654\" height=\"368\" src=\"https:\/\/www.youtube.com\/embed\/y-rEI4bezWc?feature=oembed\" frameborder=\"0\" allowfullscreen><\/iframe><\/div>\n<p><strong>Oper\u00e1tor ZZS porad\u00ed, jak resuscitovat<\/strong><br \/>\nPo\u010d\u00edtejte s t\u00edm, \u017ee p\u0159i resuscitaci s v\u00e1mi bude oper\u00e1tor t\u00eds\u0148ov\u00e9 linky cht\u00edt z\u016fstat v kontaktu po celou dobu resuscitace. Proto taky ten hlasit\u00fd odposlech. B\u011bhem doby, kdy je z\u00e1chranka na cest\u011b, v\u00e1m oper\u00e1tor bude radit, jak resuscitovat, a podporovat v\u00e1s. P\u0159esto\u017ee tento postup telefonicky asistovan\u00e9 resuscitace u\u017e zachr\u00e1nil mnoho \u017eivot\u016f, nen\u00ed to v\u0161e, co m\u016f\u017eete pacientovi nab\u00eddnout. Pokud se KPR nau\u010d\u00edte na z\u00e1\u017eitkov\u00e9m kurzu prvn\u00ed pomoci, bude v\u00e1\u0161 v\u00fdkon kvalitn\u011bj\u0161\u00ed, ne\u017e kdy\u017e nebudete um\u011bt nic a bude v\u00e1s telefonicky nav\u00e1d\u011bt oper\u00e1tor ZZS.<\/p>\n<p><strong>3) Zah\u00e1jen\u00ed resuscitace \u2014 30 stla\u010den\u00ed hrudn\u00edku<\/strong><br \/>\nmas\u00e1\u017e srdce \u2014 Odhalte hrudn\u00edk posti\u017een\u00e9ho \u2014 bude se v\u00e1m l\u00e9pe hledat spr\u00e1vn\u00e9 m\u00edsto a l\u00e9pe stla\u010dovat hrudn\u00edk.<br \/>\nSpr\u00e1vn\u00e9 m\u00edsto pro mas\u00e1\u017e srdce je uprost\u0159ed mezi prsn\u00edmi bradavkami, na spodn\u00ed \u010d\u00e1sti hrudn\u00ed kosti.<br \/>\nHloubka stla\u010den\u00ed hrudn\u00edku u dosp\u011bl\u00e9ho by m\u011bla b\u00fdt kolem 5 cm, ne v\u00edce ne\u017e 6 cm. Rychlost srde\u010dn\u00ed mas\u00e1\u017ee udr\u017eujte mezi 100 a\u017e 120 stla\u010den\u00edmi za minutu \u2014 l\u00e9pe se v\u00e1m samoz\u0159ejm\u011b budou po\u010d\u00edtat dv\u011b stla\u010den\u00ed hrudn\u00edku do vte\u0159iny.<\/p>\n<p><strong>Jak resuscitovat v tom spr\u00e1vn\u00e9m rytmu?<\/strong><br \/>\nPo stla\u010den\u00ed hrudn\u00edku je t\u0159eba povolit! Zjistilo se, \u017ee nedostate\u010dn\u00e9 uvoln\u011bn\u00ed tlaku na hrudn\u00edk p\u0159i resuscitaci zhor\u0161uje kvalitu mas\u00e1\u017ee. I kdy\u017e se sna\u017e\u00edte tlak na hrudn\u00edk zcela uvolnit, nechte na n\u011bm ruce st\u00e1le p\u0159ilo\u017een\u00e9 a \u201eneodlepujte\u201c je.<\/p>\n<p><strong>4) D\u00fdch\u00e1n\u00ed z \u00fast do \u00fast \u2014 2 vdechy (pouze tr\u00e9novan\u00ed zachr\u00e1nci)<\/strong><br \/>\nD\u00fdch\u00e1n\u00ed z \u00fast do \u00fast \u2014 D\u00fdch\u00e1n\u00ed z \u00fast do \u00fast p\u0159i KPR se t\u00fdk\u00e1 jen t\u011bch zachr\u00e1nc\u016f, kte\u0159\u00ed si pro\u0161li kurzem prvn\u00ed pomoci a dostate\u010dn\u011b si jej nacvi\u010dili. Pokud d\u00fdch\u00e1n\u00ed z \u00fast do \u00fast neum\u00edte prov\u00e1d\u011bt, p\u0159i resuscitaci NED\u00ddCHEJTE.<\/p>\n<p>Pokud je z\u00e1stava ob\u011bhu srde\u010dn\u00edho p\u016fvodu, prvn\u00edch 4-5 minut resuscitace se obejde bez d\u00fdch\u00e1n\u00ed z \u00fast do \u00fast. Po uplynut\u00ed t\u00e9to doby m\u016f\u017ee pro pacienta spr\u00e1vn\u011b prov\u00e1d\u011bn\u00e9 d\u00fdch\u00e1n\u00ed znamenat zv\u00fd\u0161en\u00ed kvality resuscitace. Pokud se posti\u017een\u00fd dusil, tonul a nebo se jedn\u00e1 o d\u00edt\u011b, je vhodn\u00e9 za\u010d\u00edt KPR s d\u00fdch\u00e1n\u00edm ihned (doporu\u010deno je prov\u00e9st 5 zahajovac\u00edch vdech\u016f).<\/p>\n<p>Popisovat zde postup p\u0159i prov\u00e1d\u011bn\u00ed d\u00fdch\u00e1n\u00ed z \u00fast do \u00fast je bezp\u0159edm\u011btn\u00e9. Pokud to chcete um\u011bt, je nezbytn\u00e9 nav\u0161t\u00edvit kvalitn\u00ed z\u00e1\u017eitkov\u00fd kurz prvn\u00ed pomoci.<\/p>\n<p><strong>5) Resuscituj st\u00e1le 30 : 2<\/strong><br \/>\nPokud KPR prov\u00e1d\u00ed ne\u0161kolen\u00fd zachr\u00e1nce, kter\u00fd neovl\u00e1d\u00e1 d\u00fdch\u00e1n\u00ed z \u00fast do \u00fast (nebo jste se z jin\u00fdch d\u016fvod\u016f rozhodli ned\u00fdchat do posti\u017een\u00e9ho), ma\u010dkejte nep\u0159etr\u017eit\u011b hrudn\u00edk tak, jak je uvedeno v\u00fd\u0161e.<\/p>\n<p>P\u0159i resuscitaci se st\u0159\u00eddejte! Lhostejno, zda resuscitujete s d\u00fdch\u00e1n\u00edm nebo bez um\u011bl\u00fdch vdech\u016f. Ka\u017ed\u00fd zachr\u00e1nce se \u010dasem unav\u00ed a kvalita KPR kles\u00e1. Doporu\u010den\u00fd \u010das st\u0159\u00edd\u00e1n\u00ed jsou 2 minuty. St\u0159\u00eddejte se ale tak, abyste resuscitaci p\u0159eru\u0161ovali na co nejkrat\u0161\u00ed dobu (maxim\u00e1ln\u011b 10 vte\u0159in). P\u0159i st\u0159\u00edd\u00e1n\u00ed vyu\u017eijte toho, \u017ee resuscitaci je mo\u017en\u00e9 prov\u00e1d\u011bt z lev\u00e9 i prav\u00e9 strany t\u011bla pacienta.<\/p>\n<p><strong>6) Aktivn\u011b hledej AED (automatizovan\u00fd extern\u00ed defibril\u00e1tor)<\/strong><br \/>\nAED \u2014 automatizovan\u00fd extern\u00ed defibril\u00e1tor \u2014 Pod\u00e1n\u00ed elektrick\u00e9ho v\u00fdboje do srdce (\u010dasn\u00e1 defibrilace) m\u016f\u017ee v\u00fdrazn\u011b zv\u00fd\u0161it \u0161anci na p\u0159e\u017eit\u00ed p\u0159i z\u00e1stav\u011b srdce. Automatizovan\u00fd extern\u00ed defibril\u00e1tor, takzvan\u00e9 AED (lidov\u011b \u201e\u00e1\u00e9d\u00e9\u010dko\u201c) je v \u010cesk\u00e9 republice st\u00e1le \u010dast\u011bji dostupn\u00fd na ve\u0159ejn\u00fdch m\u00edstech (N\u00e1rodn\u00ed registr AED: kde v\u0161ude u\u017e je dostupn\u00fd AED v \u010cR?).<\/p>\n<p>AED \u2014 automatizovan\u00fd extern\u00ed defibril\u00e1tor \u2014 Pokud zahajujete laickou resuscitaci, v\u017edy se pokuste zjistit, zda se ve va\u0161em okol\u00ed AED nach\u00e1z\u00ed. A pokud ano, ud\u011blejte v\u0161e pro to, aby byl p\u0159inesen a p\u0159i KPR pou\u017eit. Hled\u00e1n\u00ed automatizovan\u00e9ho extern\u00edho defibril\u00e1toru v\u00e1s nesm\u00ed zdr\u017eet. Je nutn\u00e9 zah\u00e1jit co nejd\u0159\u00edve mas\u00e1\u017e srdce. Pokud ale v\u00edte, kde defibril\u00e1tor je, a na m\u00edst\u011b jste sami, po vy\u0161et\u0159en\u00ed v\u011bdom\u00ed a d\u00fdch\u00e1n\u00ed si nejprve doneste AED a a\u017e pot\u00e9 zahajte resuscitaci (aby nebyla p\u0159eru\u0161ov\u00e1na).<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Jak asi v\u00edte, v \u0159\u00edjnu 2015 vy\u0161ly nov\u00e9 doporu\u010den\u00e9 postupy pro resuscitaci, kter\u00e9 vydala Evropsk\u00e1 [&hellip;]<\/p>\n","protected":false},"author":3,"featured_media":7284,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_bbp_topic_count":0,"_bbp_reply_count":0,"_bbp_total_topic_count":0,"_bbp_total_reply_count":0,"_bbp_voice_count":0,"_bbp_anonymous_reply_count":0,"_bbp_topic_count_hidden":0,"_bbp_reply_count_hidden":0,"_bbp_forum_subforum_count":0,"ngg_post_thumbnail":0,"footnotes":""},"categories":[5,1,82],"tags":[94,83],"_links":{"self":[{"href":"https:\/\/www.sdhsvatepole.cz\/archiv\/wp-json\/wp\/v2\/posts\/7283"}],"collection":[{"href":"https:\/\/www.sdhsvatepole.cz\/archiv\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.sdhsvatepole.cz\/archiv\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.sdhsvatepole.cz\/archiv\/wp-json\/wp\/v2\/users\/3"}],"replies":[{"embeddable":true,"href":"https:\/\/www.sdhsvatepole.cz\/archiv\/wp-json\/wp\/v2\/comments?post=7283"}],"version-history":[{"count":2,"href":"https:\/\/www.sdhsvatepole.cz\/archiv\/wp-json\/wp\/v2\/posts\/7283\/revisions"}],"predecessor-version":[{"id":7287,"href":"https:\/\/www.sdhsvatepole.cz\/archiv\/wp-json\/wp\/v2\/posts\/7283\/revisions\/7287"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.sdhsvatepole.cz\/archiv\/wp-json\/wp\/v2\/media\/7284"}],"wp:attachment":[{"href":"https:\/\/www.sdhsvatepole.cz\/archiv\/wp-json\/wp\/v2\/media?parent=7283"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.sdhsvatepole.cz\/archiv\/wp-json\/wp\/v2\/categories?post=7283"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.sdhsvatepole.cz\/archiv\/wp-json\/wp\/v2\/tags?post=7283"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}