O 12 minut bl\u00ed\u017e ke kvalitn\u00edmu \u017eivotu se ocitly stovky pacient\u016f ze st\u0159edn\u00edch \u010cech posti\u017een\u00fdch infarktem, kter\u00e9 od lo\u0148sk\u00e9ho podzimu p\u0159ev\u00e1\u017eely sanitky na katetriza\u010dn\u00ed s\u00e1l kardiocentra v pra\u017esk\u00e9m Institutu klinick\u00e9 a experiment\u00e1ln\u00ed medic\u00edny (IKEM)<\/p>\n\n\n\n
Zah\u00e1jen\u00ed l\u00e9\u010dby se da\u0159\u00ed urychlit. V t\u011bchto p\u0159\u00edpadech p\u0159itom plat\u00ed: ka\u017ed\u00e1 minuta, o kterou bude z\u00e1krok s implantov\u00e1n\u00edm intrakoron\u00e1rn\u00edho stentu proveden pozd\u011bji, m\u016f\u017ee rozhodovat, zda a jak\u00e9 budou trval\u00e9 n\u00e1sledky. Nebo rozhodovat i o \u017eivot\u011b a smrti.<\/p>\n\n\n\n
V\u0161e usp\u00ed\u0161it\npom\u00e1h\u00e1 technologie ozna\u010dovan\u00e1 jako zCase, vyvinut\u00e1 t\u00fdmem IKEM\nve spolupr\u00e1ci se Zdravotnickou z\u00e1chrannou slu\u017ebou St\u0159edo\u010desk\u00e9ho\nkraje. Nen\u00ed to n\u011bjak\u00fd z\u00e1zra\u010dn\u00fd p\u0159\u00edstroj, ale komunika\u010dn\u00ed\nplatforma: vlastn\u011b jde o data, kter\u00e1 l\u00e9taj\u00ed vzduchem, a to\nprakticky bez z\u00e1sahu lidsk\u00e9 ruky. V sanitce jde o aplikaci\ninstalovanou v b\u011b\u017en\u00e9m mobiln\u00edm telefonu, v kardiocentru pak\nslou\u017e\u00ed informa\u010dn\u00ed panel \u2013 nebo klidn\u011b i monitor po\u010d\u00edta\u010de.\nSta\u010d\u00ed to k tomu, aby se pacient do\u010dkal efektivn\u00ed l\u00e9\u010dby v\npr\u016fm\u011bru t\u00e9m\u011b\u0159 o \u010dtvrt hodiny d\u0159\u00edve. Tento komunika\u010dn\u00ed\nsyst\u00e9m se tud\u00ed\u017e za\u010d\u00edn\u00e1 zav\u00e1d\u011bt i v dal\u0161\u00edch nemocnic\u00edch.<\/p>\n\n\n\n
Diagn\u00f3za p\u0159ed\np\u0159\u00edjezdem pacienta<\/p>\n\n\n\n
Pos\u00edl\u00e1n\u00ed EKG k\u0159ivky ze sanitky do nemocnice sice u\u017e nen\u00ed novinkou \u2013 d\u0159\u00edve se v\u0161ak v\u011bt\u0161inou fotila mobilem a odes\u00edlala e-mailem nebo byly pot\u0159eba speci\u00e1ln\u00ed modemy; zCase to zvl\u00e1dne sn\u00e1z. A dok\u00e1\u017ee mnohem v\u00edc: nemocnici nab\u00eddne dokonal\u00fd p\u0159ehled o pacientovi, kter\u00e9ho z\u00e1chran\u00e1\u0159i teprve vezou, tak\u017ee j\u00ed umo\u017en\u00ed, aby se na jeho p\u0159\u00edjezd p\u0159ipravila a u\u017e p\u0159edem m\u011bla k dispozici pot\u0159ebn\u00e1 vy\u0161et\u0159en\u00ed. Data ze sanitky tak\u00e9 l\u00e9ka\u0159\u016fm v nemocnici umo\u017e\u0148uj\u00ed spojit se s pos\u00e1dkou z\u00e1chran\u00e1\u0159\u016f a je\u0161t\u011b b\u011bhem transportu s n\u00ed konzultoval dal\u0161\u00ed postup, p\u0159ipomn\u011bl Marek \u0160ramko, kter\u00fd v IKEM vede odd\u011blen\u00ed akutn\u00ed kardiologie<\/p>\n\n\n\n
D\u00edky sd\u00edlen\u00ed polohy nechyb\u00ed ani na minutu p\u0159esn\u00fd odhad, kdy p\u0159esn\u011b pacient doraz\u00ed. \u201eD\u00edky tomu m\u016f\u017eeme nap\u0159\u00edklad v\u010das aktivovat katetriza\u010dn\u00ed t\u00fdm a uvolnit katetriza\u010dn\u00ed s\u00e1l, proto\u017ee ji\u017e p\u0159edem v\u00edme, \u017ee pacient v sanitce trp\u00ed infarktem, kter\u00fd vy\u017eaduje okam\u017eit\u00e9 \u0159e\u0161en\u00ed,\u201c vysv\u011btlil \u0160ramko. Nefunguje to toti\u017e tak, \u017ee by nemocnice m\u011bla vy\u010dlen\u011bn\u00fd pr\u00e1zdn\u00fd s\u00e1l a p\u0159ipraven\u00fd t\u00fdm \u010dekaj\u00edc\u00ed, a\u017e z\u00e1chranka p\u0159iveze pacienta. P\u0159es den se b\u011b\u017en\u011b prov\u00e1d\u011bj\u00ed elektivn\u00ed (tedy neakutn\u00ed a p\u0159edem pl\u00e1novan\u00e9) v\u00fdkony; v noci zase \u010dlenov\u00e9 t\u00fdmu v\u011bt\u0161inou dr\u017e\u00ed pohotovost doma a do nemocnice p\u0159ij\u00ed\u017ed\u011bj\u00ed, a\u017e kdy\u017e jsou tam pot\u0159eba. V neposledn\u00ed \u0159ad\u011b syst\u00e9m pom\u00e1h\u00e1 p\u0159edej\u00edt zdr\u017een\u00ed, kter\u00e9 by nastalo, pokud by z\u00e1chran\u00e1\u0159i pacienta nejprve vezli do nejbli\u017e\u0161\u00ed nemocnice, kde by l\u00e9ka\u0159i po n\u011bkolika vy\u0161et\u0159en\u00edch stejn\u011b museli rozhodnout o p\u0159evozu do specializovan\u00e9ho kardiocentra<\/p>\n\n\n\n
D\u00edky zCase nav\u00edc pacient m\u016f\u017ee ze sanitky zam\u00ed\u0159it prakticky rovnou na katetriza\u010dn\u00ed s\u00e1l. To zvy\u0161uje jeho \u0161ance na \u00fasp\u011b\u0161nou l\u00e9\u010dbu a uzdraven\u00ed, potvrdil p\u0159ednosta Kardiocentra IKEM Josef Kautzner. \u201eT\u00edm, \u017ee se dost\u00e1v\u00e1 k z\u00e1kroku bez prodlevy, \u0161et\u0159\u00ed se tolik d\u016fle\u017eit\u00e9 minuty. U akutn\u00edho infarktu toti\u017e hraje roli hlavn\u011b \u010das. Z velk\u00fdch studi\u00ed v\u00edme, \u017ee pacienti s akutn\u00edm infarktem maj\u00ed v\u00fdznamn\u011b lep\u0161\u00ed p\u0159e\u017e\u00edv\u00e1n\u00ed, pokud je u nich provedena srde\u010dn\u00ed katetrizace do 120 minut od prvn\u00edho vy\u0161et\u0159en\u00ed. Naopak ka\u017ed\u00fdch deset minut zdr\u017een\u00ed znamen\u00e1 jedno \u00famrt\u00ed nav\u00edc na ka\u017ed\u00fdch 300 stabiln\u00edch pacient\u016f (nebo 30 nestabiln\u00edch),\u201c vysv\u011btlil Kautzner.<\/p>\n\n\n\n
\u00daloha st\u0159edo\u010desk\u00fdch\nz\u00e1chran\u00e1\u0159\u016f<\/p>\n\n\n\n
Spoluprac\u00ed se st\u0159edo\u010desk\u00fdmi z\u00e1chran\u00e1\u0159i t\u00fdm IKEM nav\u00e1zal na d\u0159\u00edv\u011bj\u0161\u00ed kontakty, kdy\u017e se z\u00e1chrankou z P\u0159\u00edbramska a Kol\u00ednska testoval r\u016fzn\u00e9 metody l\u00e9\u010dby infarktu. Vedouc\u00ed opera\u010dn\u00edho st\u0159ediska st\u0159edo\u010desk\u00fdch z\u00e1chran\u00e1\u0159\u016f Patrik Merhaut Den\u00edku \u0159ekl, \u017ee pro krajskou z\u00e1chranku je nav\u00edc tahle komunikace nal\u00e9hav\u011bj\u0161\u00ed ne\u017e pro pra\u017esk\u00e9 kolegy: ona veze pacienta do Prahy t\u0159eba i 40 minut, zat\u00edmco Pra\u017e\u00e1ci doraz\u00ed do kardiocentra do \u010dtvrthodiny<\/p>\n\n\n\n
\u0158editel Zdravotnick\u00e9 z\u00e1chrann\u00e9 slu\u017eby St\u0159edo\u010desk\u00e9ho kraje Pavel Rus\u00fd si pochvaluje, \u017ee se syst\u00e9m poda\u0159ilo vymyslet a nastavit tak, aby v\u0161e b\u011b\u017eelo automaticky a vyu\u017e\u00edv\u00e1n\u00ed zCase nebylo pro pos\u00e1dku sanitky z\u00e1t\u011b\u017e\u00ed. \u201ePro pos\u00e1dku to neznamen\u00e1 \u017e\u00e1dnou pr\u00e1ci nav\u00edc. Ve\u0161kerou pozornost tak m\u016f\u017ee v\u011bnovat jen pacientovi. Aplikace je zcela intuitivn\u00ed. Nav\u00edc je i p\u0159\u00edmo propojen\u00e1 s dispe\u010dinkem, tak\u017ee je zde zaji\u0161t\u011bna bezpe\u010dnost dat a v\u0161e je pe\u010dliv\u011b dokumentov\u00e1no, nahr\u00e1v\u00e1no a ukl\u00e1d\u00e1no pro p\u0159\u00edpad, \u017ee bychom se k p\u0159\u00edpadu pot\u0159ebovali vr\u00e1tit,\u201c pochvaluje si. Oce\u0148uje i mo\u017enost porovn\u00e1n\u00ed aktu\u00e1ln\u00ed EKG k\u0159ivky s k\u0159ivkou ulo\u017eenou z minulosti p\u0159i opakovan\u00e9m v\u00fdjezdu ke stejn\u00e9mu pacientovi.<\/p>\n\n\n\n
Nov\u00e1 spolupr\u00e1ce\nz\u00e1chranky se \u0161pi\u010dkov\u00fdmi centry<\/p>\n\n\n\n
– zCase je\nkomunika\u010dn\u00ed platforma, kter\u00e1 pom\u00e1h\u00e1 posunout spolupr\u00e1ci\nz\u00e1chrann\u00fdch slu\u017eeb a nemocnic na vy\u0161\u0161\u00ed \u00farove\u0148 a \u0161et\u0159it \u010das,\nkter\u00fd uplyne do chv\u00edle, ne\u017e pacient dostane \u00fa\u010dinnou l\u00e9\u010dbu<\/p>\n\n\n\n
– Syst\u00e9m p\u016fvodn\u011b\nIKEM vyv\u00edjel pro vlastn\u00ed pot\u0159eby \u2013 pro velk\u00fd z\u00e1jem u\u017e ale byl\nzaveden nebo se zav\u00e1d\u00ed v dal\u0161\u00edch \u010dty\u0159ech pra\u017esk\u00fdch fakultn\u00edch\nnemocnic\u00edch i p\u011bti fakultn\u00edch a krajsk\u00fdch nemocnic\u00edch dal\u0161\u00edch\nregion\u016f \u2013 p\u0159i\u010dem\u017e se hl\u00e1s\u00ed i jin\u00e9 z\u00e1chrann\u00e9 slu\u017eby a\nnemocnice<\/p>\n\n\n\n
– Nov\u011b vyvinut\u00fd\nkomunika\u010dn\u00ed kan\u00e1l m\u016f\u017ee pom\u00e1hat nejen kardiocentr\u016fm, ale i\nneurochirurg\u016fm, traumacentr\u016fm a dal\u0161\u00edm specializovan\u00fdm\npracovi\u0161t\u00edm<\/p>\n\n\n\n
Zdroj: Michal Stiborek, \u0159editel Institutu klinick\u00e9 a experiment\u00e1ln\u00ed medic\u00edny<\/p>\n\n\n\n
Milan Holakovsk\u00fd<\/p>\n\n\n\n
Pra\u017esk\u00fd den\u00edk<\/p>\n\n\n\n
https:\/\/prazsky.denik.cz\/<\/a><\/p>\n","protected":false},"excerpt":{"rendered":" O 12 minut bl\u00ed\u017e ke kvalitn\u00edmu \u017eivotu se ocitly stovky pacient\u016f ze st\u0159edn\u00edch \u010cech posti\u017een\u00fdch infarktem, kter\u00e9 od lo\u0148sk\u00e9ho podzimu p\u0159ev\u00e1\u017eely sanitky na katetriza\u010dn\u00ed s\u00e1l […]<\/a><\/p>\n<\/div>","protected":false},"author":1,"featured_media":14648,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[9],"tags":[],"class_list":["post-36375","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-zpravy"],"_links":{"self":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/posts\/36375","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=36375"}],"version-history":[{"count":0,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/posts\/36375\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/media\/14648"}],"wp:attachment":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=36375"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=36375"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=36375"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}