Resuscitace Juraje Kel\u00ed\u0161ka trvala p\u0159ibli\u017en\u011b 50 minut. Po n\u00e1ro\u010dn\u00e9 l\u00e9\u010db\u011b ode\u0161el dom\u016f bez v\u00e1\u017en\u00fdch n\u00e1sledk\u016f. Prvn\u00ed pomoc p\u0159itom za\u010dala u jeho souseda.<\/p>\n\n\n\n
Juraj Kel\u00ed\u0161ek ze Slovenska prod\u011blal srde\u010dn\u00ed z\u00e1stavu. Jeho soused, hasi\u010d, okam\u017eit\u011b zavolal na linku 155 a zah\u00e1jil resuscitaci. P\u0159\u00edpad 23. z\u00e1\u0159\u00ed zve\u0159ejnila Z\u00e1chrann\u00e1 slu\u017eba Ko\u0161ice, jej\u00ed\u017e pos\u00e1dky se na z\u00e1chran\u011b pod\u00edlely.<\/p>\n\n\n\n
Prvn\u00ed pomoc za\u010dala u souseda a pokra\u010dovala b\u011bhem p\u0159evozu<\/p>\n\n\n\n
Na pomoc p\u0159ijeli hasi\u010di s defibril\u00e1torem a dv\u011b pos\u00e1dky z\u00e1chrann\u00e9 slu\u017eby. Juraj m\u011bl p\u0159etrv\u00e1vaj\u00edc\u00ed komorovou fibrilaci, na kterou b\u011b\u017en\u00e9 v\u00fdboje nezab\u00edraly. P\u0159i p\u0159evozu proto za pokra\u010duj\u00edc\u00ed resuscitace pou\u017eili jeden\u00e1ct du\u00e1ln\u00edch sekven\u010dn\u00edch v\u00fdboj\u016f, pokro\u010dil\u00fd postup defibrilace.<\/p>\n\n\n\n
P\u0159i komorov\u00e9 fibrilaci se srdce chv\u011bje a nezaji\u0161\u0165uje dostate\u010dn\u00fd pr\u016ftok krve k \u017eivotn\u011b d\u016fle\u017eit\u00fdm org\u00e1n\u016fm. Jak vysv\u011btluje Americk\u00e1 kardiologick\u00e1 asociace ve sv\u00fdch doporu\u010den\u00edch, stla\u010dov\u00e1n\u00ed hrudn\u00edku pom\u00e1h\u00e1 posouvat krev k mozku a srde\u010dn\u00edmu svalu.<\/p>\n\n\n\n
\u00dadaj o pades\u00e1ti minut\u00e1ch o\u017eivov\u00e1n\u00ed je proto pot\u0159eba \u010d\u00edst spr\u00e1vn\u011b. V tomto \u010dase prob\u00edhala aktivn\u00ed pomoc, kter\u00e1 se sna\u017eila udr\u017eet ob\u011bh a obnovit \u00fa\u010dinnou pr\u00e1ci srdce. Nep\u0159\u00edm\u00e1 srde\u010dn\u00ed mas\u00e1\u017e umo\u017e\u0148uje z\u00edskat \u010das do dal\u0161\u00edch l\u00e9\u010debn\u00fdch z\u00e1sah\u016f.<\/p>\n\n\n\n
Mimot\u011bln\u00ed podpora ob\u011bhu pom\u00e1h\u00e1 p\u0159eklenout kritick\u00fd stav<\/p>\n\n\n\n
Ve V\u00fdchodoslovensk\u00e9m \u00fastavu srde\u010dn\u00edch a c\u00e9vn\u00edch chorob v Ko\u0161ic\u00edch pak Juraje napojili na podporu VA-ECMO. Ta p\u0159i z\u00e1va\u017en\u00e9m selh\u00e1n\u00ed do\u010dasn\u011b podporuje krevn\u00ed ob\u011bh a okysli\u010dov\u00e1n\u00ed organismu.<\/p>\n\n\n\n
ECMO m\u016f\u017ee podle sv\u00e9ho zapojen\u00ed p\u0159echodn\u011b nahradit funkci plic nebo podpo\u0159it tak\u00e9 pr\u00e1ci selh\u00e1vaj\u00edc\u00edho srdce. Krev proch\u00e1z\u00ed mimo t\u011blo p\u0159\u00edstrojem, kter\u00fd ji okysli\u010duje. Pacient tak z\u00edsk\u00e1v\u00e1 podporu \u017eivotn\u00edch funkc\u00ed v dob\u011b, kdy je jeho vlastn\u00ed org\u00e1ny nedok\u00e1\u017eou dostate\u010dn\u011b zajistit.<\/p>\n\n\n\n
Takovou l\u00e9\u010dbu vyu\u017e\u00edvaj\u00ed i \u010desk\u00e1 specializovan\u00e1 pracovi\u0161t\u011b. IKEM uv\u00e1d\u00ed mimot\u011bln\u00ed resuscitaci mezi mo\u017enostmi p\u00e9\u010de po ob\u011bhov\u00e9 z\u00e1stav\u011b. V n\u011bkter\u00fdch p\u0159\u00edpadech se podpora m\u016f\u017ee zah\u00e1jit je\u0161t\u011b p\u0159ed p\u0159evozem do nemocnice.<\/p>\n\n\n\n
Den\u00edk popsal nap\u0159\u00edklad napojen\u00ed pacienta na mimot\u011bln\u00ed ob\u011bh p\u0159\u00edmo v ter\u00e9nu po kolapsu v zubn\u00ed ordinaci. Tak\u00e9 tehdy na po\u010d\u00e1te\u010dn\u00ed pomoc nav\u00e1zal z\u00e1sah specializovan\u00e9ho t\u00fdmu.<\/p>\n\n\n\n
P\u0159i n\u00e1hl\u00e9m kolapsu rozhoduje rychl\u00e1 pomoc a vol\u00e1n\u00ed na linku 155<\/p>\n\n\n\n
Pro \u010dlov\u011bka, kter\u00fd se stane sv\u011bdkem n\u00e1hl\u00e9ho kolapsu, z\u016fst\u00e1v\u00e1 prvn\u00ed krok mnohem jednodu\u0161\u0161\u00ed. Kdy\u017e posti\u017een\u00fd nereaguje a ned\u00fdch\u00e1 norm\u00e1ln\u011b, je pot\u0159eba p\u0159ivolat z\u00e1chrannou slu\u017ebu a za\u010d\u00edt stla\u010dovat hrudn\u00edk. S postupem pom\u016f\u017ee oper\u00e1tor linky 155.<\/p>\n\n\n\n
Pra\u017esk\u00e1 z\u00e1chrann\u00e1 slu\u017eba doporu\u010duje p\u0159i resuscitaci dosp\u011bl\u00e9ho stla\u010dovat st\u0159ed hrudn\u00edku rychlost\u00ed 100 a\u017e 120 stla\u010den\u00ed za minutu do hloubky 5 a\u017e 6 centimetr\u016f. Je-li pobl\u00ed\u017e dal\u0161\u00ed \u010dlov\u011bk, m\u016f\u017ee p\u0159in\u00e9st automatick\u00fd extern\u00ed defibril\u00e1tor. Po zapnut\u00ed p\u0159\u00edstroj vede zachr\u00e1nce sv\u00fdmi pokyny.<\/p>\n\n\n\n
V\u00fdboj se nepod\u00e1v\u00e1 automaticky ka\u017ed\u00e9mu. AED nejprve vyhodnot\u00ed srde\u010dn\u00ed rytmus. P\u0159i anal\u00fdze a p\u0159\u00edpadn\u00e9m v\u00fdboji se posti\u017een\u00e9ho nikdo nedot\u00fdk\u00e1, potom se pokra\u010duje podle instrukc\u00ed p\u0159\u00edstroje.<\/p>\n\n\n\n
U n\u00e1hl\u00e9ho kolapsu dosp\u011bl\u00e9ho pom\u00e1h\u00e1 i samotn\u00e9 stla\u010dov\u00e1n\u00ed hrudn\u00edku. Um\u011bl\u00e9 d\u00fdch\u00e1n\u00ed m\u00e1 zvl\u00e1\u0161tn\u00ed v\u00fdznam nap\u0159\u00edklad p\u0159i tonut\u00ed nebo u d\u011bt\u00ed, kde b\u00fdv\u00e1 p\u0159\u00ed\u010dinou z\u00e1stavy nedostatek kysl\u00edku. Den\u00edk vysv\u011btluje, kdy je p\u0159i o\u017eivov\u00e1n\u00ed pot\u0159eba d\u00fdch\u00e1n\u00ed z \u00fast do \u00fast. Konkr\u00e9tn\u00ed postup pom\u016f\u017ee zvolit oper\u00e1tor.<\/p>\n\n\n\n
Po zotaven\u00ed se Juraj setkal se zachr\u00e1nci. \u201eJsem velmi vd\u011b\u010dn\u00fd, \u017ee d\u00edky \u0161ikovn\u00fdm lidem na Slovensku mohu dnes odej\u00edt zdrav\u00fd dom\u016f za rodinou,\u201c citovala ho ko\u0161ick\u00e1 z\u00e1chrann\u00e1 slu\u017eba.<\/p>\n\n\n\n
Jan Dvo\u0159\u00e1\u010dek<\/p>\n\n\n\n
Den\u00edk.cz<\/p>\n\n\n\n
https:\/\/www.denik.cz<\/a><\/p>\n","protected":false},"excerpt":{"rendered":" Resuscitace Juraje Kel\u00ed\u0161ka trvala p\u0159ibli\u017en\u011b 50 minut. Po n\u00e1ro\u010dn\u00e9 l\u00e9\u010db\u011b ode\u0161el dom\u016f bez v\u00e1\u017en\u00fdch n\u00e1sledk\u016f. Prvn\u00ed pomoc p\u0159itom za\u010dala u jeho souseda. Juraj Kel\u00ed\u0161ek ze […]<\/a><\/p>\n<\/div>","protected":false},"author":1,"featured_media":14133,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[9],"tags":[],"class_list":["post-65431","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\/65431","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=65431"}],"version-history":[{"count":0,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/posts\/65431\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/media\/14133"}],"wp:attachment":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=65431"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=65431"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=65431"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}