Výsledková listina a pÅehled úkolů Rallye RejvÃz 2010
Výsledková listina a pÅehled úkolů Rallye RejvÃz 2010
Výsledková listina a pÅehled úkolů Rallye RejvÃz 2010
Create successful ePaper yourself
Turn your PDF publications into a flip-book with our unique Google optimized e-Paper software.
Premiéra RLP Rozhodčí:<br />
RZP Rozhodčí:<br />
Premiere INT Judges:<br />
Time limit for task:<br />
max. 10 min.<br />
Story for team:<br />
Dispatch centre received emergency call:<br />
55 years old man, unconsciouss, gasping, call by spouse, DSL by operator.<br />
Roman Skřipský, Adriana Povinská<br />
Jaroslav Kratochvíl, Monika Středová<br />
Milana Pokorná, Andrea Smolková<br />
RALLYE REJVÍZ <strong>2010</strong><br />
Story get to team with instructions.<br />
•<br />
•<br />
•<br />
•<br />
Your task:<br />
patient assessment<br />
adequate therapy<br />
working diagnose<br />
prepare to transport<br />
A<br />
B<br />
C<br />
Local situation:<br />
Nearsets hospital 20 km by ground: surgical, internal, anasethesia, neurological dept., cardiocentre, gynecological and obstetric, CT scan, biochemistry.<br />
Regional hospitaL. 42 kms by ground, as A + ED, ENT, oncologic dept., psychiatric, infectious and pediatric depts.<br />
Helicopter rescue available at 15 mins.<br />
Situation:<br />
Man, 55 years, gasping, cyanozis, no pulse on great vessels, CPR by spouse.<br />
PH on demand: total hip replacement 3/<strong>2010</strong>, hepatitis B, medication: Warfarin, last INR 2,2 week ago<br />
Key words:<br />
refractory VF, amiodaron, STEMI, therapeutic hypotermia<br />
Max. points<br />
Team scoring 1 2 3 4 5 Correct decision and performance<br />
1 300<br />
Left hip<br />
1 Patient history<br />
Hepatitis B replacement Warfarin<br />
3/<strong>2010</strong><br />
150 PH taking.<br />
50 50 50<br />
tracheal Other airway<br />
i.v./i.o. line<br />
12-lead ECG etCO2<br />
2 Care and monitoring intubation management<br />
200 Care and monitoring.<br />
3 Therapy<br />
50 50 25 50 50<br />
Trimecain - Adrenalin -<br />
Amiodaron 300mg Amiodaron 150mg<br />
lidocaine epinephrine<br />
100 50 25 100<br />
Continual Continual Continual Continual<br />
compressions compressions compressions compressions<br />
4 Guidelines 2005 440<br />
after 1. shock after 2. shock after 3. shock after 4. shock<br />
110 110 110 110<br />
200 Therapy of refractory VF.<br />
Compressions immediately after shock without<br />
break.<br />
STEMI anterior Acute coronary<br />
Pulm. embolism<br />
5 Diagnose wall syndrome<br />
110 Diagnose: STEMI anterior wall.<br />
110 75 50<br />
Transport with<br />
ROSC, cooling ROSC<br />
6 PostCPR care continual CPR<br />
100 Mild therapeutic hypotermia after ROSC.<br />
100 75 50<br />
Subjective player evaluation of crew tenderness,<br />
7 Player 100 empathy and sensitivity.<br />
100<br />
Limits: 0 - 100 points.
Change language