International symposium on emergency medicine


C ompetence); 2) KOMUNIKACIJO ( C



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urgentna medicina 2010

C
ompetence);
2) KOMUNIKACIJO (
C
ommunication);
3) DOSLEDNOST (
C
onsistency);
4) SODELOVANJE (
C
ooperation);
5) PRAVILNE NAVADE (
C
ustoms);
6) PRIMERNOST (
C
onformity);
7) POGUM (
C
ourage).
Po Apkerju in sod. (4) to pomeni, da moramo razvijati štiri tipične značilnosti za delo na področju
zdravstvene nege - »4C«:
246
URGENTNA MEDICINA - IZBRANA POGLAVJA 2010


24. Deakin CD, King P, Thompson F. Prehospital advanced airway management by ambulance technicians and
paramedics: is clinical practice sufficent to maintain skills? Emerg Med J 2009;26:888-91.
25. Rajabali NA, Tsuyuki RT, Sookram S, Simpson SH, Welsh RC. Evaluating the views of paramedics, cardiologists,
emergency department physicians and nurses on advanced prehospital managemenet of acute ST elevation
myocardial infarction. Can J Cardiol 2009;323-8.
26. Williams B, Boyle M, Lord B. Paramedic indentification of electrocardiograph J-point and ST-segment. Prehosp
Disaster Med 2008;23:526-9.
27. Fullerton JN, Roberts KJ, Wyse M. Can experienced paramedics perform tracheal intubation at cardiac arrests?
Five years experience of a regional air amubalnce service in the UK. Resuscitation 2009;80:1342-5.
28. Baker TW, King W,Soto W, Asher C, Stolfi A, Rowin ME. The efficacy of pediatric advanced life support training in
emergency medical service providers. Pediatr Emerg Care 2009;25:508-12.
29. Lammers RL, Byrwa MJ, Fales WD, Hale RA. Simulation-based assessment of paramedic pediatric resuscitation
skills. Prehosp Emerg care 2009;13:345-56.
30. Michau R,Roberts S, Williams B, Boyle M. An investigation of theory-practice gap in undergraduate paramedic
education. BMC Med Educ 2009; 9:23.
31. David G, Brachet T. Retention, learning by doing, and performance in emergency medical services. Health Serv
Res 2009;44:902 -25.
32. Potera C. Chest tube insertion by NAs and PAs. Am J Nurs 2008;108:22.
33. Ramanujam P,Guluma KZ, Castillo EM, Chacon M, Jensen MB, Patel E, Linnick W, Dunford JV. Accuracy of stroke
recognition by emergency medical dispatchers and paramedics – San Diego experience. Prehosp Emerg Care
2008; 12:307 -13.
34. Levy G, Goldstein L, Erez Y, Levite R, Bar U, Marmor M, Linn G, Onn E, Levi Y, Bar-Dayan Y. Phyisician versus
paramedic in the setting of ground forces operations: are they interchangeable? Mil Med 2007:172.301-5.
35. Woodall J, McCarthy M, Johnston T, Tippett V, Bonham R. Impact of advanced cardiac life support-skilled
paramedics on survival from out-of-hospital cardiac arrest in a statewide emergency medical service. Emerg
Med J 2007;24:134-8.
36. Dimond B. IV therapy:nurses must be competent to perform new duties. Br J Nurs 2006;15:952-3.
37. Brown LH, Hubble MW, Cone DC, Milin MG, Schwartz B, Patterson PD, Greenberg B, Richards ME. Paramedics
determinations of medical necessity: a meta-analysis. Prehosp Emerg Care 2009;13:516-27.
38. Mason S, Knowles E, Freeman J, Snooks H. Safety of paramedics with extended skills.Acad Emerg Med 2008;
15:607-12.
39. Kellum MJ. Improving performance of emergency medical services personnel during resuscitation of cardiac
arrest patients: the McMAID approach. Curr Opin Crit Care 2009;15:216-20.
40. Bray JE, Bladin C. Success with paramedic diagnosis of stroke. Stroke 2009;40:398.
41. David G, Brachet T. Retention, learning by doing, and performance in emergency medical srvices. Health Serv
Res 2009,44:902-25.
42. Shellenbarger T. Preparing for certification in nursing education. Nurs Educ Perspect 2008;29:330-2.
43. Farley A, McLafferty E, Hendry C. Pulmonary embolism: identification, clinical features and management. Nurs
Stand 2009;23:49 – 56.
44. Vroman R. Pediatric toxicology: Part 2.What EMS providers need to know about »one-pill killers«. EMS Mag 2008;
37:88-92.
45. Baker TW, King W, Soto W, Asher C, Stolfi A, Rowin ME. The efficacy of pediatric advanced life support training
in emergency medical service providers. Pediatr Emerg Care 2009;25:508-12.
46. Kelmenson C, Salzman J, Griffith K, Kaye K, Frascone RJ. Focus on RSI. Does training in the or create an optimal
RSI program? JEMS 2008;33:110-2.
47. Studnek JR, Fernandez AR, Margolis GS.Assessing continued cognitive competence among rural emergency
medical techinicians. Prehosp Emerg Care 2009;13:357-63.
48. Bledsoe BE. Mastering CHF: current strategies for the prehospital care of congestive heart failure. JEMS
2009;34:60-8.
49. Patterson D, Brice JH. Workforce priorities: three steps to determine what they are &move forward. JEMS
2009;34:52 -9.
50. McInnis LA, Parsons LC. Thoughtful nursing practice: reflwctions on nurse delegation decision making. Nurs Clin
North Am 2009; 44:461-70
51. Van Dyk NT, Cloyd DJ, Rea TD, Eisenberg MS. Effect of pulse oximetry on emergency medical technician decision
making. Prehosp Emerg Care 2004; 8:417-9
52. Jones T, Woollard M. Paramedic accuracy in using a decision support algorithm when recognising adult death:
a prospective cohort study. Emerg Med J 2003; 20:473-5
249
URGENTNA MEDICINA - IZBRANA POGLAVJA 2010
d) Akutni koronarni sindrom- 
prepoznava, EKG (STEMI in NSTEMI – telemetrija !?); MONA ?!
e) Akutno popuščanje srca - pljučni edem
- prepoznava: diuretik, položaj, kisik, neinvazivna ventilacija
(?), morfij (?);
f) Poslabšanje astme ali KOPB - 
inhalacije, adrenalin, kortikosteroidi;
g) Zastrupitve 
- splošni ukrepi, simptomatsko zdravljenje, osnovni antidoti ( O2, glukoza, nalokson,
flumazenil, atropin, glukagon, CaCl2 (Ca-glukonat);
h) Akutni možgansko-žilni dogodek -
prepoznava, simptomatska terapija -konzultacija za trombolizo;
i) Epileptični napad / status
– prepoznava, diferencialna diagnostika, diazepam;
j) Poškodbe - 
imobilizacija, hemostaza, nadomeščanje tekočin, torakalna punkcija, analgezija (!?), hitra
sekvenčna intubacija (!?);
k) Porod -
vodenje poroda.

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