26. MEDNARODNI SIMPOZIJ O URGENTNI MEDICINI 13. - 15. junij 2019, Portorož, Kongresni center St. Bernardin 26 th INTERNATIONAL SYMPOSIUM ON EMERGENCY MEDICINE June 13-15, 2019, St. Bernardin, Adriatic Resort & Convention Center STROKOVNI PROGRAM / SIENTIFIC PROGRAMME Četrtek, 13 junij 2019 / Thursday, June 13, 2019 Skupna predavanja / Plenary sessions 08.30 10.30 NASILJE V URGENTNI MEDICINI VIOLENCE IN EMERGENCY MEDICINE Moderatorji / Chairpersons: Jelena Vilman, Damijan Perne 08.30 08.50 Pojavnost nasilnih dogodkov nad zdravstvenimi delavci na urgenci Incidence of violent events against health care workers in the emergency department Tina Gros 08.50 09.10 Mobing in nasilje v kolektivu Mobbing and violence at workplace Nena Kopčavar Guček 09.10 09.30 Kako predvideti nasilen odziv pacienta in se zaščititi pred nasiljem How to predicte an agresive response of a patient, and how to protect against violence Damijan Perne 09.30 09.50 Tehnične možnosti za opozarjanje na nevarnost Technical options for danger alert Domen Vodopivec, Tina Gros 09.50 10.10 Kako vam policija lahko pomaga? How can the police help you? Matjaž Čuček 10.10 10.30 Razprava 10.30-11.00 Odmor za kavo / Coffee Break 11.00 11.30 SATELITSKI SIMPOZIJ NovoNordisk SATELLITE SYMPOSIUM NovoNordisk 11.00 11.20 Da me krvavitev ob urgentnem posegu ne preseneti Bleeding at the emergency procedure should not be unexpected Samo Zver 11.20 11.30 Razprava
11.30 13.00 SISTEM NMP EMERGENCY MEDICINE SYSTEM Moderatorja / Chairpersons: Renata Rajapakse, Andrej Bručan 11.30 11.45 Dispečerska služba zdravstva v letu 2019 Medical dispatch service in the year 2019 Andrej Fink 11.45 12.00 Delovanje urgentnih centrov danes in kako naprej Emergency departments in Slovenia today and in the future Renata Rajapakse 12.00 12.15 Ko reševalci sami potrebujemo pomoč When rescuers themselves need help Peter Markič 12.15 12.30 Vloga zaupnika pri pomoči zdravstvenim reševalcem in dispečerjem The role of peer support in assisting by ems and dispatch center Boštjan Plahutnik 12.30 13.00 Razprava 13.00 13.30 SATELITSKI SIMPOZIJ MEDIS SATELLITE SYMPOSIUM Medis 13.00 13.30 (Ne)doseženi cilji pri lajšanju bolečine zaradi poškodb vprašanje časa? Unmet needs in trauma pain relief a matter of time? Okrogla miza/round table 13.30 14.30 Odmor za kosilo / Break for lunch Program za zdravnike / Physicians Programme 14.30 16.00 NAJNUJNEJŠA STANJA V TRAVMATOLOGIJI URGENT CONDITIONS IN TRAVMATOLOGY Moderatorja / Chairpersons: Simon Herman, Gregor Prosen 14.30 14.50 Resuscitativna endovaskularna balonska okluzija aorte (REBOA) Resuscitative endovascular balloon occlusion of the aorta (REBOA) Andrej Bergauer 14.50 15.10 Najnujnejša stanja v travmatologiji Most urgent conditions in traumatology Simon Herman 15.10 15.30 Srčni zastoj pri poškodbah Cardiac arrest in trauma patients Dušan Vlahović
15.30 15.50 Izjemni posegi v prehospitalnem okolju Extraordinary procedures in prehospital emergency setting Gregor Prosen 15.50 16.00 Razprava 16.00-16.10 Odmor / Break Program za zdravnike / Physicians Programme 16.10 17.30 PROSTE TEME IN PRIKAZI PRIMEROV FREE TOPICS AND CASE REPORTS Moderatorja / Chairpersons: Pavel Skok, Rajko Vajd 16.10 16.20 Točkovni sistemi v urgentni medicini - pomoč pri vsakdanjem odločanju Scores and scales in EM - help in everyday decision making Žiga Jensterle 16.20 16.30 Sinhronizirana kardioverzija pri bolniku z novonastalo atrijsko fibrilacijo Synchronized cardioversion in pacient with acute atrial fibrillation Ana Kermavnar Marinšek, Urban Korenč 16.30 16.40 Strokovno srečanje»best CPR TEAM«- tekmovanje zdravstvenih timov v izvajanju oživljanja Professional meeting "BEST CPR TEAM" - competition of health care teams in resuscitation Urška Kočevar, Uroš Zafošnik 16.40 16.50 Mlad moški z nenadno torakalno bolečino in muzikalnim šumom A young man with sudden chest pain and a musical murmur Martina Mezgec, Stojan Kariž 16.50 17.00 Akutno poslabšanje astme in KOPB Acute exacerbation of asthma and COPD Sabina Škrgat, Nejc Ribič 17.00 17.10 Urgentna endoskopija, ki ne potrdi vzroka krvavitve ali je prav dvomiti v izsledke slikovnih preiskav? Urgent endoscopy that does not confirm the cause of bleeding - is it right to doubt the results of imaging methods? Pavel Skok 17.10 17.20 Enterovirusni meningoencefalitis pri otroku - prikaz primera Enterovirus meningoencephalitis in children a case report Alja Lodrant, Katarina Rednak Paradiž 17.20 17.30 Urgentna obravnava poškodovanca z zlomom medenice - prikaz primera Urgent medical care in pelvic ring fractures a case report Matjaž Zorman, Anže Kristan 17.30 17.40 Evropsko poročilo o drogah 2019 in stanje v Sloveniji European drug report 2019 and the situation in Slovenia Damjan Grenc 17.40-18.10 Odmor za kavo / Coffee Break
Program za zdravnike / Physicians Programme Dvorana C / Room C 16.10 17.30 PROSTE TEME IN PRIKAZI PRIMEROV FREE TOPICS AND CASE REPORTS Moderatorja / Chairpersons: Miha Kovač, Tine Pelcl 16.10 16.20 Kanabinoidni sindrom predstavitev primera in pregled literature Canabinoide syndrome a case report and literature review Živa Štular, Aleksandra Mohar 16.20 16.30 Ventrikularna fibrilacija in defibrilacija med nujno vožnjo Ventricular fibrillation and defibrilation during emergency transportation Jakob Kovač, Pia Tacar, Miha Kovač, Matija Lazar 16.30 16.40 Hipertermija vročinska kap Hyperthermia heat stroke Matjaž Vrbinc 16.40 16.50 Samozastrupitev s tiso prikaz primera Selfpoisoning by taxus baccata a case report Judita Trunk 16.50 17.00 Urgentni vikend na Pohorju Emergency skills weekend Luka Petravić, Jan Zajc, Eva Tiefengraber 17.00 17.10 Uspešno oživljanje hudo podhlajenega bolnika v srčnem zastoju s pomočjo mehanskega pripomočka za masažo srca in hemodialize kot sredstva za ogrevanje - prikaz primera Successful resuscitation of a severely hypothermic patient in cardiac arrest using a mechanical chest compression device and hemodialysis as a rewarming technique - a case report Nuša Skutnik, Barbara Hudournik 17.10 17.20 Wellensov sindrom prikaz primera Wellens syndrom a case report Živa Štular, Miha Kovač 17.20 17.30 Opis primera odložene intubacije pri bolniku s tujkom v dihalih Delayed sequence intubation in a patient with foreign body aspiration a case report Aleš Kajtna, Matjaž Andrejc, Dejan Brglez 17.30 17.40 Nasprotujoče stanje nezavesti prikaz primera Controversial condition of unconsciousness a case report Milan Popovič 17.40-18.10 Odmor za kavo / Coffee Break
Program za zdravstveno nego / Nurses programme Dvorana B / Room B 14.30 16.00 IZOBRAŽEVANJE V PREDBOLNIŠNIČNEM OKOLJU, ZAHTEVANI STANDARDI ZA DELO V NMP EDUCATION IN EMS - REQUIRED STANDARDS FOR WORK Moderatorji / Chairpersons: Danijel Andoljšek, Anton Posavec, Igor Crnić 14.30 14.45 Vpliv neformalnega izobraževanja na uspešnost kandidatov pri preverjanju za pridobitev NPK zdravstveni reševalec in pregled stanja Influence of non formal education to the succes of the candidates on the exame to achieve the professional qualification for ambulance nurses and a review of actual situation Igor Crnić, Peter Napotnik, Smilja Pevec 14.45 15.00 Dovoljenje za delo v predbolnišnični nujni medicinski pomoči Permission for work in prehospital emergency medical service Anton Posavec 15.00 15.15 Uporaba informacijske tehnologije v prehospitalu - kaj nam omogoča informacijska tehnologija? The use of it in pre-hospital emergency care - what does the it enable us? Jovan Jovanović 15.15 15.30 Slovenski model izobraževanja za triažo sedem let izvajanja tečajev manchestrskega triažnega sistema Slovenian model of education for triage - seven years of implementation of the manchester triage system Majda Cotič Anderle, Vida Bračko 15.30 15.45 Postati reševalec motorist proces izobraževanja, posnetek stanja How to become a motorcycle paramedic training procedures, current status Danijel Andoljšek 15.45 16.00 Razprava 16.00-16.10 Odmor / Break Program za zdravstveno nego / Nurses programme Dvorana B / Room B 16.10 17.40 DISPEČERSKA SLUŽBA ZDRAVSTVA EMERGENCY MEDICAL DISPATCH SERVICE Moderatorji / Chairpersons: Branko Kešpert, Domen Kleva, Aleksandra Mohar 16.10 16.30 Vpliv ukrepov zdravstvenega dispečerja na oskrbo in izhod pacienta s srčnim zastojem izven bolnišnice Emergency medical dispatchers influence on the management and outcome of patients in out of hospital cardiac arrest Aleksandra Mohar, Domen Kleva 16.30 16.45 izkušnje z uporabo slovenskega indeksa za nujno medicinsko pomoč v dispečerskem centru zdravstva
Expirience with the using of slovenian index for emergency medical assistance in emergency medical dispatch center Branko Kešpert 16.45 17.00 Komunikacija kot orodje v rokah zdravstvenega dispečerja Communication as a tool in hands of medical dispatcher Dejan Filipović, Simon Roškar 17.00 17.15 Pripravljenost dispečerskega centra zdravstva na dogodek z možno večjo nesrečo Preparedness of emergency dispatch center on the possible major incident Petra Jančar 17.15 17.30 Sodelovanje MoE REA z DSZ ob sprejemanju ključnih odločitev The cooperation of EMS team with doctor and dispatch health service in undertaking key decisions Damjan Lešnik, Petra Ropič, Davorin Vesenjak 17.30 17.40 Razprava 17.40-18.10 Odmor za kavo / Coffee Break Skupna predavanja / Plenary sessions 18.10 18.30 SATELITSKI SIMPOZIJ AMOMED SATELLITE SYMPOSIUM AMOMED 18.10 18.25 Uporaba kratko delujočih beta blokatorjev v urgentni medicini Use of short acting beta blockers in emergency medicine Hugon Možina 18.25 18.30 Razprava 18.30 20.00 ZDRAVILA V URGENTNI MEDICINI MEDICATIONS IN EMERGENCY MEDICINE Moderatorja / Chairpersons: Damjan Grenc, Dušan Vlahović 18.30 18.45 Zdravljenje hude bolečine v urgenci Severe pain treatment in the emergency room Dušan Vlahović 18.45 19.00 Kako izbrati ustrezna antiaritmična zdravila v urgentni medicini How to choose the right antiarrhythmic drugs in emergency medicine Marko Gričar 19.00 19.15 Kako moramo vedeti o infuzijskih tekočinah What we need to know about the infusion fluids Matej Marinšek 19.15 19.30 Priprava zdravil in infuzij v urgentni medicini Preparation of medicines and infusions in emergency medicine Matej Mažič, Kristjan Guček, Tina Balog Kotnik 19.30 20.00 Razprava
Petek, 14. junij 2019 / Friday, June 14, 2019 Skupna predavanja / Plenary sessions 08.30 10.30 ALARMNI ZNAKI V PEDIATRIJI - KDAJ MORA OTROK V BOLNIŠNICO? ALARM SIGNS IN PEDIATRICS - WHEN MUST CHILDREN TO A HOSPITAL? Moderatorji / Chairpersons: Mojca Grošelj Grenc, Jernej Brecelj 08.30 08.50 Alarmantni znaki pri okužbah kdaj je potrebno otroka napotiti v bolnišnico Alarm signs in infections when the child needs to be referred to the hospital Tina Srovin Plankar, Denis Baš 08.55 09.20 Bolečina v trebuhu - kdaj mora otrok v bolnišnico? Abdominal pain - when should a child be reffered to the hospital? Minca Mramor, Jernej Brecelj 09.20 09.45 Nujna otorinolaringološka stanja pri otrocih Pediatric otorhinolaryngology emergencies Urška Kočevar, Tanja Soklič 09.45 10.10 Katere poškodovane otroke napotiti v bolnišnico Which injured children should be referred to the hospital Miranda Leban, Simon Herman 10.10 10.30 Razprava 10.30-11.00 Odmor za kavo / Coffee Break 11.00 12.30 URGENTNA STANJA V INTERNI MEDICNI EMERGENCIES IN INTERNAL MEDICINE Moderatorja / Chairpersons: Marko Gričar, Peter Radšel 11.00 11.15 Nove smernice za obravnavo STEMI New guidelines for patient with STEMI Peter Radšel 11.15 11.30 Urgentna stanja v diabetologiji Diabetic emergencies Nadan Gregorič 11.30 11.45 Visok krvni tlak kako ukrepamo Elevated blood pressure - how we act Andrej Erhartič 11.45 12.00 Maligne motnje ritma v urgentni medicini Malignant arrhymia in emergency setting Petra Kaplan 12.00 12.30 Razprava
12.30 13.30 SATELITSKI SIMPOZIJ TAKEDA / SHIRE SATELLITE SYMPOSIUM TAKEDA / SHIRE 12.30 13.00 Nujna stanja pri boleznih plazmatk Emergency conditions in plasma cell dyscrasias Samo Zver Razprava 13.00 13.30 Bolnik s hereditarnim angioedemomna urgenci, A Patient with Hereditary Angioedema at the Emergency Room Mitja Košnik Razprava 13.30 14.30 Odmor za kosilo / Break for lunch Program za zdravnike / Physicians Programme 14.30 16.00 DILEME V URGENTNI MEDICINI URGENT MEDICINE DILEMMAS Moderatorja / Chairpersons: Lucija Šarc, Mitja Mohor 14.30 14.50 Na razpotju med urgentno in paliativno medicino At the crossroads between palliative and emergency medicine Mateja Lopuh, Mitja Mohor 14.50 15.10 Paliativni bolnik ukrepi pro et contra Patient with a palliative disease - pro et contra decision making Mateja Lopuh, Mitja Mohor 15.10 15.30 Debrifng po obravnavi bolnika kot izhodišče za kakovostno obravnavo v sistemu NMP Debriefing assessment for quality emergency healthcare Gordana Kalan Živčec 15.30 15.45 Izbira osebne varovalne opreme za posredovanje v nesrečah z nevarnimi agensi za zdravstveno osebje Selection of personal protective equipment for intervention in hazmat incidents for healthcare professionals Lucija Šarc, Ada Čargo, Darko Čander, Jasmina Bevc 15.45 16.00 Razprava 16.00-16.10 Odmor / Break
Program za zdravnike / Physicians Programme 16.10 17.40 HEMATOLOGIJA V URGENTNI MEDICINI HEMATOLOGY IN EMERGENCY MEDICINE Moderatorja / Chairpersons: Samo Zver, Katarina Rednak Paradiž 16.10 16.30 Krvne bolezni, ki nagibajo k trombozam Blood diseases with more frequent thromboses Neva Kavčič 16.30 16.50 Krvne bolezni, ki nagibajo h krvavitvam Blood disease with tendency to bleed Gaja Cvejić Vidali, Irena Preložnik-Zupan 16.50 17.10 Kdaj je krvna slika urgenca When is blood count analysis urgent Samo Zver 17.10 17.40 Razprava Program za zdravstveno nego / Nurses programme Dvorana B / Room B 14.30 16.00 INVAZIVNI POSTOPKI IN POSEGI V URGENCI INVASIVE PROCEDURES AND INTERVENTIONS IN EMERGENCY ROOM Moderatorji / Chairpersons: Maruša Brvar, Vojko Anderle, Vida Bračko 14.30 14.45 Intraosalni pristop Intraosseous access Vojko Anderle 14.45 15.00 Stalni urinski kateter in suprapubična cistostoma Permanent urinary cathether and suprapubic cystostomy Lili Knific, Petra Trdin 15.00 15.15 Izpiranje želodca Gastric lavage Monika Kralj, Mojca Homar 15.15 15.30 Periferna venska kanila Peripheral venous cannula Jerneja Grmovšek, Rudi Kočevar 15.30 15.45 Aplikacija krvi in krvnih derivatov v urgentni ambulanti Application of blood and blood derivatives in the emergency room Urška Grašič, Nada Macura Višić 15.45 16.00 Razprava 16.00-16.10 Odmor / Break
Program za zdravstveno nego / Nurses programme Dvorana B / Room B 16.10 17.30 PROSTE TEME IN PRIKAZI PRIMEROV FREE TOPICS AND CASE REPORTS Moderatorja / Chairpersons: Nada Macura Višić, Danijel Andoljšek 16.10 16.20 Izvedba sinhronizirane elektrokonverzije brez neposredne prisotnosti zdravnika Implementation of synchronised dc shock without direct presence of the physician Matjaž Andrejc, Dejan Brglez 16.20 16.30 Vstavitev in priklop reanimacijskega ECMA pri otroku z meningokokno sepso prikaz primera ECMO setting in a child with meningococcal sepsis Nedisa Bosankić, Marina Lukić 16.30 16.40 Ishemična možganska kap Ischemic brain stroke Leja Lapoši 16.40 16.50 Alergični akutni miokardni infarkt prikaz primera Allergic myocardial infarction a case report Jernej Jeromel, Marino Crnković 16.50 17.00 Sodobne metode učenja in usposabljanja v nujni medicinski pomoči: mobilna simulacijska enota Modern methods of teaching and training in emergency medical treatment : mobile simulation unit Uroš Zafošnik, Davorin Marković, Nina Kastelic 17.00 17.10 Toksična bolezen jeter in prehranska dopolnila prikaz primera Toxic liver disease and food supplements a case report Anica Buh, Sonja Letnik 17.10 17.20 Specifična tehnična oprema NMP krško za posredovanje v jedrski nesreči: OVO, osebna dozimetrija, BIO-BAG Use of special equipment in EMS Krško: PPE, dosimetry suitcase, BIO-BAG Simon Krnc, Jan Kurinčič 17.20 17.30 Stresna kardiomiopatija (Takotsubo) Stress cardiomyopathy (Takotsubo) Leja Lapoši 17.30 17.40 Analiza modificiranih EKG odvodov Analysis of modified ECG leads Monika Mulej, Miljenko Križmarić 17.40-18.10 Odmor za kavo / Coffee Break
Program za zdravstveno nego / Nurses programme Dvorana C / Room C 16.10 17.30 PROSTE TEME IN PRIKAZI PRIMEROV FREE TOPICS AND CASE REPORTS Moderatorja / Chairpersons: Majda Cotič Anderle, Anton Posavec 16.10 16.20 Pomembnost prvega vtisa pri komunikaciji First impressions affect communication Erika Zakrajšek, Katrin Oražem 16.20 16.30 Prometna nesreča voznika štirikolesnika s hudo poškodbo glave Traffic accident of a four-wheeler driver with severe head injury Janko Rebolj 16.30 16.40 Analiza obravnav bolnikov v pediatričnem Urgentnem centru Celje Analyses of the treatment of patients in pediatric Emergency centre of General hospital Celje Mateja Rehar Cokan 16.40 16.50 Moj otrok težko diha prepoznavanje nujnih stanj v povezavi z dihanjem na podlagi telefonskih klicev "My child is difficult to breathe" recognition of emergency conditions on the basis of telephone calls Inge Vrbovšek, Urška Ivanc 16.50 17.00 Helikopterska nujna medicinska pomoč- kaj delamo narobe in kakšna bi bila primerna rešitev Helicopter emergency medical services- what are we doing wrong and what would be the proper solution Robert Sabol 17.00 17.10 Ko udari strela prikaz primera Bled 2018 When the lightening strikes a case report Bled 2018 Leopold Zonik, Mitja Kosič 17.10 17.20 Napredno učenje komunikacijskih veščin s simuliranim pacientom Advanced learning communication skills with a simulated patient Romana Zupan, Tadeja Kolander 17.20 17.30 Uspešno ukrepanje ob miokardnem infarktu na oddelku za dializo A successful action with the miocard infarct of the dialysis department Marija Završnik, Elizabeta Kralj 17.30 17.40 Uporaba tkivnih lepil za pritrditev periferne intravenske kanile Use of tissue glues for fixation of peripheral venous cannulae Sandi Žumer, Amadeus Lešnik, Andrej Markota 17.40-18.10 Odmor za kavo / Coffee Break
Skupna predavanja / Plenary sessions 18.10 18.30 SATELITSKI SIMPOZIJ ROCHE SATELLITE SYMPOSIUM ROCHE 18.10 18.25 Imunoterapija raka in urgentna medicina Immunotherapy of cancer and emergency medicine Boštjan Šeruga 18.25 18.30 Razprava 18.30 20.00 NUJNA STANJA V NEVROLOGIJI NEUROLOGICAL EMERGENCIES Moderatorji / Chairpersons: Igor Rigler, Marko Zelinka 18.30 18.50 Ishemična možganska kap in tia v dobi znotrajžilnega zdravljenja Ischemic stroke and tia in the age of endovascular therapy Matija Zupan 18.50 19.10 Obravnava nezavestnega bolnika Treatment of an unconscious patient Igor Rigler 19.10 19.30 Obravnava bolnika z epileptičnim napadom ali epileptičnim statusom v urgentni ambulanti Treatment of the patient with epileptic seizure or epileptic status Gal Granda 19.30 20.00 Razprava
Sobota, 15. junij 2019 / Saturday, June 15, 2019 09.00 14.00 PRAKTIČNO USPOSABLJANJE IN DELAVNICE WORKSHOPS Tekočinska terapija Fluid therapy Dušan Vlahović, Jelena Vilman EKG in AMI ECG and AMI Peter Radšel, Rihard Knafelj Imobilizacija Immobilization Andoljšek Danijel, Anton Posavec, Damjan Lešnik, Boštjan Plahutnik Obravnava motnje zavesti pri otroku Treatment of the unnsciousness child Aida Granda, Peter Najdenov, Mojca Grošelj Grenc, Primož Velikonja Prepoznava ogroženega bolnika Recognition of the threatened patient Marko Zelinka, Dajna Buić Rerečić, Mateja Škufca Pasivizacija/nenasilna obravnav agresivnega bolnika/svojcev Passivation / non-violent treatment of an aggressive patient / relatives Tadej Cunder, Pavle Vavkman
POSTERJI POSTERS Mreža javno dostopnih AED v Sloveniji uskladitev nacionalnega registra AED baze Slovenije z lokalnimi evidencami Slovenian national public access defibrillation network rectifying the discrepancy between the national registry of AED database of Slovenia and local directories Sara Ručigaj, Lenart Demšar Učenje na podlagi scenarijev in simulacij - uspešna udeležba članov projekta urgentna medicina na Best CPR Team tekmovanju Scenario and simulation based learning - successful participation of members of the emergency medicine project at Best CPR Team competition Boris Podobnik, Irena Deželak Znanje in samozavest pri prvi pomoči pred in po delavnici projekta»za življenje!«knowledge and confidence in first aid before and after a project»for life!«workshop Eva Vrevc, Tea Poznajelšek Zdravstveni dispečer več kot poklic poslanstvo Medical dispatcher more than profession the mission Janez Šmuc Najpogostejši načini odvzemov krvi in nastavitve centralnih venskih katetrov v Urgentnem centru Murska Sobota The most common ways of taking blood and setting the central venous catheters in the Emergency department Murska Sobota Branka Rojht