Critical Care in Czech Republic Vladimir Cerny, MD, Ph. D, FCCM Associate Professor in Anesthesiology and Intensive Care Dept. of Anesthesiology and Intensive Care Charles University Faculty of Medicine University Hospital Hradec Kralove Czech Republic
Critical Care in Czech Republic Development of critical care Intensive care units Medical staffing and training Future aims Septický šok Jihlava 2000
Development of critical care in Czech Republic 1952 Anesthesiology has been established as a independent medical specialty 1969 Czech Society of Anesthesiology 1971 Czech Society of Anesthesiology and Resuscitation 1994 Czech Society of Anesthesiology, Resuscitation and Intensive Care Medicine 1997 Section of Intensive Care Medicine Septický šok Jihlava 2000
Intensive care units in Czech Republic … the majority of ICU beds in Czech Republic are located at departments of anesthesiology and intensive care (highest level of care) … there also many ICU beds at various departments (usually provide intensive care at lower level intermediate care, HDU ) dept. of surgery dept. of internal medicine dept. of cardiosurgery dept. of neurosurgery Septický šok Jihlava 2000
Medical equipment and devices all major ICUs are also equipped (or is available) with: CRRT ICP monitoring bronchoscopes ultrasounds IABP machines 2 ECMO centers and 8 NO centers in Czech republic Septický šok Jihlava 2000
Depts. of anesthesiology and intensive care Number of beds 674 Septický šok Jihlava 2000
Depts. of anesthesiology and intensive care Unit size Septický šok Jihlava 2000
Depts. of anesthesiology and intensive care Amount of admitted patients 23483 Septický šok Jihlava 2000
Medical staffing and training 4 99% of units have a committed 24 -hours physician 4 The majority of ICU physicians has anesthesiology as their specialty 4 99% of units have an ICU director = the decison maker Septický šok Jihlava 2000
Section of Intensive Care Medicine 803 Septický šok Jihlava 2000
Section of Intensive Care Medicine Specialty of the members Septický šok Jihlava 2000
Education in critical care Medical students The 5 th year: „basics of intensive care medicine“ (15 hrs) Residents (surgery, internal medicine) 3 months on ICU Residents (anesthesiology and intensive care) 12 months on ICU A new subspecialty „Intensive care medicine“ has been prepared and waiting for approval by government Septický šok Jihlava 2000
What to improve ? Academic activities Research Guidelines Education Quality control Septický šok Jihlava 2000
Thanks for your attention Septický šok Jihlava 2000
Скачать презентацию Critical Care in Czech Republic Vladimir Cerny MD
cb442b4fd57d2fcaabd2dd137e2f9c0e.ppt