Multimedia educational decision-making algorithms

Snake envenomation is a marginal topic in developed countries but you can still come across such a cases. On the other hand, in developing countries i this a common injury, which is cause of tens of thousands of deaths per year. It is a question of inadequate infrastructure and limited access to healthcare. A considerable number of patients are exotic snake keepers. This algorithm will take you through two scenarios of snake envenomation and it will help you become familiar with widely spread myths related to treating affected patients

The length of life is not always equal to its quality. When thinking about reviving a severely chronically ill patient, it is appropriate to ask whether life after resuscitation will be sufficiently valuable for him. It is important that the patient can answer this question himself. This is possible thanks to a joint conversation about treatment goals and advance health care planning. This algorithm guides you through the entire process from the diagnosis of a serious chronic patient condition to the moment of his death.

Paediatric polytrauma is a life-threatening condition that can happen in practice to any doctor. In our algorithm we modelled a situation, where we will show step by step how to act in this cases. We will focus on first aid at the scene of an accident, how to proceed with a developed hypovolemic shock and life-threatening bleeding and subsequently we will focus on how damage control surgery in paediatric polytraumas is carried out.

21.6.2022 | MUDr. Jan Hudec, MUDr. Michal Vondráček, Filip Bartoš, Helena Vlčková. Illustration: Eliška Zemanová

In this algorithm we look at the fate of a young runner who suffered from overheating. Hyperthermia is a serious and life-threatening condition that is caused by a combination of high ambient temperature and excessive physical exercise. It can affect both predisposed and completely healthy and young individuals. This condition can result in many organ failures with the need for transplantation and even death. Many cases of hyperthermia are preventable with proper preparation.

Acute adrenal crisis is a condition, which arise from an adrenal cortex insufficiency. It can develop because of untreated Addison disease or abruptly as a result of many other causes. Patients with the adrenal crisis need an intensive health care and adequate treatment, as the condition can be potentially life-threatening. They must be thoroughly informed about their disease and need to precisely follow doctors instructions. In this algorithm, we will look at the patient examination, diagnosis and therapy including complications management.

1.6.2022 | MUDr. Tamara Skříšovská, MUDr. Roman Kula, Gabriela Žabková, Michaela Staňková. Illustration: Bc. Mária Melicherčíková

PIMS, PIMS-TS (Paediatric Inflammatory Multisystem Syndrom Temporally associated with SARS-CoV-2) or MIS-C (Multisystem Inflammatory Syndrom in Children) are abbreviations denoting the same disease. It is a rare but very serious multisystem inflammation caused by an abnormal immune response affecting multiple organs at the same time. PIMS is typical in children who have had COVID-19 infection in the past. Early diagnosis and therapy is most important for the recovery of patients, so there is a need to raise awareness of this relatively new syndrome, the symptoms of which are initially non-specific. The algorithm will guide you through the typical symptoms and specific treatment of a PIMS sufferer.

Pulse ventricular tachycardia is one of the most common complication after mycardial infarction. In this algorithm, we will guide you through management of heamodynamically stable and instable patient. The goal is to implement knowledge from the new ERC Guidelines (2021) a to choose the correct sequence of the pharmacological and non-pharmacological treatment in both cases.

Convulsive states are one of the most common conditions which lead to admission to ICU in children. There is an inexhaustible amount of potential causes of convulsions in pediatric patients, starting with very common febrile spams to extremely rare metabolic or genetic disorders. In any case, every convulsive state always calls for quick termination. This way we can prevent the further brain damage caused by uncoordinated convulsive activity. Follow-up wide differential diagnostics are performed to determine definitive diagnosis.