Graduation Year: 2000 pre-gradual, 2015 postgradual
Field: General Medicine Master Studies, Doctoral Studies in the field of Surgery
A specialist in emergency medicine and anesthesiology and intensive care, works at the Medical Rescue Service of the region of Hradec Králové and at the Department of Anaesthesiology, Resuscitation and Intensive Medicine, University Hospital Hradec Králové. Since 2004 he has been working as the head doctor of the air rescue service center in Hradec Králové and since 2018 he has been accomplishing the job of the medical deputy of the regional rescue service. He is responsible for providing pre-hospital emergency care throughout the Hradec Králové region.
As a university teacher, he teaches students of the Faculty of Medicine and the Faculty of Pharmacy of Charles University, where he is the guarantor of the subject First Aid. Since 2017, he has been conducting specialized Medical First Aid courses for medical pre-credential doctors from all fields within the Department of Emergency Medicine of the IPVZ in Prague. He has been involved in clinical and experimental research in emergency medicine, especially in medical hypothermia, pharmacotherapy of cardiac arrest and treatment of serious injuries for a long time. He is the author of a total of 45 publications cited in the Web of Science database, he achieved the number of 1004 citations (without self-citations) and the H-index of 10.
Since 2010 he has been the chairman of the Czech Resuscitation Council, since 2011 a member of the Committee of the Society of Emergency Medicine and Disaster Medicine of the Czech Medical Society of Jan Evangelista Purkyně and in 2013–2018 he served on the European Resuscitation Council (ERC). Since 2011, as part of the activities of professional societies, he has been organizing the annual professional symposium of the Czech Resuscitation Council and, as a member of scientific committees, he participates in organizing other conferences. After the establishment of the Czech Resuscitation Council, he introduced certified advanced resuscitation courses in the Czech Republic, later on these became a mandatory part of the education of medical doctors in the field of emergency medicine. Recently he has been more or less leaving teaching activities in the ERC courses to younger instructors.
How did your career develop after graduating from FM HK?
The way to my current profession of emergency medical service doctor started at the age of about 12, when, thanks to my grandfather, I first got into the field of emergency service in Hradec Králové. At the beginning of my holidays in 1990, the former director of the rescue service took me for a helikopter flight for the first time. That happened on the operation of the air rescue service in Hradec Králové start´s eve. From that moment on my future field was clear. After taking my highers at high school, I graduated from the Faculty of Medicinein Hradec Králové and already during my studies I attended DAR as part of my research activities. Honesty paid off during my audition for the job at the clinic, so my headmen at the hospital knew in advance that emergency medicine would become the subject of my interest immediately after my credentialing.
I have always been very lucky with my headmen and I appreciate their generosity, prudence and long-term support. For me this often required doing a lot of extra work, whether this was on weekends or at night time. The way to call-based lectures at international congresses begins with hours spent at the computer to the detriment of free time, which not every doctor is willing to abandon. Family support is also very important. For the development of our clinic, I consider using up every opportunity of getting to know the running of a similar organization abroad beneficial. So far, I have managed short internships at the air rescue service in Jena, Basel and London. I even had an opportunity to spend one day flying with the helicopter crew on the California coast. Every such opportunity is a source of experience and the necessary overview.
What comes up in your mind when you say the Faculty of Medicine in Hradec Králové?
Every doctor from my generation remembers the legendary exam in physics with professor Stránský or a flag anatomy test in the 1st year. Due to the fact that I was born in Hradec Králové and graduated from all schools here, I did not have the opportunity of getting to know the typical life of medics in the dormitory. Nevertheless, we knew each other very well and so did the teachers. I consider my university studies one of the nicest periods in my life. Many times I would like to get back to some lectures or practical classes …
What experience associated with studying at the faculty do you remember the most?
As a part of my postgraduate studies, I chose a relatively complicated experimental research, the aim of which was to test the efficiency of vasopressors during fibrillation of pigs´ ventricles. I received a grant support from the Ministry of Healthcare, but we were facing the difficult task of inventing a usable model of experimental cardiac arrest, which no one in the Czech Republic had used before. Abroad, most researchers come up with a study protocol and the support team implements it. This is not exactly the way it is done here. When I was arranging the project, it never came to my mind that I would be chasing up animals, their transport and food. Cannulation, intubation and resuscitation of pigs was not that difficult afterwards. Completing the project and defending my dissertation was a great relief for me.
What do you consider to be the greatest success in your career so far?
Thanks to me getting elected to the ERC Committee, I was able to engage our clinic into several international projects and co-work on publications that have had a major impact on provision of acute care in a number of countries. Undoubtedly, one of the most significant achievements is the chapter of the in ERC 2015 Guidelines for Cardiopulmonary Resuscitation Cardiac arrest in special environments, I was its first author. Europe-wide recommendations for the treatment of traumatic circulatory arrest, pulmonary embolism, anaphylaxis, hypothermia or drowning became the result of several months of work. We managed to fundamentally change the concept of treatment of traumatic circulatory arrest, almost no one had survived that before. We have been recently preparing another edition of the ERC Guidelines, the edition of which is scheduled for March 2021.
As a part of research projects, we managed to put into practice or try some unique treatment procedures, such as a method of intranasal brain cooling during resuscitation. The results of our clinical study PRINCESS (ClinicalTrials NCT01400373) were published in the prestigious journal JAMA (IF 45.54) in 2019. Another successful project was the introduction of a so-called first responders system, they are activated via a mobile application in case of cardiac arrest. As the only rescue team in the Czech Republic, in addition to our own staff, we also register trained non-professionals in the system. We learned the benefits of such cooperation few years ago at the European Resuscitation Academy in Stavanger. I am currently responsible for the ESCAPE-NET project (European Sudden Cardiac Arrest network: towards Prevention, Education and New Effective Treatment), in which our rescue team participates within the EU Horizon 2020 programme (No. 733381). Thanks to the long-term cultivation of the system of care for patients with cardiac arrest, we recently belong to three European countries with the best out-of-hospital resuscitation results.
Based on the experience gained during an internship in London, in 2018, in cooperation with the hospital, we introduced pre-hospital supply of plasma and red blood cells for life-threatening injuries. The preparation stage of the RABBIT pilot project (ClinicalTrials NCT03522636) took two years. The crew of our helicopter is the only one in Central Europe to give a transfusion at the scene or during the transport of the patient to the trauma center. In June this year, we started the RABBIT 2 project, here we use so-called universal whole blood with a low antibody titer. Our air rescue has thus become, after Norway and Sweden, another place where such treatment can be implemented in the pre-hospital phase.
I also consider a great professional success to obtain the title of Fellow of the ERC as a contribution to the development of resuscitation medicine in Europe, which I was given at the Congress in Vienna in 2012, or the Golden Rescue Cross for an exceptional contribution to rescue system from the President in 2016.
What hobbies are you into in your free time?
In my free time I try to attend to my family and our common traveling as much as possible. As I mentioned, my relationship with the rescue began already in my childhood, when I also started collecting ambulance car models. The unique collection is now being exhibited in the Museum of Eastern Bohemia in Hradec Králové at the exhibition Rescue Around the World. Because of my physically demanding work in the rescue service, I have lately become more involved in sports, although I had truly struggled with physical education at school. CrossFit is, due to its versatility, an ideal training for maintaining physical fitness and I believe that it will allow me to perform field work for as long as possible. Paddleboarding is another good relaxation for me and thanks to my daughter I learned snowboarding.