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Specifics of emergencies in gynecology and obstetrics
PUPÍKOVÁ, Lenka
The bachelor thesis deals with the topic "Specifics of emergencies in gynecology and obstetrics". It concists of two parts, theoretical and practical. In theoretical part, we provide information on individual emergencies in gynecology and obstetrics. We deal at emergencies, how they manifest, what the risk factors may be and what treatment is in pre-hospital emergency care. In gynecological emergencies we discuss emergencies such as ectopic pregnancy, adnexal torsion, ovarian cyst rupture, endometriosis, ovarian hyperstimulation syndrome, pelvic inflammatory disease and pathological gynecological bleeding. In obstetrics we describe hypertensive conditions in pregnancy, preeclampsia, eclampsia, HELLP syndrome, abortive birth, breech birth, umbilical cord prolapse, placental abruption, placenta previa, amniotic fluid embolism, postpartum hemorrhage and cardiopulmonary resuscitation of pregnant women. In the practical part, we present information collected from interviews with paramedics. The information collected was analysed and divided into 11 categories. The goal of thesis was - 1. To map individual emergencies in gynecology and obstetrics. 2. To map the procedures of paramedics in gynecology and obstetrics emergencies. We believe that we have succeeded in meeting our goals. The results of the research can be used to create recommended procedures in gynecological and obstetrics emergencies.
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The spectrum of surgical procedures in the conditions of pre-hospital emergency care
MONDEK, Jan
The bachelor's thesis is focused on surgical procedures in pre-hospital emergency care within solving reversible causes. The bachelor's thesis consists of a theoretical and research part. At the beginning of theoretical part, I deal with surgical procedures that belong to the environment of pre-hospital emergency care and describe their division, indications, risks and practical procedure for their application. I also describe traumatic circulatory arrest and extended cardiopulmonary resuscitation. In other chapters of the work, I deal with patient monitoring and examination, which is important for revealing reversible causes. I discuss the need for analgesia in pre-hospital care, and the last chapter focuses on the importance of maintaining an aseptic environment and risk sepsis. The research part covers qualitative research in the form of a semi-structured interview, while the research team consisted of 9 paramedics from the South Bohemian Region. The aim of the research was to map the indication and risks of surgical procedures in the conditions of pre-hospital emergency care. Another aim was to find out what awareness and experience the paramedics of the South Bohemian Region have in this issue. All research questions were answered and the aims of the thesis were fulfilled. The research found that the experience and knowledge of the paramedics at the various sites are very similar, the paramedics are sufficiently familiar with the issue, while the station in Jindřichův Hradec is objectively slightly better. This work could be used as study material in the education of paramedic students or for the self-education of paramedics.
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Paramedics Point of View on Pharmacotherapy in Prehospital Care
VACEK, Daniel
The bachelor thesis on the topic of Pharmacotherapy in pre-hospital emergency care from the perspective of a paramedic is divided into a theoretical part and a practical part. The theoretical part deals with the competencies of paramedics, individual drug groups that are used in pre-hospital emergency care and are part of emergency medical service vehicles. Three goals were set for the bachelor thesis. The first goal was to map the paramedic´s knowledge of pharmacotherapy. The second goal was to map the knowledge and procedure of paramedics about the possibilities of pharmacotherapy administration without the indication of an emergency medical service doctor. The third goal was to map the knowledge and procedure of paramedics about the possibilities of pharmacotherapy administration based on the indication of an emergency medical service physician. A qualitative research survey using the technique of semi-structured interview was carried out. Interviews were conducted with 14 paramedics of the South Bohemian Region Emergency Medical Service from the regional centres of Prachatice, Strakonice, Tábor, Písek, Český Krumlov, České Budějovice and Jindřichův Hradec. The results of the work say that the interviewed paramedics have enough knowledge in the issue of pharmacotherapy in pre-hospital emergency care, in which they are well oriented, both in drug groups and in indications and dosage. Paramedics know their competences, but they sometimes consciously exceed them.
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Management of life-threating bleeding in pre-hospital emergency care
PFEFFER, František
The topic of this bachelor thesis is ´Management of Life-Threatening Bleeding in Pre-hospital Emergency Care´. It consists of two parts - a theoretical one and a practical one. The objective of the first part is to introduce the readers to the issue of life-threatening bleeding and to define a certain theoretical frame needed for the purposes of understanding this topic. First, information about the anatomy of cardiovascular system is presented, such as what blood is and how it is disseminated throughout the body. Subsequently, the term of bleeding is explained, what the reasons for its occurrence are, its results and how a human body reacts to reverse this pathological situation. Last but not least, the definition of a life-threatening bleeding is stated as well as the current recommended procedures, non-pharmacological and pharmacological means that are being used in pre-hospital emergency care at the occurrence of this serious condition. The practical part contains information acquired via semi-structured interviews with 6 emergency medical workers. These were first analysed and subsequently divided into 11 categories with the purpose of - 1. To discover what diagnostic-therapeutic options and knowledge paramedics working at the ground and air rescue service in the regions of South Bohemia and Plzeň possess. 2. To compare the acquired information among the regions stated above. We believe that the set objectives have successfully been fulfilled and thus it is possible to get an insight into the current procedures that emergency medical workers apply daily in pre-hospital emergency care, encountering a patient suffering from a life-threatening bleeding.
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Palliative care in pre-hospital emergency care
DOBOŠ, Štěpán
This bachelor thesis is concerned with the topic of palliative care in the context of paramedic services. The basic feature of palliative care is the amelioration of care for patients whose curative treatment has been replaced by palliative treatment. The topic is actual because today paramedics visit palliative patients more often. The main goal of the thesis is to learn how paramedics discern the needs of palliative patients. In the thesis, paramedics' knowledge about possibilities of delivering palliative care is researched, as well as their psychical readiness for visits of palliative patients. Research questions are: "What needs of palliative patients employees of paramedic services discern?", "What possibilities of delivering palliative care these employees know?", "How do employees of paramedic services feel about their psychical readiness for visits of palliative patients?" The thesis contains theoretical and empirical parts. The theoretical one defines palliative care and differentiate among palliative patients' needs, and among kinds of delivering palliative care. It analyses possibilities of palliative care delivering in the South Bohemian Region and questions of the confrontation of paramedic services with palliative medicine. The empirical part provides a qualitive research analysis that uses semi-structured interviews with chosen paramedics. Answers to the research questions result from experience of paramedics with the chosen topic and reflect their views on it. Palliative care is perceived as a difficult subject by them that better needs to be dealt with. In light of the confrontation with scholarly literature about the phenomenon of palliative care, chosen paramedics have good knowledge of possibilities of delivering palliative care, as well as of palliative patients' needs. In addition, they declare that they are psychically ready for visits of these patients, yet some more demanding visits happen in the case of infant and younger patients.
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Pre-hospital care for drowning people
HLADKÁ, Marcela
The theme of bachelor´s thesis was Drowning in pre-hospital emergency care. There were set three goals that mapped paramedic´s procedure when they provide pre-hospital emergency care for drowning adult person. Further the prcedure of paramedics in providing pre-hospital emergency care for drowning child. Available rescue aids used in providing pre-hospital emergency care for drowning persons. There was also set three research questions which were answered during the research investigation. The teoretical part of the bachelor´s thesis was dedicated to pre-hospital emergency care, The Water Rescue Service and The Medical Rescue Service. The thesis further describes the definiton of drowning, getting drowned, first aid for drowning, basic emergency first aid and extended emergency resuscitation. Practical part was made by qualitative method using semi-structured interview technique, which contained 21 questions. The research group was made by 6 members of the Water Rescue Service of the South Bohemian Region and 14 paramedics from individual regional centres of the South Bohemian Region Medical Rescue Service. The results of the research was divided into 9 categories for clarity and processed into tables. The research showed, that members of the Water Rescuse Service and paramedics have sufficient theoretical knowledge as well as work experience in providing pre-hospital emergency care for drowning adult person. However, in the provision of pre-hospital emergency care for a drowning child, the members of the Water Rescue Service didn´t prove sufficient work experience. The interviews showed that members of the Water Rescue Service and paramedics are well equipped by rescue equipment for rescuing drowning person.
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Control of medical devices and material equipment in rescue service car and preparation for rescue operation. Manual for a paramedics.
PROCHÁZKA, Jakub
This bachelor thesis deals with the inspection of medical devices and material equipment in a rescue service car. Inspection is one of the work duties that a paramedic must complete during the work shift. An insufficient inspection might lead to the failure of medical devices or the lack of material equipment necessary during the shift. Due to the increasing number of rescue trips, it may sometimes be difficult to do the inspection between each trip. In the theoretical part I outlined the legislation pertaining rescue services, the requirements for the equipment of the cars, dividing the rescue trip groups. I also described the devices and materials that the paramedics use. The goal of this thesis was to record the duration, process and competence during the inspection of medical devices and material equipment. I also focused on the most hazardous instances in the event of an insufficient inspection. The practical part was done using the semi-structured interview method with nine paramedics. The results state that in most cases paramedics have enough time to do the inspection of devices and equipment during the shift, even if the inspection is slow. However, due to the nature of this profession, the time of the inspection, as well as its duration, cannot be planned ahead. The best conclusion would be to shorten the time needed for the inspection to a minimum while having the highest possible quality of the inspection. I also found out that paramedics do different kinds of inspections, which they do on their own and are responsible for. The last part of the research has showed that paramedics consider the failure of medical devices as the most dangerous. Given the minimal instances of a device failure during a rescue trip, I believe that paramedics give the most importance to this part of the inspection.
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Problems of Physical Load of Paramedic By Medical Devices and Equipment
PARÁČEK, Martin
The bachelor thesis deals with emergency medical service vehicle equipment and devices that are mandatory, each vehicle must meet certain conditions in accordance with legislation. The reader will be introduced to the differences between the individual EMS vehicle types and their equipment. There is legislation setting out conditions for working with excessive burdens and their limit values, which are often exceeded when it comes to paramedic practice. The paper also mentions the parameters of selected essential technical elements of EMS vehicle equipment. The aim of the bachelor thesis was to map an overview of the actual weights of equipment and devices and compare it with requirements for the equipment of emergency medical service vehicles. The goal was also to find out how paramedics perceive thy physical load of the equipment, and thus create a basis for potential innovative procedure related to EMS vehicle equipment. The research part was developer by measuring the weights of medical devices and equipment. The data collection was subsequently amended with the results of a questionnaire, which had been answered by fourteen paramedics. Prior to the research, three research questions were defined, concerning the weight of equipment, subsequent comparison with health and safety regulations, and finally the opinion of the paramedics themselves concerning this issue. The objective of creating an overview of the weights of individual medical equipment and devices, that are commonly used in the field during emergency medical service interventions and the objective of detecting the opinion of paramedics on the given topic were both met. In addition, the real equipment weight load was compared with health and safety regulations. The objective of creating a basis for potential innovative procedures has been fulfilled.
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Paramedic in Czech Republic and Latvia
RIDVALOVÁ, Nicole
The subject of my bachelor thesis is to compare the conditions of Paramedic´s work in the Czech Republic and in the Republic of Latvia. The main goal is to examine the differences in the emergence of the paramedic position, also the competencies of paramedics in both countries and the organization of cooperation with other rescue services. In the theoretical part I deal with the examination of pre-hospital emergency care systems and it´s structures along with professional and legal aspects of paramedic education in these countries. This theses dedicates special atenttion to examining historical aspects of the development of both republics and its similarities and differences regarding health care systems, rescue systems and the conditions these systems have on its workers. Another key point this theses is focused on is the education level of paramedics which creates the base for the differences in competencies. In the practical part the Bachelor thesis examines the current knowledge of rescue systems, which has a significant influence on the security and work conditions ot the Czech and Latvian medical rescuers. This is mainly a comparison of the geographical and social influences, organisational and regulatory factors, the conditions of operating security for the two health emergency services. In addition, an assessment is made of the approaches and differences in the practical application of the integrated rescue system standards In line with established research issues, this thesis focuses mainly on the comparasion of competencies of medical rescuers and the way in which pre-hospital care is provided in the Czech Republic and in Latvia, which will be carried out by an analysis of the interviews, decisive legal norms, regulations, analytical and methodological documents in the field of health care and medical rescue services in both Republics. The results of the examination shall be supported by the personal knowledge of the processor obtained during the course of the study practice at the Riga Medical Emergency Service during the February-April 2022 period. This work points out, by comparing the practice in the Czech Republic and the Republic of Latvia, the possibilities of enriching the process of training future medical rescues by the wider introduction of practical teaching throughout the course of higher education. The results of the work can be used for presentation at conferences, and to familiarize executives and trainers with the views of health rescuers
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The preparedness of paramedics for practising their profession.
MAREŠOVÁ, Andrea
This bachelor's thesis has title "Preparedness of an paramedic for practising their profession". It include theoretical part and practical part. In the theoretical part is explained personality and character of paramedic. There are also law definidions that the paramedic should follow and his competences. The profession of paramedic is very stressful, therefore, thesis includes also chapter about psychology of paramedics and burnout syndrome. In the next chapter there are study programs for high school graduates, where is possible to study the field of paramedic at universities and employment opportunities for students after graduation. Next, we examined the themes of the adaptation process in the new job. The partical part of the bachelor's thesis is focused on students of the first to third year in the field of paramedic. Purpose of the bachelor's thesis is to map the knowledges of students in the field off paramedic about their future profession. A quantitative survey was made using a website questionnaire and a link was sent into three univerities in Czech Republic - University of South Bohemia in České Budějovice, University of Defence in Brno and the University of West Bohemia in Pilsen. The results from the questionnaires were statistically processed using the homogeneity test into contingency tables and described in the discussion.
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