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Cardiac Pacing in Pre-Hospital Care
TOMANCOVÁ, Anna
The theme of this bachelor thesis is cardiostimulation in pre-hospital care. Cardiostimulation in pre-hospital care is performed only externally and temporarily. The procedure is rare and used only in patients with severe hemodynamic conditions. The very rarity of this medical procedure has given cardiostimulation a certain respect. However, this fact should not be a reason for paramedics' lack of preparedness. When using cardiostimulation, paramedics should know the medical procedure, which will depend on the pathophysiology of the particular condition. Furthermore, they should know their responsibility to assist physicians in external temporary stimulation. The purpose of this thesis is to evaluate the theoretical knowledge of paramedics in the field of cardiostimulation, their knowledge of the procedure of external temporary stimulation, and their practical experience with this procedure. Additionally evaluated was possible variability in the performance of external temporary stimulation in pre-hospital treatment conditions in the South Bohemian Region. The thesis is divided into two main parts - theoretical and empirical. The theoretical part first deals with the character of pre-hospital treatment, the role of the paramedic, and their competences. Next is mentioned the anatomy and physiology of the heart, the possibilities of monitoring cardiac functions and arrhythmia, which can be treated with cardiostimulation. This is followed by the topic of cardiostimulation itself - its types, and the procedure of external temporary stimulation in pre-hospital care using a defibrillator. The practical part categorizes and evaluates the results of qualitative research, based on interviews with paramedics from various units of the Emergency Medical Services of South Bohemian Region. The research objectives of evaluating the theoretical knowledge of cardiostimulation were achieved. The interviews identified that paramedics have a good understanding of cardiac arrhythmias and their treatment. Their knowledge of external temporary cardiostimulation shows they would be able to perform this procedure adequately. Comparing individual ambulance units in the Emergency Medical Services, no differences were found in the cardiostimulation procedure in the conditions of pre-hospital emergency care in South Bohemian Region.
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Hypothermia from the point of view of a paramedic
ŠTĚCHOVÁ, Karolina
Theme of bachelor thesis is a hypothermia from a look of the Emergency Medical Service, (paramedic). The theoretical part of this thesis focuses on the main causes of hypothermia, physiological and anatomic knowledge about a skin, diagnostic hypothermia, procedure in the pre-hospital emergency care, cardiopulmonary resuscitation in a patient with hypothermia and the subsequent intensive care. In the practical part of the thesis, we set one goal and three research questions too.This bachelor thesis maps the awareness of paramedics about the issue of hypothermia. The first research question is aimed at ensuring that the members of Emergency Medical Service (or paramedics) have a sufficient theoretical knowledge of hypothermia.The second research question is focused on the general knowledge of the Emergency Medical Service on specific cardiopulmonary resuscitation in a patient with hypothermia.The third research question examines the paramedics´ expertise in the subsequent intensive care of a patient with hypothermia. The practical part of the thesis consists of a semi-structured interview with twelve paramedics from the South Bohemian Region.The interview included 23 questions. For better orientation, were results seperated to 12 categories.The goal of the bachelor thesis was accomplished thanks to answering all questions related to the research. Paramedics Responders have some knowledge about the topic of hypothermia but it is important to provide more information about the specifics of pharmacotherapy during cardiopulmonary resuscitation on a patient with hypothermia.I rate the research questions about intensive care very positively. This bachelor thesis could be used as a basis for educating students of non-medical pharmaceutical specializations in the future.
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Medical documentation in pre-hospital care
SLUNEČKO, Karel
The topic of this bachelor thesis is Medical documentation in pre-hospital care. This work was divided into two parts. The first part was theoretical, the second practical research. In the theoretical part, the emergency medical service is described with its basic elements and history. Furthermore, the issue of medical documentation was described in general view with its most important aspects. In the last part, the pre-hospital medical documentation service was described by actual examples. Four goals were set in the practical part. The first was to find out the opinion of paramedics on the documentation they are filling and writing as a part of the prehospital care. The second goal was to find out the opinion of paramedics on this documentation in case of need to prove their lege artis procedure. The third goal was to find out the benefits of changes of the software that is used to manage medical documentation. The last goal was to find out how this documentation is subsequently used in the hospital after the handover. The method of qualitative research in the form of semi-structured interviews was chosen for the practical part. The research samples for the first two goals consisted of 12 paramedics, each of whom was asked 19 main questions, additional subquestions were asked in a case the interview led to them. For the third goal, the research sample consisted of 8 informants, who were asked 6 main questions, which were also developed appropriately by additional subquestions if needed. For the last goal there was research sample of 5 informants from the ranks of nurses in the hospitals. The goal of the research is to point out the most important matters of the pre-hospital documentation that is filled in by the paramedics and their opinion on the changes that were made during last year. The work can serve as a basis for possible changes in the management of medical documentation in the conditions of the emergency medical services.
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Prehospital treatment of patients with stroke
MACKOVÁ, Zuzana
The topic of this bachelor thesis was Prehospital treatment of patients with stroke. The theoretical part of the work dealt with the issue of stroke from the beginning of the symptoms to the diagnosis and treatment of the patient by a paramedic in prehospital emergency care. The work also includes standard conditions for the subsequent directing of the patient to a specialized medical facility and the difference between the Complex Cerebrovascular Center and the Stroke Center. In the practical part of the bachelor thesis, three goals and three research questions were set. The first goal was to map the theoretical knowledge of paramedics concerning stroke. The second goal was to map the procedure of paramedics taking treatment of a patient with a suspected stroke, and the third objective was to map the cooperation of paramedics and the Complex Cerebrovascular Center in České Budějovice. The practical part was performed using a qualitative method of semi-structured interview technique. The interview contained 22 questions. The researched group consisted of 10 paramedics from individual regional centers of the Medical Rescue Service of the South Bohemian Region. The results of the research were divided into 11 categories and processed into tables for better clarity. The results of the research succeeded in both, meeting the objectives of the work and answering the research questions. It was found that paramedics have sufficient and current theoretical knowledge in the field, and no major shortcomings were found. The cooperation of paramedics with the Complex Cerebrovascular Center in České Budějovice is also evaluated very positively. The research has shown that, to make an improvement, paramedics should be more consistent in measuring blood glucose levels, obtaining electrocardiographic recordings, and choosing the right venous cannula size.
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Care of patient with serious trauma in pre- hospital emergency care.
HAVLÍKOVÁ, Dominika
At the beginning this work is focused on the classification of injuries, scoring systems that are used in traumatology and ATLS (advanced trauma life support), which is a standardized procedure in the care of patients with trauma. Furthermore, the work deals with acute traumatic states and there are also briefly described the center for traumar and pre-hospital emergency care. The last thing that is mentioned in the theoretical part of the work is the procedure of the Emergency Medical Service at the scene of the accident. The research part contains the oucomes of interviews from ten randomly selected paramedics of the Medical Rescue Service from the South Bohemian Region and the Vysočina Region. A qualitative research strategy, a questioning method and a semi-structured interview technique were used. The interviews were held in March and April in 2021. In this part of the bachelor's thesis, three goals were set. The first goal was to find out whether there are prescribed procedures in the care of serious trauma in pre-hospital emergency care and whether the paramedics of the South Bohemian Region and the Vysočina Region know them and proceed according to them. The second goal was to map whether the procedures for caring for a patient with severe trauma are different in the regions. The last goal was to find out whether training for paramedics is taking place on the care of patients with severe trauma in pre-hospital emergency care. The results of the research show that all respondents know the prescribed procedures and, if the situation allows, they follow them. It was difficult to find out whether the procedures differed in the regions due to insufficient information. From the answers of the respondents, it can be said that the procedures in the care of severe trauma do not differ or differ only minimally. Research has also shown that everyone is trained in the care of severe trauma. This bachelor thesis could be used to provide information to proof satisfaction with the training. Furthermore, the work points to the fact that the way of transferring information and knowledge between lecturers and rescuers is effective.
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The level of theoretical knowledge of non-medical staff of the RES station in selected hospitals in the South Bohemian Region in dealing with an extraordinary emergency.
TRNĚNÝ, Šimon
An unexpected incident is not everyday issue for a Pre-hospital emergency care nether hospital emergency care operative. However in the case of its occurrence and need of solving a high number of patients it is necessary to be at least basically informed about this matter. It is important to realize that the pre-hospital emergency care, which is given to the patient at the place of accident is as important as the care given to the patient later in the hospital. In the present diploma thesis we tried to find out the theoretical knowledge of selected participants from the ranks of non-medical workers in health care. To this end, we created three goals: to evaluate the level of theoretical knowledge in dealing with emergencies with mass disabilities, evaluate the personal experience with active emergencies with mass disabilities and to evaluate the education and training of non-medical medical staff in the inpatient part of RES in selected hospitals in the South Bohemian region to deal with emergencies with mass disabilities. We used three research questions to determine these goals: What is the knowledge of non-medical staff of the inpatient part of in solving the problem of emergencies with a massive disability? How did the non-medical medical staff of the inpatient part have an extraordinary value event with a collective disability in which it was present? What is the attitude of non-medical medical staff of the inpatient part of RES in selected hospitals in the South Bohemian Region to the preparation and education in the field of dealing with emergencies with mass disabilities? The research was conducted using a qualitative method of semi-structured interview. In these interviews, we focused on the issue of emergencies with mass disabilities, the classification of patients and the link between pre-hospital emergency and emergency hospital care. From the analysis we found out that each respondent was able to give a solution of accepting patients at a hospital. From the interviews we also discovered that a great problem was reading sorting and identity cards of patients who come from the place of incident. A great part of participants had no knowledge about these generally. So exercising and education would be convenient for all participants.
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Crush syndrome from the perspective of the paramedic
TARAS, Ivan
The topic of the bachelor thesis is Crush syndrome from the perspective of the paramedic. In the theoretical part of the work, readers can learn what the crush syndrome is, when and in what situations it arises, what processes take place in the affected person's body, how it then manifests itself and what is its therapy. In the practical part, one goal was chosen. To map the level of awareness of non-medical medical staff about the issue of crush syndrome. A qualitative method of data collection in the form of semi-structured interviews was used to process the research set, where there were 7 main questions, on the basis of which the interviews were further developed. The research sample consisted of 12 respondents. 6 paramedics performing their service in pre-hospital emergency care and 6 members of nursing staff performing their profession in an acute care inpatient facility. The output of the bachelor's thesis is an overview that shows the awareness of the respondents about the issue of crush syndrome. It draws attention to minor shortcomings in both theoretical and practical knowledge of the issue. The work could serve as a basis for a better understanding of crush syndrome in the training of paramedics.
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The issue of death and dying from the perspective of the paramedic
RŮŽIČKOVÁ, Tereza
This bachelor thesis is titled The Issues of Death and Dying from the Perspective of a Paramedic. The topic of death and dying has always been a part of human life, especially in health care. The views on death and its definition have been constantly changing throughout the centuries, as there was a change in the care for the dying. Death is omnipresent and the paramedic is expected to cope with it, accept it, or else talk about it. At the same time the paramedic has to act professionally during difficult responses in the field, he or she is expected to act humane and with respect towards the patient or the grieving. The main goal of the thesis was to determine how the paramedics perceive the issue of death and dying in the conditions of pre-hospital medical care (PMC), and also to compare their experience in these conditions. Through this goal were then set down questions for this study: What are the experiences of paramedics with death and dying in the conditions of pre-hospital medical care? How do they perceive the issue of death and dying in these conditions? The thesis is divided into the theoretical and practical part. In the theoretical part is concerned with definitions of death and dying, their history and ethical level. Death and dying are then described when happening directly in the of pre-hospital medical care, their specifics, and also the position of paramedics themselves. In the more extensive, empirical part of the thesis there was employed a qualitative inquiry with the use of semi-structured interview with paramedics working at a previously chosen centre of emergency medical services. Acquired responses were analyzed by using the method of open coding and categorization. The data were interpreted by a technique of card sorting. The inquiry provided answers for both of the research questions. We compared the experiences of paramedics with the given issues and interpreted their perception of death in PMC. The results express that paramedics consider the course of dying in pre-hospital medical care more problematic than the death itself. Also, the majority of paramedics agree that the most mentally challenging are the medical responses involving children, especially their resuscitation. The results of the analysis also showed that paramedics after finishing their studies did not feel informed and educated enough in the field of death and palliative medicine. The thesis thus may serve as a supplementary educational material for students of final years of the paramedic study programme. The results may also serve as a foundation for a more profound studies or inquiries.
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Mass intoxication from the point of view of a paramedic
KREJČOVÁ, Lucie
The topic of the Bachelor thesis is:"Mass intoxication from the point of view a paramedic. The work comprises two parts: theoretical and research. In the beginning, the theoretical part describes the types of the chosen mass intoxications and their subsequent therapy. It also touches on organ systems damage due to the impact of harmful substances, general therapeutic methods and finally, there are details of sorting and transporting patients during a vast mass intoxication. Qualitative method of data collection was used for the research part. The data were gathered in the form of semi-structured interviews with paramedics from the South Bohemian Region. There was one objective set for the research part. It was to map what forms of mass intoxications paramedics meet in connection with giving pre-hospital emergency treatment. Based on this objective, two research questions were set. Research question No. 1: What mass intoxications do paramedics expect in connection with exercising their profession? Research question No. 2: How do paramedics proceed when giving pre-hospital emergency treatment in mass intoxications? Respondents answered 25 questions that were prepared in advance. The data were analysed and classified in tables. It follows from the survey research that paramedics meet mass intoxications only sporadically while exercising their profession, yet in most above-mentioned mass intoxications they are well aware of the clinical picture and the subsequent therapeutic method.
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Blast syndrome from the perspective of paramedic
JAVORSKÁ, Andrea
The topic of this bachelor thesis is: "Blast Syndrome from the Perspective of a Paramedic". The thesis consists of a theoretical and practical part. In the theoretical part of the thesis, I focus on the description of the term blast syndrome and the terms of its origin. I also describe the procedures connected to the blast syndrome in not only pre-hospital medical care but also hospital care. I believe that the first aid is equally important and therefore I mention its most crucial elements in the theoretical part of the thesis. The theoretical part also contains a description of the connection between the surroundings and the spreading of a shock wave and the impact of the shock wave on particular body organs. The goal of the bachelor thesis is to examine the knowledge of paramedics concerning blast syndrome. To achieve this goal, three research questions were set down. The research section was elaborated with the use of qualitative inquiry based on semi-structured interviews consisting of fifteen questions. The inquiry assemblage consisted of twelve paramedics. The results of the inquiry show that the paramedics have a basic knowledge of blast syndrome. The respondents were able to explain what a blast syndrome is and how it originates. They also know what injuries they may expect when responding to the patient with blast syndrome and which procedures they have to perform. The data analysis also showed an insufficient theoretical and practical training of paramedics concerning the blast syndrome provided by the employer. This bachelor thesis may serve as study material for students of the paramedic study programme; and also for paramedics already in the field, as a source of information about blast syndrome.
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