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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.
Multidisciplinary Cooperation and the Role of a Nurse in Patient Care Affected by Blast Syndrome
KOPULETÁ, Martina
Blast injury is a very serious lesion caused by the shock wave resulting from an explosion. Further secondary injuries can arise from burying under debris, pieces of shards from the explosive cover, at burning, poisonous gases created by chemical reactions during detonation. The injuries often happen to be fatal and the percentage of people who survive it depends on the fact how far from the epicentre they were situated. If the individual is very close, there is almost no chance to survive, if, however, the individual is situated further from the epicentre, a few tens of meters, the chance is higher. It is so called mass disaster, which includes more injured people at an explosion. Therefore it is necessary for nurses and the hospital staff to know what the procedures are at this incident and how to take medical and nursing care of higher number of such patients suffering from blast injury. The care itself is extremely demanding, since the injured are often in critical condition. The aim of this diploma thesis, the topic of which is multidisciplinary cooperation and the role of a nurse when taking care of the patients suffering from blast injury, was to find out the information based on the latest Czech and foreign literature and create a compact overview of the knowledge of this issue, for it is necessary to have this knowledge to carry out nursing care of such patients. The second aim of this diploma thesis was to map the role of a nurse in details when taking care of a patient suffering from blast injury. This aim was stated for the reason of the demanding character and complexity of nursing care at urgent reception and anaesthesiology and resuscitation unit because the nurses at these units are placed demands on high qualification and requirements. This diploma thesis was purely elaborated as theoretical thesis based on Czech and foreign sources. The given pieces of information were obtained from a great deal of professional and scientific publications, monographs, professional journals and internet sources for each chapter. The first part of the thesis was dedicated to the description of the given issue, pre-hospital care and classifying algorithms that are used at mass health losses in such way so that the injured people have a higher chance to survive. The crisis management at hospitals, the reception of the injured, the care at the urgent unit and finally the follow-up care at the anaesthesiology and resuscitation unit are worked out in the following part. Thereafter the theoretical part focuses on nursing care at the critical care department where the nursing care of a patient suffering from blast injury is described as well as the duties of a nurse. The needed competences of a nurse working at the urgent unit, anaesthesiology and resuscitation unit are also defined in this chapter. According to the valid Czech legislation, only specially trained nurses for intensive care should take care of the patients with blast injury because the extent of their competence for intensive care is many times higher than general nurses have. The last chapter deals with team and multidisciplinary cooperation among the doctors and hospital staff as well as the cooperation concerning the pre-hospital care of the emergency services at emergency incident, for their active and quality communication are the keys for good and well done work with the least consequences.

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