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Chest injuries in prehospital emergency care
SOUČEK, Jan
Chest injuries are one of the very common injuries that often endanger the patient's life. Therefore, it is important to quickly determine the severity of the injury, to define further procedures, such as medication, and to ensure the most careful and fastest transport to the hospital. It is therefore important that health rescuers have the best knowledge, practical skills and awareness of possible complications, which can significantly influence the course of the injury and the state of health of the patient. Aim of this bachelor´s thesis is to map knowledge of paramedics about chest injuries in Pre-hospital Emergency Medicine (PHME) and compare rescuer´s procedures in care of patients with chest injury. Research questions are following: How different is the knowledge of medical procedures for chest injuries? What is the difference in medical procedures in chest injuries? Empirical part of the thesis is based on the qualitative survey. Semi-structured interviews with opened questions were arranged with paramedics of region Vysočina and South Bohemia. Based on the results of this work, it can be said that health rescuers have good knowledge in their field. Moderate shortcomings include uncertainty in competencies, and slight deficiencies in theoretical knowledge and awareness of the possibilities of using aids in the Ambulance car. These deficiencies may be a reflection of unified equipment, the different competencies of rescuers, and the possibilities and responsibilities to further educate and improve on the topic.
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Management of patient with critical thorax injury in prehospital care.
HARUDA, Stanislav
This bachelor thesis is mainly focused on critikal thorax injury in prehospital care. This thesis had two goals. First was theoreticly described critical thorax injury and the second goal was compare five cases from praxis with the theoretical part of this work. On the beginig of this work was discribed anatomy of thorax and phyziology of respiratory system. Next is discribed an introduction to critacal thorax injury, how they usually arise and how to provide a better prognosis for the patient. In the next chapter we are dealing with primary and secondary survay as well as the basic device examination of the patient. The following chapter is the critical chest injury itself, which is presented according to scholarly sources as life-threatening chest injury. This chapter describe symptoms, their pathophysiology and the appropriate therapy. This chapter includes these serious injuries: tension pneumothorax, massive hemotorax, open pneumothorax, flail chest with pulmonary contusion and cardiac tamponade. In other chapter are mentioned life saving skills including: needle thoracentesis, chest tube insertion and pericardiocentesis. There is also brief talk about analgesia, and the last chapter of the theoretical section is about immediate transport. In the empirical part, was used a qualitative analysis in five cases from praxis. These analysed cases were classified into categories, and then in the discussion were compared with the theoretical part of the thesis. The result of this work is that there is a correct final solution to all five critical chest injuries in pre-hospital care, but in some cases we experience incomplete examinations and there are certain differences in the treatment of these critical injuries than the scholarly sources mentioned.
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