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Motivation and perception of the paramedic profession
VACEK, Matěj
In my bachelor thesis I examine the motivations of paramedics and their perception of the profession itself. The introductory theoretical part introduces the basic principles of pre-hospital emergency care and the personality traits often present in these professionals. Furthermore, the historical development of the ambulance service is explored, which influences shape of the proffesion. The subsequent section analyzes the qualification education required to work in this field and the legislation regarding the competencies of paramedics. The second part of the thesis is devoted to motivation, where the characteristics, type and division of motivation, well as the factors of motivation and demotivativation in general are discussed in more detail. Special attention is given to the motivation of emergency medical technicians, including an analysis of motivating and demotivating factors specific to this profession. The research section is based on qualitative research using semi-structured interviews,The research population is paramedics. The first objective of this thesis is to map out the motivation for working as an paramedics. The second objective is to find out the perception of the profession among paramedics. This thesis can be perceived by the management of the Medical Rescue Service as a tool to improve the motivation of its employees. The information obtained from the research can be an important factor in deciding whether prospective applicants want to study in the field of paramedics.
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Digitization of healthcare and its importance in acute care
MÁLA, Josef
The bachelor's thesis deals with the digitization of healthcare and its importance in acute care. It consists of a theoretical and a practical part. The theoretical part deals with the basic concepts and definitions of digital health care, especially electronic health documentation and digitization of emergency medical services. The practical part examines the scope, use and benefit of digitization in pre-hospital care. It also deals with the satisfaction of paramedics with digitization within the ZZS.
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Invasive meningococcal disease in prehospital care
PRÁŠILOVÁ, Tereza
The topic of this bachelor's thesis is Invasive meningococcal disease in pre-hospital care. The thesis is divided into two parts- the theoretical part and the practical part. The theoretical part focuses on the anatomy of CNS, invasive meningococcal disease itself, i.e. information about the pathogen, and clinical forms, procedure in pre-hospital care and material and technological equipment of the ambulance car. Two objectives were established for the practical part of this bachelor's thesis. The first objective was to map the provision of pre-hospital care for patients with suspected invasive meningococcal disease. The second objective was to map the material and technological equipment available for treatment of the patient with suspected invasive meningococcal disease. Qualitative data collection was used to achieve the objectives, specifically the form of semi-structured interviews. These interviews had pre-prepared sixteen open questions and in case of an inadequate response follow-up questions were asked. The interviews were conducted with paramedics of the Vysočina Region from the regional centres of Pacov, Pelhřimov and Kamenice and Lipou. Seven interviews were conducted in total. The research proved that paramedics are oriented in the given issue even tough the call-outs to those patients are not routine and they have sufficient knowledge to provide urgent pre-hospital care for a patient with suspected invasive meningococcal disease. The summarization of the outcomes, the evaluation of achieving established objectives and also my recommendations for paramedics can be found in the conclusion of the bachelor's thesis.
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Spine and spinal cord trauma in prehospital care
KRATOCHVÍLOVÁ, Karolína
The bachelor thesis is focused on Spine and Spinal Cord Trauma in prehospital care. Spine and spinal cord injuries should always be thought of if the injury was preceded by a fall from a height, a car accident or a jump into unknown water. This thesis consists of two parts. The first part, theoretical, deals with anatomy of the spinal cord and spine, etiology, pathophysiology of trauma, prehospital care, transport and immobilization devices, diagnosis of trauma, treatment and procedure of prehospital care in children. For the practical part, two objectives were set. The first aim was to map the care of the patient with suspected spinal cord injury in pre-hospital emergency care. The second objective was to map the material and technical resources of the medical rescue service in the Vysočina region available to the paramedic when treating a patient with suspected spinal cord and spinal cord trauma. The research part was conducted using a qualitative method, using a semi-structured interview. The interviews consisted of a total of twelve pre-prepared questions and were conducted with paramedics of the Vysočina Region Ambulance Service. These were from the Třebíč and Moravské Budějovice bases. The interviews were recorded on a dictaphone, then transcribed and analysed using the pencil and paper method. Four categories were then created: diagnostic, procedure, specifics and aids. The categories were then divided into sub-categories and converted into diagrams according to the responses. Eleven paramedics were randomly selected for the research and agreed to be interviewed in advance. The research investigation has shown that paramedics have gaps in some aspects. This is particularly the case for the management of suspected spinal cord injuries. Other gaps were in the transfer of the patient to the spineboard, where two informants did not know what the aid was. But the overall results were satisfactory.
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Self-defense for medical staff of the Emergency Medical Service of the South Bohemian Region
ZELENKOVÁ, Iva
The subject of the bachelor's thesis is "Self-Defense for Medical Staff of the Medical Rescue Service of the South Bohemian Region." This work explores the various possibilities of self-defense - both physical and verbal - applicable to the disabling the aggressor. The theoretical part is focused on the current state of attacking exit crews. It also includes training of medical rescueworkers, including cooperation with the Police of the Czech Republic, as well as some factors that can greatly endanger healthcare professionals in their work. In the theoretical part, both the basics of self-defense - verbal and physical are mentioned, including the procedure of simple defensive techniques, for example against kicks, grips or strangulation. If an attack cannot be nullified by self-defense, we have a number of defenses, usable against the aggressor. Such a solution to the conflict also carries many risks in the area of criminal law, which is why the last chapter of the theoretical section is devoted to legal legislation. The data to process the practical part was obtained in the form of qualitative research using a semi-structured interview method with 10 employees of the Medical Rescue Service of the South Bohemian Region. We investigated whether they had experience of verbal or physical assault, how they prepared for possible assault, and whether they had any self-defense means by which to avert imminent attack in the course of their profession. The results of the investigation indicate that cooperation with the Police of the Czech Republic and early detection of the dangerous situation of the Medical Operations Centre tend to be crucial. All 10 respondents have experienced verbal aggression, half of them have experienced physical aggression. A few respondents expressed interest in self-defense courses, and those who keep fit by moving are interested in contributing to sports activities. This work can be used as an educational material for health care professionals or as a source of information in the area of self-defense and security in the South Bohemia Region.
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Monitoring in neurointensive care
BAXA, Radim
Monitoring in neurointensive care is one of the important parts of caring for a patient in critical condition. Monitoring enables tracking of values and parameters continuously or intermittently over time. It evaluates the patient's current condition and draws attention to possible changes that may occur as a result of the development of a primary disability, and warns in time of the development of a secondary disability. Neuromonitoring is divided into invasive and non-invasive monitoring. The main goals of the presented work were to detect the knowledge of nurses and paramedics from the environment of the anesthesiology-resuscitation department in the field of neuromonitoring. To discover whether nurses and paramedics in the anesthesia-resuscitation department are familiar with neuromonitoring procedures. And the final goal was to find out whether the recommended procedures are followed in the framework of neuromonitoring in intensive care. The empirical part of the analysis was carried out through quantitative research using a non-standardized questionnaire. The research was conducted among nurses and paramedics who have experience with neuromonitoring in the anesthesia-resuscitation department. To the analysis were subjected 158 complete questionnaires. Based on the statistical analysis of the results, a connection was established between the respondents' highest level of education and the level of knowledge. A connection was also found between the respondents' length of experience and level of knowledge. On the contrary, the connection was not shown in the relationship between the age of the respondents and the level of knowledge.
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The objectivization of evaluation of the dynamics of self-defense instruments
Beránek, Václav ; Šťastný, Petr (advisor) ; Pavlů, Dagmar (referee) ; Reguli, Zdenko (referee)
Title: The objectivization of evaluation of the dynamics of self-defense instruments Introduction: Strikes by the upper limb are key tools for the self-defense system. So far, mechanical properties have not been evaluated for a wider group of strikes without protective equipment with applications in training, injury risk assessment, forensic biomechanics and medical law. Objectives: The aim of this work is to compile and objectify the evaluation of the dynamics of a wider group of strikes by the upper limb by specifying the size of the contact area and describing the damping properties of the foam of the detection apparatus. The aim is to evaluate the impact force, the probability of exceeding the bone tissue fracture threshold, the impulse, the size of the impact surfaces and the pressure for three impact techniques, both sexes and two experience levels. Methods: The work consists of three projects. Two quasi-experiments were completed by 169 probands, men and women, experience levels beginner, advanced (n = 169, height 177.8±9.0; weight 81.6±17.8; age 27.3±8.1) within one period. Probands were measured on two devices (Kistler, Podokam), where the time, impact force of the blow was recorded and three segments of the upper limb were photographed. Probands performed 3 striking techniques, a total of...
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Evaluation of ECG in prehospital care
GROSSMANN, Matyáš
This bachelor thesis deals with the issue of ECG evaluations in pre-hospital emergency care by a paramedic. The thesis is divided into two parts, theoretical and practical. The theoretical part focuses on the definition of a paramedic and his/her competencies, instrumentation, and anatomy of the cardiac conduction system. Furthermore, it describes the methods of ECG evaluations, types of arrhythmias and their treatment in pre-hospital emergency care. The major objective of the thesis was to map the ability of paramedics to interpret the waveforms of ECG recordings. The practical part of the bachelor thesis was based on a quantitative research investigation carried out in the form of non-standardized questionnaires. The research sample consisted of 51 paramedics from the Region of South Bohemia. The research took place from March to April 2023, with the participation in it being entirely voluntary. The collected data were subsequently analysed and compiled into graphs, which were completed with a commentary. The knowledge in interpretation of ECG waveforms was mapped by a series of 24 questions in which the respondents could obtain a total of 35 points. The high knowledge of the respondents is demonstrated by the fact that three quarters of the respondents achieved 80 percent or more correct answers. Two hypotheses were determined in the research part. The first hypothesis suggested that the knowledge in interpreting ECG waveforms is affected by the length of experience. The respondents working in emergency medical services for 0-3 years had the highest score (median 93%). However, the result of the Kruskal-Waliss test revealed no statistically significant difference between the four groups compared (p = 0.51). The second hypothesis assumed that the knowledge in interpreting ECG waveforms is influenced by the type of previous workplace. The respondents who had worked in the accident and emergency department before joining the emergency medical service were the most proficient in ECG assessment and interpretation (median 96%). Here again, the Kruskal-Wallis test revealed no statistically significant difference between the four groups compared (p = 0.31). The obtained results can provide useful information for the possible implementation of an educational seminar for paramedics.
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Communication of paramedic with patients with panic attack and anxiety in the prehospital care
KLEINOVÁ, Elena
Departures for anxious patients and patients having a panic attack are a relatively common case when it comes to prehospital care. Correct attitude and communication style are crucial for primary care and stabilization of such a patient. The theoretical part of this work is dedicated to the issue of states of anxiety and panic attacks, their symptoms, causes of emergence and ways of possible intervention in premedical care. It further covers communication with a patient and psychological intervention. The aim of this work was to find out about the awareness of paramedics concerning panic attacks and states of anxiety, how do they perceive those patients, how do they gain knowledge and skills in the area of communication with anxious and panic patients and how do they use these in action. Looked into were also the methods, with which paramedics achieve psychological stabilization of the patient, how do they handle such cases and how do the patients react to this. There was also an emphasis on communication and its influence on the patient. Research was done qualitatively in a form of semi-structured interviews, which were conducted with paramedics of the South Bohemia and Karlovy Vary regions. Set goals were fulfilled by the research. It has been shown that each of these case sis very individual, for this reason it was often difficult for the paramedics to form their answers to be generally valid. When it comes to knowledge and handling the situations alone, the paramedics draw on their own experiences, because their awareness in this area has shown itself to be very superficial. Despite this, their practical and communication skills are on a very good level. I firmly hope that both the theoretical and practical information contained in this work will find their use and will eventually serve the paramedics or anyone else, to whom it may be useful in any way, either to gain information or practical use. I believe, that modern technological possibilities, such as programs offering practical methods for effective providing of first psychological aid, will find their use even in the field of premedical care.
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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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