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A case report of physiotherapeutic care of a polytrauma patient
Rozínková, Lenka ; Martínek, Milan (advisor) ; Valentová, Zuzana (referee)
Title: A case report of physiotherapeutic care of a polytrauma patient Objectives: The main aim of this bachelor thesis is to develop a case report of a patient after polytrauma during continuous professional practice in ON Kladno, to summarize the theoretical knowledge in relation to the patient's diagnosis and the use of specific physiotherapeutic procedures. Methods: The thesis is divided into theoretical part and case study. The general part contains theoretical knowledge about polytrauma, anatomy and biomechanics of the knee joint obtained by the method of research. Furthermore, the types of fractures and their classification, bone healing, osteosynthesis and the procedure of subsequent rehabilitation of the patient after osteosynthesis are described. A special section is devoted to the complete case report of the patient, including the initial kinesiological analysis, the daily record of therapeutic units and the output kinesiological analysis. The final section then discusses the effect of therapy. Keywords: polytrauma, pneumothorax, knee joint, fractures, proximal tibia, osteosynthesis, rehabilitation
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Intraoseal approach - an alternative to peripheral venous entry
TUROŇ, Jiří
The intraoseal approach is an alternative method how to ensure bloodstream in cases when it is difficult or impossible to use venous entry. It is used mostly in children, but it is possible to apply it to adults too. This bachelor?s thesis called ?Intraoseal approach - an alternative to peripheral venous entry? deals with theory of using intraoseal approach in conditions of pre-hospital urgent care. The practical part of this thesis surveys the frequency of using intraoseal implant and screens the knowledge of rescuers working in Salvage and rescue service of Moravian-Silesian district. The method of quantitative research was used to validate the hypothesis. Obtained data were collected by method of anonymous questionaires. These questionaires were distributed to Salvage and rescue service of Moravian-Silesian district, to resorts of Ostrava, Opava, Havířov, Karviná, Krnov, Třinec and Frýdek ? Místek in the concrete. The results of this work showed practical and theoretical knowledge of paramedics of Moravian-Silesian district. Their orientation in the problematics of using alternative venous entry in conditions of pre-hospital urgent care is mostly correct even if there was few wrong answers. Nevertheless the results of research were excellent. These are hypotheses defined ? H1: Paramedics know the process of using intraoseal approach, and H2: The intraoseal approach is used less than venous cannulation in life endangering cases. Both of these hypotheses were verified. The frequency of using this entry is not so high, but I believe it becomes more common with increasing knowledge of rescuers, especially in cases of immediate threat of life with impossibility of using peripheral venous entry.
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