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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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