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An over view of recommendations for an urgent resuscitation and their application in the field
STEHLÍK, Oldřich
The topic of this bachelor thesis are guidelines for resuscitation in field. The entire text is structured into two parts theoretical and empirical one. The emphasis is put mainly on the empirical part and related research. Theoretical part provides definition of resuscitation and specifies its roles and objectives. It includes the possible causes of cardiac arrest, the principles of initiating and ending resuscitation and presentation of factors increasing the probability of cardiac arrest recovery. The emphasis is given on the description of guidelines for basic and advanced life support of adults and children, which is based on "Guidelines for resuscitation 2015" published by European resuscitation council. Theoretical part is concluded with providing the description of resuscitation in specific setting (also known as in field). Empirical part consists of research which was conducted among EMS paramedics and laymen. The data were collected by quantitative research (method of anonymous questionnaires) were processed with the use of statistics and consequently evaluated. We have established two research aims. First aim of the thesis was to look into laymen knowledge of guidelines for resuscitation, second aim is to examine paramedics' knowledge of the specifics of resuscitation in the field. There were set up two groups of respondents, the laymen and the paramedics. We have created a questionnaire for each group. Collected data were presented in tables, statistically processed, evaluated and summarized. Even though, the laymen went through training in resuscitation, their knowledge of the resuscitation procedures were very poor. Most of them did not know when to initiate and stop cardiopulmonary resuscitation. They did not know how to resuscitate, neither. The respondents did not realize the differences between cardiopulmonary resuscitation of adults and of children. The problem of the first magnitude was that they did not know the right compressions/breaths ratio for cardiopulmonary resuscitation of adults. The correctness rate of laymen's answers reached only 43%. We have anticipated, that the knowledge of paramedics of cardiopulmonary resuscitation in pre-hospital care will be flawless. In other words, that the correctness rate of their answers will meet 100%. However, the presumption was too ambitious. The conducted research has shown that the paramedics' knowledge of cardiopulmonary resuscitation in the field is very good, but not perfect. The correctness rate of paramedics' answers reached only 83%. The question, which was focusing on the maximum length of time during which it is possible to suspend cardiopulmonary resuscitation, has appeared to be the most problematic one. It is possible to observe paradox situation in the case of question focusing on differences between cardiopulmonary resuscitation of adults and children, because the correctness rate of paramedics' answers was very low (65%). However, the correctness rate was much higher in the case of questions which were focusing on cardiopulmonary resuscitation of children and adults in detail. In conclusion, considering the laymen's poor knowledge of cardiopulmonary resuscitation it is advisable to reconsider the way of raising public awareness as well as to think of other possible ways and forms of training in cardiopulmonary resuscitation. The research has shown the imperfection of paramedics' knowledge of cardiopulmonary resuscitation in the pre-hospital care. Therefore, it would be highly beneficial to look into its possible reasons. The questions, which have arisen from the research of paramedics' knowledge of cardiopulmonary resuscitation in the field, unfortunately could not be answered within this thesis, therefore it would be suitable to deal with them in upcoming research.
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