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Injuries caused by an animal in the pre-hospital emergency care and subsequent outpatient care
VOTRUBOVÁ, Kateřina
The topic of this bachelor thesis is the various types of injuries from animals in prehosptial emergency care and their subsequent treatment in outpatient clinics. The theoretical section includes the summary of possible predicaments, which various animals cause. It discusses anaphylactic reaction to insect stings and furthermore the poisoning by snake venom, which in the Czech Republic primarily concerns the common viper (otherwise known as the common adder). The next chapter deals with the illnesses caused by cats, specifically cat scratch disease (lymphadenopathy) and toxoplasmosis with acute childbirth. The acute condition caused by dog bites and rabies belong to the next section of the thesis. In the conclusion a brief summary of injuries is mentioned, which are a threat during the handling of domestic animals, where the thesis focuses on the polytraumatized patient, fractures and cranio-cerebral injuries. The practical section was carried out on two qualitative levels in the Central Bohemian Region in connection with the Region of the Capital City, Prague and the Southern Bohemian Region. The first of these was the verification of knowledge of paramedics about injuries caused by animals through a knowledge test, comprising of ten questions. These questionnaires were always filled in my presence. In total 40 knowledge tests were distributed, of which 38 were returned completed. The return rate was thus 95%. The second section determined the differences in outpatient care in the individual regions. It was carried out through managed interviews with outpatient medical doctors from the surgical and internal medicine departments, a traumatologist, general practitioner and paediatrician. In total, eight medical doctors were approached. Furthermore an identical questionnaire was given to all these medical doctors. The research was carried out from November 2013 to April 2014. The aim of this thesis is to ascertain the knowledge about these injuries of paramedics in the Central Bohemian Region in connection with Region of the Capital City, Prague and the Southern Bohemian Region and compare them. Furthermore, it intends to find the difference in outpatient care of patients in the same territorial units injured in this way. Three research questions were asked, specifically to the mid-level health services personnel, whether paramedics have the correct knowledge about this issue and whether their knowledge varied in the regions. Regarding the second aim, the question asked was whether outpatient care of injured patients varied in the relevant regions.
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