|
|
The analysis of the selected health hazards of population within defined special extraordinary event on the village with extended area of involvement and analysis of readiness and preparation of elementary subunits of IZS including healthcare in terms of reducing the impact on larger scale.
POJETA, Antonín
Risk analysis is a very important keystone for preparation of the rescue system during a disastrous situation. It defines risks which are needed for the rescue system in given timeline. It also provides basic data regarding necessary preparation of rescue forces and resources within the defined area. Of course it is not the most perfect instrument for crisis set-up as it cannot, on the whole, express the risks and threats while talking about recent phenomenon such as terrorism etc. In these cases risk analysis can only come out from scenarios and geopolitical situations or experiences from previous disasters that the world has already experienced. Risk analysis answers questions such as - what can happen, how it will happen, where this could happen, how many people can be in danger or affected. The result is a model system of an operation during this nonstandard disastrous situation for the whole system which is ready to help the people in danger. The theoretical part of the diploma thesis describes characteristic of the area, where the risk analysis was made for Integrated Rescue System set-up, risks according to specific industrial activities and public health risks. The following chapters are dedicated to specific basic and other elements of the Integrated Rescue System, the basic elements are stated in further details. The most detailed part is the paramedics, because the risk analysis focuses primarily on their activities within the framework of incidents affecting public health. Within this topic the legislative basis is written in detail, in the meaning of Type Activities, levels of alarms, trauma plans, activation of forces and resources of Integrated Rescue System in case of public health affection report and other law-based keystones for the operation of basic elements, laws, regulations, statutory rules, declaratory regulations and other documents, complemented by Crisis Management problems. The operation of Fire Fighter Department, Police of the Czech Republic and other elements of the Integrated Rescue System is also stated up according to the thesis topic including a chapter about a co-operation of all above mentioned elements in a place of mass people endangerment. Health Care Crisis Management chapter closes the theoretical part of the thesis, and it is an integral part of managing disastrous situations in order to maintain the standard care administration even outside the area of disastrous incidents. The trauma plan of Paramedic provider and in-patient or day-care providers is being studied trough in detail right in this chapter. Summarized data within the health care securement in municipalities with extended effectiveness including the surrounded medical facilities can be found in the practical part of this thesis. According to data collection the summary of the most critical events the Paramedics had to deal with in Kralupy nad Vltavou selected municipalities with extended effectiveness in the last fifteen years. Ten years ago the methodical Integrated Rescue System training with focus on operational cooperation was carried out as a terroristic attack in Kralupy nad Vltavou. The results of this training came out as comments with actual risks and threats in the chapter called "Results". The core of the practical part is Medical Risk Analysis according to FMEA risk analysis compared with risk analysis from municipality with extended effectiveness listed in the Emergency plan of Central Bohemia Region. Based on the research forces and resources of basic integrated rescue system components are mentioned, which were the first to be sent to solve a disastrous situation including medical equipment. In conclusion of the practical part risk modelling with situation review is mentioned.
|
|
|
Comunnication between paramedics and aggressive patients in prehospital care.
ČÁP, Jakub
The thesis is entitled: Communications between paramedics and aggressive patients in prehospital care. The theoretical part thoroughly deals with the characteristics of a paramedic and patient as well as elaborating a definition of communication with subsequent divisions into communication structures, functions and forms. The topic is further developer and the issue of communication between aggresive patients and paramedics is introduced is the theoretical part. Subsequently, this chapter describes aggresion, its types, causes and solutions on the part of paramedics. Two objetives are defined in the theoretical part. The first objective maps out the procedures paramedics use when handling and aggressive patient before hospital admission. The second objective reveals the problems paramedics encounter when communicating with an aggressive patient. Three research questions were established to the above objetives: 1. Which method do paramedics use when dealing with an aggressive patient during their first contact at the scene of incident? 2. What communication techniques are used by paramedics when communicating with an aggressive patient? 3. Which problems do paramedics encounter in communicating with an aggressive patient? A qualitative research approach was used when elaborating the research part. Data was gathered in the formo of semi-structured interviews conducted using 14 questions. The target group consisted of 10 paramedics from South Bohemia. The results revealed that the paramedics are partly aware of the processes they can use when communicating with an aggressive patient. In terms of the communication issues the respondents agreed on the fact that their most common mistake consists in their failure to control their own emotions, and losing their temper when verbally attacked by the patients. The results of this thesis could help to increase or supplement paramedics´ awareness of the options for best practice when communicating or handling aggressive patients. Furthermore, the thesis could be used as source material for lectures on issues related to communication between paramedics and a patient.
|
|
|
Emotional Intelligence and Coping Strategies for Paramedics
Sarisová, Kristina ; Niederlová, Markéta (advisor) ; Hrachovinová, Tamara (referee)
The thesis deals with emotional intelligence and coping strategies for paramedics. The theoretical part provides information on the emotional intelligence of its models and measurement capabilities. It is then discussed strategies of coping with stress on its historical and theoretical approaches and the types of strategies and also about the methods by which we discover the use of a specific coping style. It is also described the characteristics of paramedic profession, qualification requirements for the exercise of the profession, as well as competence and personal characteristics of rescuers. The aim of the empirical part is quantitatively map a degree of emotional intelligence of paramedics, preference coping styles in this population and mutual respect between the two variables.
|
|
|
Nursing staff in relation to professional supervision of Emergency medical services of South Bohemian region.
SPÁČILIK, Martina
This thesis deals with the differences in the supervision provided for Emergency medical Services in the South Bohemian Region. For the purposes of a research this thesis is closely focused only on Emergency Medical Services in Czech Budejovice, Pisek, Czech Krumlov and Milevsko. It is designed primarily as a reminder of the wide diversity of different approaches to professional supervision and as an effort to stop the deepening of this diversity, not only in the South Bohemian Region. The theoretical part is divided into two main sections. The first one pays attention to the importance of professional supervision and the reasons why it is such an important part of the paramedic profession. The second part deals mainly with the possibilities and innovations that are possible within the professional supervision and which are already carried out in some places, especially abroad. The practical part is made on the basis of qualitative research using the technique of semi-structured interviews. This part is completed by a short knowledge test. The sample of respondents includes paramedics from Emergency Medical Service in Czech Budejovice, Pisek, Czech Krumlov and Milevsko. At each workplace respondents were chosen among both men and women all regardless of age or achieved education. The answers of the fresh graduates were the most interesting because they have got the most topical experiences with the professional supervision. The results of the research showed that all respondents evaluate the provision of professional supervision to be helpful in the course of obtaining assurance to practise the activities which are paramedic´s competences, both in activities that are performed with indications of a doctor and in those that can be performed without indications of a doctor. Despite the obvious benefits of performing of professional supervision the members of the Emergency Medical Services in the South Bohemian Region do not have sufficient theoretical knowledge about professional supervision. Most respondents associate professional supervision simply with supervision and training that they were or have been provided for a period of their starting practice. It was evaluated also on the basis of the research that professional supervision is performed differently in the context of Emergency Medical Services in the South Bohemian Region. The respondents classified the application of professional supervision as absolutely insufficient at some ambulance stations on the contrary to ambulance stations whose provided professional supervision is evaluated very positively. In conclusion it must be noted that professional supervision is a very important part of professional life of paramedics and nurses working in emergency medical services therefore we should pay an appropriate attention to this subject.
|
|
|
An algorithm of care about drowning people from the perspective of paramedics
BAKULE, Petr
This bachelor thesis which is titled An algorithm of care about drowning people from the perspective of paramedics deals with the procedure in prehospital emergency care about drowning people. The procedure of rescue is meant here as an initial technical rescue of a drowning person from the water and then follow-up medical care. At the beginning of the theoretical part there is the definition of drowning and the division of drowning and getting drowned. After that there is the slightly detailed description of the pathophysiology of drowning where the processes that occur in drowning are mapped. There is also mentioned the statistics of drowning and prevention of drowning. Furthermore the material and technical equipment for the rescue of a drowning with water rescue and emergency medical services are processed. This chapter outlines the basic utilities for needs of drowning person of water rescue and emergency medical services. The described equipment is briefly defined and there are highlighted some benefits of life-saving utilities. The last part of the theoretical work is in details. I dealt there with the algorithm of care about drowning people and there is properly shown the exact procedure of rescue of drowning person from the first noticing to the post-resuscitation treatment. The aim of this bachelor thesis was to map the process of pre-hospital care of emergency medical services and water rescue from drowning and map material and technical equipment of water rescue and emergency medical services. In the research part of the thesis was used qualitative method of interviewing with prepared questions. Interviews were given by respondents from the Czech Red Cross Water Rescue Service and Emergency Medical Services from the South Bohemia. Questions were especially about the procedure of rescue of drowning person and about the equipment for rescue from drowning. Both the above-mentioned objectives of the work were done. The result is the exact procedure of pre-hospital emergency care from drowning with water rescue and emergency medical services. Then I maped material and technical equipment of water rescue and emergency medical services for needs of drowning person. This work includes two different views on the process of pre-hospital emergency care in the condition of drowning. It turned out that both rescue IRS coincides in certain procedures or in usable equipment. There were also distinct variances in procedure of rescue and the usage for the rescue of drowning people. The interviews also created recommendations for extension of the material and technical equipment for the rescue of drowning person.
|
|
|
Approach of rescuer to craniocerebral injury
SCHWARTZ, Ondřej
In the theoretical part of my bachelor thesis I address the injury of neurokrania, anatomy, diagnosis, classification and possible complications of injuries, mainly in relation to paramedics and prehospital care. Marginally I also address paramedics themselves, particularly their responsibilities and competencies. In the practical part of my thesis I work with the results of my research for which the quantitave method was mainly used. Especially with the results of my questionnaire, which was directed to paramedics, students and other workers who are affected by the issue. The hypothesis was set: "A paramedic does not have sufficient knowledge and skills in an approach to craniocerebral injury." The research showed that respondents have knowledge, but not at a satisfactory level. And that they would appreciate the opportunity to extend or complement their knowledge, not only for themselves. The hypothesis was largely confirmed. This is why I decided, based on previously known information that I received while writing my thesis, to prepare a summary of information - an algorithm, that will serve those interested in the issue to expand and complement the information obtained so far.
|
guest ::
