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Anylysis of technical equipment of IRS components
TARAS, Ivan
The topic of the diploma thesis is Analysis of technical equipment of IRS units. In the theoretical part of the work, readers can learn what an integrated rescue system is, its structure and its main and other components. For individual components, readers can get acquainted with their history, structure, functioning and, last but not least, with the legislative basis. One goal was chosen in the practical part. Analyzing the state of technical equipment at the main IRS units in the South Bohemian Region. A quantitative method of data collection in the form of a questionnaire survey was used to process the research set, where a questionnaire was created for each main component of the IRS separately. Some questions in the questionnaire survey were then enriched with additional information from the statements of representatives of the IRS. The research sample consisted of 90 respondents and 90 completed questionnaires. Thus, 30 completed questionnaires were collected for each IRS component. The output of the diploma thesis is an overview that shows how the SARS-CoV2 pandemic in the period from January 1st 2021 to January 1st 2022 affected the technical and personnel equipment of the Fire and Rescue Service of the Czech Republic, the Czech Police and the Medical Rescue Service in the South Bohemian Region. The work could serve as a realistic view of managing the SARS-CoV2 pandemic in that period through the "eyes" of IRS members in the South Bohemian Region.
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Management of life-threating bleeding in pre-hospital emergency care
PFEFFER, František
The topic of this bachelor thesis is ´Management of Life-Threatening Bleeding in Pre-hospital Emergency Care´. It consists of two parts - a theoretical one and a practical one. The objective of the first part is to introduce the readers to the issue of life-threatening bleeding and to define a certain theoretical frame needed for the purposes of understanding this topic. First, information about the anatomy of cardiovascular system is presented, such as what blood is and how it is disseminated throughout the body. Subsequently, the term of bleeding is explained, what the reasons for its occurrence are, its results and how a human body reacts to reverse this pathological situation. Last but not least, the definition of a life-threatening bleeding is stated as well as the current recommended procedures, non-pharmacological and pharmacological means that are being used in pre-hospital emergency care at the occurrence of this serious condition. The practical part contains information acquired via semi-structured interviews with 6 emergency medical workers. These were first analysed and subsequently divided into 11 categories with the purpose of - 1. To discover what diagnostic-therapeutic options and knowledge paramedics working at the ground and air rescue service in the regions of South Bohemia and Plzeň possess. 2. To compare the acquired information among the regions stated above. We believe that the set objectives have successfully been fulfilled and thus it is possible to get an insight into the current procedures that emergency medical workers apply daily in pre-hospital emergency care, encountering a patient suffering from a life-threatening bleeding.
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Preparedness of medical ambulances on Covid-19
KYMLA, Tomáš
The topic of the bachelor's thesis is the Preparedness of medical ambulances on Covid19. Three research objectives were set. First, to map both the initial and the current work experience of paramedics with calls throughout the Covid-19 pandemic. Second, to investigate the material preparedness of the emergency medical services for Covid-19 and third, to study the methods of health care offered by paramedics to the Covid-19 positive patients. In addition, three research questions were identified, which were answered during the research survey. The theoretical part of the bachelor's thesis examines the Emergency Medical Services, and then it focuses on infectious diseases and the process of disease spreading, followed by highly dangerous diseases that are similar to Covid-19. The work also introduces the history, diagnosis and treatment of this disease. The work does not forget the pandemic plan of the Czech Republic and the preparedness of medical ambulances for Covid-19. The practical part was carried out by using a qualitative method of semi-structured interview, which contained 27 questions. The research group was created by 10 paramedics from individual regional centers of the Emergency Medical Service of the South Bohemian Region. For the sake of clarity, the research results were divided into 8 categories and compiled into tables. The results of the research survey showed that paramedics often encountered calls to patients with Covid-19, especially at the time when the emergency service did not have a sufficient amount of personal protective equipment (which led to using uncommon protective equipment). The methods of emergency care for Covid-19 patients were also mapped and it was shown that the paramedics proceeded in the same way as to non Covid patients, with a few exceptions. With Covid-19 positive patients, paramedics emphasize increased personal protection and the usage of personal protective equipment, which is also based on saturation and temperature values. Furthermore, the work showed that the Emergency Medical Service of the South Bohemian Region is nowadays very well prepared for a possible next wave of Covid19. The objectives of the work were met and research questions were also answered.
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Education of paramedics in the field of emergencies with mass disability
KRUPOVÁ, Nikol
This bachelor thesis deals with the education of paramedics regarding to the issue of emergencies with mass disability. The theoretical part of this work focuses on basic knowledge about the medical emergency service, it contains a description of its individual workplaces such as the educational and training center and a workplace of crisis preparedness. Further on, the theoretical part deals with a description of the procedures on how the employees of the medical emergency services are prepared for an exceptional event with a mass disability of people and what their activities are in the case of such an event. The practical part of this work was realized on the basis of a qualitative research through interviews with representatives of individual medical emergency services. The interviews were carried out with the employees of the educational training center or with the workplace of crisis preparedness. Fourteen semi-ctructured interviews were done between 1st December 2021 and 1st June 2022. The aim of this bachelor's thesis is to monitor the approach of individual providers of the medical emergency services regarding to the issue of the preparation of primarily non-medical health care workers for emergencies with mass disability of people. The research part of this work reflects the level of preparation of individual providers dealing with the issue of educating and training of medical emergency service employees. The aim of this work is to submit a general overview of the method of preparation of individual medical emergency services in the Czech Republic for exceptional events with mass disability of people.
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Control of medical devices and material equipment in rescue service car and preparation for rescue operation. Manual for a paramedics.
PROCHÁZKA, Jakub
This bachelor thesis deals with the inspection of medical devices and material equipment in a rescue service car. Inspection is one of the work duties that a paramedic must complete during the work shift. An insufficient inspection might lead to the failure of medical devices or the lack of material equipment necessary during the shift. Due to the increasing number of rescue trips, it may sometimes be difficult to do the inspection between each trip. In the theoretical part I outlined the legislation pertaining rescue services, the requirements for the equipment of the cars, dividing the rescue trip groups. I also described the devices and materials that the paramedics use. The goal of this thesis was to record the duration, process and competence during the inspection of medical devices and material equipment. I also focused on the most hazardous instances in the event of an insufficient inspection. The practical part was done using the semi-structured interview method with nine paramedics. The results state that in most cases paramedics have enough time to do the inspection of devices and equipment during the shift, even if the inspection is slow. However, due to the nature of this profession, the time of the inspection, as well as its duration, cannot be planned ahead. The best conclusion would be to shorten the time needed for the inspection to a minimum while having the highest possible quality of the inspection. I also found out that paramedics do different kinds of inspections, which they do on their own and are responsible for. The last part of the research has showed that paramedics consider the failure of medical devices as the most dangerous. Given the minimal instances of a device failure during a rescue trip, I believe that paramedics give the most importance to this part of the inspection.
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Problems of Physical Load of Paramedic By Medical Devices and Equipment
PARÁČEK, Martin
The bachelor thesis deals with emergency medical service vehicle equipment and devices that are mandatory, each vehicle must meet certain conditions in accordance with legislation. The reader will be introduced to the differences between the individual EMS vehicle types and their equipment. There is legislation setting out conditions for working with excessive burdens and their limit values, which are often exceeded when it comes to paramedic practice. The paper also mentions the parameters of selected essential technical elements of EMS vehicle equipment. The aim of the bachelor thesis was to map an overview of the actual weights of equipment and devices and compare it with requirements for the equipment of emergency medical service vehicles. The goal was also to find out how paramedics perceive thy physical load of the equipment, and thus create a basis for potential innovative procedure related to EMS vehicle equipment. The research part was developer by measuring the weights of medical devices and equipment. The data collection was subsequently amended with the results of a questionnaire, which had been answered by fourteen paramedics. Prior to the research, three research questions were defined, concerning the weight of equipment, subsequent comparison with health and safety regulations, and finally the opinion of the paramedics themselves concerning this issue. The objective of creating an overview of the weights of individual medical equipment and devices, that are commonly used in the field during emergency medical service interventions and the objective of detecting the opinion of paramedics on the given topic were both met. In addition, the real equipment weight load was compared with health and safety regulations. The objective of creating a basis for potential innovative procedures has been fulfilled.
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Air Rescue in South Bohemia
KURŠ, Ondřej
This dissertation aims at the analysis of the current situation in the Air Rescue Service. The text includes the analysis and comparison of two different entities in the Air rescue service in the time period of 2018 - 2022. The current and previous provider are compared and evaluated with regard to the state of readiness and provided services with personal visit, structured interviews and survey.
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The preparedness of paramedics for practising their profession.
MAREŠOVÁ, Andrea
This bachelor's thesis has title "Preparedness of an paramedic for practising their profession". It include theoretical part and practical part. In the theoretical part is explained personality and character of paramedic. There are also law definidions that the paramedic should follow and his competences. The profession of paramedic is very stressful, therefore, thesis includes also chapter about psychology of paramedics and burnout syndrome. In the next chapter there are study programs for high school graduates, where is possible to study the field of paramedic at universities and employment opportunities for students after graduation. Next, we examined the themes of the adaptation process in the new job. The partical part of the bachelor's thesis is focused on students of the first to third year in the field of paramedic. Purpose of the bachelor's thesis is to map the knowledges of students in the field off paramedic about their future profession. A quantitative survey was made using a website questionnaire and a link was sent into three univerities in Czech Republic - University of South Bohemia in České Budějovice, University of Defence in Brno and the University of West Bohemia in Pilsen. The results from the questionnaires were statistically processed using the homogeneity test into contingency tables and described in the discussion.
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Medical documentation in pre-hospital care
SLUNEČKO, Karel
The topic of this bachelor thesis is Medical documentation in pre-hospital care. This work was divided into two parts. The first part was theoretical, the second practical research. In the theoretical part, the emergency medical service is described with its basic elements and history. Furthermore, the issue of medical documentation was described in general view with its most important aspects. In the last part, the pre-hospital medical documentation service was described by actual examples. Four goals were set in the practical part. The first was to find out the opinion of paramedics on the documentation they are filling and writing as a part of the prehospital care. The second goal was to find out the opinion of paramedics on this documentation in case of need to prove their lege artis procedure. The third goal was to find out the benefits of changes of the software that is used to manage medical documentation. The last goal was to find out how this documentation is subsequently used in the hospital after the handover. The method of qualitative research in the form of semi-structured interviews was chosen for the practical part. The research samples for the first two goals consisted of 12 paramedics, each of whom was asked 19 main questions, additional subquestions were asked in a case the interview led to them. For the third goal, the research sample consisted of 8 informants, who were asked 6 main questions, which were also developed appropriately by additional subquestions if needed. For the last goal there was research sample of 5 informants from the ranks of nurses in the hospitals. The goal of the research is to point out the most important matters of the pre-hospital documentation that is filled in by the paramedics and their opinion on the changes that were made during last year. The work can serve as a basis for possible changes in the management of medical documentation in the conditions of the emergency medical services.
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Telephone Assisted Immediate Adult Patient Resuscitation by Emergency Medical Dispatcher
BARTL, David
This bachelor's thesis deals with Telephone Assisted Immediate Adult Patient Resuscitation by Emergency Medical Dispatcher. This thesis was divided into two parts. The first part was theoretical and the second part was practical. The main focus of the theoretical part was on medical emergency service and medical operations centre. Heart anatomy and cardiac arrest are also mentioned in this thesis, as well as problematics of an urgent resuscitation, chain of survival and telephone-assisted immediate resuscitation. The second part was the research part. Two research questions and two objectives were established in this part. First objective was to map knowledge of dispatchers of a medical operations centre in telephone-assisted immediate resuscitation. Second objective was to map how dispatchers of a medical operations centre proceed in provision of telephone-assisted immediate resuscitation. Semi-structured interview method was performed in the practical part of this thesis. Sample consisted of 10 dispatchers of the Regional medical operations centre of the South Bohemian Region who were asked 27 questions. For the sake of clarity, collected data were divided into 14 categories and processed into tables. Work objectives were fulfilled and research questions were answered. Research showed that dispatchers have stronger theoretical knowledge of telephone-assisted immediate resuscitation management of an adult patient, rather than of a pediatric patient. Research also mapped out the procedure of telephone-assisted immediate resuscitation of each individual responder. Results are rather positive.
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