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The Use of Process Management in the Service of Rescue Services in Road Accidents
Zámečník, Ondřej ; Franěk, Ondřej (referee) ; Jurová, Marie (advisor)
This bachelor‘s thesis is concerned with applying the principles of process management in the service of emergency medical services in road accidents. In the theoretical part of the work mentioned concepts and knowledge necessary to understand the practical part where the current approach is analyzed Ambulance Service Southern Region using process diagrams. The results from the analysis the work seeks to propose a solution that would lead to the optimization of health care emergency medical services.
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Basic Aspects of Population Protection against Consequences of Chemical Terrorism in the Czech Republic
Drápal, Stanislav ; Hradil, Jaroslav (referee) ; Mika, Otakar Jiří (advisor)
The theme of my bachelor work is The basic aspect of population protection against conseqences of chemical terrorism in the Czech Republic. In my bachelor work, I drew from home and foreign sources over the past ten years. The opening part of my work deals of basic concepts relating to terrorism and its branches. It states some case studies of terrorist attacks against civil inhabitants with the aid of chemical agents. The middle part engages in a characteristic and dividing of particular chemical warfare agents and dangerous toxic chemical agents. There are stated lawful norms and measures used in the Czech Republic. Also processes of medical sectors Emergency Rescue System in provision of pre-hospital urgent care in cases of mass impairment of health. In closing I analyse preparedness of inhabitants in the Czech Republic to possibility of a chemical terrorist attack and I suggest a handbook „The danger of a chemical attack“ to civil inhabitants.
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The role of the medical operations center, a provider of emergency medical services
JIRKŮ, Tomáš
Bachelor's thesis deals with the medical operating center and its activities. A lot of people have no idea what a medical operating centre actually is. My knowledge about it was also scarce before the beginning of my studies. Therefore I would like to outline the problems, tasks and also the demanding character of the work of operators. That is why this thesis is aimed at examining the tasks of the medical operating centre. Everybody probably knows the term medical rescue service and imagines immediately a yellow vehicle with reflective strips and blue lights. Hardly anybody realizes, however, that the medical rescue service needs the medical operating centre to be functional. It may be also called a control centre. This centre is an inseparable part of the medical service and also of the integrated rescue system. Specialized medical workers, called operators or controllers, are employed here. These workers, among others, receive continuously emergency calls, evaluate them and pass them on to exit groups, and, last but not least, assist the caller with giving first aid. All these problems are the subject of the theoretical part of the thesis. Two research issues were determined for the purpose of the research part of the thesis. The first one deals with all tasks ordered by legislation being used by the operating centre and the second research issue is aimed at the problems of urgent basic life support assisted by phone, namely if this basic life support assisted by phone is utilized always when unconsciousness is indicated. These issues were dealt with by means of the qualitative research method consisting in the secondary data analysis. The research set constituted the regional operating centre of the South Moravian Region. Specifically, documentation of emergency medical services was used operator record and audio record of emergency call. This documentation is a part of each emergency call. By means of the secondary analysis the data from 20 emergency calls were obtained. Emergency calls were chosen by simple random choice. The sample of these 20 emergency calls was chosen from the period of the year 2014. Because of protection of personal data no names are given in the thesis, only the initials. For the same reason no actual addresses are used in the research. In the discussion there are given all tasks ordered by legislation and recommended procedures from professional sources. This information is subsequently compared with the obtained data. The results in the case of the first research issue indicated that some tasks ordered by legislation are not used too often. Some tasks within the framework of the small sample being examined are not used at all and, on the contrary, they are used in the receiving of each emergency call. The tasks that were not used at all were three altogether. The results in the case of the second research issue demonstrated that indication of unconsciousness is not always necessarily the reason for using urgent basic life support assisted by phone. It is important that also other aspects are taken into account, not only consciousness of the patient. Of ten emergency calls concerning unconsciousness being examined this urgent basic life support assisted by phone was used in five of them. It was found out that utilization of the medical operations center tasks is individual in each emergency call. From the point of view of the total activity of the centre it could be declared, however, that the centre uses most of the tasks ordered by legislation. This bachelor's thesis can be used as a material extending the knowledge of both non-professional public and medical personnel concerning the activities of medical operating centre. It can be a stepping stone for further research concerning medical operations center.
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Rescue people from the means of transport in the liquidation of the consequences of mass disasters.
GABRIŠKA, Michael
Rescue people from the means of transport in the liquidation of the consequences of mass disaster Abstract This work brings the view of how people are rescued at accidents and the subsequent liquidation of the consequences of mass disaster. The first part of the work is focused on the current number of accident rate in the Czech Republic. The other part deals with the methodology that can be used by the fire units and other units of the Integrated Rescue System and the subsequent liquidation of the extraordinary events in the traffic. In the bachelor´s work, the proposal of situations how to practise the training and competions at rescuing people from the crashed vehicles is processed and from that is possible to come out at the real action at the accidents.
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The telephone assisted urgent resuscitation by means of despetcher of medical rescue service
LUŠOVSKÁ, Anna
Any time soon each of us can become a witness to a situation when someone else´s life is at immediate risk. Some people naturally remain calm and without major hesitations start saving the human life. However, there are fewer such people than those who, as a result of insufficient knowledge about urgent resuscitation, may endanger the chance of survival of others, because they are not able to provide basic first aid. Operation centers of medical emergency services know how to help such people to respond properly in emergency situations. The employed method is called the dispatcher-assisted telephone-guided cardiopulmonary resuscitation (the Czech acronym is TANR), which means that a worker of the operation center uses, in a life-threatening situation, a telephone to guide the person who can save life of a close person or even life of a stranger. This bachelor thesis in its theoretical part describes activities of the medical emergency service, the main tasks and content of work performed by the operating centers and its personnel. It also defines the term ``dispatcher-assisted telephone-guided cardiopulmonary resuscitation{\crqq}. The thesis describes methods of urgent resuscitation and in which situations they should be performed. The survey for this thesis was based on questionnaires distributed to dispatchers of medical emergency services in the Moravian-Silesian and Zlín regions. The questionnaire contained questions concerning their knowledge of and experience with the provision of TANR. Based on the survey I have come to the conclusion that TANR represents for the workers of operating centers a method to assist people in difficult, life-threatening situations.
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Competencies of Professional Rescuer in Emergency Medical Service Rescue Squads
ŠUSTA, Jan
The topic of my bachelor degree work is ``Competences of a paramedic in an ambulance crew``. One of the objectives of the work was to discover opinions of doctors and paramedics regarding the competences of a paramedic in an ambulance crew. The other objective was to map out the situation in individual stations of emergency services in South Bohemia. In the theoretical portion of the work I focused on various aspects of the medical emergency services such as their origin, characteristics and activities. Further on I described the job of a paramedic as regards the education, activities and legal responsibilities related to this job. In the practical portion of the work I chose the method of quantitative research. To gather data I used a questionnaire and a knowledge test. The inquired group comprised doctors and paramedics working in ambulance stations of the South-Bohemian medical emergency service. With regards to the objective of the work I determined three hypotheses. The first hypothesis assumed that ``Most paramedics consider their competences insufficient because of their education``. The second hypothesis assumed that ``Most doctors consider paramedics´ competences sufficient. `` The third hypothesis said that ``Most paramedics have sufficient professional knowledge about the scope of their competences``. The research confirmed two of the hypotheses. The one mentioned as second was not confirmed. Even though paramedics´ competences have been very topical among specialist in this field lately, no legislative changes that would extend the current competences have been adopted yet.
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The knowledge of work with a traumatological plan by workers of the medical rescue service
SCHLINDENBUCHOVÁ, Eliška
I have chosen the topic ``Knowledge of Work with a Traumatological Plan by Workers of the Medical Rescue Service{\crqq} due to topicality its content. Nowadays so called extraordinary events are still more frequent. The most frequent ones in the Czech Republic are floods, windstorms and traffic accidents, both on railways and roads. Also danger of terrorist attacks is still more frequent, not only in the world, but also in our territory. The extraordinary event is practically always connected with higher number of wounded people. Therefore it is necessary for us to be better prepared for these situations (events), especially as far as providing timely and effective pre-hospital immediate care is concerned, i.e. providing expert medical first aid in the spot of the extraordinary event. For these reasons the traumatological plan of the medical rescue service has been developed, which is updated twice a year in compliance with the latest pieces of knowledge. The objective of my thesis was to map knowledge of work with the traumatological plan in pre-hospital immediate care at workers of the Medical Rescue Service of the South Bohemian Region. There have been established two hypotheses for research. The hypothesis 1, i.e. that workers of the Medical Rescue Service of the South Bohemian Region have theoretical knowledge of the traumatological plan, have been confirmed by the total share of 71 % of all correct responses provided by all respondents. In my opinion this number is in the low limit of capacity in order to confirm this hypothesis. However I consider this value sufficient for confirmation of theoretical knowledge of the traumatological plan, and consequently also of the hypothesis 1. The hypothesis 2, i.e. that workers of the Medical Rescue Service of the South Bohemian Region can use theoretical knowledge of the traumatological plan in practice, has not been confirmed based on the 52% share of respondent, who during their work in the medical rescue service participated in practical exercises in the framework of the traumatological plan. However I do not consider the share of 52 % as sufficient for confirmation of the hypothesis 2. This results in disproving of hypothesis 2. This bachelor thesis could be used as a study material for students in medical specializations in higher educational institutions and colleges.
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The urgent care of the clients suffering from the acute heart stroke provided by the medical rescue service
KALÁŠKOVÁ, Dana
The pre-hospital emergency care for clients with acute myocardial infarction within the medical rescue service The pre-hospital emergency care for clients with acute myocardial infarction within the medical rescue service is the topic that I selected intentionally. On one side, I was guided by my own still fresh experience with my father and on the other side I was guided evenby the fact that interventions of the rescue service at patients with chest pains are still the most frequent indications. This is a really up-to-date subject due to contemporary life style and style of living of most of our inhabitants. The term acute coronary syndrome means all the statuses patho-physiologically connected with an instable plate and related thrombosis in the coronary artery. The main symptoms include chest pains or their equivalent in resting state. The bachelor thesis was processed on the basis of quantity method, using the technique of questionnaires. The research set included employees of the Medical Rescue Service of the South Bohemian Region. The first aim of the work was to make a chart of their opinions regarding use of automatic external defibrillators (AED). The results of the research investigation indicated that the employees of the Medical Rescue Service of the South Bohemian Region are well aware of recommended procedures in pre-hospital care for clients with acute myocardial infarction, which successfully confirmed the first hypothesis. Unfortunately, even the second hypothesis was successfully verified,as the automatic external defibrillators still do not belong to natural part of public locations equipment and that is why their use in practice is minimal. Based on results of this work that will be published in a specialised magazine rescue and Urgent Medicine, I would like to appeal to managing employees of medical rescue services to strengthen promotion of automatic external defibrillators and also to the Ministry of Health to more quickly extend the current stage of AED within legal rules of the Czech Republic, which do not still deal with attitude towards defibrillation, which does not solve the difference between manual and automatic defibrillation.
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Capacities rescue teams - EMS- in time
BOŽOVSKÁ, Petra
In my bachelor work I dealt with problems of medical rescue service and its medical emergency service rescue groups and with emergency rescue help and times within which members of these rescue services make their activity. Medical rescue service provides affected people with a professional pre-clinical urgent care where they were injured or where a sudden disorder happened. All this happen during their transport to other professional treatment and also during their forwarding to a health service. Members of rescue services provide affected people with pre-clinical urgent care. Members of rescue services of medical emergency service are a group of emergency medical help (EMH), medical emergency service (MES) and a group of air rescue service (ARS). The system of medical rescue service is made on the principle of a sequence and refilling possibilities of particular levels providing urgent pre-clinical care and on the principle of an organization of medical rescue service in a way so that the accessability of pre-clinical urgent care and its providing within 15 minutes from receiving emergency call except for the cases worthy special respect is ensured. The rescue system on the level of districts should be able to treat 50 affected people (in county boroughs up to 150 people) at the liquidation of consequences of exceptional events with a rise of mass medical casualties.
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