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Analgosedation of a child patient in pre-hospital emergency care and children's urgent care
MRÁZ, Štěpán
This bachelor's thesis is focused on the topic of analgosedation of an infant patient in pre-hospital emergency care and children's urgent care. It comprises two parts, the theoretical and the practical one. The theoretical part includes some information about pre-hospital and urgent emergency cares. Furthermore it is mainly focused on specifics of infant patients, analgosedation and last but not least on resuscitation of adults and children. For the practical part of this thesis was chosen one aim. It was to find out how urgent wards are ready to face intake of infant patients. Due to this target came out two investigative questions. The first one:"What facilities can be found in hospitals, which are ready for intake of infant patient?" The second question: "Are hospital workers prepared for infant patients within the framework of PNP and urgent care?" The research was carried by a quantitative method of gathering data through the half structuralized dialogues covering 12 questions. The research sample contained 6 paramedics of an emergency ambulance and 6 hospital employees from an urgent ward. The data obtained by this research are divided into 11 categories. After summarization of all information and data I found out that there is a high standard of facilities covering pre-hospital and hospital care, therefore an infant patient can be provided with a necessary help. Within the investigation was also proved the following fact. Hospital employees are well trained in issues of infant patient. Nevertheless they agreed that there are not so many practical training based on children emergency care organised, therefore they would really welcome them to be able to improve their practical skills in connection of this specific field.
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Use of Mapleson C breathing system in pre-hospital care.
FILIP, Michal
The theoretical part describes the physiology of a human's respiratory tract. The next part focuses on the history of ventilation, non-invasive ventilation and its basic ventilation modes. Then it focuses on Mapleson´s systems, their advantages and disadvantages, then it focuses on Mapleson C, which is a priority for this work. Next is the instruction manual and in the last chapters we will discuss an acute situations in pre-hospital care, where Mapleson C can be used and important laws to clarify whether a paramedic can use this system or not. The practical part is processed by using a quantitative questionnaire which is completed by 38 paramedics and doctors in the South Bohemia region. The first goal of the work was to find out a knowledge about the safe use of this system. The second goal was to find out if the use of Mapleson C by a paramedic is correct with current legislation. The result of this thesis shows how high the level of information about Mapleson C system is. It shows its advantages, disadvantages and justifies why it is rarely used in practice. This work could serve as a protocol for the use of Mapleson C, which would be available to all paramedics.
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The analgosedation of a child patient in the pre-hospital care
DUCHOŇOVÁ, Hana
The topic of this bachelor thesis is "Analgesic sedation of a child patient in prehospital care". This work aims to map the awareness of paramedics from the South Bohemian region with the administration of analgesia to pediatric patients. In the theoretical part, the reader is acquainted with the characteristics of the age of the child and also with pharmacokinetic differences. Furthermore, the work describes the types of pain, which is followed by a chapter on pain assessment tools and then its therapy using a three-stage WHO analgesic ladder. The last and most extensive part describes in more detail the individual drugs, specifically their groups, method of administration, dosage, their use and comment. The practical part aims to find out whether paramedics in the South Bohemian region are aware of the administration of analgesia to pediatric patients. The research was carried out using a quantitative method, namely a questionnaire survey in the form of an electronic questionnaire, which contained 14 questions, where each question had only one correct answer. A total of 40 respondents working as paramedics in the South Bohemian Region took part in the survey. The research showed that the respondents in this area are sufficiently oriented, as the result was 90 % of correct answers. This fulfilled the hypothesis, where it was assumed that health professionals are oriented in this area to 80%. This fulfilled the hypothesis, where the correctness of the answers was assumed to be only 80 %.
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Cardiopulmonary resuscitation from the point of view of emergency medical assistance group
PRAŽÁK, Tomáš
This thesis thoroughly explores the issues that come with cardiopulmonary resuscitation, which in pre-hospital care is handled by emergency medical assistance groups and of which paramedic staff are an inseparable part. These paramedics have a necessity for sufficient, in-depth knowledge and experience. Without the early and critical assistance that paramedics are able to provide, a patient could suffer from irreversible changes in health and are even at a risk of death. This bachelor's thesis is divided into a theoretical section and a research section, further exploring this incredibly important subject. The theoretical section explores the history of cardiopulmonary resuscitation. It also digs into the basic life support provided mainly by lay rescuers, in accordance with the guidelines of the European Resuscitation Council. Furthermore, this section also contains information about advanced life support, once again in accordance with the guidelines of the European Resuscitation Council, which is aimed primarily at health care professionals and particularly those who carry the title of paramedic. The research section on the other hand, is based on qualitative research based on interviews consisting of 13 questions. These questions are targeted towards a research group consisting of a group of 12 paramedics employed in the South Bohemian region. This section includes an analysis of the obtained data and their evaluation. The aim of this work is to map the awareness of paramedics about the latest suggested methods for cardiopulmonary resuscitation according to the guidelines of the European Resuscitation Council and to find out how paramedics view and handle cases of sudden circulatory arrest.
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Feasibility of advance directives in paramedic care
Fajferová, Kristýna ; Lejsal, Matěj (advisor) ; Hradcová, Dana (referee)
This diploma thesis deals with feasibility of advance directives in the practice of emergency medical services. It explores how two emergency medical services deal with rising public interest in this topic - The Emergency medical service of Central Bohemia Region and of Vysočina Region in Czech Republic. The goal of the thesis is to detect under what circumstances can the EMS (emergency medical services) play a functional role in the practice of patients end-of-life decisions and in situations containing advance directives. Another goal is to make a set of recommendations for the organizations which could potentially help with dealing with advance directives in pre-hospital care. The empirical part of the study is constructed using a case study approach, it analyses organizational tools, documentation, and internal legislation. It is also made using semi structured interviews with the employees of both organizations. All acquired information is then divided under several categories that are profitable for the case study. The analysis of preparedness for dealing with patients with advance directives and identification of touchpoints - where certain approaches and opinions collide are considered a contribution of this thesis and were identified based on acquired information. Important factors that...
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Treating a patient with burn trauma by ERS
SCHLOSSER, Matouš
The topic of this thesis is treating the patient with burn trauma by ERS. This issue is still discussed and guidelines for treating this injury are constantly updated The theoretical part deals with anatomy and physiology of skin as well as burn pathophysiology. This part of work also provides information about assessing burn severity, first aid of burn trauma for laics and treating burn trauma in pre-hospital care by ERS. In the end of theoretical part the differences in treatment between adult and pediatric patients and their transport to specialized center are described. The research part has two main goals. First goal is to find out the level of knowledge paramedics have about burn trauma treatment. The other goal is to find out which equipment is available for paramedics in pre-hospital care and whether it is adequate. Eight paramedics participated in the research. Four respondents were from South Bohemian region and four respondents were from Vysočina region. To achieve these goals a method of qualitative research has been used. Data for the research had been gathered by using semi-structured interview Research found that most of the paramedics have knowledge to adequately treat burn trauma and that equipment in ambulance cars is sufficient.
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Treating a patient with burn trauma by RZP crew
SCHLOSSER, Matouš
This bachelor thesis is about treating patient with burn trauma by RZP crew. This topic is still discussed and guidelines for treating this injury are always being updated. The theoretical part is about anatomy and physiology of skin. The basics of burn patophysiology are also mentioned there. Next part of theoretical part is about evalating of burn severity. In thesis there are summarized laic fist aid of burn trauma. End of theoretical part is about treting burn trauma in pre-hospital care by RZP crew. The research part has two goals. First is to find out the level of knowledge of paramedics of South Bohemian region and region of Vysočina about problematics in this area of expertise. The second goal is to find out which equipment is at disposal for paramedics in pre-hospital care and if it is adequate. Four paramedics from South Bohemian region and four paremedics from region of Vysočina participated in this research. To achieve these goals a qualitative research has been used with data gathered by using a semi-structured interview. Research found out that most of the paramedics have adequate knowledge to adequately treat burn trauma. Also equipment in ambulance cars is adequate.
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Burn-out syndrome in thepre-hospital and hospital care forparamedicalpersonnel
ŠAŠKOVÁ, Jana
The "burn out "syndrom is the state of a physical, emotional and psychical exhaustion. There is a relatively big danger of the "burn out"syndrom emergence by the paramedics and that is why there should be given a big stress to its prevention. The aim of this bachelor´s work was to find out if there is a bigger "burn out" syndrom by the paramedics than by hospital paramedics. The next aim was to find out the influence of the practice´ lenght and of the workfalling in to the psychical point of view to the paramedics. It was used the investigation of quantity through the standartised quostionnaire to find out the "burn out" level. We created a quostionnaire that contained 11 questions to find out if the paramedics have the prevention against the "burn out" syndrom. The standartised questonnaire MBI was evaluated in the area of the South Bohemian region through the charts and graphs. It was found that the hospital paramedics are more inclinating to the "burn out" syndrom than the ambulance service paramedics. Followingly the investigation, there is a bigger risk of "burn out" syndrom by paramedics with the longer practice. The most of the paramedics try to prevent the "burn out" syndrom but the prevention didn´t appear to be efficient in comparison to the number of "burn out" paramedics.
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Invasive meningococcal disease in terms of pre-hospital care
MASOPUSTOVÁ, Jana
Invasive meningococcal disease is one of the most feared infectious diseases in the Czech Republic. It is the condition where a person is infected with any serotype of the bacteria Neisseria meningitidis, which causes a life-threatening meningococcal sepsis. Unfortunately, meningococcal infections belong, even in today's advanced medicine, to the world´s health problems. The life-threatening form of meningococcal invasive disease leads to death when left without treatment. The aim of this thesis was to survey the paramedics´ knowledge of procedures and practices in connection with invasive meningococcal disease in conditions of pre-hospital emergency care, because paramedics usually come into contact with the disease in the first line. In its quantitative investigation the thesis is focused on staff members of the Medical Rescue Service of the South Bohemian region. The questionnaire technique was used to meet the objective to survey the paramedics´ knowledge of procedures and practices in connection with invasive meningococcal disease. The research has proved that paramedics are truly knowledgeable about procedures in pre-hospital emergency care. Most questions in the survey were answered correctly, better than average. By using control questions, only minor shortcomings were detected, such as insufficient training of the issue by the employer and a limited possibility of monitoring the further life story of the patients with this disease after their transfer for further care. In my opinion this specific disease with its rapid invasiveness in the organism requires a thorough knowledge by medical staff, which has been verified. It has been confirmed that the Medical Rescue Service personnel of the South Bohemian region are ready to provide expert medical care to our patients with the utmost expertise and professionalism.
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