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Logistic indemnity of medical interference within the area of multiple victim accidents
KŘIVÁNKOVÁ, Petra
The theme of my diploma is the Logistic indemnity of medical interference within the area of multiple victim accidents. The world was struck by natural disasters during its long history. As well as the strengthening of natural disasters, the appearance of the disasters caused by human activity has been increasing in recent times, and at present and their after-affects are more destructive. This diploma is taken as a overall cross {--} sectional study of the topic of logistic indemnity of medical interference within the area of multiple victim accidents. After a brief approach of the history of prehospital care the diploma is focused on legislative regulation of this theme including processing of emergency plans and traumatological plans, financing of crisis set-ups, special training, procedure of salvage and liquidation operations of the units of integrated rescue systems and logistic indemnity of medical interference in the form of material and technical special equipment including human sources and psychological support. This diploma also includes some special problems of this topic (e.g. processing of traumatological plans, financing of crisis set-ups, labels of multiple victim accidents).
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The view on the Krnov Hospital X Ray Department's Preparedness to Handle an Increased Number of Casualties at Emergency Management
PODEŠVOVÁ, Jitka
Exercising their profession, nursing staff in health facilities may commit a fatal mistake in tense moments in terms of time. An illustrious example may be the admission of a higher number of casualties after an emergency event. So that to prevent these negative consequences, emphasis is put on the readiness of the entire health system from the headquarters to individual care providers. Special attention is also paid to trauma planning, because especially in complex cases greater demands are developed on the functioning and rapid succession of individual operations of medical care, along with observing all approved medical principles, of course. To verify the readiness and to reveal any shortcomings and reserves tactical exercises are held. The Krnov hospital also participated in that kind of training with activating the trauma plan. Another workplace involved was also the radio-diagnostic department. A simulated bus accident was to reveal whether the individual workplaces could provide adequate examinations and treatment. The thesis is divided into several parts. In the introductory section it is explained in brief how the health system is organized. To understand the text, it was necessary to define the necessary terminology and to mention the binding, legal legislation for emergency management authorities at all levels that affect the operations and carry out supervision on medical institutions. Gradually, the theoretical part presents trauma plans, sorting out casualties in the place of an emergency event, and specific exercises in the Krnov hospital that were announced and carried out in the early afternoon, when the hospital was fully filled with staff members. In the research part the analysis of a real accident that occurred in a late evening about a year later is made. Time demandingness of individual examinations is evaluated. Factual results are compared with the data obtained from simulated exercises. In the final part I tried to assess the quality and topicality of the trauma plan elaborated by our facility as well as the internal trauma plan of the RDG department and to propose possible changes and improvements.
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Crisis management and planning in the sphere of health medical service
MLEJNEK, Miroslav
This bachelor{\crq}s work is concerned with the principles of crisis management and planning in the area of health service. A special attention is paid to the Rescue Service as the crucial link of the Integrated Rescue System. The theoretical part of the work provides a kind of simplified summary of information from the area of the theory of crisis management and planning. Subsequently, the basic principles of crisis management in health service are defined. The core part of this work deals with specific conditions of the Plzeň Region, unveils the basic features of the crisis plan of this region, as well as analyses the traumatological plan of the Plzeň Region and verifies its effectiveness. The work ends with the assessment of the standard of crisis management in the territory of the Plzeň Region.
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Performance of hospital emergency team mass take in of patients separation for small, medium and big hospitals (local, district, faculty)
TOMÁŠKOVÁ, Lucie
The main objective of my work was to summarize entire information available about performance efficiency of rescue teams (hospitals) at massive reception of patients to hospitals. As a sample, the hospitals in South Bohemia were chosen, and that local, district and teaching hospitals as well. Even that each of the hospitals has their own traumatology emergency plan, you can hardly think of readiness without knowledge of the contents of the plan on the side of the individual administrators involved. In addition, the hospitals do not know accurate or theoretical numbers that would evaluate the performance efficiency of their rescue teams. I have collected the data from current operation of the hospital; from scheduled operation of the hospital under the conditions of massive reception of the likely affected; and from professional literature. Firstly, I focused on various causes of emergency or crisis situations, on classification of those, considering the place of origin, and on their sorting that is used as a base in order to activate the traumatology plan and the rescue team in the hospital. Secondly, I described the pre-hospital medical care at emergency and crisis situations that is covered by the medical rescue service within the Integrated Rescue System-i.e. the time before the traumatology is activated, and the people affected are received into the hospital. Thirdly, I worked with traumatology plans in the hospitals, explaining why they should exist in every hospital. After that, I described the traumatology plans of the individual hospitals that had been chosen as samples. (The Hospital České Budějovice a.s. is a teaching (big) hospital; the Hospital Tábor a.s. is a district hospital (medium type); the Nemocnice Prachatice a. s. is a local (i.e. small) hospital). Then, I processed the responses by head physicians in the trauma centres in the sample hospitals: I had asked questions related to their orientation and knowledge of the performance efficiency of their rescue teams and to activation of the traumatology plan of the hospital at massive reception of the affected. Finally, I confronted my results with the information in professional publications, especially in the article written by MUDr. Pavel Urbánek ``The Link-Up between the Pre-Hospital and Hospital Care in Case of Massive Disaster{\crqq}; then, I compared my results with the hospital medical care and capacity of hospitals in the Netherlands. In conclusion, I present my evaluation of the existing situation, following from the data and knowledge collected; there are proposals of my solutions as well.
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