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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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Frequency and causes of injuries of children in pre-hospital emergency care
MINAŘÍKOVÁ, Petra
Injuries represent the greatest danger for children and the most frequent cause of their death. A certain dangerous situation precedes every injury and as such it can always be prevented. Emergency rescue teams provide professional urgent pre-hospital care. Based on theoretical knowledge and practical experience of a member of a rescue team providing pre-hospital urgent care, two research objectives were determined. Objective no. 1 was to map out the number of children{\crq}s injuries in the regional centre of České Budějovice between 2004-2008. Objective no. 2 was to analyze the situations in which children of various ages get injured. Three hypotheses were determined. Hypothesis no. 1 ``Children living in towns get injured more frequently than children in villages``, was not confirmed. Hypothesis no. 2 ``Children up to 6 years of age most frequently suffer injuries when they are at home and their parents are not cautious enough``, was confirmed. The last determined hypothesis ``Children between 6 {--} 18 years of age get injured during active sports and traffic accidents most frequently``, was confirmed. It is more efficient to invest in preventative activities that reduce the number and seriousness of injuries in children. If we take measures to prevent injuries, the number of fatalities will go down.
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Education in pre - hospital acute care
AUGUSTA, Martin
This Graduation Paper covers the subject of education provided to patients as a part of their urgent pre-hospitalization care. Since the education has become an integral component of health care, the paramedical members of rescue teams have to deliver it before the care itself is provided. The theoretic section of the Paper deals with pedagogics as the basic discipline of education; with the education of patients going through the urgent pre-hospitalization care; and with the autodiagnostics and self-reflection of the paramedical rescuers, which are essential conditions of their improvement in the art of providing education. As an important part of the theoretical section comes communication, first and foremost communication as a means used to create a relation of mutual trust between the patient and the paramedical rescuer, but also communication with patients having specific needs such as those hard of hearing, patients with partial sight or similar disabilities. The final part of the theoretical section treats the issues of ethics as encountered in the urgent pre-hospitalization care. The practical section of the Paper presents the results of a quantitative survey encompassing two research sets. The first set consisted of paramedical rescuers based in Emergency Centers in the towns of Tábor and České Budějovice; the second set comprised patients treated by the Paramedical Rescue Service staff operating from the above-specified Centers. The survey, carried out as a quantitative survey, relied on questionnaires containing 13 questions for the paramedical rescuers and 12 so-called closed questions (with predefined optional answers) for the patients. The questions were asked so as to reveal whether the paramedical rescuers educated the patients undergoing the urgent pre-hospitalization care, and whether the rescuers' educational performance depended on their own level of education completed. The survey concluded that the university educated paramedical rescuers achieved much better educational performance than those having completed vocational high-school or general high-school education.
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Clearing the airway by an emergency care provider in the prehospital emergency care
NOVOTNÁ, Magdalena
Clearing an obstructed airway to facilitate breathing is a critical element of airway management. It is the emergency care provider who administers first aid and he/she has to master the technique of opening the airway as well as the aspiration prevention. The right airway management may avert the life-threatening condition of an injured person. The thesis is focused on the possibilities of clearing the airway by the emergency care provider in the Central Bohemian region. Techniques of opening and clearing the airway both without or with aids, which are at the emergency care provider´s disposal in prehospital care, are mentioned. The research set was formed by emergency care providers in transit first-aid stations providing emergency care in the Central Bohemian region. The research was conducted by the quantitative method. To collect data, the questionnaire method was used. I handed out 100 questionnaires in transit first-aid stations in the Central Bohemian region. The research was anonymous. The rate of return was 76%, it means I was given back 76 anonymously filled in questionnaires. The objective of the research was to survey possibilities of clearing the airway by the emergency care provider in the Central Bohemian region {--} and the objective was accomplished. The hypothesis I {--} on the part of an emergency care provider the most effective way how to clear the airway is endotracheal intubation {--} was confirmed {--} as well as the hypothesis II - emergency care providers do not use the {\clqq}LMA- Fastrach`` to clear the airways.The conclusions of the thesis may be used in making up standardized methods and techniques of clearing the airway in the prehospital emergency care. They may also be used for further education of university students of nursing and medical care.
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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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Prevention of Precipitous Labour and Possibilities of Its Encompassment before Hospital Care
SÁKOVÁ, Erika
This thesis is aimed at mapping the possibilities of precipitate birth prevention outside medical institutions and the possibilities of its managing by ambulance service members. The term prevention covers a set of theoretical, organizational knowledge and practical skills in pre {--} hospital deliveries. The results of this thesis points out that the secondary health {--} care staff is theoretically prepared to assist at birth, but in practice they are not so sure. It is thinkink as subject matter for their dispersion They are able to attend the newborn after birth.
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Suffering, dying and death in prehospital care
MAJSTR, Jiří
This thesis is topically focused on suffering, dying and death of a patient (patients) in fore hospital urgent care. It deals with above mentioned phenomena from the paramedic point of view. It refers to the impact of these events on paramedics, their perception of patients at sudden worsening of chronic disease, acute worsening of health state, immediate life threatening or death. The aim of the thesis is to map and interpret the attitude of addressed paramedics to given facts, which they normally encounter in their practice, and the evaluation of reflexive projection of above mentioned experiences into ethical attitude to the patients. The thesis is based on qualitative research. It uses the methods of controlled interview with ten chosen paramedics who have different period of professional practice. The dialogues are transcribed in the chapter called Results of Research. In the thesis the answers to particular questions are compared and the results of the research are the hypotheses which can be evaluated by means of quantitative research in the future.
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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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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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