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Motivation of choosing a career as a paramedic
PETRŮ, Michal
The expression ``motivation`` describes the fact that the human psyche is affected by internal driving forces, both conscious and subconscious. Holland´s vocational personality typology presents six basic types, namely Realistic, Investigative, Artistic, Social, Enterprising and Conventional. This thesis is aimed at finding and evaluating motivation factors which influence prospective emergency medical technicians in their professional choice. To get the research data, the combination of quantitative and qualitative techniques was used. The research was conducted among emergency medical technician students at the college and university and, as a supportive research material, among Czech and Scottish Emergency Medical Service professionals. The students´ primary motivating factor influencing their vocational choice to become an emergency medical technician is their interest in this field, sometimes supported by a healthcare worker in the family. Over 80% respondents prefer working in the field which they study. An emergency medical technician belongs to the most popular positions while an emergency dispatcher to the less popular ones. The fact that women respondents like working positions connected with driving a car was a surprising discovery of the research. Corresponding to the recent professional literature, the most frequent career types among professionals and students are Realistic and Social types. This thesis can contribute to further research into this topic (working position preferences, career types). Component findings can be introduced into personnel and human resources management of the Emergency Medical Service, especially searching for Investigative and Conventional career types of workers and their subsequent engagement in pedagogical and administrative work. The research can also be helpful in other issues, e.g. how to make a position of an emergency dispatcher more popular.
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Rescuer´s attitude towards dying and death
MARKOVÁ, Petra
The thesis deals with attitude of rescuers to dying and death. Rescuers go to various situations in which they provide the highest quality care under every condition.The reason is the influence of repeated encountering dying and death.These influences reflect in their practice and private lives. The objective of the thesis was to find out the rescuers attitudes to dying and death. The purpose is to find out if this psychical stress influences their private lives and also other meetings at work. The respondents were from South Bohemian Region. The thesis elaborated in the form of qualitative research. The method of semidirected interview was applied. Interviews were carried out with randomly chosen rescuers (men, women) with different period of work experience. The results are almost literally re-written in the chapter called Research Results. In the thesis the psychical load of rescuers owing to the repeated encountering dying and death of adults and children. Further, the balanced attitude of rescuers immediately after the end of unsuccessful resuscitation was found out.
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Special knowledge and skills of rescue workers and its application in Integrated Rescue System
JEŘÁBEK, Jan
This thesis deals with the topic of rescue from free depth and from height. The aim of the thesis is to determine the level of special training of medical rescue workers who operate in the South Bohemian region in the field of rescue from free depth and from height. The first, theoretical part of the thesis covers the topic of rope techniques and rescue from free depth and from height. First, I defined basic material used in rope techniques and during rescue work from depth and from height, then also knot and knot techniques and finally I outline basic skills and methods used during rescue work from free depth and from height. The second, practical part of the thesis presents results of quantitative research. The hypothesis stated assumes that emergency service workers lack professional training in the field of rescue of individuals from free depth and from height. The research sample comprised randomly selected paramedics who work in Emergency Medical Service in South Bohemia in Tábor, České Budějovice, Český Krumlov, Prachatice, Strakonice and Písek. To obtain necessary data, the method of quantitative research, interview technique through a questionnaire was used. Collected data were evaluated and compared to stated hypothesis using contingency tables and graphs. The questionnaire consisted of 24 closed questions. The first half of the questionnaire covered identification questions. The second half of the questionnaire comprised questions to test special knowledge of material and work techniques in the field of rescue from free depth and from height and was designed to determine the level of expertise and preparedness to use rope techniques. The results of the research show that paramedics who work in Emergency medical services in South Bohemia have relatively sufficient professional training in the field of rescue from free depth and height. The hypothesis was not confirmed.
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The Tasks of Paramedic at Gynaecological States in Pre-hospital Phase
ŠÍMA, Oldřich
This thesis is called The Tasks of Paramedic at Gynaecological States in Pre-hospital Phase. At the beginning of the chapter ``Present State{\crq}q the job of a paramedic and pre-hospital urgent care are briefly characterized. The information on anatomy and physiology of female reproductive organs, on examination procedures in pre-hospital phase with the focus on gynaecology and the survey of nosological units and syndromes are included. Also the last part of the chapter contains the characteristics of rape and abuse including recommended procedures for paramedics in pre-hospital phase. The objective of the thesis was to find out if a paramedic (during the action with gynaecological diagnosis) proceeds according to the recommended schemes, further, to find out theoretical knowledge of paramedics and to map particular practical experience of paramedics concerning gynaecology. For the research the quantitative method of data collection was used, while the data was gained by the questionnaire method addressed to paramedics of South Bohemian Region. The results have shown that paramedics have sufficient experience with gynaecological states in pre-hospital care including theoretical knowledge. Further, it also was found out that many paramedics are not willing to take a detailed gynaecological history from a patient and many of them are not willing to examine a patient. In this connection it proves the fact mentioned by Pokorný that gynaecological cases are considered specific private matter with increased claim to respect to shame and privacy by women, which often equals to very reserved history and data on present illness or injury. On the basis of these data I think the results contained in the thesis might be used to deepen practical skills of paramedics in the problems of gynaecological states, especially with respect to taking the history and clinical examination on conditions of pre-hospital care.
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Possibilities of transport of children by ambulance service
LANČARIČOVÁ, Kateřina
The topic of the bachelor thesis is ``Possibilities of transport of children by ambulance service.{\crq}q The main objective of the thesis was to determine how the Emergency Medical Service personnel in the Moravian-Silesian and South Bohemian regions ensure safe transport of children patients in ambulances. In the theoretical part I focused on the history of ambulances and beginnings of medical emergency services in this country and also on factors affecting transport of children, observation of labor safety regulations, safe transport of children patients, consequences of car accidents and international procedures and standards for transport in health services. The first hypothesis stated that the personnel of EMS in the South Bohemian and Moravian-Silesian regions are not familiar with principles of safe transport of children to medical facilities and it has not been confirmed. The second hypothesis stated that the personnel of EMS of the South Bohemian and Moravian-Silesian regions do not apply the principles of safe transport of children to medical facilities and it has not been confirmed either. The questionnaire research has confirmed that respondents from both the regions prefer transport of children with the use of a restraint system. The research has also exposed some shortcomings in the safety training for the use of aids which ensure safe transport of children and in some cases also insufficient availability of such aids. Workers of the Emergency Medical Service in both the regions have demonstrated that they are concerned about safety of the transported children, as children are the future or the society. They are able to think about these issues and they are familiar with the principles of safe transport of children into destination medical facilities. This thesis has produced a favorable result to the effect that we can rely on workers of the Emergency Medical Service (EMS) in the Moravian-Silesian and South Bohemian regions at any time and entrust to them our children as they are well-prepared to transport them safely. This bachelor thesis should serve as an impulse to develop an optimized procedure for the personnel of response teams of the Emergency Medical Service (EMS) in the Moravian-Silesian and South Bohemian regions in order to protect children patients during transport into medical facilities and also as an input material to ensure the so-far insufficient aids necessary for safe transport of children by the Emergency Medical Service.
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Current situation and educational prospects of paramedics
KLINGEROVÁ, Helena
Current situation and educational prospects of paramedics This Bachelor paper endeavors to investigate the current situation and educational prospects of paramedics, i.e. medically trained rescuers. This topic has recently been much discussed, since a great number of young people are being trained and will be trained to become paramedics, and they should have a clear idea of what the qualification they wish to acquire or have already acquired can bring them. The theoretical section of the paper addresses both the historical development and the current situation encountered in the emergency pre-hospital care as provided in the Czech Republic, with the focus on the Emergency Medical Service of the South Bohemian Region (ZZS JčK), whose staff members constituted the surveyed sample. The theory of the subject gives a legal definition of paramedics and specifies their options of professional training & education. The paper aimed to map the employment possibilities of paramedics at ZZS JčK and to find out what the ZZS JčK staff thought about the prospects of this profession. The survey relied on the method of qualitative research based on the questionnaire technique. As follows from the results obtained, all the paramedics being trained cannot currently find a job with the Medical Emergency Service, but in case an Act on Emergency Medical Service is passed, new Emergency Centers will crop up and more paramedics will be needed. As regards the prospects of career for the paramedics, the employees of the Medical Emergency Service are optimistic, because in case the Service cannot offer them a job, they will be able to find employment elsewhere. Thus the hypothesis envisaging that with the number of trained paramedics growing their prospects of finding a job with the Service will diminish proved partly true. The second hypothesis expecting that the paramedic qualification brings better prospects for males than for females was not confirmed as true. Other results of the survey lead me to recommend that the paramedic training takes on a different form and different length, since most respondents believed the paramedics, on leaving the vocational training, were not completely ready for the field work.
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Possibilities of artificial pulmonary ventilation in urgent care and anesteziological resuscitation department
BINTEROVÁ, Jana
The aim was to explore the possibilities of mechanical ventilation in prehospital emergency care and Anesthesiology and Intensive Care qualitative research method. The first part of the research was focused on finding out how the use, including the most frequently used modes of ventilation, and frequency of artificial ventilation. Research has found that in pre-hospital care are used methods of invasive and noninvasive ventilation and ventilatory modes most widely used in prehospital care are IPPV, CPAP and SIMV. In the second part of the research focuses on the possibility of mechanical ventilation on Anesthesiology-Intensive Care and neužívanějších detection schemes. They are IPPV, BIPAP, SIMV, APRV, PS and CPAP. The last part of the research deals mainly comparing the possibilities of mechanical ventilation at the base emergency medical services of the Liberec Region and South Region. I ran into very different views on the importance of mechanical ventilation in prehospital emergency care, but the result is the possibility of artificial ventilation in different regions does not differ much.
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Self-health and safety protection in the case of a mass incidence of health damage
KAMENICKÁ, Nikola
The topic of my thesis is Self-health and safety protection in the case of a mass incidence of health damage. The objective of my work was to briefly outline emergency events to which a mass incidence of health damage is considered to belong. Basic activities of medical rescue workers at the scene of such an accident are described to show the potential risks posed on rescue workers in this situation. The thesis also includes an overview of commonly used protective equipment and basic safety instructions. The goal of this study was to determine the level of abidance by principles of safety and health protection in the case of a mass incidence of health damage. Another objective was to review the awareness of risks the rescue worker profession involves in the case of a mass incidence of health damage and to compare the abidance by principles of safety and health protection between medical rescue workers and general nurses in anesthetic-resuscitation department. On the basis of these objectives hypotheses were stated. The quantitative data collection method was used to meet the purpose. The research was conducted through the questionnaire technique in the České Budějovice region. The obtained data were turned into graphs. The values were subsequently converted into percentages and placed below the charts as commentaries. In general, it is possible to say that medical rescue workers as well as general nurses abide by principles of safety measures and know the possibilities of self-protection. However, the research has shown that age has no significant effect on safety measures compliance and education does not significantly effects safety measures compliance. The obtained data show that the safety and health measures are complied with more by medical rescue workers than general nurses in Anesthesiology-resuscitation department, although there are only small percentage differences.
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Paramedics' awareness of blood-borne infections
DALIHODOVÁ, Andrea
My bachelor's thesis focuses on identifying paramedics' awareness of blood-borne infections. The issue of infections transmitted by blood is very extensive and complicated. Much emphasis is placed on prevention by health care employees who are threatened by infections of this kind in their day-to-day practice. For the sake of structure, the thesis is divided into two main parts. The theoretical portion presents a comprehensive overview of blood-borne diseases paramedics are exposed to while performing their work. It also explains terms such as paramedic and the importance of first aid service. The practical portion contains the actual survey and the evaluation of results. This section of the thesis uses quantitative research method via questionnaires. Data was obtained through questioning using anonymous questionnaires. The surveyed group included 90 paramedics. The aim of the work was to identify paramedics' awareness of blood-borne infections, find out what kind of personal protective equipment, if any, they use, and whether applicable regulations are being complied with. Based on the results obtained from the survey, I have concluded that paramedics are not sufficiently aware of blood-borne diseases. I also found out that 33% of the respondents violate applicable legislation by improper handling used by paramedics to the fullest possible extent. The most important aspects, I believe, are compliance with sanitary and epidemic regulations, vaccination, the availability of quality protective equipment and training as part of general prevention measures. In my opinion, more attention should be paid to providing health care workers with quality post-graduate education, the prevention of blood-borne infections, compliance with applicable regulations and the use of personal protective equipment.
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Prehospital urgent care about patient with inspiration pursiness
KRATOCHVÍL, Ivo
ABSTRACT This Bachelor thesis deals with the providing of urgent care to inspiratory dyspnoea patients. It contains definition of the inspiratory dyspnoea, description of each state of the inspiratory dyspnoea, differentially diagnostic and therapeutic procedures. It presents latest findings from specialized literature on this topic. The theoretical part of the thesis mentions different diseases related to inspiratory dyspnoea states. Furthermore, the theoretical part includes therapeutic means and procedures that can be used for live-saving actions and within pre-hospital care for clients with inspiratory dyspnoea. The intention of this thesis was to point out differences between children and adult patients and differences between care for children and adults. Practical part of the thesis is focused on the degree of paramedics' orientation in the theory of pre-hospital urgent care in inspiratory dyspnoea and their theoretical knowledge and skills in treating these states. It is them who decide on life and death, which is a very serious fact particularly in case of children patients, but also adults. A quantitative research was conducted through a questionnaire. The goal was to map out the knowledge of differentially diagnostic procedures and subsequent appropriate therapy in employees of Emergency Medical Service of the Vysočina Region. Two hypotheses were drawn up to achieve the goal. The first hypothesis claimed that paramedics knew urgent care procedures and treatment for inspiratory dyspnoea patients at juvenile age. The second hypothesis said that paramedics did not have enough opportunities to practice securing air passages in children. The questionnaire survey has confirmed both hypotheses. The thesis should serve to improve theoretical preparedness of paramedics for providing urgent care to inspiratory dyspnoea clients and can be used as a study material on the topic.
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