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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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The most frequent causes of death in emergency medicine
GRECHOVÁ, Michaela
From the general point of view, cardiovascular diseases are considered to be the most common causes of death in developed countries. Diseases of the arteries of the brain also rank among serious diseases and are a common reason of not only death but also invalidity. Although the region of South Bohemia is behind the nationwide average, the number of deaths related to diseases of the circulatory system is very high and remains a frequent cause of intervention of the emergency medical service. The objective of my thesis on the theme "The Most Frequent Causes of Death in the Acute Medicine" was surveying the Region of South Bohemia in terms of the most frequent diagnoses resulting in daeth, in the period between 2006 and 2007, and comparing them with the statistics. The basic document to obtain general information was the Annual Medical Bulletin of the Region of South Bohemia. This information constituted the basis onwhich I drew up three hypotheses that were then verified by the actual research. In the practical part of my thesis I conducted the quantitative research by the method of the document ontent analysis and comparison. The set studied consisted of patients of the Emergency Medical Service in the years 2006 and 2007 with the NACA score = 7.One of three hypotheses was verified, two were not.
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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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Experience public with medical rescue service in a South-Bohemian region
URBANOVÁ, Pavla
The objective of the presented work is to monitor the experiences of the public with the Medical Rescue Servece of the South Bohemian Region. The mapping out of the experiences of the receivers of the care themselves concerning the attitudes, the access to relevant information and trust in the team of the Medical Rescue Service of the South Bohemian Region is a way to detect and evaluate the actual most frequent mistakes and omissions of the medical team in urgent and demanding situations. It can be concluded that people of different age, sex and standard of education make use of the medical rescue service. An enormous trust into the staff members of the medical rescue service is a general phenomenon. As a result of this finding it seems essential to pay due attention even to borderline results in the sense of presenting the rescue team accordingly and offering a second call to the operation emergency centre (telephone line 155) by the appropriate operation emergency centre staff member. I would appreciate if this paper could be used for a subsequent more detailed study in this field. I would recommend a training of rescue workers in the techniques of specialized communication. The presented results could also find use in helping the rescue service team member as well as the trainees in this sector of medical services to acquire a better insight into ther profession.
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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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Problems of the psychiatric patients-direction by means of emergency medical service and alternative possibilities
PETRŮ, Michal
Treatment, direction, transport and placing psychiatric patients in hospitals have been proved as the most problematic activity of Emergency Medical Service (EMS). The range of health facilities is limited. Psychiatric cases belong to the most difficult diagnoses which ambulance crew can meet. Even if they can profit from the attendance of a patient family members they work under time pressure and cannot prolong the treatment of the patient as there can be other casualties in emergency. Non-indicated admission to mental hospital can harm the patient. On the other hand, omitting professional psychiatric intervention of indicated patient can cause his death (depression, suicidal tendency). The aim of this work consists in the analysis of community care for psychiatric patients within EMS compared to its potential and suggestions of possible ways in their alternative placing in the framework of labelling prevention. The attitude of EMS staff to psychiatric patients and their knowledge of community treatment were under observation. The students of a study course of Paramedic were chosen as a reference group. The thesis is based on quantitative study, via questionnaire technique. The potential of community treatment use within EMS is low but it exists. Respondent comments on the necessity of helpline teams which could assist relatives in case of sudden death (especially children) were inspiring. Some research outputs are surprising, e.g. hardly any negative attitude to psychiatric patients. Valuable asset of this work lies in the fact that all findings can be implemented into EMS and can also be used in further research into this problematics, e.g. how much the emergency dispatch uses helpline system or how often an ambulance crew contacts crisis centers.
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Analytical - synthetic modelling of education process of subject "Integrated emergency system"
MENDLOVÁ, Ludmila
The main units of the Integrated Rescue System (IRS) include the Fire Rescue Service (FRS), the Police of the Czech Republic (PCR) and the Health Rescue Service (HRS). The educational system of these units is not unified and thus there exist certain problems, which result from this disintegration. One of many consequences is for example unfamiliarity with competences at solving crisis situations and at carrying out rescue and liquidating work. The aim of this thesis was to analyze the educational system of basic IRS units{\crq} workers and suggest a certain arrangements which would eliminate some problematic issues. On the basis of a detailed analysis some drawbacks were found. The most significant drawback in the educational system of basic IRS units{\crq} workers was the disintegration of thematic contents in terms of particular units{\crq} education. As a result the IRS units{\crq} workers are not educated in some fundamental disciplines (legislation of IRS and crisis management, toxicology or radiation protection). That is why there was suggested a unifying educational course for all main IRS units{\crq} workers, which provides comprehensive information needed by these workers. The education is moreover divided into two modules. First module is thematically focused on disciplines which are common to all main IRS units. It includes not only legislation and IRS organization but also for example psychology. Second module is focused on the needs of particular main units and includes for example the basics of toxicology and the basics of radiation protection. Suggested unifying course may be transferred to lifelong learning course, which would be under the auspices of a university or a college.
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Cooperation of Integrated rescue system units in road traffic accidents of means of passenger transit
KROUPA, Martin
The diploma thesis deals with problems of collaboration of the Integrated Rescue System at coordination of its units intervention in larger traffic accidents, to be specific in coach traffic accidents with a bigger number of the injured and the dead. In the thesis two significant traffic accidents and cooperation training of the units of the Integrated Rescue System are compared at intervals of last five years. Following the analysis it is possible to monitor not only the increasing level of technical and material equipment of single units, but also the increasing level of coordination of their activities. The main aim of the thesis is evaluation of the current level of collaboration of the units of the Integrated Rescue System in a larger traffic accident, eventually a proposal of possible adjustment or modification of currently already used type activities of the units of the Integrated Rescue System.
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