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Prehospital emergency care in neurotraumas
KADLEC, Josef
The Bachelor thesis is focused on the topic of Prehospital emergency care in neurotraumas, especially on the approach of paramedics and their knowledge about Prehospital emergency care in neurotraumas. Globally, for children and adults to 45 aged, neurotrauma could be placed in the highest position of death causes. This statistic testifies about the importance of the professional and early intervention in prehospital emergency care. In the thesis qualitative research was used and two purposes and questions were defined. The method used was a semi-structured interview with paramedics in Vysočina Region and South Bohemian Region. The first aim of the thesis was to chart knowledge and approaches of paramedics in Prehospital emergency care and the second aim was comparison of the previous aim in Regions mentioned above. From the outcome of my research results that paramedics are not qualified enough and they lack information about Prehospital emergency care. In interviews, information mentioned was incomplete and their approaches were inconclusive. However, it was detected that approaches used in both regions are nearly identical. In Vysočina Region, cooperation with workplaces of the follow-up hospital care is really difficult. This fact could be considered as a side result of the thesis. The workplaces mentioned are mainly traumacentres with neurosurgery workplace accessible 24 hours per day. To sum it up for the further use in practice, the educational system of paramedics is inadequate and improvement would be highly recommended.
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Protecting the Health Operations Centre of Emergency Medical Services Pilsen Region as a Critical Infrastructure Element
HRDLIČKA, Pavel
The aim of the bachelor thesis is to assess the conservation status of the critical infrastructure element, in this case medical operations centre of the Emergency Medical Service of the Pilsner region. Firstly, the work deals with situations of the imminent danger of the building on the basis of emergency or crisis situations, which are based on the risk analysis. This risk analysis is a part of the Emergency Plan of the Pilsen Region, which has been prepared by the Fire Brigade of the Pilsner region. On the basis of local investigations there are evaluated some current measures in the context of already existing documents, namely the processed crises preparedness plan. These most probable "classic risks" are then further elaborated including evacuation as a typical measure for some of them. In the next section this Bachelor thesis has focused on the "new threats", mainly on a violation of a cyber security, with an assessment of the current state of backup systems and their own security, storage and the backup of the electronic data. Analyzing the current hardware and software of the operating medical centres and related infrastructure network, there are identified configurations of some individual elements, their relationships and especially their security. Some remedial measures are suggested in case of the unsatisfactory situation. The benefit of this work is the inclusion of results of the investigation related to cyber security in the current crisis preparedness plan, which has not included this issue yet. The results and conclusions of this bachelor thesis are therefore used to improve crisis preparedness of Emergency Medical Services of Pilsen region in terms of the protection of the critical infrastructure element.
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One instead of six: does the centralization of Emergency Medical Dispatch affect the quality of care?
Bradna, Jan ; Vrzáček, Petr (advisor) ; Franěk, Ondřej (referee)
This thesis engages in its theoretical part description of the process of pursuance and assurance of quality in emergency medical dispatch centre. There is also a comprehensive description of key quality parameters used in this environment in this part. The content of the empiric section is an organizational case study, which aim was to evaluate an extensive organizational change in emergency medical dispatch centre of the Emergency Medical Service of the Central Bohemian region and its impacts on the quality of care. The first phase of centralization of emergency medical dispatch centres in the Central Bohemian region went through during the first half of 2011. Four local emergency medical dispatch centres were gradually brought together into one entity. The aim of the research was to evaluate impacts of the organizational change on key quality parameters. The observational retrospective study consists of two groups of data, collected from identical area during two equivalent periods. Group A contains data from the period of six months before and group B contains data from the period of six months after the centralization. Key quality indicators were compared in both groups: response time; call processing times; safety of classification and indication of calls; use of dispatch life support and...
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Technical conditions for imlplementation of the EU standard at the Emergency service
Hřebík, Milan ; Špunda, Miloslav (advisor) ; Danda, Jiří (referee)
In 2010, a decree of the Ministry of Health of the Czech Republic entered into force, which adapts among others also requirements for equipment of medical service vehicles. The European standard was thus implemented in the Czech legal regulations. The thesis describes problems associated with application of the standard in vehicle production, the verification system and documentation of conformity of the vehicle construction, and also documentation of equipment of vehicles with medical devices, in accordance with the standard. The thesis also evaluates the benefit in respect of patient safety and quality of care in the system of medical rescue service.
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Cardiopulmonary resuscitation and the use of special instruments
KUBAL, Lukáš
The bachelor thesis analyzes cardiopulmonary resuscitation and the use of special equipment related with cardiopulmonary resuscitation in pre hospital emergency care. The main study introduces practical application of special equipment and expertise experience of paramedics and nurses with use of this equipment.Theoretical section consists of two parts definition of using special instruments and description of cardiopulmonary resuscitation. The first one describes specified equipment related to cardiopulmonary resuscitation in pre hospital emergency care and legislative standards specified for operation of emergency services in Czech Republic. The second deals with the issues of cardiopulmonary resuscitation. Basic and advanced methods of urgent cardiopulmonary resuscitation in pre hospital care and updates of Guidelines from the years 2010 and 2015 related to cardiopulmonary resuscitation are also introduced here.The practical part contains transcribed interviews with professionals, which were obtained by qualitative semi-structured interviews. Paramedics, nurses and a physician at Emergency. Medical Services in South Bohemia were selected as interviewees. Altogether, six people were contacted. Interviews contained 15 questions related to the issues of practical application, interpretation of values and personal experience with special technology used in urgent emergency resuscitation.The study of this thesis shows that health care workers do not have a problem with the interpretation of data available thanks to this technology. In some cases, there is a problem with the proper use of technology or differences of opinions on the application itself among workers from different ambulance stations. It was also found that no one is happy with trainings and the amount of information provided by an employer, because all respondents look up information concerning the technology beyond their job duties. As a contribution of this work I see a brief equipment overview non medical staff use during cardiopulmonary resuscitation. The thesis summarizes everything from the description of basic values to actual applications of the equipment.
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Nursing staff in relation to professional supervision of Emergency medical services of South Bohemian region.
SPÁČILIK, Martina
This thesis deals with the differences in the supervision provided for Emergency medical Services in the South Bohemian Region. For the purposes of a research this thesis is closely focused only on Emergency Medical Services in Czech Budejovice, Pisek, Czech Krumlov and Milevsko. It is designed primarily as a reminder of the wide diversity of different approaches to professional supervision and as an effort to stop the deepening of this diversity, not only in the South Bohemian Region. The theoretical part is divided into two main sections. The first one pays attention to the importance of professional supervision and the reasons why it is such an important part of the paramedic profession. The second part deals mainly with the possibilities and innovations that are possible within the professional supervision and which are already carried out in some places, especially abroad. The practical part is made on the basis of qualitative research using the technique of semi-structured interviews. This part is completed by a short knowledge test. The sample of respondents includes paramedics from Emergency Medical Service in Czech Budejovice, Pisek, Czech Krumlov and Milevsko. At each workplace respondents were chosen among both men and women all regardless of age or achieved education. The answers of the fresh graduates were the most interesting because they have got the most topical experiences with the professional supervision. The results of the research showed that all respondents evaluate the provision of professional supervision to be helpful in the course of obtaining assurance to practise the activities which are paramedic´s competences, both in activities that are performed with indications of a doctor and in those that can be performed without indications of a doctor. Despite the obvious benefits of performing of professional supervision the members of the Emergency Medical Services in the South Bohemian Region do not have sufficient theoretical knowledge about professional supervision. Most respondents associate professional supervision simply with supervision and training that they were or have been provided for a period of their starting practice. It was evaluated also on the basis of the research that professional supervision is performed differently in the context of Emergency Medical Services in the South Bohemian Region. The respondents classified the application of professional supervision as absolutely insufficient at some ambulance stations on the contrary to ambulance stations whose provided professional supervision is evaluated very positively. In conclusion it must be noted that professional supervision is a very important part of professional life of paramedics and nurses working in emergency medical services therefore we should pay an appropriate attention to this subject.
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Issue of the Emergency Medical Service help to homeless people.
JANČOVÁ, Monika
This bachelor thesis deal with homeless issue from the view of emergency service worker. The theoretical part deals with the pre-hospital emergency care, with the related ethic and homelessness, as extreme form of social exclusion. Furthermore, the theoretical work is describing the health status of homeless people and their relationship with medical personnel. Practical part of thesis is qualitative research which had been done by semistructured interview of the emergency workers. This research had lasted since december of 2014 untill march of 2015. Interviewee were question by snowball sampling method. There were ten people questioned altogether. The transcription of interview is quoted in practical part. These interview are summarise in different charts partly for better clarity. In suplement part there is a list of questions which interviewee received. The aim of research is explored intervention of emergency service to help to homeless people and in which areas emergency service workers see special treatment to them. From interview have emerged that the most often interventions to homeless people are alcohol intoxication and different kind of injuries. Research has also revealed that emergency service workers are not stressed when they help them but all of those people agree with statement that it is unpleasant especially due to low hygienic standarts. Is also very interesting that emergency service workers meet homeless people at least once a month. The main point of this bachelor thesis is demonstrate the homeless issue which is getting more serious in these days. It has not have solution only in providing social welfare to homeless people. It is necessary to create the complex solution of this phenomenon which would include also health care to these people.
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Paramedics opinions on their competencies
KLÍMA, Dominik
The bachelor's thesis name is: Opinions of paramedics about their competencies. The focus is therefore on problematics of competencies which paramedics at present have, and also their views on possible extension. In theoretical part of the thesis an integrated rescue system, the part of which the emergency medical service also is. The history, activities and also providers of emergency medical service are outlined. Further it deals with distribution and types of rescue groups, and technical and material equipment of vehicles. Finally, competencies are mentioned which at present a paramedic has, and also specialisations in urgent medicine, through which the competencies extend. In practical part of the thesis a qualitative method of research was used. Data collection was performed with help of semi-standardized interviews with eight paramedics, who work at Medical Rescue Service of Southern Bohemia Region. A part of the research maps knowledge of competencies in the field of paramedic and to find out opinions of their prospective extension. Also cooperation with doctor on each ambulance trip is discussed. The research file was subjected to the length of practise which the respondents went through within their occupation. The research question was directed at particular prospects which paramedics would welcome compared to the current state. The aim of the thesis was to determine what the opinion of paramedics on their current competencies within their occupation is. A partial aim then was which opinions they hold on extension of their competencies. It was revealed from the obtained and processed interviews that paramedics are mostly content with their current possibilities. An extension of competencies from their point of view would concern such parts at which the least risk of threat to patient, or incidental complications during treatment in prehospital urgent care are posed. Opinions on extension of competencies leaned mainly on bigger responsibility which in case of extensions supervened.
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An algorithm of care about drowning people from the perspective of paramedics
BAKULE, Petr
This bachelor thesis which is titled An algorithm of care about drowning people from the perspective of paramedics deals with the procedure in prehospital emergency care about drowning people. The procedure of rescue is meant here as an initial technical rescue of a drowning person from the water and then follow-up medical care. At the beginning of the theoretical part there is the definition of drowning and the division of drowning and getting drowned. After that there is the slightly detailed description of the pathophysiology of drowning where the processes that occur in drowning are mapped. There is also mentioned the statistics of drowning and prevention of drowning. Furthermore the material and technical equipment for the rescue of a drowning with water rescue and emergency medical services are processed. This chapter outlines the basic utilities for needs of drowning person of water rescue and emergency medical services. The described equipment is briefly defined and there are highlighted some benefits of life-saving utilities. The last part of the theoretical work is in details. I dealt there with the algorithm of care about drowning people and there is properly shown the exact procedure of rescue of drowning person from the first noticing to the post-resuscitation treatment. The aim of this bachelor thesis was to map the process of pre-hospital care of emergency medical services and water rescue from drowning and map material and technical equipment of water rescue and emergency medical services. In the research part of the thesis was used qualitative method of interviewing with prepared questions. Interviews were given by respondents from the Czech Red Cross Water Rescue Service and Emergency Medical Services from the South Bohemia. Questions were especially about the procedure of rescue of drowning person and about the equipment for rescue from drowning. Both the above-mentioned objectives of the work were done. The result is the exact procedure of pre-hospital emergency care from drowning with water rescue and emergency medical services. Then I maped material and technical equipment of water rescue and emergency medical services for needs of drowning person. This work includes two different views on the process of pre-hospital emergency care in the condition of drowning. It turned out that both rescue IRS coincides in certain procedures or in usable equipment. There were also distinct variances in procedure of rescue and the usage for the rescue of drowning people. The interviews also created recommendations for extension of the material and technical equipment for the rescue of drowning person.
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Lifestyle analysis of controllers in the Control center of Emergency Medical Services of South Bohemian region.
KÖSZEGI, Jarmila
The thesis deals with the lifestyle analysis of controllers working in twelve-hour shifts ofcontinuous operation in the control centre of Emergency medical services of South Bohemianregion. The theoretical part is divided into two sections and focuses on researched issues. The first section describes the Emergency medical services of South Bohemian region, the respective activities, the job description of the controllers, their education and their place of work - the control centre. The second section of the theoretical part concentrates on the lifestyle; it mainly points to the sleep hygiene, nutrition and daily diet, physical activities, as well as addictive and health-harmful substances, stress, and origins of obesity. The empirical part is based on two methods - questionnaires, and tests of fitness level and mobility level of respondents. Acquired data was statistically elaborated and compared to the adult stage of development. The conclusion contains a proposal how to improve the lifestyle in the researched groups of respondents.
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