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Control of medical devices and material equipment in rescue service car and preparation for rescue operation. Manual for a paramedics.
PROCHÁZKA, Jakub
This bachelor thesis deals with the inspection of medical devices and material equipment in a rescue service car. Inspection is one of the work duties that a paramedic must complete during the work shift. An insufficient inspection might lead to the failure of medical devices or the lack of material equipment necessary during the shift. Due to the increasing number of rescue trips, it may sometimes be difficult to do the inspection between each trip. In the theoretical part I outlined the legislation pertaining rescue services, the requirements for the equipment of the cars, dividing the rescue trip groups. I also described the devices and materials that the paramedics use. The goal of this thesis was to record the duration, process and competence during the inspection of medical devices and material equipment. I also focused on the most hazardous instances in the event of an insufficient inspection. The practical part was done using the semi-structured interview method with nine paramedics. The results state that in most cases paramedics have enough time to do the inspection of devices and equipment during the shift, even if the inspection is slow. However, due to the nature of this profession, the time of the inspection, as well as its duration, cannot be planned ahead. The best conclusion would be to shorten the time needed for the inspection to a minimum while having the highest possible quality of the inspection. I also found out that paramedics do different kinds of inspections, which they do on their own and are responsible for. The last part of the research has showed that paramedics consider the failure of medical devices as the most dangerous. Given the minimal instances of a device failure during a rescue trip, I believe that paramedics give the most importance to this part of the inspection.
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Paramedic in Czech Republic and Latvia
RIDVALOVÁ, Nicole
The subject of my bachelor thesis is to compare the conditions of Paramedic´s work in the Czech Republic and in the Republic of Latvia. The main goal is to examine the differences in the emergence of the paramedic position, also the competencies of paramedics in both countries and the organization of cooperation with other rescue services. In the theoretical part I deal with the examination of pre-hospital emergency care systems and it´s structures along with professional and legal aspects of paramedic education in these countries. This theses dedicates special atenttion to examining historical aspects of the development of both republics and its similarities and differences regarding health care systems, rescue systems and the conditions these systems have on its workers. Another key point this theses is focused on is the education level of paramedics which creates the base for the differences in competencies. In the practical part the Bachelor thesis examines the current knowledge of rescue systems, which has a significant influence on the security and work conditions ot the Czech and Latvian medical rescuers. This is mainly a comparison of the geographical and social influences, organisational and regulatory factors, the conditions of operating security for the two health emergency services. In addition, an assessment is made of the approaches and differences in the practical application of the integrated rescue system standards In line with established research issues, this thesis focuses mainly on the comparasion of competencies of medical rescuers and the way in which pre-hospital care is provided in the Czech Republic and in Latvia, which will be carried out by an analysis of the interviews, decisive legal norms, regulations, analytical and methodological documents in the field of health care and medical rescue services in both Republics. The results of the examination shall be supported by the personal knowledge of the processor obtained during the course of the study practice at the Riga Medical Emergency Service during the February-April 2022 period. This work points out, by comparing the practice in the Czech Republic and the Republic of Latvia, the possibilities of enriching the process of training future medical rescues by the wider introduction of practical teaching throughout the course of higher education. The results of the work can be used for presentation at conferences, and to familiarize executives and trainers with the views of health rescuers
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Sport training for paramedic students
ŠTENCLOVÁ, Adéla
This bachelor's thesis concerns the sports training of students in the paramedics' fields at Czech universities. Nowadays, a paramedic is physically stressed by using the instrumentation technics, which are a part of the Medical Rescue Service vehicles, and manipulating patients. The university students have been prepared not only by obtaining knowledge but also by physical preparations. The thesis is divided into the theoretical and the empirical parts. The theoretical part defines the work of a paramedic and the base part of the Integrated Rescue System. Moreover, it deals with a theory of sports achievement, the content of the sports preparation, and the sports courses in the Paramedic fields at the University of South Bohemia. The empirical part was performed by the quantitative method of the survey, by an own questionnaire technique. The research samples come from students in the Paramedic field at particular Czech universities. The survey aimed to analyze the content of the sports preparation and to find out the subjective evaluation of the severity of the sports preparation and the physical readiness of the students. There are two hypotheses. H2: The subjective assessment of the demandingness of the sports preparation is different at particular Czech universities, and H3: The subjective assessment of the physical readiness for the sports preparation in the Paramedic field is the same for both men and women. There is a specific research question for the first aim, which asked about differences in contents of the sports preparation in particular universities in the Czech Republic. The investigative survey detected that according to the students' evaluations, the severity of the sports preparation differs among the Czech universities. Moreover, differences between males and females, were evaluated without significant distinction. Differences in the content of the sports preparation among the particular universities are not considerable. This bachelor's thesis may work as a proposal for adjusting the accreditation in the Paramedic field at the Czech universities.
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The first treatment of a newborn after delivery in pre-hospital care
KOFROŇOVÁ, Erika
The bachelor's thesis discusses the treatment of a newborn after birth in pre-hospital care. In order to elaborate the bachelor's thesis, four objectives were defined. The first objective was to find out how paramedics prepare themselves for taking care of the newborn. The second objective was to record how they handle the situationS psychologically when it comes to the newborn care at fieldwork itself. Furthermore, the third objective ascertained the procedure of the newborn treatment by paramedics in pre-hospital care. Last but not least, the fourth objective was to explore the procedure of a premature newborn treatment. Four research questions were chosen for the research part of the thesis. The first research question dealt with how paramedics prepare themselves for taking care of newborns. The second research question carried out how stressful treating a newborn is for paramedics. The third research question examined the process of treating a newborn. The last research question discusses the treatment procedure in case of the premature newborn. This work highlights the importance of education and implementation of the defined procedure of the newborn treatment in pre-hospital care, as well as the implementation of the most essential interventions which leads to the correct adaptation of the newborn to the new environment. The bachelor's thesis is divided into a theoretical and a practical part. The theoretical part is divided into five main chapters. The first chapter deals with the legal definition of the emergency medical treatment services, pre-hospital emergency care and the profession of a paramedic itself. The competences of a paramedic as well as further educational possibilities are discussed here. In the second chapter, the issue of the childbirth is introduced alongside the labour process itself, its classification, and particular stages. It is complemented by the process of the childbirth and the treatment of the newborn in a health facility as well. The third chapter deals with the childbirth in pre-hospital care. The fourth chapter discusses the various complications that can arise during the birth. The last one describes the care of the pathological newborn and the process of a resuscitation. In the second part of the thesis a qualitative research was applied. The research sample consisted of 8 paramedics who had encountered a newborn after the birth at least once.
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The preparedness of paramedics for practising their profession.
MAREŠOVÁ, Andrea
This bachelor's thesis has title "Preparedness of an paramedic for practising their profession". It include theoretical part and practical part. In the theoretical part is explained personality and character of paramedic. There are also law definidions that the paramedic should follow and his competences. The profession of paramedic is very stressful, therefore, thesis includes also chapter about psychology of paramedics and burnout syndrome. In the next chapter there are study programs for high school graduates, where is possible to study the field of paramedic at universities and employment opportunities for students after graduation. Next, we examined the themes of the adaptation process in the new job. The partical part of the bachelor's thesis is focused on students of the first to third year in the field of paramedic. Purpose of the bachelor's thesis is to map the knowledges of students in the field off paramedic about their future profession. A quantitative survey was made using a website questionnaire and a link was sent into three univerities in Czech Republic - University of South Bohemia in České Budějovice, University of Defence in Brno and the University of West Bohemia in Pilsen. The results from the questionnaires were statistically processed using the homogeneity test into contingency tables and described in the discussion.
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Operational management in stroke patients
VYHLIDAL, Jan
The bachelor's thesis is concerned with the operation management and management in patients with a cerebrovascular accident (CVA) (stroke). It deals with stroke diagnosing and the subsequent stroke patients routing to a target medical facility. The theoretical part covers the general anatomy of arterial blood supply to the brain and the stroke origin pathophysiology, it also includes the assessment protocol concerning the pre - hospital diagnosis and emergent medical care of the patients. Moreover, this part covers specific guidelines for patients' routing to specialized medical centres in the South Bohemian Region. The investigation part is based on the qualitative survey using the method of semi-structured interviews with two target groups of respondents asked eight identical questions. The research sample is constituted by the employees of the South Bohemian Emergency Medical Service, the first group enrolling the operators of the Emergency Medical Centre, the second one the paramedics. The obtained data are analyzed and subsequently evaluated. The first goal is to map the operation management and management in stroke patients, and the second goal is to find out what is the paramedics' experience with stroke-diagnosed patients transport by the Emergency Medical Service and the subsequent routing the patients to a medical facility.
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Cardiac Pacing in Pre-Hospital Care
TOMANCOVÁ, Anna
The theme of this bachelor thesis is cardiostimulation in pre-hospital care. Cardiostimulation in pre-hospital care is performed only externally and temporarily. The procedure is rare and used only in patients with severe hemodynamic conditions. The very rarity of this medical procedure has given cardiostimulation a certain respect. However, this fact should not be a reason for paramedics' lack of preparedness. When using cardiostimulation, paramedics should know the medical procedure, which will depend on the pathophysiology of the particular condition. Furthermore, they should know their responsibility to assist physicians in external temporary stimulation. The purpose of this thesis is to evaluate the theoretical knowledge of paramedics in the field of cardiostimulation, their knowledge of the procedure of external temporary stimulation, and their practical experience with this procedure. Additionally evaluated was possible variability in the performance of external temporary stimulation in pre-hospital treatment conditions in the South Bohemian Region. The thesis is divided into two main parts - theoretical and empirical. The theoretical part first deals with the character of pre-hospital treatment, the role of the paramedic, and their competences. Next is mentioned the anatomy and physiology of the heart, the possibilities of monitoring cardiac functions and arrhythmia, which can be treated with cardiostimulation. This is followed by the topic of cardiostimulation itself - its types, and the procedure of external temporary stimulation in pre-hospital care using a defibrillator. The practical part categorizes and evaluates the results of qualitative research, based on interviews with paramedics from various units of the Emergency Medical Services of South Bohemian Region. The research objectives of evaluating the theoretical knowledge of cardiostimulation were achieved. The interviews identified that paramedics have a good understanding of cardiac arrhythmias and their treatment. Their knowledge of external temporary cardiostimulation shows they would be able to perform this procedure adequately. Comparing individual ambulance units in the Emergency Medical Services, no differences were found in the cardiostimulation procedure in the conditions of pre-hospital emergency care in South Bohemian Region.
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Medical documentation in pre-hospital care
SLUNEČKO, Karel
The topic of this bachelor thesis is Medical documentation in pre-hospital care. This work was divided into two parts. The first part was theoretical, the second practical research. In the theoretical part, the emergency medical service is described with its basic elements and history. Furthermore, the issue of medical documentation was described in general view with its most important aspects. In the last part, the pre-hospital medical documentation service was described by actual examples. Four goals were set in the practical part. The first was to find out the opinion of paramedics on the documentation they are filling and writing as a part of the prehospital care. The second goal was to find out the opinion of paramedics on this documentation in case of need to prove their lege artis procedure. The third goal was to find out the benefits of changes of the software that is used to manage medical documentation. The last goal was to find out how this documentation is subsequently used in the hospital after the handover. The method of qualitative research in the form of semi-structured interviews was chosen for the practical part. The research samples for the first two goals consisted of 12 paramedics, each of whom was asked 19 main questions, additional subquestions were asked in a case the interview led to them. For the third goal, the research sample consisted of 8 informants, who were asked 6 main questions, which were also developed appropriately by additional subquestions if needed. For the last goal there was research sample of 5 informants from the ranks of nurses in the hospitals. The goal of the research is to point out the most important matters of the pre-hospital documentation that is filled in by the paramedics and their opinion on the changes that were made during last year. The work can serve as a basis for possible changes in the management of medical documentation in the conditions of the emergency medical services.
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Crush syndrome from the perspective of the paramedic
TARAS, Ivan
The topic of the bachelor thesis is Crush syndrome from the perspective of the paramedic. In the theoretical part of the work, readers can learn what the crush syndrome is, when and in what situations it arises, what processes take place in the affected person's body, how it then manifests itself and what is its therapy. In the practical part, one goal was chosen. To map the level of awareness of non-medical medical staff about the issue of crush syndrome. A qualitative method of data collection in the form of semi-structured interviews was used to process the research set, where there were 7 main questions, on the basis of which the interviews were further developed. The research sample consisted of 12 respondents. 6 paramedics performing their service in pre-hospital emergency care and 6 members of nursing staff performing their profession in an acute care inpatient facility. The output of the bachelor's thesis is an overview that shows the awareness of the respondents about the issue of crush syndrome. It draws attention to minor shortcomings in both theoretical and practical knowledge of the issue. The work could serve as a basis for a better understanding of crush syndrome in the training of paramedics.
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The organization of proviving pre-hospital emergency care in combat conditions
ŠPRUNGLOVÁ, Ilona
My bachelor thesis titled Organisation of Providing Pre-hospital Medical Care in Combat Conditions is divided into a theoretical and practical part. In the theoretical part I focus on the history of care provided in field conditions, on the legal sphere concerning providing pre-hospital medical care, and on the education of the non-medical workers, including the courses available for the Czech Armed Forces. I also focus on the providing of the first aid in combat and extreme conditions according to the approach of Tactical Combat Casualty Care, where the chapter is separated into parts regarding medical treatment under fire, medical treatment in tactical field care, and medical treatment during the transportation. Chapter First Aid Algorithms follows, consisting of report of the incident, sorting of the wounded, and injury examination. In the last section of the theoretical part I examine medical security, medical equipment, and medical documentation. The research part has one goal: "to elaborate a unified summary of processes of providing pre-hospital medical care in a tactical environment used by paramedics of the Czech Armed Forces and to evaluate their possible implementation into the conditions of the civilian sector, i.e. their possible use by off-site groups of emergency medical care providers." Based on this goal were set down two research questions. Question number 1: "Is it possible to employ the processes of providing pre-hospital medical care used by the Czech Armed Forces in a civilian sphere of emergency medical care providers?" Question number 2: "Is it possible to employ military medical tools and devices also in a civilian sphere of emergency medical care providers?" Answers to these questions were acquired with the help of a qualitative inquiry in form of semi-structured interviews. The inquiry assemblage consisted of six Czech Armed Forces paramedics, five civilian paramedics, and one civilian emergency medical services physician. The respondents were asked ten questions, which were then divided into ten categories. The research showed that the Czech Army Forces and the civilian sphere of emergency medical services are closely connected. This applies to procedures in certain situations or to material equipment.
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