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Competence Paramedic in the Czech Republic
ČERNÝ, Jaroslav
Paramedics´ competencies in the Czech Republic is the name of the subject of this bachelor thesis. The thesis is targeted on mapping the knowledge of the competencies of paramedics and their satisfaction with the extent of activities performed under their competence. The theoretical part of this thesis systematically clarifies the relevant issue. I describe the Integrated Rescue System and the organization thereof on the grounds of the primary representation on which the health rescue service is based. As concerns such rescue service, the thesis is focused on the legislative development, specification and financing thereof. I also specify details of the individual types of rescue teams and describe paramedics with an emphasis on legal norms. The thesis also deals with obtaining and utilizing expertise and with specialist education. Paramedics´ competencies are broken down by several groups described in great detail. In the practical part, I used the method of quantitative research. The data collection method is an anonymous questionnaire. The research team consisted of paramedics working for the Health Rescue Service of the South Bohemian Region. The questionnaires were distributed to seven various rescue stations. The answered queries confirmed both hypotheses. The results show that paramedics know their professional competencies and, when performing their jobs, are satisfied with the extent of the activities performed under their competence. The thesis shows that paramedics´ competencies are not sufficiently well described in legal norms. As a result of such insufficiency, the situation of paramedics is uselessly complicated. In the thesis, I deal with the negative reverse issues and propose a document determined for paramedics to achieve a better legal position.
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Injuries of cyclists from the perspective of prehospital emergency care
KRBOVÁ, Petra
The popularity of everyday, both leisure and racing cycling, increases. The spectrum of accidents and injuries related to cycling extends with the increasing choice of bicycles for different types of cycling. Especially in summer months paramedics repeatedly provide prehospital emergency care to cyclists. A wide range of injuries require different intensity of treatment and care. The theoretical part is focused on a brief characteristics and descriptions of selected injuries, which are part of the research. The research was carried out by the quantitative form, by means of a questionnaire. It was distributed to paramedics in the South-Bohemian Region and in the Vysočina Region. The objective of the thesis was to assess and map the approach of paramedics to an injured cyclist, the correctness of provided care for selected injuries that are mentioned in the theoretical part from the perspective of prehospital emergency care and the evaluation of the need to pay more attention to this issue or to retain the current provided care and update only the new information and findings. The result of the research is the confirmation of all the research hypotheses. The questions testing knowledge of definitions of polytrauma and injuries were mostly answered correctly. The research questions focused on treatment and subsequent transport were also answered mostly correctly. Even though the research results were good and hypotheses were proved, it is necessary to bear in mind that cycling injuries are part of prehospital emergency care. Paramedics should be aware of current practices and continue with self-education.
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Attitude between paramedic and nurse in the prehospital urgent care and hospital urgent care
GRÜNN, Jan
The title of the bachelor?s thesis at hand is the Relationship between paramedics and general nurses during pre-hospital emergency care and hospital emergency care. The objective of the thesis was to find out how the general nurses and paramedics perceive the process of getting further education needed for work in the pre-hospital emergency care and hospital emergency care. The theoretical part deals with the current state of the Emergency Medical Service (EMS), its organisation, funding, and division. Next, the thesis provides characteristics of the professions of paramedic and general nurse, especially with regard to their educational background, how they get their qualifications, their competences, and with regard to legal relations these professions enter into. The practical part employed the method of quantitative research. Anonymous questionnaire was used as the method for collecting data. The target research group comprised of paramedics and general nurses that work at EMS Dispatch Centres of the Region of South Bohemia or at the Departments of Anaesthesiology and Resuscitation in the hospitals based in the Region of South Bohemia. This bachelor?s thesis introduces two hypotheses. The first one reads: ?University-educated paramedic needs more work experience for work at a Department of Anaesthesiology and Resuscitation than a general nurse with ARIC (Anaesthesiology, Resuscitation and Intensive Care) education.? The second one is as follows: ?General nurse education is more suitable for work in pre-hospital emergency care than that of paramedic.? At the beginning of writing this thesis, the competences of paramedics and general nurses were completely different. Due to the changes in laws and amendments to the law which defines these competences that came into effect in the meantime, the possibilities of getting further education have seen changes, too.
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Cooperation of components of integrated emergency system in catastrophes and multiple disasters
VYHNÁLEK, Jakub
The topic of my bachelor thesis is the Co-operation of the components of integrated emergency system in catastrophes and multiple disasters. The target of the thesis is mapping the knowledge of the type activity of components of the integrated emergency system during the common intervention in the extraordinary event with a high number of the injured and victims with accent on the work of the Medical Rescue Service. The partial target is to find out the knowledge of the communication in the Tetrapol digital system. The thesis is split into the theoretical and practical part. The theoretical part of the thesis is devoted to the Integrated Emergency System, its components and tasks. It defines the concepts used in connection with the multiple disasters and moreover it mentions the documents necessary for the liquidation of an extraordinary event. It also describes the communication in the digital Tetrapol system. In the practical part, the method of the quantitative research in the form of the anonymous questionnaire was selected. The respondents were employees of the Medical Rescue Service of the South Bohemian Region. Based on the determined goals, two hypotheses were postulated. The first hypothesis reads: ?Members of the Medical Rescue Service are able to communicate in the Tetrapol digital system?. The second hypothesis reads: ?The junior employees (up to 5 years of practice) have a better knowledge of the type activity of the components of the integrated emergency system during the common intervention in case of an extraordinary event with a high number of injured and victims for the Medical Rescue Service than the senior employees. The investigation refuted both hypotheses and it has shown the deficiencies in the theoretical preparedness for the liquidation of the extraordinary event in the tested sample. In the framework of improving the awareness and knowledge of liquidation of an extraordinary event, it is suitable to devote more time to the given issue already during the studies of medical rescuers as well as subsequently in the employment for example in the form of internal seminars.
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Treatment of burn trauma in prehospital emergency care
HASMANOVÁ, Ilona
The number of serious thermal injuries keeps increasing. Their treatment requires fast, first-class professional, well-organized service, with an adequate material and personnel provision, capable of dealing with even a sudden occurrence of a high number of afflicted persons in one location. The treatment of such injuries requires an interdisciplinary team of cooperating professionals, including the care provided in specialized facilities. I have selected the topic of treatment of trauma caused by burns because it is highly relevant for everybody as it may afflict each person at any time. Treatment of burns in field conditions is far from easy and it has its specifics. The specific features consist in somatic aspects of nursing activities but also in mental aspects. The objective of the thesis was to summarize theoretical information about treatment of burns in the conditions of pre-hospital care and to map the knowledge and skills of paramedics working for the Emergency Medical Service. The thesis consists of two parts: theoretical and practical. The theoretical part explains the term of pre-hospital immediate care and identifies the scope of its application and the providers of such care. The burns are presented and clearly classified based on many aspects and the thesis describes their incidence and, last but not least, also the prevention. The thesis also deals with specific features of nursing care in the conditions of pre-hospital immediate care from the viewpoint of nurses and subsequently also with the field treatment of trauma caused by burns. The practical part used quantitative research, method of inquiring with a questionnaire. The results indicate that paramedics are completely familiar with the procedures to treat trauma caused by burns, that that the cooperation between the Emergency Medical Service and specialized burns centers is sufficient and that the method of intraosseous infusion to children is not sufficiently used. This means that all of the three hypotheses have been confirmed. The results of the research suggest that more attention should be paid to treatment of burns not only in classroom but mainly in a practical part of the training. It is because burns may result in life-long consequences and their treatment in pre-hospital immediate care shall be therefore of the highest professional quality.
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The organization of emergency medical treatment with intention to the medicine of disasters and mass catastrophes
CHALOUPEK, Milan
The medicine of disasters and mass catastrophes is an interdisciplinary medical specialism exploiting scientific discoveries made and lessons taught by experience in the other branches of medicine while attending to emergencies and carrying out rescue, demolition and sanitation operations. Practices already applied to handle mass catastrophes are being analyzed in case the humankind has to face similar events in the future. Related to the analyses are requirements for organizing urgent care. To illustrate the types of cooperation; to exemplify organization of the urgent care on specific cases; to compare the ways of cooperation between health-care facilities and the constituent elements of the Integrated Rescue System (IRS); and to cope with large-scale disasters, the mass catastrophes occurring in the Czech Republic have been treated to an analysis. Evaluated in the relevant cases was the level of security that the Czech Republic can rely on in case of emergencies - catastrophes and major disasters. Comparison was made between what was done by large health-care facilities and what was taken care of by the Integrated Rescue System, with special focus on the triage of the victims. As follows from analyses of different mass disasters, the medical care provided to save lives is satisfactory, and the urgent care is organized properly. The information on organizing urgent care oriented towards the medicine of disasters and mass catastrophes has been extracted from a variety of sources and through inquiring competent professionals.
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Obstetric situations in prehospital emergency care and duties of a medical rescuer
KLEČATSKÁ, Lucie
The paper treats the subject of obstetric situations in pre-hospital emergency care and the tasks tackled by paramedics. Vital in such situations are the early recognition of symptoms; correct diagnostics; and a speedy transfer of the patient to a hospital. The paper concentrates primarily on delivery during the pre-hospital emergency care; on premature leak of the amniotic fluid; and on bleeding encountered in pregnant women in the second half of gestation and the related complications. The effort aimed particularly at mapping the frequency of emergency obstetric situations met during the pre-hospital emergency care in the Region of South Bohemia; at exploring the experience of paramedics; and at finding whether they were afraid of such situations and whether they were able to apply their theoretical background in practice. The defined objectives yielded four hypotheses: H 1: Emergency obstetric situations emerging during the transit are rare in the South Bohemian Region; H 2: Paramedics possess sufficient theoretical erudition to manage the emergency obstetric situations; H 3: Paramedics do not possess sufficient theoretical erudition to manage the emergency obstetric situations; and H 4: In providing emergency pre-hospital care paramedics try mainly to take the patient to hospital in good time. The research section of the paper relied on a quantitative survey conducted through a questionnaire distributed among paramedics in the Region of South Bohemia. Altogether 80 questionnaires were distributed, out of which 66 constituted the surveyed set. The results were processed and assembled into cake diagrams best depicting the percentage shares. All objectives have been accomplished. The first and fourth hypotheses proved false, while the second and third proved true.
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The view on the Krnov Hospital X Ray Department's Preparedness to Handle an Increased Number of Casualties at Emergency Management
PODEŠVOVÁ, Jitka
Exercising their profession, nursing staff in health facilities may commit a fatal mistake in tense moments in terms of time. An illustrious example may be the admission of a higher number of casualties after an emergency event. So that to prevent these negative consequences, emphasis is put on the readiness of the entire health system from the headquarters to individual care providers. Special attention is also paid to trauma planning, because especially in complex cases greater demands are developed on the functioning and rapid succession of individual operations of medical care, along with observing all approved medical principles, of course. To verify the readiness and to reveal any shortcomings and reserves tactical exercises are held. The Krnov hospital also participated in that kind of training with activating the trauma plan. Another workplace involved was also the radio-diagnostic department. A simulated bus accident was to reveal whether the individual workplaces could provide adequate examinations and treatment. The thesis is divided into several parts. In the introductory section it is explained in brief how the health system is organized. To understand the text, it was necessary to define the necessary terminology and to mention the binding, legal legislation for emergency management authorities at all levels that affect the operations and carry out supervision on medical institutions. Gradually, the theoretical part presents trauma plans, sorting out casualties in the place of an emergency event, and specific exercises in the Krnov hospital that were announced and carried out in the early afternoon, when the hospital was fully filled with staff members. In the research part the analysis of a real accident that occurred in a late evening about a year later is made. Time demandingness of individual examinations is evaluated. Factual results are compared with the data obtained from simulated exercises. In the final part I tried to assess the quality and topicality of the trauma plan elaborated by our facility as well as the internal trauma plan of the RDG department and to propose possible changes and improvements.
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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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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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