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Preparedness of physicians emergency Medical services of the South Bohemian Region for emergencies with a collective disability of persons
ZAUNMÜLLEROVÁ, Michaela
This master thesis is focused on educating physicians in mass casualty incidents. This paper aims to introduce the basics of mass casualty management, triage categories and tasks of the staff in mass casualty incidents. A questionnaire forms the research. Fifteen physicians working for Emergency Medical Services of South Bohemian Region responded to the questions about their theoretical knowledge about mass casualty management and their opinion about the quality of training courses at EMS of South Bohemian Region. There was a comparative analysis of theoretical knowledge and the real-life experience of the physicians at EMS of South Bohemian Region. The graphs with an evaluation of all the responses showed the results. This paper can make good use for further education on this topic at Emergency Preparedness Service of EMS of South Bohemian Region.
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Epidemiological threats and readiness of medical rescue services of South Bohemia and Pilsen region for transport of patients with highly dangerous infection.
CHALOUPKOVÁ, Klára
The thesis deals with differences in the preparedness of the Biohazard team of the Emergency Medical Services of the South Bohemian and Pilsen Regions in caring for infectiously ill patients, their transport and treatment. It consists of theoretical and empirical parts. The theoretical part focuses on the history and epidemiology of infectious diseases, on the types and occurrence of highly dangerous infections in the Czech Republic while describing the biological risk and individual plans. It also deals with the components involved in measures in the presence or suspicion of a highly dangerous infection, describes the role of health care providers and the role of the Regional Hygiene Station. It highlights the medical units involved in the care of suspicious or highly dangerous infections, it also deals with the training of members of the Integrated Rescue System, personal protective equipment and, last but not least, decontamination of persons and objects. The empirical part consists ofa structured interview. The interview included 15 questions, 14 closed and 1 open. All questions were focused on the awareness of the members of the Biohazard Teams of the Emergency Medical Services of the South Bohemian and Pilsen Regions about the activities of these teams, the relevant legislation and the theoretical and practical preparation and equipment of workplaces. The respondents were members of the Biohazard Team, consisting of 4 paramedics, 4 drivers and 2 physicians from each named region. The results show that the preparedness of the Biohazard Emergency Medical Services of the South Bohemian and Pilsen Region is very similar, while the Biohazard Emergency Medical Services of the Pilsen Region prefers years of service to enter, respondents of this team are more familiar with theoretical knowledge, per year and therefore better prepared to intervene in a suspicion or occurrence of a highly dangerous disease. Members of the Biohazard Emergency Medical Services Team of the South Bohemian Region participate in theoretical training twice a year. The Biohazard Teams of both regions participate in practical exercises four times a year, but there is a problem because there is no uniform methodology for equipping a Biohazard Team in the Emergency Medical Service, there is no central equipment purchasing, which is both very economically disadvantageous and very difficult for cooperation.
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The issue of smoking in the medical profession
Čerňanská, Jitka ; Kulhavá, Miluše (advisor) ; Burišková, Klára (referee)
The aim of this work was to map the extent of knowledge about active and passive smoking and its effects on human organism between paramedic employees of Emergency Medical Service in the Ústí nad Labem Region, coupled together with an evaluation of their interest in further education in this area. An absolute majority of questioned paramedics says that active smoking is very detrimental to overall health, but the question of passive smoking is not considered such a big issue among them. Lectures about smoking and its effects, realized at their workplaces, are not expected nor demanded. Theoretical part of this thesis gives an account of tobacco history, describes constituents of tobacco smoke and its effects on human organism. Furthermore this work deals with possible methods for quitting the smoking, possible prevention approaches and valid legislation in Czech Republic, dealing with the regulation of smoking. The final theoretical part of this work tries to define characteristics and possible dangers of employment at Emergency Medical Service. The practical part of this thesis was conducted through quantitative research, realized by questionnaires being distributed to different Emergency Medical Service stations, investigating attitudes and knowledge of Emergency Medical Service in Ústí nad...
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Drug use among emergency operations centre personnel of emergency medical services
Švarcová, Barbora ; Chomynová, Pavla (advisor) ; Kulhánek, Adam (referee)
Positions in emergency medicine are endangered by increased chance of long-term stress and burnout syndrome. These risks, which are inseparable from their professions, can result in increased consumption of addictive substances. Employees of emergency operations centres are one of these risk groups, hypothesised to have increased drug consumption in comparison to general public. The goal of this thesis was investigation of drug consumption among emergency operations centres personnel and determination of addictive substances and the amounts being used. The second goal was to confirm hypothesis about connection between burn out syndrome and drug use. Data were gained through questionnaire survey which was implemented online in 11 Czech emergency medical services in the first half of the year 2019. 25 % (88 respondents) of asked employees took part in this research. Results show, that emergency operations centres personnel most frequently use tobacco and alcohol, the amount is bigger than the amount used by general public. The results show riskier way of alcohol use and higher lifetime prevalence of cannabis usage among emergency operations centre personnel than in general public. Prevalence of methamphetamine and cocaine is nearly the same as among the general public. The hypothesis of connection...
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A comprehensive approach of emergency medical services providers to a transport of a patient suffering from a highly contagious disease
MACH, Rostislav
In the thesis "Comprehensive approach of emergency medical services provider to a highly-contagious patient transportation" we concentrated on nursing care and aspects of transportation administered by operating paramedics, all in cases that public health authorities suspect to be related to a highly - contagious disease and transportation in isolated transportation vehicle is mandated. The theoretical part of the thesis defines the key concepts of highly - contagious disease, it describes individual causal agents of contagious diseases and their ways of transmission to humans. For description of contagious diseases were chosen those with high morbidity, lethality and interpersonal transmission. We mention the danger of biological agents misuse, ways of protection against contagious diseases and types of decontamination procedures. We describe different means of personal protection used by biohazard team members and even environmental factors affecting the work of paramedics using personal protective agents. Further on, we bring to attention legal aspects and inner policies related to aforementioned issues including analysis of procedure logistics of emergency services teams dealing with emergencies with suspicion of highly - contagious disease. Research in practical part of the thesis concentrates on aims related to optimizing nursing care for patients suspected of suffering from a highly - contagious disease, when securing them in the transportation vehicle, furthermore, we examine the impact of personal protective agents used by paramedics when transporting the patient, and we also analyze environmental factors inside the ambulance vehicle and isolated personal transportation vehicle. All of these aims were researched with the help of planned experiments and the resulting findings are based on the outcomes of these experiments.
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The problematics of securing airways of a patient with an acute respiratory disease
BABOUČKOVÁ, Martina
The topic of our Bachelor's thesis is "Problematics of securing airways of a patient with an acute respiratory disease". The aim of this thesis is to map the issue. The thesis contains the theoretical part and the research part. The theoretical part focuses on anatomy and physiology of the respiratory tract, monitoring of respiratory system, monitoring of consciousness, securing of the respiratory system and caring for the patient connected to the artificial pulmonary ventilation. Furthermore, this work also deals with nosocomial and professional infection and especially with acute respiratory disease. The research was conducted through qualitative research using a semi-structured interview with 10 qualified specialists and paramedics working at the department of Anaesthesiology and Resuscitation and at Emergency Medical Services. To designe researche were chosen for these research questions: 1. How do the paramedics protect themselves when securing the airways of a patient with acute respiratory disease? 2. How often do paramedics encounter the activity of securing airways of a patient with acute respiratory disease? 3. What is the attitude of paramedics in practice when it comes to securing the airways of a patient with acute respiratory disease? The purpose of this Bachelor's thesis is to find out how the paramedics proceed in securing the airways and how they react when they encounter the acute respiratory disease. This Bachelor's thesis serves as a material that points to the correct use of barrier protection. The result of the research shows that the paramedics meet with the respiratory disease only rarely. The questions were also aimed at the compliance with barrier protection. The main benefit of this Bachelor´s thesis should be the awareness of non-compliance with barrier protection and subsequent use of protection against respirátory disease.
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Anaphylactick shock and the possibilities of dealing with it by a paramedic.
ZÁBRANSKÝ, Stanislav
The aim of the thesis was to map knowledge that paramedics of South Bohemian Emergency Medical Service have during a medical treatment of Anaphylactic shock in out-of-hospital emergency care. This topic included the knowledge of terms Anaphylactic shock, describing its symptoms, the way of its medical treatment, recommended procedures and its style of training. Six employees of South Bohemian Emergency Medical Service take part in this research. Respondents received 15 questions related to this issue. The qualitative research was used to achieve results. All the interviews were semi-structured. As emerged from the research, the training concerning Anaphylactic shock is insufficient. Most of paramedical staff have not been present during any Anaphylactic shock. They have been more present during some Allergic reaction. Therefore, their motivation to gain more knowledge of this issue is not satisfactory. Also, paramedics do not have enough knowledge of a term Anaphylactic shock. They are aware of this term, however, they are not able to describe it. The biggest problem is dosage medications. The paramedics are not sure how to dose medications without consultation with a doctor. Concerning medication of adults, the knowledge is better. However, in the case of children, the paramedics confess that they do not remember the procedure. Paramedics follow the rule which takes into consideration kilograms of a patient. However, for the reason of the faster intervention, it is better to give the amount of medication with regard to the age of a child. Another problematic question is a position of a patient when transporting to a hospital. To have better orientation and knowledge of procedures during Anaphylactic shock, paramedics should have more extensive training. Except for the mandatory training from an employer, the paramedics should have an occasional initiative of gaining the knowledge by their own.
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Attitude and motivation of paramedics and medical drivers of vehicles in emergency medical service to continuing professional education
ŠULC, Ondřej
The aim of the study is to determine present attitude and motivation of paramedics and ambulance drivers to the continuing education. The purpose of the research is to clarify how could be possible to recieve better motivation in this field. In the beginning of thesis are described terms as motivation, attitude, education, paramedics or ambulance drivers. Present attitude of persons in emergency medical services is measured in empirical part of study. There are discovered the reasons why employees are not motivated to the next education and is shown how to improve this statement. As research tool was used semi-structured interview. Than results were analyzed and described. Participants of research were employess of one ambulance in Vysočina. Results can help to see level of motivation these participants to the continuing education as well as employers can see that is necessary to improve situation on ambulance area. Diversity of participants´ motivation is confirmed. The most important positive motive is money, as negative (for example) many lessons without practical parts.
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Management of patient with cranial trauma in prehospital care.
BAXA, Radim
The bachelor thesis is entitled: "Management of patient with cranial trauma in prehospital care". The teorethical part thoroughly deals with the characteristic of craniocerebral trauma and its management in prehospital emergency care. There is an overview of anatomy and physiology of head with an emphasis on perfusion and brain vascular supply. Further ways of origin, types, symptoms and assesment of the severity of craniocerebral injuries. Within the management of prehospital care, the teorethical part deals with the individual steps in examination and stabilising the patient and thr pointing to the target medical institution for final treatment. In the practical part there were set two objetives. The first objective was to map the issue of cranial trauma and the management of the patient with cranial trauma in prehospital care, based on expert literature. The second objective was to evaluate the practical procedure for six cases and how much it actually matches with the recomended procedure. A qualitative research approach was used to process the research part. The data was collected in form od cases reports, which were subsequently categorized into nine categories. According to the results, there was found that the paramedics are partly familiar and control the procedures for patient examination, its monitoring and the criteria for its targeting to the definitive health facility. The management problems may result into unequal use of fixation tools and inconsistency in the use of pharmacotherapy and volume therapy. The output of this bachelor thesis could serve as a basis for teaching paramedics dealing with craniocerebral injury and management in prehospital care. Furthermore, the work could be used to increase or supplement the awarness of paramedics when they meet a patient with trauma brain injury.
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The issue of smoking in the medical profession
Čerňanská, Jitka ; Kulhavá, Miluše (advisor) ; Burišková, Klára (referee)
The aim of this work was to map the extent of knowledge about active and passive smoking and its effects on human organism between paramedic employees of Emergency Medical Service in the Ústí nad Labem Region, coupled together with an evaluation of their interest in further education in this area. An absolute majority of questioned paramedics says that active smoking is very detrimental to overall health, but the question of passive smoking is not considered such a big issue among them. Lectures about smoking and its effects, realized at their workplaces, are not expected nor demanded. Theoretical part of this thesis gives an account of tobacco history, describes constituents of tobacco smoke and its effects on human organism. Furthermore this work deals with possible methods for quitting the smoking, possible prevention approaches and valid legislation in Czech Republic, dealing with the regulation of smoking. The final theoretical part of this work tries to define characteristics and possible dangers of employment at Emergency Medical Service. The practical part of this thesis was conducted through quantitative research, realized by questionnaires being distributed to different Emergency Medical Service stations, investigating attitudes and knowledge of Emergency Medical Service in Ústí nad...
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