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Access to pediatric patient with dyspnoea in pre-hospital care
SEMANOVÁ, Kateřina
This bachelor thesis is dedicated to the topic Approach towards a Paediatric Patient with Acute Dyspnoea in Pre-Hospital Care. It is a current topic, as Czech Society of Paediatric Pulmonology has recently modified its recommended guidelines regarding therapy of children with acute dyspnoea. The main focus of this work is the therapeutic approach and pharmacologic treatment of paediatric patients with dyspnoea. In the introduction, I address the general matter of dyspnoea in children, then I describe acute subglottic laryngitis and acute epiglottitis. The practical part has two aims: first, to map how knowledgeable the emergency responders serving in Emergency Medical Services of South Bohemian Region are in regards of the newest guidelines dedicated to children with acute dyspnoea in pre-hospital care; second, to learn about the experience of the emergency responders with the administration of nebulised adrenaline + Pulmicort in children with acute dyspnoea in pre-hospital care. Consequently, two research questions were established. The first question is: What knowledge do emergency responders possess in the matter of acute dyspnoea in children and the new established guidelines of Czech Society of Paediatric Pulmonology? The second question is: What is the experience of emergency responders with the newest administration of pharmacotherapy regarding acute dyspnoea in children in pre-hospital care? Quantitative research in the form of asking the respondents was adopted in order to reach the aims. An anonymous questionnaire was created. It contained 15 questions. The sampling was made up by emergency medical responders from South Bohemian Region with varying amount of work experience. I maintain that both the aims of this bachelor thesis were reached, as the research questions were answered. Emergency medical responders do have elementary knowledge in the matter in question, and although experience with the new guidelines varied, it was mostly positive. More frequent and regular training could lead to an improvement of the respondents' results.
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