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The analysis of the selected health hazards of population within defined special extraordinary event on the village with extended area of involvement and analysis of readiness and preparation of elementary subunits of IZS including healthcare in terms of reducing the impact on larger scale.
POJETA, Antonín
Risk analysis is a very important keystone for preparation of the rescue system during a disastrous situation. It defines risks which are needed for the rescue system in given timeline. It also provides basic data regarding necessary preparation of rescue forces and resources within the defined area. Of course it is not the most perfect instrument for crisis set-up as it cannot, on the whole, express the risks and threats while talking about recent phenomenon such as terrorism etc. In these cases risk analysis can only come out from scenarios and geopolitical situations or experiences from previous disasters that the world has already experienced. Risk analysis answers questions such as - what can happen, how it will happen, where this could happen, how many people can be in danger or affected. The result is a model system of an operation during this nonstandard disastrous situation for the whole system which is ready to help the people in danger. The theoretical part of the diploma thesis describes characteristic of the area, where the risk analysis was made for Integrated Rescue System set-up, risks according to specific industrial activities and public health risks. The following chapters are dedicated to specific basic and other elements of the Integrated Rescue System, the basic elements are stated in further details. The most detailed part is the paramedics, because the risk analysis focuses primarily on their activities within the framework of incidents affecting public health. Within this topic the legislative basis is written in detail, in the meaning of Type Activities, levels of alarms, trauma plans, activation of forces and resources of Integrated Rescue System in case of public health affection report and other law-based keystones for the operation of basic elements, laws, regulations, statutory rules, declaratory regulations and other documents, complemented by Crisis Management problems. The operation of Fire Fighter Department, Police of the Czech Republic and other elements of the Integrated Rescue System is also stated up according to the thesis topic including a chapter about a co-operation of all above mentioned elements in a place of mass people endangerment. Health Care Crisis Management chapter closes the theoretical part of the thesis, and it is an integral part of managing disastrous situations in order to maintain the standard care administration even outside the area of disastrous incidents. The trauma plan of Paramedic provider and in-patient or day-care providers is being studied trough in detail right in this chapter. Summarized data within the health care securement in municipalities with extended effectiveness including the surrounded medical facilities can be found in the practical part of this thesis. According to data collection the summary of the most critical events the Paramedics had to deal with in Kralupy nad Vltavou selected municipalities with extended effectiveness in the last fifteen years. Ten years ago the methodical Integrated Rescue System training with focus on operational cooperation was carried out as a terroristic attack in Kralupy nad Vltavou. The results of this training came out as comments with actual risks and threats in the chapter called "Results". The core of the practical part is Medical Risk Analysis according to FMEA risk analysis compared with risk analysis from municipality with extended effectiveness listed in the Emergency plan of Central Bohemia Region. Based on the research forces and resources of basic integrated rescue system components are mentioned, which were the first to be sent to solve a disastrous situation including medical equipment. In conclusion of the practical part risk modelling with situation review is mentioned.
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