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Mass Health Damage - the Emergency Medical Service Operating Procedure when in Terrain
SHÝBALOVÁ, Ivana
Abstract Mass Health Damage ? the Emergency Medical Service Operating Procedure when in Terrain The bachelor work topic is the procedure of the Emergency Medical Service (EMS) during the mass health damage. Though it concerns the EMS procedures only, we should not forget the work of the other integrated rescue forces, e.g. the Police, and the Firemen squad. The cooperation of these is quite usual during the mass health damage intervention, and good-working emergency system guarantees the effective dealing with the emergency states. For the best dealing though, the emergency medical rescuers are very important to orienteer in the concrete event issues. The theory concerns the complex issues of the mass health damage. At the very beginning, the main terms such as emergency state are defined. A short excursion to the history of the Disaster Medicine proceeds. There we can trace the very first procedures of the pre-hospital care during the war conflicts, and the first aid steps which are still up-to-date in today?s practice. Because of the out-standing significance of the good-working cooperation within the emergency system, the part of the work concerns the emergency system itself. Next chapters deal with the real operating procedures of the EMS at the field of the mass health damage and with the injuries sorting methods. The practice was focused on the mapping of the practical knowledge of the rescuers, concerning the mass health damage. The survey was realized quantitatively, using anonymous questionnaires. The data was collected from February till April 2013. The basic research aggregate for the data-collecting were the members of EMS working at the position of medical rescuer, branch Southern-Bohemian. The research questionnaires were spread electronically, and in pencil-paper form, too. There were 150 questionnaires sent in total, 76, 6% came back, it means 115 were filled in the proceeding research evaluation. The respondents were informed about the research aim and the rule of anonymity before inquiring. The questionnaires consisted of 20 closed one-choice questions. Questions 1 to 6 were only formal, serving the closer knowledge of the respondent. Questions 7 to 20 were to find about the respondent?s knowledge concerning the issues of the mass health damage. Those we used for the next verifying of the hypothesis. It says that the members of EMS have sufficient knowledge of the mass health damage procedures. The data we gained were subsequently assessed, each question was evaluated separately and the data was put into the graphs and tables. These show bot, the relative and the absolute frequency of gained answers. The defined hypothesis was statistically evaluated using the Chi test. The resulting level of significance rejected the null hypothesis and thus confirmed the hypothesis H1, which says that awareness of emergency medical services crews on the procedures for collective impairment of health is sufficient. The aim of the bachelor?s work was to map the procedures and knowledge concerning the mass health damage. The respondents were the medical rescuers. This aim was fulfilled. The statistic evaluation of the questioning and the confirmed hypothesis show on the fact, that the medical rescuers have the basic knowledge concerning the mass health damage procedures.
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Organization of pre-hospital urgent care upon transport accident with mass health disability
RATAJ, Martin
This thesis deals with the organization of pre-hospitalization emergency care in the event of a traffic accident involving multiple human injuries. It characterizes the activities of the emergency medical service. The objective of this thesis is to map in detail the organization of pre-hospitalization emergency care in the event of a traffic accident involving multiple human injuries. However, the established structure of the organization applies to any emergency involving multiple human injuries. Two research questions were defined for the research part of the thesis; they focused on the Emergency Medical Service of the Central Bohemia Region and the Emergency Medical Service of the South Bohemia Region in order to obtain research value. The first research question focused on comparing the ways in which paramedics were prepared to deal with emergencies in traffic accidents involving multiple human injuries at the Emergency Medical Service of the South Bohemia Region and the Emergency Medical Service of the Central Bohemia Region. The second research question was intended to map the solutions of traffic accidents involving multiple human injuries at the Emergency Medical Service of the Central Bohemia Region and the Emergency Medical Service of the South Bohemia Region from 2002 to 2012. The methodology selected for the research part of the thesis was a method using a qualitative research conducted through interviews in the form of semi-controlled interviews with paramedics with the Emergency Medical Service of the South Bohemia Region and the Emergency Medical Service of the Central Bohemia Region. The research group was composed of paramedics from two emergency medical services from each of which five respondents were selected randomly. Processing of the results relating to the first research question, which dealt with comparing the ways in which paramedics are prepared to deal with emergencies in traffic accidents involving multiple human injuries, showed that although the structure of the training is largely determined by law and, therefore, it is very similar at both the emergency medical services, there is a striking difference in the access and participation of paramedics to the training organized. The paramedics with the Emergency Medical Services of the Central Bohemia Region do not participate in theoretical preparations regularly, compared to their counterparts, even if they are organized every year. Processing of results relating to the second question, which focused on mapping the solutions of traffic accidents involving multiple human injuries, showed that the Emergency Medical Service of the South Bohemia Region participated in a much more serious traffic accidents involving multiple human injuries than the Emergency Medical Service of the Central Bohemia Region. The description of the procedures selected by paramedics at the scene of a traffic accident clearly shows that they had to use disaster medicine procedures, such as triage using sorting identification cards, for rescue and disposal operations. It can be clearly concluded that they are an emergency medical service far more experienced in the procedures for dealing with traffic accidents involving multiple human injuries are. When examining the organization of pre-hospitalization emergency care in the event of a traffic accident involving multiple human injuries I found out, using the methods of qualitative research conducted through interviews in the form of semi-controlled interviews carried out at two emergency medical services, some differences concerning theoretical training and actual procedures of dealing with traffic accidents involving multiple human injuries. The cause of these differences can be seen mainly in the frequency of occurrences of emergencies in the South Bohemia Region. For this reason, I see the paramedics with the Emergency Medical Service of the South Bohemia Region as more experienced.
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