|
|
Options airway paramedics in terms of prehospital emergency care
KOZELKA, Pavel
This bachelor thesis deals with establishing an airway by a paramedic service in terms of pre-hospital emergency care. Considering unexpected accidents and life-threatening situations, securing the airway is one of the most important performances in pre-hospital care. Proper airway securing covers both effective ventilation and oxygenation. It is not always possible to secure using usual techniques. Therefore, alternative methods of airway management are introduced in this thesis as well. The theoretical part is concerned with the airway management. The first chapter aims at the historical background and describes the development of airway securing techniques. Following parts provide with a short introduction to the anatomy and physiology of the human respiratory tract. The thesis describes the concept of pre-hospital care and competencies of a paramedic. It focuses on airway management with or without medical devices and characterizes the main techniques, such as, the oral cavity examination, head-tilt method, the triple airway manoeuvre and Heimlich and Gordon manoeuvres. Regarding airway devices, the thesis mentions pharyngeal airway, combitube, laryngeal tube and laryngeal mask, I-gel, endotracheal intubation and alternative airway securing including coniotomy and laryngectomy. The last chapter of the theoretical part deals with the modes of artificial ventilation. The practical part compares the options of airway management and monitors the level of theoretical knowledge of airway establishing among emergency paramedics in South Bohemia, Central Bohemia and Pilsen Region.
|
guest ::
