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Methodology of the medical operating center during the SARS-CoV-2 pandemic
ČÍHAL, Marek
This bachelor's thesis was focused on the methodology of the medical operating center during the pandemic Severe acute respiratory syndrome-related coronavirus 2 (SARS-CoV-2). It examined how the methodology of the medical operating center dispatchers have changed and also mapped the experience of emergency medical service departures in passing information obtained from patients to the emergency line. Although the disease caused by the virus is on the decline at this time, it is still a current global threat that should not be underestimated. The thesis describes both Coronavirus disease (COVID 19) and the methodology of dispatchers of the medical operating centers. The aim of the research was to map the procedures of the dispatchers during the SARS-CoV-2 pandemic and to map the experience of paramedics with the evaluation of the emergency call through themedical emergency dispatch centers for patients with epidemiological criteria of suspected COVID 19. A qualitative type of research was chosen. It was conducted through semi-structured interviews. Ten dispatchers and ten paramedics answered pre-prepared questions. These questions dealt mainly with the evaluated epidemiological criteria, the change in the methodology of the SARS-CoV-2 pandemic and the satisfaction of paramedics with the information provided. The research showed that not all dispatchers od medical operating centers proceed in the collection and evaluation of epidemiological criteria uniformly, but at the same time they are aware of current recommended practices and largely follow them, except for small deviations. At the same time, interviews with crew members showed that although they are not 100 % satisfied with the way the information is passed on to them, they value the work of their colleagues from medical operating center and consider it, given the current situation, more than sufficient.
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Receiving an emergency call on the line 155
STÁRKOVÁ, Denisa
Receiving an emergency call on the line 155 is the topic of this bachelor's thesis. The theoretical part of the thesis deals with the description of the medici operating center, the requirements and workload of dispatchers who are currently working at the medici operating center. It also describes the processing of an emergency call, the method of communication with the celer and, last but not least, telephone-assisted first aid and telephone-assisted cardiopulmonary resuscitation (CPR). In the practical part, two goals were set. The first goal was to map the knowledge of dispatchers in providing first aid for telephone-assisted cardiopulmonary resuscitation of adults. The sekond goal was to map the knowledge of dispatchers in providing first aid for telephone-assisted cardiopulmonary resuscitation of children. Qualitative research was performed using the semi-structured interview technique. These interview were conducted at the Medical Operations Center of the South Bohemian Region. The respondents were the emergency dispatchers .Ten respondents were randomly selected. The results were dividend into twelve categories, for better orientation at bachelor's thesis. Both set goals were achieved in this way. It was found that the dispatchers of the medical operating center responded very carefully and with a clear dose of knowledge to the issue of telephone-assisted CPR of children and adults. Dispatchers have knowledge and can describe the procedure of individual steps efore resuscitation. Knowledge and experience with AED was also at a good level. Respondent's answers regarding the need for resuscitation for more disabled people did not agree, some had no answer. Dispatchers could not imagine this situation and would not know how some would make decisions. When communicating with someone who refuses cardiopolmonary resuscitation, dispatchers disagreed. The results of this work showed the need to include in training programs by the employer methods of communication during urgent resuscitation, preferably using model situations.
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The development of the South Bohemian Medical operating center
BLÁHOVÁ, Barbora
This bachelor thesis is written in a theoretical form and its main topic lies in the describing of history of the Medical Operating Center of the South Bohemian Region, which is nowadays located in České Budějovice. Therefore, the bachelor thesis is especially focused on changes and development of the Medical Operating Center from the beginning of Emergency Medical Service in České Budějovice in the 19th century. Next aim of this thesis is also mapping the current approaches of receiving and evaluating the emergency calls by operators of this Medical Operating Center. To obtain the fundamental information about history of the Medical Operation Center of South Bohemian Region, many personal meetings with former, but also with current employees of the Emergency Medical Service of the South Bohemian Region were realized. These employees provided essential information for this thesis and thanks to these personal talks, the important and crucial events and changes of Emergency Medical Service of the South Bohemian Region could be written down. Additional information was primarily obtained from annual reports of the Emergency Medical Service of the South Bohemian Region, the State District Archives of České Budějovice and the available literature on this issue. Recapitulated, the final bachelor thesis includes the detailed describing of the history of Medical Operating Center of the South Bohemian Region since the end of 19th century to these days, summarizing of the current state, work approaches and upcoming changes of the Medical Operating Center of the South Bohemian Region. This thesis also contains evaluation of advantages and disadvantages of the centralization process of regional medical operating centres located in whole South Bohemian Region into the only one Regional Medical Operating Center in České Budějovice.
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The role of the medical operations center, a provider of emergency medical services
JIRKŮ, Tomáš
Bachelor's thesis deals with the medical operating center and its activities. A lot of people have no idea what a medical operating centre actually is. My knowledge about it was also scarce before the beginning of my studies. Therefore I would like to outline the problems, tasks and also the demanding character of the work of operators. That is why this thesis is aimed at examining the tasks of the medical operating centre. Everybody probably knows the term medical rescue service and imagines immediately a yellow vehicle with reflective strips and blue lights. Hardly anybody realizes, however, that the medical rescue service needs the medical operating centre to be functional. It may be also called a control centre. This centre is an inseparable part of the medical service and also of the integrated rescue system. Specialized medical workers, called operators or controllers, are employed here. These workers, among others, receive continuously emergency calls, evaluate them and pass them on to exit groups, and, last but not least, assist the caller with giving first aid. All these problems are the subject of the theoretical part of the thesis. Two research issues were determined for the purpose of the research part of the thesis. The first one deals with all tasks ordered by legislation being used by the operating centre and the second research issue is aimed at the problems of urgent basic life support assisted by phone, namely if this basic life support assisted by phone is utilized always when unconsciousness is indicated. These issues were dealt with by means of the qualitative research method consisting in the secondary data analysis. The research set constituted the regional operating centre of the South Moravian Region. Specifically, documentation of emergency medical services was used operator record and audio record of emergency call. This documentation is a part of each emergency call. By means of the secondary analysis the data from 20 emergency calls were obtained. Emergency calls were chosen by simple random choice. The sample of these 20 emergency calls was chosen from the period of the year 2014. Because of protection of personal data no names are given in the thesis, only the initials. For the same reason no actual addresses are used in the research. In the discussion there are given all tasks ordered by legislation and recommended procedures from professional sources. This information is subsequently compared with the obtained data. The results in the case of the first research issue indicated that some tasks ordered by legislation are not used too often. Some tasks within the framework of the small sample being examined are not used at all and, on the contrary, they are used in the receiving of each emergency call. The tasks that were not used at all were three altogether. The results in the case of the second research issue demonstrated that indication of unconsciousness is not always necessarily the reason for using urgent basic life support assisted by phone. It is important that also other aspects are taken into account, not only consciousness of the patient. Of ten emergency calls concerning unconsciousness being examined this urgent basic life support assisted by phone was used in five of them. It was found out that utilization of the medical operations center tasks is individual in each emergency call. From the point of view of the total activity of the centre it could be declared, however, that the centre uses most of the tasks ordered by legislation. This bachelor's thesis can be used as a material extending the knowledge of both non-professional public and medical personnel concerning the activities of medical operating centre. It can be a stepping stone for further research concerning medical operations center.
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