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Level of healthy lifestyle of paramedics
ČERNÁ, Alena
Currently the total number of medical emergency drawaways is increasing. Rescue workers often face stress and physical strain, which requires their mental and physical fitness. In recent years medical rescue workers have been drawing away in medical emergency regime, thus without a doctor, which carries higher level of responsibility and therefore the rescue worker faces higher stress level. This is a non-stop profession and therefore it is highly important to heed sufficient rest and relax, both physical and mental. The aim was to discover a medical rescue worker´s healthy lifestyle standard in the regi-on of South Bohemia, how a medical rescue worker copes with stress and what way he or she relaxes and makes use of his or her leisure time. A survey of a quantity method by means of questionnaires has been placed at work. These have been distributed to medical emergency rescue workers in the region of South Bohemia. The results of the survey show that a medical emergency rescue worker´s healthy lifestyle standard of the Medi-cal Emergency of South Bohemia cannot be unambigously identified. The survey also discovered that the rescuers use mainly addictives, sport and friends to cope with stress and mostly active relaxing such as tourism or sporting activities to relax. In practice the survey shows that the management of the Medical Emergency could consider placing teambuilding activities and other company events.
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The Problem of Distal Cannulation by Medical Rescuer in Pre-Hospitalization Care
BRATRÁNEK, Pavel
At present, an absolute necessity for health workers is knowledge of the way how to access the bloodstream both in an area of the pre-hospital care and in an area of the health care. The bloodstream is an ideal choice in cases when times plays a major role in the onset of a drug. In my bachelor thesis I focused on issues regarding an assurance of the peripheral bloodstream by a medical rescue worker in the pre-hospital emergency care. I concentrated on the assurance of an intravenous access and at present more and more discussed intraosseous entry. Nowadays, when a lot of medical rescue workers yearn for raising their competences, it is necessary to think if they really know and apply these basic skills while assuring the peripheral bloodstream. An aim of the thesis was to determine if medical rescue workers have an appropriate theoretic preparation and if they know principles of the assurance of the peripheral bloodstream, if they follow these procedures in practice and if there are any differences in the issues of the assurance of the peripheral bloodstream at chosen regional centres of Medical Rescue Service of the South Bohemian Region given by a different driving distance to a hospital facility. A quantitative research was selected as a method applied. An anonymous questionnaire was used as a technique of the data collection. It was distributed to medical rescue workers operating at Medical Rescue Service of the South Bohemian Region. The results of the research showed that medical rescue workers did not have very deep knowledge in case of the intravenous entry but on the contrary they had good knowledge of the intraosseous access. It was also proved that medical rescue workers did not follow prescribed procedures during the intravenous cannulation and not all of them used safety devices. Another result of the research is a fact that medical rescue workers have theoretic knowledge of the intraosseous cannulation but they do not have enough practical experience with it. The last of the most important results of the research was the finding that medical rescue workers in České Budějovice cannulate with a lower frequency than medical rescue workers from other regional centres where there are not so noticeable differences. On the grounds of the data obtained I think that the results of the research included in the bachelor thesis could be used to deepen theoretical knowledge of medical rescue workers in the area of cannulation issues of the peripheral bloodstream.
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Special knowledge and skills of rescue workers and its application in Integrated Rescue System
JEŘÁBEK, Jan
This thesis deals with the topic of rescue from free depth and from height. The aim of the thesis is to determine the level of special training of medical rescue workers who operate in the South Bohemian region in the field of rescue from free depth and from height. The first, theoretical part of the thesis covers the topic of rope techniques and rescue from free depth and from height. First, I defined basic material used in rope techniques and during rescue work from depth and from height, then also knot and knot techniques and finally I outline basic skills and methods used during rescue work from free depth and from height. The second, practical part of the thesis presents results of quantitative research. The hypothesis stated assumes that emergency service workers lack professional training in the field of rescue of individuals from free depth and from height. The research sample comprised randomly selected paramedics who work in Emergency Medical Service in South Bohemia in Tábor, České Budějovice, Český Krumlov, Prachatice, Strakonice and Písek. To obtain necessary data, the method of quantitative research, interview technique through a questionnaire was used. Collected data were evaluated and compared to stated hypothesis using contingency tables and graphs. The questionnaire consisted of 24 closed questions. The first half of the questionnaire covered identification questions. The second half of the questionnaire comprised questions to test special knowledge of material and work techniques in the field of rescue from free depth and from height and was designed to determine the level of expertise and preparedness to use rope techniques. The results of the research show that paramedics who work in Emergency medical services in South Bohemia have relatively sufficient professional training in the field of rescue from free depth and height. The hypothesis was not confirmed.
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Self-health and safety protection in the case of a mass incidence of health damage
KAMENICKÁ, Nikola
The topic of my thesis is Self-health and safety protection in the case of a mass incidence of health damage. The objective of my work was to briefly outline emergency events to which a mass incidence of health damage is considered to belong. Basic activities of medical rescue workers at the scene of such an accident are described to show the potential risks posed on rescue workers in this situation. The thesis also includes an overview of commonly used protective equipment and basic safety instructions. The goal of this study was to determine the level of abidance by principles of safety and health protection in the case of a mass incidence of health damage. Another objective was to review the awareness of risks the rescue worker profession involves in the case of a mass incidence of health damage and to compare the abidance by principles of safety and health protection between medical rescue workers and general nurses in anesthetic-resuscitation department. On the basis of these objectives hypotheses were stated. The quantitative data collection method was used to meet the purpose. The research was conducted through the questionnaire technique in the České Budějovice region. The obtained data were turned into graphs. The values were subsequently converted into percentages and placed below the charts as commentaries. In general, it is possible to say that medical rescue workers as well as general nurses abide by principles of safety measures and know the possibilities of self-protection. However, the research has shown that age has no significant effect on safety measures compliance and education does not significantly effects safety measures compliance. The obtained data show that the safety and health measures are complied with more by medical rescue workers than general nurses in Anesthesiology-resuscitation department, although there are only small percentage differences.
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The knowledge of work with a traumatological plan by workers of the medical rescue service
SCHLINDENBUCHOVÁ, Eliška
I have chosen the topic ``Knowledge of Work with a Traumatological Plan by Workers of the Medical Rescue Service{\crqq} due to topicality its content. Nowadays so called extraordinary events are still more frequent. The most frequent ones in the Czech Republic are floods, windstorms and traffic accidents, both on railways and roads. Also danger of terrorist attacks is still more frequent, not only in the world, but also in our territory. The extraordinary event is practically always connected with higher number of wounded people. Therefore it is necessary for us to be better prepared for these situations (events), especially as far as providing timely and effective pre-hospital immediate care is concerned, i.e. providing expert medical first aid in the spot of the extraordinary event. For these reasons the traumatological plan of the medical rescue service has been developed, which is updated twice a year in compliance with the latest pieces of knowledge. The objective of my thesis was to map knowledge of work with the traumatological plan in pre-hospital immediate care at workers of the Medical Rescue Service of the South Bohemian Region. There have been established two hypotheses for research. The hypothesis 1, i.e. that workers of the Medical Rescue Service of the South Bohemian Region have theoretical knowledge of the traumatological plan, have been confirmed by the total share of 71 % of all correct responses provided by all respondents. In my opinion this number is in the low limit of capacity in order to confirm this hypothesis. However I consider this value sufficient for confirmation of theoretical knowledge of the traumatological plan, and consequently also of the hypothesis 1. The hypothesis 2, i.e. that workers of the Medical Rescue Service of the South Bohemian Region can use theoretical knowledge of the traumatological plan in practice, has not been confirmed based on the 52% share of respondent, who during their work in the medical rescue service participated in practical exercises in the framework of the traumatological plan. However I do not consider the share of 52 % as sufficient for confirmation of the hypothesis 2. This results in disproving of hypothesis 2. This bachelor thesis could be used as a study material for students in medical specializations in higher educational institutions and colleges.
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