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First Aid during Mass Casualty Incident on the Railway
Novotný, Petr ; Malá, Michaela (advisor) ; Prokešová, Eva (referee)
Title: First Aid during Mass Casualty Incident on the Railway Objectives: The main aim of this work was to assess the first aid knowledge of railway carrier employees working as passenger train crew in relation to mass casualty incidents on the railway. Another aim was to find out how many mass casualty incidents occurred on the regional and the national railway between 2010 and 2020 in the Czech Republic. Methods: In order to assess the first aid knowledge, a quantitative method of anonymous questionnaire with 90 respondents was used. The number of mass casualty incidents was found by a statistical analysis of raw data of railway accidents provided by The Rail Safety Inspection Office. These data were processed by MS Excel 2010 software. In order to test the stated hypotheses, the Student's t-test for Two Independent Samples was used. Results: It was found out that four respondents (4.4 %) of the study had encountered a mass casualty incident at work and provided first aid during that event. The questionnaire and the subsequent hypotheses testing using Student's t-test revealed that the respondent's length of service, participation in health training, and the experience of authentic first aid provided during their work did not have a statistically significant impact on their level of first aid...
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The level of theoretical knowledge of non-medical staff of the RES station in selected hospitals in the South Bohemian Region in dealing with an extraordinary emergency.
TRNĚNÝ, Šimon
An unexpected incident is not everyday issue for a Pre-hospital emergency care nether hospital emergency care operative. However in the case of its occurrence and need of solving a high number of patients it is necessary to be at least basically informed about this matter. It is important to realize that the pre-hospital emergency care, which is given to the patient at the place of accident is as important as the care given to the patient later in the hospital. In the present diploma thesis we tried to find out the theoretical knowledge of selected participants from the ranks of non-medical workers in health care. To this end, we created three goals: to evaluate the level of theoretical knowledge in dealing with emergencies with mass disabilities, evaluate the personal experience with active emergencies with mass disabilities and to evaluate the education and training of non-medical medical staff in the inpatient part of RES in selected hospitals in the South Bohemian region to deal with emergencies with mass disabilities. We used three research questions to determine these goals: What is the knowledge of non-medical staff of the inpatient part of in solving the problem of emergencies with a massive disability? How did the non-medical medical staff of the inpatient part have an extraordinary value event with a collective disability in which it was present? What is the attitude of non-medical medical staff of the inpatient part of RES in selected hospitals in the South Bohemian Region to the preparation and education in the field of dealing with emergencies with mass disabilities? The research was conducted using a qualitative method of semi-structured interview. In these interviews, we focused on the issue of emergencies with mass disabilities, the classification of patients and the link between pre-hospital emergency and emergency hospital care. From the analysis we found out that each respondent was able to give a solution of accepting patients at a hospital. From the interviews we also discovered that a great problem was reading sorting and identity cards of patients who come from the place of incident. A great part of participants had no knowledge about these generally. So exercising and education would be convenient for all participants.
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Types of emergencies and the specific role of the medical rescue service during emergencies with mass disabilities
SVOBODOVÁ, Adéla
The aim of the present diploma thesis was forming a general list about emergencies focused on specifics of emergency medical service with mass disability. The theoretical part includes basic terms and legistative. The individual chapters include summary information about the integrated rescue system and the position of the emergency medical service in dealing with emergencies with an emphasis on an emergency with a mass disability. The work deals with the acceptance of the call at the medical operating center, the reporting of departure crews from the place of occurrence and the emergency management structure. The research was done using a qualitative method using a semi-structured interview focusing on the issue of emergencies with mass disabilities, patient classification and personal experience of the staff of the Medical Rescue Service of the South Bohemia with emergencies. After a detailed analysis of the interviews, we realized that the majority of informants have a sufficient to above-average amount of theoretical knowledge in this area. The knowledge of paramedics regarding the general overview and sorting methods (START, Identification and sorting card) was at a very good level. On the contrary, lower knowledge was reflected in the issue of trauma planning. Most of the interviewed paramedics pointed to good theoretical teaching, in preparation for dealing with an emergency, but the respondents emphasized the need to increase the frequency of practical training. Adapting training and practical exercises for the current needs of paramedics would certainly help.
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Preparedness of physicians emergency Medical services of the South Bohemian Region for emergencies with a collective disability of persons
ZAUNMÜLLEROVÁ, Michaela
This master thesis is focused on educating physicians in mass casualty incidents. This paper aims to introduce the basics of mass casualty management, triage categories and tasks of the staff in mass casualty incidents. A questionnaire forms the research. Fifteen physicians working for Emergency Medical Services of South Bohemian Region responded to the questions about their theoretical knowledge about mass casualty management and their opinion about the quality of training courses at EMS of South Bohemian Region. There was a comparative analysis of theoretical knowledge and the real-life experience of the physicians at EMS of South Bohemian Region. The graphs with an evaluation of all the responses showed the results. This paper can make good use for further education on this topic at Emergency Preparedness Service of EMS of South Bohemian Region.
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Problems of triage during an emergency involving disabled people
HAVRDOVÁ, Jitka
Mass casualty incidents and their occurrence are a real threat not only to the society as a whole but also to emergency medical service providers, who, at the moment of the occurrence of a mass casualty incident, must completely change their approach to providing care and switch into the emergency regime. At that moment, high demands are placed on the entire integrated rescue system, both with regard to ensuring safety, preventive measures and organizing activities at the site of the mass casualty incident, andto providing quick and expert assistance. This bachelor thesis concerns mainly providers of emergency medical services during mass casualty incidents and problems of sorting of casualties. In case of a mass casualty incident, the situation requires a completely different approach to the treatment of the casualties than everyday work. In this situation, the individual medicine model when the emergency medical crew provides care to one patient only, from the initial contact to the transfer of the patient to a medical facility, does not apply. In a regime of mass casualty incident, it is necessary to set priorities for treatment, to carry out such treatment and transport the patient to a medical facility. The priority in such a situation is not to save everyone's life, but to eliminate the extent of injuries of the people to the minimum. The treatment of casualties at the site of a mass casualty incident is complicated by many factors that negatively affect the situation. In particular, there is a lack of time for decision-making and treatment, chaos, stress, panic, and in the initial phase also a lack of resources and forces, concerning not only the providers of emergency medical services, but the entire integrated rescue system. Since the on-site situation is optimized within thirty and sixty minutes of the start of operations, it is crucial in the initial phase to focus on the organization and management of the integrated rescue system units. The bachelor thesis is devoted to the issue of classification of the casualties on the site of amass casualty incident. The theoretical part deals with the topics of disaster medicine, the integrated rescue system and in the last part it is devoted to the classification itself. The theoretical part is based on expert literature and current legislation. In the part focused on the classification of the casualties, the individual methods for classification of casualties and scoring systems are analysed in detail, especially the START method and classification identification card, which dominate in our country. The practical part of the thesis is done in the form of qualitative research and compares the answers obtained by a semi-structured interview with two groups of respondents. Respondents were non-doctor medical personnel of the emergency medical service, one group from the Vysočina Region and the other from the South Bohemian Region. The content of the interview was divided into four categories, each focusing on a particular area of casualty incidents. The individual categories dealt with general and specific procedures at the site of a mass casualty incident, cooperation of the integrated rescue system and the issue of classification of patients. The aim of this thesis was to find out how the rescue workers are prepared for a mass casualty incident both theoretically and practically, how they evaluate the cooperation within the whole integrated rescue system. The aim of the thesis was also to verify the theoretical knowledge of the respondents concerning this area of interest and the procedures. The results obtained by the interview and their analysis are included in the chapter Vyhodnocení rozhovorů. The research questions and their results are discussed in the chapter Diskuze. The overall conclusion is included in the chapter Závěr.
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Readiness acute inpatient care providers to receive the bulk admission of disabled people during an emergency
JOHÁNEK, Jakub
The theoretical part is focused on mass accidents involving persons with impairment. Within individual chapters I focused on providers of acute care, as well as on the providers of emergency medical services because those two institutes work closely together in the case of emergency event and contribute together on the solution of consequences. In chapter of basic terms I have mentioned the key terminology in accordance with actual legislation and I have outlined the importance of emergency preparedness in health care. Hereafter I have tried to give a brief overview of the approach of emergency medical services and solutions on site. The summary also included the possibility of sorting of people with impairment. Main topic is a discussion of the subsequent connection between emergency medical services and providers of acute care as well as the actual method of mass income of persons with impairment to a medical facility. The aim of the thesis was to plot preparedness the providers of acute care for a possible mass income of disabled persons, which included existence of preliminary measures, methods, preparation and realization of tactical (or auditing) exercise of organizations etc. The second aim of the thesis was focused on the evaluation of the current state of preparedness of acute inpatient care at mass income of disabled people, reflecting the effectiveness of the adopted precautions. This was mainly mapping clarity of the theoretical background in the cases of emergencies involving high amount of disabled persons from the perspective of an ordinary medical personnel performing their profession in the emergency department. Above-mentioned department serves as contact point of a hospital when an extraordinary event occurs, and its staff is naturally predetermined to act as first choice solution. The research also focused on the medical staff knowledge of approaches to dealing with emergencies and its participation in the auditing and tactical exercises. Qualitative research was used in order to achieve defined goals. Semi structured interviews with emergency department paramedics were used. The research showed that the preparation of providers of acute care for an extraordinary event with mass disabled persons is organized in cooperation with emergency medical services in terms of auditing or tactical exercises. At least two exercises per year are carried out, which is ideal in accordance with the general principles of participation of medical organizations in exercises of the Integrated Rescue System. The results refer to the fact that the participation of medical personnel in seminars should be mandatory and human resources management should take in mind in order to prevent non-uniform level of preparedness of medical staff in case of accident involving persons with impairment. The research also shows that knowledgebase - regarding those emergencies; of medical personnel is insufficient and therefore education at least theoretical level should be done. Acquired knowledge can be used for emergency department personnel but can also be used by other departments participating on emergencies that can involve persons with impairment. Employees could draw mainly from theoretical knowledge in the form of self-education.
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