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The objectivization of evaluation of the dynamics of self-defense instruments
Beránek, Václav ; Šťastný, Petr (advisor) ; Pavlů, Dagmar (referee) ; Reguli, Zdenko (referee)
Title: The objectivization of evaluation of the dynamics of self-defense instruments Introduction: Strikes by the upper limb are key tools for the self-defense system. So far, mechanical properties have not been evaluated for a wider group of strikes without protective equipment with applications in training, injury risk assessment, forensic biomechanics and medical law. Objectives: The aim of this work is to compile and objectify the evaluation of the dynamics of a wider group of strikes by the upper limb by specifying the size of the contact area and describing the damping properties of the foam of the detection apparatus. The aim is to evaluate the impact force, the probability of exceeding the bone tissue fracture threshold, the impulse, the size of the impact surfaces and the pressure for three impact techniques, both sexes and two experience levels. Methods: The work consists of three projects. Two quasi-experiments were completed by 169 probands, men and women, experience levels beginner, advanced (n = 169, height 177.8±9.0; weight 81.6±17.8; age 27.3±8.1) within one period. Probands were measured on two devices (Kistler, Podokam), where the time, impact force of the blow was recorded and three segments of the upper limb were photographed. Probands performed 3 striking techniques, a total of...
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Evaluation of ECG in prehospital care
GROSSMANN, Matyáš
This bachelor thesis deals with the issue of ECG evaluations in pre-hospital emergency care by a paramedic. The thesis is divided into two parts, theoretical and practical. The theoretical part focuses on the definition of a paramedic and his/her competencies, instrumentation, and anatomy of the cardiac conduction system. Furthermore, it describes the methods of ECG evaluations, types of arrhythmias and their treatment in pre-hospital emergency care. The major objective of the thesis was to map the ability of paramedics to interpret the waveforms of ECG recordings. The practical part of the bachelor thesis was based on a quantitative research investigation carried out in the form of non-standardized questionnaires. The research sample consisted of 51 paramedics from the Region of South Bohemia. The research took place from March to April 2023, with the participation in it being entirely voluntary. The collected data were subsequently analysed and compiled into graphs, which were completed with a commentary. The knowledge in interpretation of ECG waveforms was mapped by a series of 24 questions in which the respondents could obtain a total of 35 points. The high knowledge of the respondents is demonstrated by the fact that three quarters of the respondents achieved 80 percent or more correct answers. Two hypotheses were determined in the research part. The first hypothesis suggested that the knowledge in interpreting ECG waveforms is affected by the length of experience. The respondents working in emergency medical services for 0-3 years had the highest score (median 93%). However, the result of the Kruskal-Waliss test revealed no statistically significant difference between the four groups compared (p = 0.51). The second hypothesis assumed that the knowledge in interpreting ECG waveforms is influenced by the type of previous workplace. The respondents who had worked in the accident and emergency department before joining the emergency medical service were the most proficient in ECG assessment and interpretation (median 96%). Here again, the Kruskal-Wallis test revealed no statistically significant difference between the four groups compared (p = 0.31). The obtained results can provide useful information for the possible implementation of an educational seminar for paramedics.
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Communication of paramedic with patients with panic attack and anxiety in the prehospital care
KLEINOVÁ, Elena
Departures for anxious patients and patients having a panic attack are a relatively common case when it comes to prehospital care. Correct attitude and communication style are crucial for primary care and stabilization of such a patient. The theoretical part of this work is dedicated to the issue of states of anxiety and panic attacks, their symptoms, causes of emergence and ways of possible intervention in premedical care. It further covers communication with a patient and psychological intervention. The aim of this work was to find out about the awareness of paramedics concerning panic attacks and states of anxiety, how do they perceive those patients, how do they gain knowledge and skills in the area of communication with anxious and panic patients and how do they use these in action. Looked into were also the methods, with which paramedics achieve psychological stabilization of the patient, how do they handle such cases and how do the patients react to this. There was also an emphasis on communication and its influence on the patient. Research was done qualitatively in a form of semi-structured interviews, which were conducted with paramedics of the South Bohemia and Karlovy Vary regions. Set goals were fulfilled by the research. It has been shown that each of these case sis very individual, for this reason it was often difficult for the paramedics to form their answers to be generally valid. When it comes to knowledge and handling the situations alone, the paramedics draw on their own experiences, because their awareness in this area has shown itself to be very superficial. Despite this, their practical and communication skills are on a very good level. I firmly hope that both the theoretical and practical information contained in this work will find their use and will eventually serve the paramedics or anyone else, to whom it may be useful in any way, either to gain information or practical use. I believe, that modern technological possibilities, such as programs offering practical methods for effective providing of first psychological aid, will find their use even in the field of premedical care.
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The spectrum of surgical procedures in the conditions of pre-hospital emergency care
MONDEK, Jan
The bachelor's thesis is focused on surgical procedures in pre-hospital emergency care within solving reversible causes. The bachelor's thesis consists of a theoretical and research part. At the beginning of theoretical part, I deal with surgical procedures that belong to the environment of pre-hospital emergency care and describe their division, indications, risks and practical procedure for their application. I also describe traumatic circulatory arrest and extended cardiopulmonary resuscitation. In other chapters of the work, I deal with patient monitoring and examination, which is important for revealing reversible causes. I discuss the need for analgesia in pre-hospital care, and the last chapter focuses on the importance of maintaining an aseptic environment and risk sepsis. The research part covers qualitative research in the form of a semi-structured interview, while the research team consisted of 9 paramedics from the South Bohemian Region. The aim of the research was to map the indication and risks of surgical procedures in the conditions of pre-hospital emergency care. Another aim was to find out what awareness and experience the paramedics of the South Bohemian Region have in this issue. All research questions were answered and the aims of the thesis were fulfilled. The research found that the experience and knowledge of the paramedics at the various sites are very similar, the paramedics are sufficiently familiar with the issue, while the station in Jindřichův Hradec is objectively slightly better. This work could be used as study material in the education of paramedic students or for the self-education of paramedics.
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Paramedics Point of View on Pharmacotherapy in Prehospital Care
VACEK, Daniel
The bachelor thesis on the topic of Pharmacotherapy in pre-hospital emergency care from the perspective of a paramedic is divided into a theoretical part and a practical part. The theoretical part deals with the competencies of paramedics, individual drug groups that are used in pre-hospital emergency care and are part of emergency medical service vehicles. Three goals were set for the bachelor thesis. The first goal was to map the paramedic´s knowledge of pharmacotherapy. The second goal was to map the knowledge and procedure of paramedics about the possibilities of pharmacotherapy administration without the indication of an emergency medical service doctor. The third goal was to map the knowledge and procedure of paramedics about the possibilities of pharmacotherapy administration based on the indication of an emergency medical service physician. A qualitative research survey using the technique of semi-structured interview was carried out. Interviews were conducted with 14 paramedics of the South Bohemian Region Emergency Medical Service from the regional centres of Prachatice, Strakonice, Tábor, Písek, Český Krumlov, České Budějovice and Jindřichův Hradec. The results of the work say that the interviewed paramedics have enough knowledge in the issue of pharmacotherapy in pre-hospital emergency care, in which they are well oriented, both in drug groups and in indications and dosage. Paramedics know their competences, but they sometimes consciously exceed them.
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Principles of preparation and administration of selected Medicaments in the Intensive Care
ZÁRUBA, Petr
According to the European Union, medication errors are among the most common adverse events connected with the provision of healthcare services. The safety of nursing care is a basic indicator of the quality of health care providers. One of the basic activities of general nurses is the preparation and administration of medicines, during which, especially in intensive care, even the slightest non-compliance can harm the patient. When preparing and administering medicines it is therefore essential that general nurses consistently follow safety regulations, internal guidelines of health care providers, recommendations of the World Health Organization and national nursing standards, which can effectively prevent potential errors. In clinical practice general nurses may not adhere to these measures for a variety of reasons, so it is important to establish and analyse them. In the theoretical part, the legislative framework for the preparation and administration of medicines in the Czech Republic is defined. This part also describes general principles of handling medicines connected with the problem of medication errors in the context of the quality of health services and defines forms of medicines and their application methods. The practical part of the paper sets out to determine what knowledge nurses working in intensive care have, whether they apply this knowledge in their work process and whether they observe failings of their colleagues relating to the preparation and administration of medicines. With this in mind, four hypotheses and six research questions were established. A quantitative method, non-standardised questionnaire technique was used to collect data. After the quantitative method, the method of qualitative investigation by observation and the technique of an in-depth semi-structured interview were conducted. The research population comprised non-medical health care workers (general nurses and paramedics) working in anaesthesiology-resuscitation departments and intensive care units of district-type hospitals. The quantitative data was processed using descriptive statistics with tables and graphs, while the qualitative data was processed using charts and diagrams.
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Behavioral problems of a patient in a pre-hospital care.
DUŠKOVÁ, Petra
The Bachelor thesis concerns problematic behaviour of patients in pre-hospital care, the paramedics in South Bohemian region were questioned. The theoretical part describes different types of causes and expressions of problematic communication. In detail it concerns alcohol and addictive substances, which are the main cause of aggressive behaviour. The theoretical part also presents a legislative support which regards the paramedics´ work. The practical part ascertains how many paramedics have dealt with patients´ problematic behaviour in pre-hospital care, or more precisely with an aggressive behaviour. The paramedics were questioned whether they have felt prepared for this kind of behaviour, whether they would like to gain a further education in this particular area and whether they have felt a sufficient support in legislation.
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Specifics of crisis situations with a large number of patients with thermal injury.
MADĚRÁNKOVÁ, Adéla
This thesis deals with an emergency incident in which a burn trauma occurred in a large number of people. The theoretical part of the thesis describes both the legal framework of emergencies and especially the recommended procedures of the components of the Integrated Rescue System for dealing with this type of emergency. A large part of the theoretical part of the thesis and the whole practical part is focused on the procedure of the emergency medical service. The document shows how burns are treated from the point of view of emergency medicine, but also from the point of view of disaster medicine. The practical part of the work responds to the Concept of dealing with an emergency with a large number of patients with thermal injuries in the Czech Republic, published by the Ministry of Health in 2020. I focused on how paramedics know it. Does their knowledge affect the length of practice or the level of their acquaintance with the Concept? I found out using questionnaires filled out by 42 rescuers from different regions.
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The impact of Covid - 19 on paramedic's work
VYBÍRALOVÁ, Adriana
In this bachelor thesis I am dealing with a question of the impact of the COVID-19 pandemic on paramedic 's work in prehospital emergency care. In the theoretical part I am mentioning the COVID-19 disease itself. Furthermore, concepts of prehospital emergency care including emergency operations centre, paramedics, and specifics of their work during the pandemic of COVID-19 are defined. Concepts from the field of human needs are also included in the thesis. And because of the COVID-19 psychological impact on paramedics the issue of burnout syndrome is mentioned too. The research part consists of a qualitative research based on a semi-structured interview. The research sample are employees of the medical rescue service from the Vysočina Region with at least 2 years of working experience. The first goal of this thesis is to find out in which work activities the pandemic of COVID-19 has affected paramedics in providing prehospital emergency care. The second goal is to find out if paramedics perceive a difference between providing prehospital emergency care to patients before the pandemic and during the pandemic of COVID-19. The final goal of the thesis is to find out what fields of human needs paramedics are not satisfied in providing prehospital emergency care during the pandemic of COVID-19. Results of the bachelor thesis will be given to the Chief Executive of the Vysočina Region Medical Rescue Service to show support to their employees not only during the pandemic of COVID-19.
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The work of Paramedic from perspective of patients
PETRLÁK, Jakub
The initial part of this bachelor thesis gives a brief survey of the history of emergency medical services. The following section deals with paramedic education and the possibilities of further paramedic education, whether in the form of a follow-up master's degree or further specialization after graduation from university. Attention is also given to individual character traits of paramedics and the prerequisites for this profession. I explore the various types of difficulties paramedics may encounter during their professional careers. I also deal with the negative effects of the profession on the paramedics in the form of burnout syndrome and its phases. The aims of this thesis include finding out how patients generally perceive the work of paramedics, whether patients have possibly gained negative experience in contact with paramedics and also how the patients' views of this profession were affected by the Covid 19 pandemic. For the research part, qualitative research was chosen, using semi-structured interviews consisting of 15 questions. Five respondents were chosen for research in this thesis, with regard to their age and education. Data collection took place in February and March 2022. Before starting the research, the respective respondents were contacted and asked whether they agreed to participate. They were informed in advance that their personal data would not be disclosed. Following their consent, their interviews were recorded on a voice recorder. After conversion into written text files, the original recordings were deleted. After the research has been completed and the collected data processed, I came to the conclusion that all the initial research questions were answered and the research goals were met. I have found that, except for a few situations, the view of the ambulance service and paramedic work is generally positive. In one of the five cases, the negative experience of paramedic work was prompted mainly by the crew's behaviour, not by an impression that the crew did not know what to do. The research also revealed that the paramedic profession is associated mainly with ambulance service, rather than hospital emergency departments or anaesthesiology and resuscitation departments.
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