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Modern technology in prehospital emergency care
BRŮŽKOVÁ, Nikola
This bachelor thesis deals with the topic of modern technologies in prehospital emergency care. The bachelor thesis is divided into theoretical and practical part. The theoretical part is focused on individual technologies, which are, according to available sources, considered modern. The set goal, which the bachelor thesis should fulfil, is to find out about applicability of modern technologies in prehospital emergency care. Two research questions were also established: which modern technologies are used in prehospital emergency care and what impact do modern technologies have on the providing of prehospital emergency care. To fulfil set goal, research study was conducted in a qualitative form via the semi-structured interview technique. These interviews were processed using open coding and after that, the analysed data were sorted into individual categories. The research sample consisted of paramedics of the South Bohemia region. The practical part of the bachelor thesis contains results of the research study, in which the answers to the previously mentioned research questions were found and in addition to that also the opinion on modern technologies in prehospital emergency care from the point of view of a paramedic. In the answers of the paramedics was found, among other things, that they all agree on the fact, that the app Záchranka benefits prehospital emergency care. On the contrary, a drone, as an unmanned aerial vehicle, does not have that much of a significance for the prehospital emergency care of the Czech Republic, actually exactly half of the respondents did not have any knowledge about this medium. It was also found, that, according to the respondents, modern technologies overall significantly influence prehospital emergency care, however the experience was not always a positive one. This bachelor thesis can be beneficial due to the processed information in the theoretical part and following results in the practical part.
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Needs for Electrocardiogram Evaluation by a Paramedic
PROKOP, Jakub
This bachelor's thesis deals with the issue of the needs of a paramedic in the evaluation of an electrocardiogram. In the theoretical part, the evaluation of the electrocardiogram was described, starting with the basic anatomy and physiology of the vascular supply of the heart and the conduction system of the heart. Furthermore, a description of the electrocardiograph was given, and at the end, arrhythmias with ischemic changes were evaluated. The aim was to map the abilities of paramedics in evaluating the electrocardiogram and their need for education with possible suggestions for changes in education before and after starting work. Quantitative research was used in the empirical part. Data collection was carried out using a self-structured questionnaire, in which 24 items were listed. The questions were of both open-ended and closed-ended type, with responses rated using a modified Likert scale. The questionnaire was fully anonymous and intended for paramedics from the entire Czech Republic. The basic descriptive characteristics of the research group were processed. Quantitative data were expressed by mean and standard deviation and optionally supplemented with histograms according to predefined limits. For qualitative data, frequency characteristics (absolute and relative frequencies) were processed. The results of our research investigation point to the unpreparedness of paramedics in the evaluation of pathological changes on the ECG. Respondents were also found to have a need for further training in ECG assessment and would welcome periodic training on the latest in cardiology, assessment practice at their field bases, or specialist hospital internships. To improve undergraduate education, they would include an internship in a cardiac center, practical training in a cardiology department, or professional seminars focused on EKG evaluation.
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"Subjectively perceived professional burden for social workers."
WEISE, Michaela
This diploma thesis is focused on the issue of subjectively perceived professional burden among workers in social services. The diploma thesis is related to the situation of the coronavirus pandemic and a government regulation that announced emergency measures to prevent the transmission and spread of infection in health and social services. The theoretical part focuses on workload, stress, burnout syndrome and prevention of mental hygiene. The practical part is a presentation of one's own qualitative research, which was carried out through in-depth interviews.
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Rescuer's communication skills with foreigner
HLÁVKOVÁ, Petra
The subject matter of this undergraduate thesis is the ability of a paramedic to communicate with a foreigner. The theoretical part describes communication itself and it´s forms. It further deals with foreigners to be found in the Czech Republic and the very end includes information about the Emergency Medical Servis and paramedics. The practical part sets two subjectives. The first one is to determine the ability of a paramedic to communicate with a foreigner. The other to detect problems that might occur within such communication. The thesis uses the method of a semi-structured interview. The interviews were led with the Medical Rescue Servis of the South Bohemian Region´s paramedics and foreigners with no knowledge of the Czech language. The results were put in 5 and 9 categories, which helped to meet the objective. The results show that the interviewed paramedics are able to communicate with the foreigners by different means, sometimes with the help of various aids, their colleagues, witnesses of family members present at the place. The research also showed that the most common problem in communication with a foreigner is the language barrier. The main benefit of the thesis the awareness of problems that a paramedic can face in communication with foreigner and possible use various aids to make such communication easier.
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Emotional Intelligence and Coping Strategies for Paramedics
Sarisová, Kristina ; Niederlová, Markéta (advisor) ; Hrachovinová, Tamara (referee)
The thesis deals with emotional intelligence and coping strategies for paramedics. The theoretical part provides information on the emotional intelligence of its models and measurement capabilities. It is then discussed strategies of coping with stress on its historical and theoretical approaches and the types of strategies and also about the methods by which we discover the use of a specific coping style. It is also described the characteristics of paramedic profession, qualification requirements for the exercise of the profession, as well as competence and personal characteristics of rescuers. The aim of the empirical part is quantitatively map a degree of emotional intelligence of paramedics, preference coping styles in this population and mutual respect between the two variables.
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Selected legislation in the field of medical rescuers
MAREŠOVÁ, Ivana
In the theoretical part, the problematics of work legislation of paramedics in the Czech Republic is described. The thesis summarises legislation concerning the acquisition and recognition of the qualifications of paramedics, paramedics for urgent medicine, and ambulance drivers. Further, the thesis summarises legislation concerning the health rescue services, the rescue system, the medical operation centre, the emergencies, and the medical documentation. This thesis aimed at mapping the awareness of paramedics about selected legislation connected to their profession. To achieve the aim, three questions were set. The first question. 'How do paramedics evaluate the conditions of acquiring and recognizing the qualifications for performing their profession?'. The second question: 'How do paramedics evaluate their legally established competences?' The third question: 'What knowledge do paramedics have about the legislation relating to their profession?'. Qualitative research was used to collect data in the form of semi-structured interviews. The interviews were carried out with paramedics of South Bohemia. The result is the awareness of paramedics in the field of legislation and an evaluation of selected legislation from the paramedics' point of view. The knowledge of legislation describing the paramedics' profession isn't complex. The thesis points out the lack of knowledge of legislation and different opinions on selected topics among paramedics. The thesis could be used by students of the field of Medical Rescuer to gain an overview of the topic.
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Application paramedic in a medical facility
ŠTĚPÁNEK, Marek
The title of the presented bachelor's thesis is: The application of paramedics in a medical facility. The theoretical part focuses on the possible employment of paramedics, i.e. in pre-medical and medical care. It then deals with the education, competences and lifelong learning of paramedics and nurses together with a mention of their motivation. The practical part employs the qualitative method of research. Data collection was carried out by means of a semi-structured interview. The researched group consists of 10 paramedic graduates from selected hospitals. The interviews were focused on the motivation for entering the medical facility, the possibility of their employment and what problems they face upon arrival. The aim of this study was to ascertain what problems the newly-employed paramedics encounter, and how they can be utilized in the facilities. Another goal was to find out what motivated them to start working in a medical facility. It was discovered that the main motivation was the lack of job vacancies or it concerned less specialised paramedic services care. It emerged that the difficulty with the employment of paramedics is the preference of licensed practical nurses with a specialisation, even though a paramedic possesses more competences. However, this is understandable because of the greater versatility of nurses. Nevertheless, the paramedics concurred that, after their integration, the situation on their wards met with their expectations. The main problem, which this study attempts to point out, is connected with the lack of job vacancies in EMS. This was the reason for many paramedics to start working in a medical facility instead of EMS, just to find a job position.
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The analysis of the selected health hazards of population within defined special extraordinary event on the village with extended area of involvement and analysis of readiness and preparation of elementary subunits of IZS including healthcare in terms of reducing the impact on larger scale.
POJETA, Antonín
Risk analysis is a very important keystone for preparation of the rescue system during a disastrous situation. It defines risks which are needed for the rescue system in given timeline. It also provides basic data regarding necessary preparation of rescue forces and resources within the defined area. Of course it is not the most perfect instrument for crisis set-up as it cannot, on the whole, express the risks and threats while talking about recent phenomenon such as terrorism etc. In these cases risk analysis can only come out from scenarios and geopolitical situations or experiences from previous disasters that the world has already experienced. Risk analysis answers questions such as - what can happen, how it will happen, where this could happen, how many people can be in danger or affected. The result is a model system of an operation during this nonstandard disastrous situation for the whole system which is ready to help the people in danger. The theoretical part of the diploma thesis describes characteristic of the area, where the risk analysis was made for Integrated Rescue System set-up, risks according to specific industrial activities and public health risks. The following chapters are dedicated to specific basic and other elements of the Integrated Rescue System, the basic elements are stated in further details. The most detailed part is the paramedics, because the risk analysis focuses primarily on their activities within the framework of incidents affecting public health. Within this topic the legislative basis is written in detail, in the meaning of Type Activities, levels of alarms, trauma plans, activation of forces and resources of Integrated Rescue System in case of public health affection report and other law-based keystones for the operation of basic elements, laws, regulations, statutory rules, declaratory regulations and other documents, complemented by Crisis Management problems. The operation of Fire Fighter Department, Police of the Czech Republic and other elements of the Integrated Rescue System is also stated up according to the thesis topic including a chapter about a co-operation of all above mentioned elements in a place of mass people endangerment. Health Care Crisis Management chapter closes the theoretical part of the thesis, and it is an integral part of managing disastrous situations in order to maintain the standard care administration even outside the area of disastrous incidents. The trauma plan of Paramedic provider and in-patient or day-care providers is being studied trough in detail right in this chapter. Summarized data within the health care securement in municipalities with extended effectiveness including the surrounded medical facilities can be found in the practical part of this thesis. According to data collection the summary of the most critical events the Paramedics had to deal with in Kralupy nad Vltavou selected municipalities with extended effectiveness in the last fifteen years. Ten years ago the methodical Integrated Rescue System training with focus on operational cooperation was carried out as a terroristic attack in Kralupy nad Vltavou. The results of this training came out as comments with actual risks and threats in the chapter called "Results". The core of the practical part is Medical Risk Analysis according to FMEA risk analysis compared with risk analysis from municipality with extended effectiveness listed in the Emergency plan of Central Bohemia Region. Based on the research forces and resources of basic integrated rescue system components are mentioned, which were the first to be sent to solve a disastrous situation including medical equipment. In conclusion of the practical part risk modelling with situation review is mentioned.
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Comunnication between paramedics and aggressive patients in prehospital care.
ČÁP, Jakub
The thesis is entitled: Communications between paramedics and aggressive patients in prehospital care. The theoretical part thoroughly deals with the characteristics of a paramedic and patient as well as elaborating a definition of communication with subsequent divisions into communication structures, functions and forms. The topic is further developer and the issue of communication between aggresive patients and paramedics is introduced is the theoretical part. Subsequently, this chapter describes aggresion, its types, causes and solutions on the part of paramedics. Two objetives are defined in the theoretical part. The first objective maps out the procedures paramedics use when handling and aggressive patient before hospital admission. The second objective reveals the problems paramedics encounter when communicating with an aggressive patient. Three research questions were established to the above objetives: 1. Which method do paramedics use when dealing with an aggressive patient during their first contact at the scene of incident? 2. What communication techniques are used by paramedics when communicating with an aggressive patient? 3. Which problems do paramedics encounter in communicating with an aggressive patient? A qualitative research approach was used when elaborating the research part. Data was gathered in the formo of semi-structured interviews conducted using 14 questions. The target group consisted of 10 paramedics from South Bohemia. The results revealed that the paramedics are partly aware of the processes they can use when communicating with an aggressive patient. In terms of the communication issues the respondents agreed on the fact that their most common mistake consists in their failure to control their own emotions, and losing their temper when verbally attacked by the patients. The results of this thesis could help to increase or supplement paramedics´ awareness of the options for best practice when communicating or handling aggressive patients. Furthermore, the thesis could be used as source material for lectures on issues related to communication between paramedics and a patient.
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