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Motivation and perception of the paramedic profession
VACEK, Matěj
In my bachelor thesis I examine the motivations of paramedics and their perception of the profession itself. The introductory theoretical part introduces the basic principles of pre-hospital emergency care and the personality traits often present in these professionals. Furthermore, the historical development of the ambulance service is explored, which influences shape of the proffesion. The subsequent section analyzes the qualification education required to work in this field and the legislation regarding the competencies of paramedics. The second part of the thesis is devoted to motivation, where the characteristics, type and division of motivation, well as the factors of motivation and demotivativation in general are discussed in more detail. Special attention is given to the motivation of emergency medical technicians, including an analysis of motivating and demotivating factors specific to this profession. The research section is based on qualitative research using semi-structured interviews,The research population is paramedics. The first objective of this thesis is to map out the motivation for working as an paramedics. The second objective is to find out the perception of the profession among paramedics. This thesis can be perceived by the management of the Medical Rescue Service as a tool to improve the motivation of its employees. The information obtained from the research can be an important factor in deciding whether prospective applicants want to study in the field of paramedics.
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Digitization of healthcare and its importance in acute care
MÁLA, Josef
The bachelor's thesis deals with the digitization of healthcare and its importance in acute care. It consists of a theoretical and a practical part. The theoretical part deals with the basic concepts and definitions of digital health care, especially electronic health documentation and digitization of emergency medical services. The practical part examines the scope, use and benefit of digitization in pre-hospital care. It also deals with the satisfaction of paramedics with digitization within the ZZS.
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Activities of paramedics in solving the attack of an active shooter and cooperation with the components of the Integrated Rescue System
SLABÁ, Kristýna
The topic of this bachelor's thesis is the activity of paramedics when dealing with an active shooter attack and cooperation with the components of the Integrated Rescue System. The work is divided into a theoretical and a practical part. The theoretical part is focused on defining the term active shooter, clarifying the most common gunshot wounds and their care. The following chapters are devoted to the typical activities of individual units of the IZS, exercises associated with an active shooter, and attacks that took place abroad and in the Czech Republic are also not omitted. The empirical part of the bachelor's thesis was made using a qualitative method, which was based on semi-structured interviews. 11 informants from among paramedics of the South Bohemian Region, police officers and firefighters participated in the research. Two goals were set in the work. The first goal was to map the cooperation of paramedics with components of the Integrated Rescue System. The second goal was to map the preparation of medical rescuers to deal with an attack by an active shooter. The results of the research investigation showed that the paramedics are oriented in the setting of cooperation and communication between the components of the IZS during a joint intervention, thus the first goal was fulfilled. Furthermore, the results showed that the preparation of paramedics for an active shooter attack is insufficient and the paramedics themselves do not feel prepared. The work draws attention to the possibility of increasing the frequency of personnel training in problematic active shooter situations.
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Care for a patient with burns in pre-hospital emergency care
VÁCLAVOVSKÝ, Zdeněk
The bachelor thesis on the topic of Care for a patient with burns in pre-hospital emergency care is divided into a theoretical part and a practical part. The theoretical part deals with the anatomy of the skin, its function and subsequently focused on the burns themselves, their classification, the procedure for providing both lay and urgent care. There is also the inhalation trauma, its division and therapy. Three goals were set for the bachelor thesis. The first objective was to map the knowledge of paramedics regarding the care of burn patients. The second objective was to find out the material and technical equipment suitable for the treatment of a patient with burns in the EMS vehicle. The third objective was to identify current trends in the care of a patient with burns. To achieve the results, a method of qualitative research using the technique of a semi-structured interview containing 10 open questions was used. The interview was recorded through handwritten notes. These interviews were conducted with 14 paramedics of the Emergency Medical Service of the South Bohemian Region. From each regional centre - Strakonice, Tábor, Český Krumlov, Jindřichův Hradec, Písek, Jindřichův Hradec and České Budějovice - 2 paramedics were selected. The results of the work say that the interviewed paramedics have enough knowledge in the issue of burns in pre-hospital emergency care, in which they are well oriented. At the end of the bachelor thesis, in addition to summarizing the results of the research and evaluating the fulfillment of goals, my recommendations for the current practise of paramedics are also mentioned.
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Anaphylactic shock in prehospital emergency care
DLOUHÁ, Andrea
The bachelor thesis is elaborated on the topic "Anaphylactic shock in pre-hospital emergency care" and consists of two parts - theoretical and practical. The theoretical part aims to acquaint the reader with the finding of professional sources on the topic of pre-hospital emergency care and anaphylactic shock. It also includes basic information about allergies and immune system function. In anaphylactic shock, it is first defined what the condition is and what shock means in general. Furthermore, the data are focused on pathophysiology - what pathological processes take place in this state in the organism, etiology - causes of reaction, clinical picture - manifestations on individual organ systems, and therapy of anaphylactic shock. The second, practical, part presents the information that was obtained through semi-structured interviews. The interview consisted of 19 questions and the research group consisted of 14 paramedics who worked in the regional centers of the Emergency Medical Service of the South Bohemian Region. The results of the research were analyzed, divided into 8 categories, and broken down into tables. The practical part included two objectives: 1. To map the knowledge of paramedics in the field of anaphylactic shock and 2. To map the progress of paramedics in the RZP crew in a patient with anaphylactic shock. We believe that the set goals have been met and thanks to this it will be possible to evaluate the sufficiency of knowledge of this issue and to look into the procedures that paramedics apply when they encounter a patient in anaphylactic shock in pre-hospital emergency care.
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Specifics of emergencies in gynecology and obstetrics
PUPÍKOVÁ, Lenka
The bachelor thesis deals with the topic "Specifics of emergencies in gynecology and obstetrics". It concists of two parts, theoretical and practical. In theoretical part, we provide information on individual emergencies in gynecology and obstetrics. We deal at emergencies, how they manifest, what the risk factors may be and what treatment is in pre-hospital emergency care. In gynecological emergencies we discuss emergencies such as ectopic pregnancy, adnexal torsion, ovarian cyst rupture, endometriosis, ovarian hyperstimulation syndrome, pelvic inflammatory disease and pathological gynecological bleeding. In obstetrics we describe hypertensive conditions in pregnancy, preeclampsia, eclampsia, HELLP syndrome, abortive birth, breech birth, umbilical cord prolapse, placental abruption, placenta previa, amniotic fluid embolism, postpartum hemorrhage and cardiopulmonary resuscitation of pregnant women. In the practical part, we present information collected from interviews with paramedics. The information collected was analysed and divided into 11 categories. The goal of thesis was - 1. To map individual emergencies in gynecology and obstetrics. 2. To map the procedures of paramedics in gynecology and obstetrics emergencies. We believe that we have succeeded in meeting our goals. The results of the research can be used to create recommended procedures in gynecological and obstetrics emergencies.
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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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Management of life-threating bleeding in pre-hospital emergency care
PFEFFER, František
The topic of this bachelor thesis is ´Management of Life-Threatening Bleeding in Pre-hospital Emergency Care´. It consists of two parts - a theoretical one and a practical one. The objective of the first part is to introduce the readers to the issue of life-threatening bleeding and to define a certain theoretical frame needed for the purposes of understanding this topic. First, information about the anatomy of cardiovascular system is presented, such as what blood is and how it is disseminated throughout the body. Subsequently, the term of bleeding is explained, what the reasons for its occurrence are, its results and how a human body reacts to reverse this pathological situation. Last but not least, the definition of a life-threatening bleeding is stated as well as the current recommended procedures, non-pharmacological and pharmacological means that are being used in pre-hospital emergency care at the occurrence of this serious condition. The practical part contains information acquired via semi-structured interviews with 6 emergency medical workers. These were first analysed and subsequently divided into 11 categories with the purpose of - 1. To discover what diagnostic-therapeutic options and knowledge paramedics working at the ground and air rescue service in the regions of South Bohemia and Plzeň possess. 2. To compare the acquired information among the regions stated above. We believe that the set objectives have successfully been fulfilled and thus it is possible to get an insight into the current procedures that emergency medical workers apply daily in pre-hospital emergency care, encountering a patient suffering from a life-threatening bleeding.
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Palliative care in pre-hospital emergency care
DOBOŠ, Štěpán
This bachelor thesis is concerned with the topic of palliative care in the context of paramedic services. The basic feature of palliative care is the amelioration of care for patients whose curative treatment has been replaced by palliative treatment. The topic is actual because today paramedics visit palliative patients more often. The main goal of the thesis is to learn how paramedics discern the needs of palliative patients. In the thesis, paramedics' knowledge about possibilities of delivering palliative care is researched, as well as their psychical readiness for visits of palliative patients. Research questions are: "What needs of palliative patients employees of paramedic services discern?", "What possibilities of delivering palliative care these employees know?", "How do employees of paramedic services feel about their psychical readiness for visits of palliative patients?" The thesis contains theoretical and empirical parts. The theoretical one defines palliative care and differentiate among palliative patients' needs, and among kinds of delivering palliative care. It analyses possibilities of palliative care delivering in the South Bohemian Region and questions of the confrontation of paramedic services with palliative medicine. The empirical part provides a qualitive research analysis that uses semi-structured interviews with chosen paramedics. Answers to the research questions result from experience of paramedics with the chosen topic and reflect their views on it. Palliative care is perceived as a difficult subject by them that better needs to be dealt with. In light of the confrontation with scholarly literature about the phenomenon of palliative care, chosen paramedics have good knowledge of possibilities of delivering palliative care, as well as of palliative patients' needs. In addition, they declare that they are psychically ready for visits of these patients, yet some more demanding visits happen in the case of infant and younger patients.
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