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Basic Aspects of Population Protection against Consequences of Chemical Terrorism in the Czech Republic
Drápal, Stanislav ; Hradil, Jaroslav (referee) ; Mika, Otakar Jiří (advisor)
The theme of my bachelor work is The basic aspect of population protection against conseqences of chemical terrorism in the Czech Republic. In my bachelor work, I drew from home and foreign sources over the past ten years. The opening part of my work deals of basic concepts relating to terrorism and its branches. It states some case studies of terrorist attacks against civil inhabitants with the aid of chemical agents. The middle part engages in a characteristic and dividing of particular chemical warfare agents and dangerous toxic chemical agents. There are stated lawful norms and measures used in the Czech Republic. Also processes of medical sectors Emergency Rescue System in provision of pre-hospital urgent care in cases of mass impairment of health. In closing I analyse preparedness of inhabitants in the Czech Republic to possibility of a chemical terrorist attack and I suggest a handbook „The danger of a chemical attack“ to civil inhabitants.
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Analysis of Forces and Means from Integrated Rescue System for Solving the Main Emergecies
Venclovský, Filip ; Dana, Čípková (referee) ; Mika, Otakar Jiří (advisor)
This work is focus on the analysis of forces and means from integrated rescue system in South Moravian. It tries to acquaint with questions from integrated rescue system and it gives objective information about present condition. Not only generally information but running of the special groups are describes for every main component part of integrated rescue system. The suggestion of new type activity for component part of integrated rescue system is worked in conclusion of the work. This activity treats of the solution of remarkable event – rescue person from the watercourse. This activity not has officially determined yet. Anonymous questionnaires are evaluated by graphs in the supplement part. The questionnaires were solved by the members of the Fire fighters rescue team, Police of the Czech Republic and the workers of the Medical Corps.
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The Use of Process Management in the Service of Rescue Services in Road Accidents
Zámečník, Ondřej ; Franěk, Ondřej (referee) ; Jurová, Marie (advisor)
This bachelor‘s thesis is concerned with applying the principles of process management in the service of emergency medical services in road accidents. In the theoretical part of the work mentioned concepts and knowledge necessary to understand the practical part where the current approach is analyzed Ambulance Service Southern Region using process diagrams. The results from the analysis the work seeks to propose a solution that would lead to the optimization of health care emergency medical services.
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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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Cardiopulmonary resuscitation of patients with suspected or confirmed COVID-19
HVOZDOVSKÁ, Kristýna
This bachelor thesis was focused on Cardiopulmonary Resuscitation of patients with suspected or confirmed COVID-19. Two objectives were set to map the practices of paramedics in performing cardiopulmonary resuscitation during a Coronavirus disease (COVID-19) pandemic. Another intrinsic indicator was the multilevel risk assessment during the COVID-19 pandemic, which emphasizes increased caution and the use of possible personal protective equipment. The theoretical part of the bachelor thesis was focused on the introduction to the issue of coronavirus disease, as well as on the performance of cardiopulmonary resuscitation during the COVID-19 pandemic.The thesis further describes what precedes the circulatory arrest and from this then further interventions such as cardiopulmonary resuscitation are derived. The practical part of the study was conducted by qualitative research using the method of in-depth interviews with paramedics of the South Bohemia Region and the Vysočina Region. The interview included a total of 20 questions focused on the given issue. The research sample consisted of 13 respondents, 7 paramedics from the Vysočina Region and 6 paramedics from individual regional centres of the South Bohemian Region. The results were subsequently processed into eight categories and tabulated accordingly. The research part showed that the members of the individual Rescue Services have sufficient theoretical knowledge and also have enough practical experience in performing cardiopulmonary resuscitation during the COVID-19 pandemic. I did not find any visible differences in performing cardiopulmonary resuscitation between the regions, the answers of the respondents were almost identical. The research showed that it is not the geographical distribution that matters, but that the Ambulance Services follow clearly defined methodological procedures and take care of their own safety and the safety of patients. The research part showed that the members of the individual Rescue Services have sufficient theoretical knowledge and also have enough practical experience in performing cardiopulmonary resuscitation during the COVID-19 pandemic. I did not find any visible differencesin the performance of cardiopulmonary resuscitation between the regions, the answers of the respondents were almost identical. Only in terms of decontamination were there subtle differences in the disinfectants used. Research has shown that geographical distribution does not matter, but that emergency services follow clear methodological procedures, but do not pay much attention to their own safety with regard to COVID-19.
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The complexity of the profession of operator of a medical operating center not only during a pandemic
ŽABA, Dominik
The topic of this bachelor thesis is the demanding nature of the job of a medical dispatch center operator, not only during the pandemic. The theoretical part of this thesis describes the work and structure of the emergency medical service, the activities, history, and current state of the medical dispatch center, the job duties and demanding nature of the profession of a medical dispatch center operator, and also describes the Covid-19 pandemic. The practical part of the bachelor thesis contained four objectives and four research questions. The first objective was to map out the demanding nature of the job of a medical dispatch center operator. The second objective aimed to map out the changes in the work of medical dispatch center operators that occurred during the Covid-19 pandemic. The third objective investigated the direct impact of the Covid-19 pandemic on individual medical dispatch center operators. The last objective of this bachelor thesis was to determine how medical dispatch center operators evaluate their preparedness for the job of a medical dispatch center operator. The empirical part of the bachelor thesis was conducted using a semi-structured interview with nine medical dispatch center operators from Pardubice, Jihlava, and České Budějovice. The interview consisted of twenty-four questions, which were divided into nine categories for better clarity. All objectives of this bachelor thesis were fulfilled based on the answers to all research questions. It was found that the job of medical dispatch center operators is undoubtedly demanding, especially from a psychological and communicative standpoint. It was also found that the work of medical dispatch center operators changed during the Covid-19 pandemic, which did not have a significant impact on the operators due to the nature of their profession. We positively evaluate the current preparedness of medical dispatch center operators for their profession. However, the research pointed to insufficient preparedness of medical dispatch center operators before starting this profession.
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Hypoglycemic and hyperglycemic states of prehospital care
TOLINGER, Daniel
Diabetes mellitus is a frequently discussed lifestyle disease in today's society. Therefore, I decided to create this bachelor's thesis, which focuses on acute diabetic states in emergency medicine and pre-hospital care by the emergency medical service. The aim of the thesis is to provide an overview of standardized therapy in pre-hospital care and the most common causes of acute diabetic complications that can lead to hospitalization and even life-threatening situations for patients with diabetes. This goal was achieved by collecting data from emergency medical responders from the Emergency Medical Service. The knowledge gained from this work shows that the majority of acute diabetic states were caused by patient errors, whether in inappropriate increases in physical exertion or application of exogenous insulin outside of the prescribed regimen. For successful treatment of acute diabetic states, proper and quick diagnosis is crucial, based on a well-taken medical history and the use of available techniques. Targeted therapeutic procedures help manage these conditions without serious health consequences for patients. The scientific contribution of this work lies in its comprehensive and up-to-date approach to the topic, which enables a better understanding of the issue of acute diabetic states and provides a comprehensive view of current diagnosis and therapy in pre-hospital care. This work may be useful for physicians and nurses working in emergency medicine or emergency medical responders who encounter these conditions in practice. In conclusion, this bachelor's thesis serves primarily to improve the care of patients with acute diabetic states.
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The needs of callers to the emergency number 155 in the event of an acute deterioration of the condition of a patient with an advanced incurable, life-threatening or life-shortening disease
Brýdlová, Helena ; Bosá, Monika (advisor) ; Mertl, Jiří (referee)
The graduation thesis looks at the interconnection of parts of the health and social systems in areas that are linked by palliative care. The palliative care patient, and with them the informal carer, uses different trajectories through the health and social systems, looking for moments that are empowering or, conversely, limiting in good practice in the delivery of palliative care. The theoretical part looks at the different areas of the health and social care system, which should work very closely together and be intertwined, but it turns out that even the separate disciplines have their shortcomings, making it even more difficult to link these systems together. The aim of the theoretical part is to introduce the different segments in the social and health fields, with a link to palliative care. The aim of the empirical part was to investigate, through qualitative research, the reasons for relatives or close friends of the patient (i.e., informal caregivers) to call the emergency medical services (EMS) for their loved ones who were terminally ill, to identify their needs. The resulting findings led to two outcomes from a social and a health care perspective. From the social perspective, the importance of engaging communication and how information is delivered to informal caregivers and supporting...
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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 preparedness of medical operation center of medical rescue service as a subject of critical infrastructure for electric power failure in selected regions
VAŠTOVÁ, Simona
This thesis deals and discusses about the preparedness of the medical operations centre of the medical rescue service in selected regions, which include the Pilsen Region and the South Bohemia Region, for an electrical outage. The theoretical part describes the medical emergency service, the system of its provision of pre-hospital emergency care and with a focus on the medical operations centre, critical infrastructure, including the critical infrastructure and crisis preparedness entity, and an integral part is the electricity and power outage. The research part is made by a form of controlled interviews with specialist medical emergency services who deal with the issue. Based on the data obtained from the interviews, the SWOT analysis is performed and the results are subsequently interpreted. Research has shown how prepared individual health operations centres are for power outage, and in which areas they have deficiencies. Among the pros are a higher number of self-built diesel aggregates used to deal with power cuts, as well as the delivery of diesel aggregate from the fire brigade of the region. Based on the data identified and the SWOT analysis performed, a procedure is chosen to improve the preparedness for an electrical outage and to eliminate or mitigate weaknesses and, where appropriate, eliminate certain threats. The outcome of the discussion is the presentation of shortcomings and a proposal for possible improvements that would help to improve the readiness of health operations centres. These proposals will be presented to the experts concerned.
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