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Measuring body temperature in pre-hospital care
DEJMEK, Michal
The thesis deals with the problematic of measurement of body temperature in the prehospital emergency care. The theoretical part focuses on the physiology of thermoregulation, on the generation of heat in the body, on its expenditure and on the control of body temperature. Furthermore, it deals with measurement of body temperature, its classification, places for measurement and description of the individual types of thermometers. The conclusion of the thesis is focused on the pathological conditions connected with the body temperature, which we can meet with in prehospital emergency care. The individual conditions are analyzed from pathophysiology to treatment. The empiric part is divided into two parts. In the first part, two thermometers are compared, how they differ in measured values and further, the results are statistically compared. The research sample was made up of random patients in prehospital emergency care. In the second part of the research, the method of qualitative research based on semi-structured interviews was used. The first objective was to find out which options of body temperature measurement do paramedics have in ambulances. The second objective was to map the experience of paramedics with monitoring of body temperature in the prehospital emergency care. The research sample was made up of 5 professional paramedics from the South Bohemian Region and Vysočina Region. The results were categorized into 13 categories. From the results of the research is apparent that there is a significant statistical difference between the used thermometers, which differ from each other in measured values. The second part of the research shows that paramedics consider the current state to be insufficient for the reason that they do not have thermometer with a larger temperature range available. All respondents agreed they would welcome having a thermometer with a larger temperature range in their ambulances.
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Nurses's interventions in urgent conditions in otorhinolaryngology
LAIBRTOVÁ, Markéta
This thesis deals with the acute conditions in otorhinolaryngology (ENT), mostly with hemorrhage and dyspnoe, and with the nurse's intervention which are done at the patients with this conditions at the Otorhinolaryringology Standard Depatrment, the ENT Intensive Care Unit and at the Department of Anesthesiology and Resuscitation. The theoretic part is devoted to description of acute conditions in the ear, nose and throat area in general. Next it is focused on the dyspnoe in ENT, what are the causes, symptoms, therapy and if it's neccessary what are the ways of securing the airways. Then in connection with dyspnoe is described nursing care. The next chapter is focused on the acute conditon which is hemorrhage. Here is described from wich areas could patient bleed, what are the causes of hemorrhage, symptoms and therapy. The last chapter is focused on desctiption of nursing care at patients with hemorrhage. Three research objectives were defined in the empiric part of this bachelor thesis: Find out the interventions are performed in patients with acute condition in otorhinolaryngology. Map if the nurses are sufficiently prepared to provide nursing care to the patients with acute condition in ENT. To achieve the determined objectives qualitative research was used. Data collection was done through semi-structured interviews with 24 nurses from the Otorhinolaryringology Standard Depatrment, the ENT Intensive Care Unit and the Department of Anesthesiology and Resuscitation.The obtained information was processed by open coding, paper and pencil interviewing. The results showed that the provided interventions are similar for the particular acute contidion. The differences are only in some interventions. In case od bleeding from nose cavity, oral but also from surgical wound the provided interventions are very similar. I tis very important to inform the doctor about the acute contidiont with subsequent cooperation and fulfillmetn his surgeries. The performed interventions are mostly focused on the care of bleeding, administation of medicaments or blood derivatives and on the monitoring of the vital sings. In case of occurrence the acute dyspnoea the doctor is informed again and then is followed according to his surgeries. Performed interventions are focused on the monitoring of vital sings, administration od medicaments and if it is necessary on the airway management. In case of airway management the interventios are focused on nursing care of patients with tracheostomy. In finding out the readiness of nurses it was found that in their opinion they are prepared for the acute conditions in ENT.
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The selected acute conditions in pediatrics from the point of view of paramedic
HANOUSKOVÁ, Kateřina
The bachelor thesis deals with the problems of states which can immediately endanger the child's life and are solved in pre-hospital emergency care by emergency squads including paramedics. They must possess the appropriate knowledge and experience. Without their early and effective help, a child patient could experience irreversible health changes or even die. The thesis is divided into theoretical and research part. The theoretical part deals with the differences between pediatric and adult patients because by providing pre-hospital emergency care it is important to think constantly about the fact that a child is not a small adult and that taking care of him or her carries its specifics which must be respected. Furthermore, this part deals with selected acute conditions in paediatrics from the point of view of a paramedic. The research part comprises of a quantitative research based on interviews containing 24 questions and the research group consisted of 12 paramedics performing their profession in the South Bohemian region. It includes analysis of acquired data and their evaluation. The goal of the work is to map the awareness of paramedics about the issue of selected acute states in paediatrics.
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