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Telephone Assisted Immediate Adult Patient Resuscitation by Emergency Medical Dispatcher
BARTL, David
This bachelor's thesis deals with Telephone Assisted Immediate Adult Patient Resuscitation by Emergency Medical Dispatcher. This thesis was divided into two parts. The first part was theoretical and the second part was practical. The main focus of the theoretical part was on medical emergency service and medical operations centre. Heart anatomy and cardiac arrest are also mentioned in this thesis, as well as problematics of an urgent resuscitation, chain of survival and telephone-assisted immediate resuscitation. The second part was the research part. Two research questions and two objectives were established in this part. First objective was to map knowledge of dispatchers of a medical operations centre in telephone-assisted immediate resuscitation. Second objective was to map how dispatchers of a medical operations centre proceed in provision of telephone-assisted immediate resuscitation. Semi-structured interview method was performed in the practical part of this thesis. Sample consisted of 10 dispatchers of the Regional medical operations centre of the South Bohemian Region who were asked 27 questions. For the sake of clarity, collected data were divided into 14 categories and processed into tables. Work objectives were fulfilled and research questions were answered. Research showed that dispatchers have stronger theoretical knowledge of telephone-assisted immediate resuscitation management of an adult patient, rather than of a pediatric patient. Research also mapped out the procedure of telephone-assisted immediate resuscitation of each individual responder. Results are rather positive.
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Using of an Automated External Defibrillator by Non-Medical Components of the Integrated Rescue System in the Liberec Region
GROFOVÁ, Karolína
This bachelor's thesis is focused on the using of an automated external defibrillator by non-medical components of the Integrated Rescue System in the Liberec Region within the framework of performing urgent cardiopulmonary resuscitation. The aim of this work is to evaluate the frequency, time course and results of interventions in cases of patients with sudden cardiac arrest, in which an automatic external defibrillator was used by the non-medical component of the Integrated Rescue System. The work is divided into two main parts. The first part is a systematized theoretical overview of basic information on the issue. The second part is focused on practical aspects and is created from data obtained from the basic components of the Integrated Rescue System. The data were examined by descriptive statistics methods. Based on the obtained outputs, a systematic overview of the outcomes of first responders to sudden circulatory arrest was created. This overview mainly includes data outputs focused on the frequency of activation of first responders, the time of their arrival at the scene, the success of resuscitation in the pre-hospital phase and the outcome of the patient. The information obtained was compared with the conclusions of foreign studies focused on the same area. The period for which the data were collected included the year 2017 after May 2021. At the end of the work, an evaluation of the key results is made and suggestions for further research related issues are given.
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Uses of automated external defibrillators by Emergency Rescue Services.
SKLÁŘ, Michal
A new helper called automated external defibrillator has appeared to help in struggle for lifesaving by stases. Emergency rescue services in the Czech Republic started to follow the example of foreign projects in which this device is used by schooled non-specialists. The aim of the thesis is to study the usability of automated external defibrillator by integrated rescue system. The theoretical part is focused on legislative basis which determines the operational range of particular selected rescue services and the possibilities of usage in project 'FirstResponder' in South Bohemian region. This part of the thesis describes development of similar projects in other regions of the Czech Republic and compares them with the foreign ones. It explains important terms in first-aid and steps by stases. The thesis introduces automated external defibrillator as a very important element in the project 'FirstResponder'. It also specifies role of emergency medical service, its organization and activity by activation 'FirstResponder'. Last but not least it introduces application 'Záchranka' and participation of telephone operators in the project 'FirstResponder'. Methodology of work is made of unstructured and then controlled dialogues and provides information from interventions and activation of 'FirstResponder' in particular years from the beginning of the project in South Bohemian region, funding of the project, schooling of the rescue services joined as 'FirstResponder' and the social impact. The thesis reviews the numbers of interventions by particular rescue services and qualifies these interventions by observed parameters. It deals with the costs on purchase and costs connected with the usage of automated external defibrillator by particular rescue services. According to the results, it focuses on the gravity of the social impact on members of volunteer fire departments engaged in the project 'FirstResponder'.
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The role of a medical rescuer during cardiopulmocerebral resuscitation in the ambulance crew of emergency rescue help,emergency medical help and randez vous system
HOKROVÁ, Iveta
The thesis surveys the performance of a rescue worker by cardiopulmonary resuscitation in a rescue team (squad) of emergency care. This care is provided by several kinds of squads ? by ALS (Advanced life support vehicles) ? large ambulance vehicles comprising a paramedic and a driver/rescue person), by RRV (Rapid response vehicles) ambulance carrying a physician, and also by the rendezvous system, where a physician works together with an ALS crew in situations when a patient's life or health is in serious danger. The theoretical part of the thesis deals with education and competences and powers of a medical rescue worker. Anatomic-physiological information on the heart, the respiratory system and the central nervous system follow. At the same time, the personnel of the medical rescue are explained and the emergency medical stations (bases) in Southern Bohemia are mentioned. Further on, the procedure during basic and extended cardiopulmonary resuscitation and the handling of external defibrillator are described. Then, the practical part follows. Its objective is to survey the competences of a rescue worker in the above mentioned emergency squads and the procedure by the cardiopulmonary resuscitation. The survey had the form of a questionnaire and 100 rescue workers from Southern Bohemia responded to 13 questions related to the cardiopulmonary resuscitation. The gathered results brought the answer to the third hypothesis. The geographical dislocation of emergency medical service stations of Southern Bohemia and the table of the stations of Emergency Medical Services of Southern Bohemia ? types of emergency rescue squads and their composition according to the type are enclosed in the appendix.
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