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Lay resuscitation of newborns and infants awareness among mothers
Pešlová, Veronika ; Lamberská, Tereza (advisor) ; Smíšek, Jan (referee)
This bachelor's thesis deals with the issue of maternal awareness in the field of lay resuscitation of newborns and infants and is concveived as a theoretical-practical work. The theoretical part of the bachelor thesis is divided into seven chapters. The first chapter describes the neonatal and infant period. The next chapters present the recommended practices in neonatal and infant resuscitation according to the current 2021 Guidelines, and define the chain of survival, emergency pre-hospital care, basic and advanced life support. The fifth chapter deals with education in basic life support. The final chapters discuss sudden life-threatening episodes - apparent life-threatening event (ALTE), brief resolved unexplained event (BRUE), sudden unexpected postnatal collapse (SUPC), and last but not least, sudden infant death syndrome (SIDS), with emphasis on its risk factors and preventive measures. For the practical part of my bachelor's thesis, a quantitative questionnaire survey was used, which took place between 12/2022 and 2/2023 at the Gynaecology and Obstetrics Clinic of the 1st Faculty of Medicine and General University Hospital in Prague. The target group of the questionnaire survey are women after childbirth in the six-week wards. The respondents were provided with a questionnaire in paper...
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An over view of recommendations for an urgent resuscitation and their application in the field
STEHLÍK, Oldřich
The topic of this bachelor thesis are guidelines for resuscitation in field. The entire text is structured into two parts theoretical and empirical one. The emphasis is put mainly on the empirical part and related research. Theoretical part provides definition of resuscitation and specifies its roles and objectives. It includes the possible causes of cardiac arrest, the principles of initiating and ending resuscitation and presentation of factors increasing the probability of cardiac arrest recovery. The emphasis is given on the description of guidelines for basic and advanced life support of adults and children, which is based on "Guidelines for resuscitation 2015" published by European resuscitation council. Theoretical part is concluded with providing the description of resuscitation in specific setting (also known as in field). Empirical part consists of research which was conducted among EMS paramedics and laymen. The data were collected by quantitative research (method of anonymous questionnaires) were processed with the use of statistics and consequently evaluated. We have established two research aims. First aim of the thesis was to look into laymen knowledge of guidelines for resuscitation, second aim is to examine paramedics' knowledge of the specifics of resuscitation in the field. There were set up two groups of respondents, the laymen and the paramedics. We have created a questionnaire for each group. Collected data were presented in tables, statistically processed, evaluated and summarized. Even though, the laymen went through training in resuscitation, their knowledge of the resuscitation procedures were very poor. Most of them did not know when to initiate and stop cardiopulmonary resuscitation. They did not know how to resuscitate, neither. The respondents did not realize the differences between cardiopulmonary resuscitation of adults and of children. The problem of the first magnitude was that they did not know the right compressions/breaths ratio for cardiopulmonary resuscitation of adults. The correctness rate of laymen's answers reached only 43%. We have anticipated, that the knowledge of paramedics of cardiopulmonary resuscitation in pre-hospital care will be flawless. In other words, that the correctness rate of their answers will meet 100%. However, the presumption was too ambitious. The conducted research has shown that the paramedics' knowledge of cardiopulmonary resuscitation in the field is very good, but not perfect. The correctness rate of paramedics' answers reached only 83%. The question, which was focusing on the maximum length of time during which it is possible to suspend cardiopulmonary resuscitation, has appeared to be the most problematic one. It is possible to observe paradox situation in the case of question focusing on differences between cardiopulmonary resuscitation of adults and children, because the correctness rate of paramedics' answers was very low (65%). However, the correctness rate was much higher in the case of questions which were focusing on cardiopulmonary resuscitation of children and adults in detail. In conclusion, considering the laymen's poor knowledge of cardiopulmonary resuscitation it is advisable to reconsider the way of raising public awareness as well as to think of other possible ways and forms of training in cardiopulmonary resuscitation. The research has shown the imperfection of paramedics' knowledge of cardiopulmonary resuscitation in the pre-hospital care. Therefore, it would be highly beneficial to look into its possible reasons. The questions, which have arisen from the research of paramedics' knowledge of cardiopulmonary resuscitation in the field, unfortunately could not be answered within this thesis, therefore it would be suitable to deal with them in upcoming research.
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History of cardiopulmonary resuscitation and role of professor P. Safar
KOSTOHRYZOVÁ, Barbora
The thesis deals with the history of urgent resuscitation and with the life and work of Professor Peter Safar. In the first part of the thesis, the first attempts of urgent resuscitation are described. The second part of the thesis focuses on life and work of Professor Peter Safar, the Austrian doctor with Czech ancestors. The thesis discusses the first attempts that were not based on scientific knowledge, mainly because of the lack of the knowledge about the anatomy and physiology. Another aspect that slowed down the development in discovering new facts about human body was religion. Because of the religion people believe in afterlife that is why they could not manipulate with the body after death nor even dissect the body. But thanks to the experience from past we could learn a lot to move forward and fully understand the complex needs of the patient. Today, each five years the recommended processes how to do an urgent resuscitation are published by the European commission for resuscitation which consists of algorithms based on the evidence based medicine. The theoretical kind of work was chosen for this thesis. The objective of the thesis is to analyse the development of the techniques of urgent resuscitation and to show the role of Professor Peter Safar in this development. In the conclusion of the thesis there are two charts showing the most important facts, which are placed in a list of attachments. The first chart sums up the history of urgent resuscitation from the oldest found notes about resuscitation. The second one presents the work of Professor Peter Safar.
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KNOWLEDGE OF PREMEDICAL FIRST AID REQUIRMENTS FOR TEACHERS IN NURSERY SCHOOL
KOVÁŘÍK, Ondřej
Bachelor thesis ?Premedical First Aid Knowledge Requirements for Teachers in Nursery Schools? summarises urgent conditions and diseases occurring primarily among preschool children. The theoretical part deals with selected injuries, from the most serious injuries (resuscitation, disorders of consciousness, suffocation) to the less serious ones (eg fractures). Pathophysiology, symptoms and finally providing of first aid is briefly described for each of the injuries. This part was described mandatory legislation for teachers regarding first aid education in this section. I used a content analysis of professional publications in this part of my thesis. The second part is practical and related to my research. The aim of the research was to find out level of first aid knowledge among teachers in nursery schools. I used a quantitative method in the form of questionnaires in my research. The questionnaire consisted of fourteen questions. These questionnaires were filled mostly by teachers during personal meetings in nursery schools near my residence in Brno. The research is processed with the charts and descriptions. The results of the answers are given as a percentage in each graph. The hypothesis, established at the beginning of the research, was not confirmed. Teaching staff have sufficient knowledge of first aid. However, they have lacks in innovations piece of knowledge first aid (CPR, choking). In these cases, most teachers would act based on outdated standards. Primarily right answers dominated in further points of the questionnaire. My surprising finding was that half of those surveyed teachers had never undergone any first aid training.
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