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A distress call owing to chest pains versus real diagnosis of a flying squad
JIŘINEC, Martin
This bachelor thesis is called: A distress call owing to chest pains versus real diagnosis of a flying squad. Thesis deals with possible causes of inception of chest pains and possibilities of their diagnosis. Theoretical part contains definitions of emergency medical services, differential diagnosis, ischemic heart disease and inflammatory heart diseases which cause chest pains. There are also described respiratory disease, cardiac arrhythmia and other possible causes of inception of chest pains, hypertension, hypoventilation, swoon. There are provided descriptions of cause, symptoms and prehospital emergency care of every mentioned disease. There was conducted a qualitative research and was presented in practical part of this bachelor thesis. Collection of data was based on technique of analysis of secondary data (archived recordings of distress call, departure records) as well as on the method of specific selection. The research sample consisted of case studies of distress calls owing to chest pains and of departure records used at emergency medical service of South Bohemia region. On the account of the quantity ofthe distress calls owing to chest pains wereto this research chosen and compared, after supervisor's advice, only the distress calls owing to chest pains from the months of July and December 2014. The aim of this thesis was to find out the most frequent cause of chest pains. Mapping was done enumeration of specific diagnoses and inserting tables. The research question was: ,,What are the most frequent chest pains?"On the grounds of the quantity of the distress calls owing to chest pains, were to this research chosen, after supervisor's advice, only the distress calls owing to chest pains from the months of July and December 2014. These months were chosen because they both are climaxes of summer/winter periods. The most frequent diagnosis in December 2014 was chest pains NS. There were 145 cases of this diagnosis in December. This diagnosis was the most frequent one in July as well. There were 108 cases of it in July. These facts can be clearly seen in table 1 and 2 which contain diagnosis based on symptom of chest pains. From data, which were collected and analyzed in the practical part, itis obvious, that distress call owing to chest pains can be caused by various conditions. Diagnosis of flying squad showed that chest pains can be caused by cardiovascular diseases, respiratory diseases, gastrointestinal disorders, backache, arm fracture, etc. However, flying squad is not always able to diagnose the cause of chest pains. These cases are labeled as chest pain NS, other pains NS, etc.
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The urgent care of the clients suffering from the acute heart stroke provided by the medical rescue service
KALÁŠKOVÁ, Dana
The pre-hospital emergency care for clients with acute myocardial infarction within the medical rescue service The pre-hospital emergency care for clients with acute myocardial infarction within the medical rescue service is the topic that I selected intentionally. On one side, I was guided by my own still fresh experience with my father and on the other side I was guided evenby the fact that interventions of the rescue service at patients with chest pains are still the most frequent indications. This is a really up-to-date subject due to contemporary life style and style of living of most of our inhabitants. The term acute coronary syndrome means all the statuses patho-physiologically connected with an instable plate and related thrombosis in the coronary artery. The main symptoms include chest pains or their equivalent in resting state. The bachelor thesis was processed on the basis of quantity method, using the technique of questionnaires. The research set included employees of the Medical Rescue Service of the South Bohemian Region. The first aim of the work was to make a chart of their opinions regarding use of automatic external defibrillators (AED). The results of the research investigation indicated that the employees of the Medical Rescue Service of the South Bohemian Region are well aware of recommended procedures in pre-hospital care for clients with acute myocardial infarction, which successfully confirmed the first hypothesis. Unfortunately, even the second hypothesis was successfully verified,as the automatic external defibrillators still do not belong to natural part of public locations equipment and that is why their use in practice is minimal. Based on results of this work that will be published in a specialised magazine rescue and Urgent Medicine, I would like to appeal to managing employees of medical rescue services to strengthen promotion of automatic external defibrillators and also to the Ministry of Health to more quickly extend the current stage of AED within legal rules of the Czech Republic, which do not still deal with attitude towards defibrillation, which does not solve the difference between manual and automatic defibrillation.
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