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Spinal trauma in terms of pre-hospital care
VAŠÍČKOVÁ, Denisa
The bachelor thesis deals with spinal trauma in the conditions of pre-hospital emergency care. The objektive of this work is to map out the procedure of paramedics in addressing spinal trauma in the conditions of pre-hospital emergency care. Part of the bachelor thesis is a theoretical and practical part.The theoretical part introduces the reader with the anatomy of the spine, by construction, the functions and the imposition of the spinal cord. Briefly mentioned here is the etiology of injury and the pathophysiology of traumatic injury to the spine and spinal cord. The charter will also focus on the diagnosis of spinal trauma, where anintegral part is anexact anamnesis, clinical examination and imaging methods. This section also describes the procedure of the treatment provided by the medical service and possible cooperation with members of the fire brigade in the patient with spinal trauma. The research part has two main objectives: To findout, chat is the procedure of paramedic in addressing spinal trauma in the conditions of pre-hospital emergency care. Find out what are the most frequently used utilities in the event of injuries leading to spinalinjuries. These targets are detected by the method of qualitative research. Data collection was carried out by the technice of means of semi-structured interview. The research sample consists of 10 paramedics of Medicalrescue service of the Highlands region. The investigation has found that paramedics of Medicalrescue service of the Highlands region have gaps in some aspects of spinal cord injury. Overall, the results were satisfactory.
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Performance of hospital emergency team mass take in of patients separation for small, medium and big hospitals (local, district, faculty)
TOMÁŠKOVÁ, Lucie
The main objective of my work was to summarize entire information available about performance efficiency of rescue teams (hospitals) at massive reception of patients to hospitals. As a sample, the hospitals in South Bohemia were chosen, and that local, district and teaching hospitals as well. Even that each of the hospitals has their own traumatology emergency plan, you can hardly think of readiness without knowledge of the contents of the plan on the side of the individual administrators involved. In addition, the hospitals do not know accurate or theoretical numbers that would evaluate the performance efficiency of their rescue teams. I have collected the data from current operation of the hospital; from scheduled operation of the hospital under the conditions of massive reception of the likely affected; and from professional literature. Firstly, I focused on various causes of emergency or crisis situations, on classification of those, considering the place of origin, and on their sorting that is used as a base in order to activate the traumatology plan and the rescue team in the hospital. Secondly, I described the pre-hospital medical care at emergency and crisis situations that is covered by the medical rescue service within the Integrated Rescue System-i.e. the time before the traumatology is activated, and the people affected are received into the hospital. Thirdly, I worked with traumatology plans in the hospitals, explaining why they should exist in every hospital. After that, I described the traumatology plans of the individual hospitals that had been chosen as samples. (The Hospital České Budějovice a.s. is a teaching (big) hospital; the Hospital Tábor a.s. is a district hospital (medium type); the Nemocnice Prachatice a. s. is a local (i.e. small) hospital). Then, I processed the responses by head physicians in the trauma centres in the sample hospitals: I had asked questions related to their orientation and knowledge of the performance efficiency of their rescue teams and to activation of the traumatology plan of the hospital at massive reception of the affected. Finally, I confronted my results with the information in professional publications, especially in the article written by MUDr. Pavel Urbánek ``The Link-Up between the Pre-Hospital and Hospital Care in Case of Massive Disaster{\crqq}; then, I compared my results with the hospital medical care and capacity of hospitals in the Netherlands. In conclusion, I present my evaluation of the existing situation, following from the data and knowledge collected; there are proposals of my solutions as well.
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