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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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Early cardiopulmonary resuscitation and defibrillation in South Bohemia with a usage of a first aid on demand
ALDORFOVÁ, Lucie
In the first part of the thesis, I describe the concept of sudden cardiac arrest and also the important chain of survival. I also define the procedure for cardiopulmonary resuscitation and defibrillation. Last but not least, I focus on automated external defibrillators in terms of availability in the Czech Republic and abroad. Here I also describe operating and identification of defibrillators. In the last chapter, I analyse First responders in the South Bohemian Region and abroad. The aim of this bachelor's thesis is to determine the use of First responders in the South Bohemian Region, the use of public access automated external defibrillators and to determine the success of cardiopulmonary resuscitation and defibrillation of First responders in the South Bohemian Region using the automated external defibrillators. To achieve these aims, three research questions have been set. The research part was conducted as a qualitative research based on semi-structured interviews which consisted of fifteen questions. The research group consisted of six First responders from among the professional and volunteer firefighters, police force and members of the Mountain and Water Rescue Service. All interviews took place in April 2021. In the first phase of the research, the research requests were sent out to people in higher positions on given work places. After approval, I was provided with contacts to randomly selected First responders, with whom an interview was conducted after a contact. Due to the current pandemic situation, all interviews were conducted over a recorded call; all participants were informed about the recording and agreed. With all interviews being carried out, they were subsequently transcribed and recordings deleted. The processing and evaluation of the research followed. The research provided answers to all set objectives and addressed all research questions. It was found that the use of First responders in the South Bohemian Region is really large. At the same time it was also found that the public access automated external defibrillators do not have such a success. The research also showed that the success or failure of cardiopulmonary resuscitation and defibrillation of First responders using the automated external defibrillators cannot be conclusively determined.
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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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Dispatcher-assisted cardiopulmonary resuscitation
Pajkrtová, Veronika ; Hladká, Petra (advisor) ; Klokočková, Šárka (referee)
The main task of providing dispatcher-assisted first aid is to guide bystanders to giving the first aid to the victiim directly in the situation where the incident happened according to the possibilities and conditions. It's one of the basic roles of medical dispatch centre and each dispatcher working on dispatch centre has to manage this role. These basic instructions should be provide in many different situations. One of this situation is pre-hospital cardiac arrest. When the dispatcher detects cardiac arrest during the emergency call, he/she should start providing dispatcher-assisted cardiopulmonary resuscitation (DA-CPR) immediately. It means telephone assistance and guidance of bystander to perform cardiopulmonary resuscitation on the place of incident. The main aim of the research is to find out, whether the dispatchers are able to detect cardiac arrest in time and respond to it appropriately. It means iniciate the bystander to begin cardiopulmonary resuscitation, motivate him/her, instruct him/her correctly and easily, calm the situation and guide the bystander till the ambulance arrives. There are aslo set three sectional goals. Their task is to apprise with the work of the medical dispatch centre, with the dispatcher's job description and with dispatcher-assisted cardiopulmonary...
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