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Cooperation IRS system during an extraordinary event
ANDRLÍK, Vojtěch
In the theoretical part, I attempted to explain the functioning of the Integrated Rescue System components overall and separately, define some terms related to extraordinary events, determine competencies, and allocate tasks in the management of such interventions. I briefly described several selected extraordinary events from Czech and world history. I endeavored to explain the most commonly used systems for sorting the injured, the communication process at the scene of such interventions, how the lay public should behave when dealing with these events, and in the last chapter, I described some selected conditions from pre-hospital emergency care. In the practical part, I processed the acquired documents related to tactical exercises "Airport 2023" and "Holečkov 2023." The aim of this thesis was to identify possible complications arising from the management of extraordinary events and to explore the cooperation of Integrated Rescue System components during such events. I hope that I have achieved the specified objectives of the thesis in this work. The information presented in this thesis can serve as educational material for those interested in the issue. It can be used within the framework of qualification and lifelong education of emergency medical technicians and all Integrated Rescue System components.
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Education of paramedics in the field of emergencies with mass disability
KRUPOVÁ, Nikol
This bachelor thesis deals with the education of paramedics regarding to the issue of emergencies with mass disability. The theoretical part of this work focuses on basic knowledge about the medical emergency service, it contains a description of its individual workplaces such as the educational and training center and a workplace of crisis preparedness. Further on, the theoretical part deals with a description of the procedures on how the employees of the medical emergency services are prepared for an exceptional event with a mass disability of people and what their activities are in the case of such an event. The practical part of this work was realized on the basis of a qualitative research through interviews with representatives of individual medical emergency services. The interviews were carried out with the employees of the educational training center or with the workplace of crisis preparedness. Fourteen semi-ctructured interviews were done between 1st December 2021 and 1st June 2022. The aim of this bachelor's thesis is to monitor the approach of individual providers of the medical emergency services regarding to the issue of the preparation of primarily non-medical health care workers for emergencies with mass disability of people. The research part of this work reflects the level of preparation of individual providers dealing with the issue of educating and training of medical emergency service employees. The aim of this work is to submit a general overview of the method of preparation of individual medical emergency services in the Czech Republic for exceptional events with mass disability of people.
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Preparedness of the regional education and training centers of Emergency Medical Services (EMS) for the problems of mass casualties and disasters
BRAMSKIY, Illya
The diploma thesis analyzes the topic of preparedness of individual regional and training centers of medical rescue service providers and employees of such organizations for cases of emergencies with mass casualties. In order to collect the data required for the empirical part of the diploma thesis, I prepared two questionnaires: one was a qualitative research aimed only at managers of educational and training centres of individual regional medical rescue services. The other questionnaire was used for a quantitative research, in the form of an anonymous non-standardized questionnaire, which was prepared for employees of medical rescue service. The evaluation of the results of the questionnaire surveys has shown that in spite of the usually appropriate conditions secured by the medical rescue service providers and in spite of the relatively frequent trainings, the knowledge of individual employees in this field is not sufficient. Based on the results acquired it is obvious that individual educational and training centres of medical rescue service providers should pay more attention to the professional training of their employees on this issue. These results will be, upon request, presented to the representatives of individual educational and training centres, and should be used to make the preparation of their employees for cases of emergencies with mass casualties more effective.
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The analysis of the selected health hazards of population within defined special extraordinary event on the village with extended area of involvement and analysis of readiness and preparation of elementary subunits of IZS including healthcare in terms of reducing the impact on larger scale.
POJETA, Antonín
Risk analysis is a very important keystone for preparation of the rescue system during a disastrous situation. It defines risks which are needed for the rescue system in given timeline. It also provides basic data regarding necessary preparation of rescue forces and resources within the defined area. Of course it is not the most perfect instrument for crisis set-up as it cannot, on the whole, express the risks and threats while talking about recent phenomenon such as terrorism etc. In these cases risk analysis can only come out from scenarios and geopolitical situations or experiences from previous disasters that the world has already experienced. Risk analysis answers questions such as - what can happen, how it will happen, where this could happen, how many people can be in danger or affected. The result is a model system of an operation during this nonstandard disastrous situation for the whole system which is ready to help the people in danger. The theoretical part of the diploma thesis describes characteristic of the area, where the risk analysis was made for Integrated Rescue System set-up, risks according to specific industrial activities and public health risks. The following chapters are dedicated to specific basic and other elements of the Integrated Rescue System, the basic elements are stated in further details. The most detailed part is the paramedics, because the risk analysis focuses primarily on their activities within the framework of incidents affecting public health. Within this topic the legislative basis is written in detail, in the meaning of Type Activities, levels of alarms, trauma plans, activation of forces and resources of Integrated Rescue System in case of public health affection report and other law-based keystones for the operation of basic elements, laws, regulations, statutory rules, declaratory regulations and other documents, complemented by Crisis Management problems. The operation of Fire Fighter Department, Police of the Czech Republic and other elements of the Integrated Rescue System is also stated up according to the thesis topic including a chapter about a co-operation of all above mentioned elements in a place of mass people endangerment. Health Care Crisis Management chapter closes the theoretical part of the thesis, and it is an integral part of managing disastrous situations in order to maintain the standard care administration even outside the area of disastrous incidents. The trauma plan of Paramedic provider and in-patient or day-care providers is being studied trough in detail right in this chapter. Summarized data within the health care securement in municipalities with extended effectiveness including the surrounded medical facilities can be found in the practical part of this thesis. According to data collection the summary of the most critical events the Paramedics had to deal with in Kralupy nad Vltavou selected municipalities with extended effectiveness in the last fifteen years. Ten years ago the methodical Integrated Rescue System training with focus on operational cooperation was carried out as a terroristic attack in Kralupy nad Vltavou. The results of this training came out as comments with actual risks and threats in the chapter called "Results". The core of the practical part is Medical Risk Analysis according to FMEA risk analysis compared with risk analysis from municipality with extended effectiveness listed in the Emergency plan of Central Bohemia Region. Based on the research forces and resources of basic integrated rescue system components are mentioned, which were the first to be sent to solve a disastrous situation including medical equipment. In conclusion of the practical part risk modelling with situation review is mentioned.
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Preparedness of medical rescue service in South Bohemian coutry for solving emergency situacions
MAJSTR, Jiří
The frequency of emergency incidents and the expanding spectrum of all possible mass casualties require preventive and safety precautions and fast professional respond to their occurrence. Emergency prevailing medical complication requests from Medical Rescue Service providers a different attendance to intervention than is usually requested in their daily routine activities. Daily routines of Medical Rescue Service providers include medical treatments of one or two patients using urgent care medicine methods, which present a full medical treatment to a particular patient from the first contact to their handing over to other medical services providers. In emergencies with mass casualties? incidence, it is impossible to attend one particular patient at a time, but it is necessary to adjust priorities in medical attendance to patients in dispatch and as well to transfer all patients to other medical service provider facilities. Shall there be an emergency with mass casualties, there are few concomitant circumstances in their solving, and these are: lack of time for decision making and rescue works co-ordination, panic, delay in treatment and transport of patients to other medical facilities. Especially at the rescue work start of all integrated rescue system units, forces and equipments are insufficient, as for example lack of professional medical staff, rescuer and medical equipment including medicaments. The ration of rescue forces and medical equipment to a number of patients optimizes in following process, when a successful outcome is conditioned by the rescue work in the first thirty to sixty minutes. It is, thus, very important to paying attention to the organization and control of rescue works of all integrated rescue units right from the start. An intergrated rescue system is mentioned in theoretical part of the thesis. On the strenght of valid legislation, the provider of Medical Rescue Service is generally described, particularly focused on preparedness and solving of emergency incidents by the Medical Rescue Service of South Bohemia. Furthermore, the organisation trauma plan,the START asset classification of casualties with the follow-up method using identification and sorting cards (medical classification) are described. The theoretical part of thesis is closed up by an outlined exterior emergency plan of the nuclear power plant Temelin with focus on its trauma plan related to the Medical Rescue Service of South Bohemia activities solving emergency situation in the connection with an outflow of radioactive substance. The thesis was written on the ground of a qualitative research using the method of a semi-led interview of seven superintendant medical doctors of Medical Rescue Service from different areas in South Bohemia. The content of the research was an evaluation of possible development and potentional changes in preparing and also consequential activities of medical units at emergency situations with mass casulties. Research questionaire was focused on competence and funcion of medical dispatching centre, establishing work process of first paramedics attending at the place of an emergency situation, also co-operation of medical units with other units of an integrated rescue system and as well the tie-in system to other medical facilities. The aim of the research was establishing hypotheses in terms of Medical Rescue Service of South Bohemia preparadness to solution of emergency situations. Created hypotheses attached to a chapter ¨Discussion¨ may be verified, in the future, by a quantitative research. Other thesis aims are included in attachment part. It represents an interpretation of tactical and testing practise of Medical Rescue Service of South Bohemia from 2006 to 2012 and topics focused on emergency incidents and mapping incidence and solution of emergency incidents with mass casualties in South Bohemia region from 2003 to 2012.
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