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Pre-hospital emergency care of patients with carbon monoxide intoxication
HAJÍČKOVÁ, Iva
The bachelor's thesis deals with the topic of the pre-hospital emergency urgent care for patients poisoned by the carbon monoxide. This issue has been known already for a number of years, but only in the last time it started to be presented more frequently in media. The carbon monoxide is a colourless gas which is not recognizable by senses. It comes into being as a secondary product of the not perfect combustion of the carbonaceous substances. The seriousness of these symptoms depends on the intensity of intoxication. The target of this thesis was to map the issue of treating the client with the suspect of poisoning by carbon monoxide from the viewpoint of the Medical Rescue Service and other components of the Integrated Rescue System. Moreover I verified the knowledge of lay public in connection with the intoxication by carbon monoxide. The research took place in the form of half-managed talks with the medical rescuer and physicians of the Medical Rescue Service of the South Bohemian Region. The same research procedure was carried out in the Firemen Corps of the South Bohemian Region. The respondents were asked eight questions finding out how many cases of the carbon monoxide intoxication they encountered in their practice, what the most frequent reasons caused the intoxication and what care was provided to the intoxicated persons. Among the lay public, the knowledge was established by the survey method. Also this research complex consisted of nine respondents, having been addressed accidentally in the schools, during travelling in town, in business centres and during sport events. Most frequently were among the enquired persons: students, also a nurse or deputy director of a company. The respondents answered seven pre-printed questions. The sense of these questions was to find out if at least a small part of the lay public has some idea of the intoxication of the carbon monoxide. If they ever encountered the intoxication by the carbon monoxide, how they would behave in this situation and in what way they would provide the first aid. In both parts of the research, the results are presented in the charts, to have a better survey. In has turned out in the talks concerning the occurrence of the intoxication by the carbon monoxide that the length of practice is not very important, because also the persons working in the branch for a longer time have no such high number of interventions concerning intoxication by the carbon monoxide as some of their colleagues working in practice only several years. Moreover it was established that the most cases of intoxication appeared in connection with geyser and subsequently during fires. The health state of affected persons ranged from the light intoxication up to very heavy intoxication with the subsequent death. Depending on these states, the experts provided the adequate pre-hospital care completed subsequently in the hospital facility. It turned out that although the most respondents were not able to say if the number of intoxications by the carbon monoxide has been increasing or decreasing, their answers are identical in the most cases and indicate that their number has been rather decreasing Concerning the lay public, only a small part of respondents was interviewed and the result of research cannot be quantified. This part of the research has shown that although nobody of the enquired persons encountered the intoxication by the carbon dioxide, the respondents know in the most cases how they should behave in case of the intoxication and in what way the first aid should be provided. The most frequent source of their information of carbon monoxide intoxication and the first aid was the knowledge acquired during studies. Further details concerning the research are specified in more detail in the discussion. The general awareness of people concerning the intoxication is on a good level thanks to education and media.
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Study of fumes from burning materials selected
ŠEBA, Jaroslav
The topic of my diploma thesis draws on my bachelor thesis, which described combustion products of selected substances in the complete combustion. The diploma thesis focused on the incomplete combustion in the same substances to make a comparison possible. In the chapter on the substances selected for burning, the substances were described theoretically first. Further, the burning was carried out, the products that came into being were collected into collection bags and sent to the laboratory of the Institute of Population Protection in Lázně Bohdaneč to be analysed. After receiving the records all possible effects on human health were carried out, and the results were compared with those of the bachelor thesis. The analyses showed that carbon monoxide and sulphur dioxide appeared in all analyses, while the remaining substances differed to a minimum extent, however, they are in much higher concentrations than in the perfect combustion. I added two more substances that had not been in my bachelor thesis to those that were burnt, but in the course of two years their application became a common practice, and they play an increasingly more significant role in our life. The task of the chapter dealing with the detection technique was to find out and describe the possibilities of the commander in detecting the combustion products directly on the spot of the actual operation in the shortest possible time, to enable him to propose the protection of the firemen, and possibly to establish the possibilities of taking samples, transport to the laboratory, conducting a laboratory analysis and establishing the approximate time when he could obtain the first sampling results. All of this was focused on the possibilities of the Fire Rescue Service of the Region of South Bohemia (HZS JčK). The next chapter concerned their colleagues of the Fire Rescue Service of the Region of South Bohemia in České Budějovice, in which a questionnaire investigation was focused on them, identical with that of my bachelor thesis. As I had succeeded in including the results of my bachelor thesis into a training course, I wondered whether the knowledge would improve or not. After a comparison with the results from my bachelor thesis with the new ones the conclusions turned out to be favourable, and suggested in which way the training courses - not only for the professional units - should proceed. The results of the new questionnaire investigation, which showed an improvement, should form a basis of a campaign focusing on the non-professional public, which should be acquainted with what they breathe in the event that they burn vast variety of waste. I believe that results would be achieved even here in the form of a deeper knowledge and a better quality of the air we breathe.
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