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Cardiopulmonary resuscitation and the use of special instruments
KUBAL, Lukáš
The bachelor thesis analyzes cardiopulmonary resuscitation and the use of special equipment related with cardiopulmonary resuscitation in pre hospital emergency care. The main study introduces practical application of special equipment and expertise experience of paramedics and nurses with use of this equipment.Theoretical section consists of two parts definition of using special instruments and description of cardiopulmonary resuscitation. The first one describes specified equipment related to cardiopulmonary resuscitation in pre hospital emergency care and legislative standards specified for operation of emergency services in Czech Republic. The second deals with the issues of cardiopulmonary resuscitation. Basic and advanced methods of urgent cardiopulmonary resuscitation in pre hospital care and updates of Guidelines from the years 2010 and 2015 related to cardiopulmonary resuscitation are also introduced here.The practical part contains transcribed interviews with professionals, which were obtained by qualitative semi-structured interviews. Paramedics, nurses and a physician at Emergency. Medical Services in South Bohemia were selected as interviewees. Altogether, six people were contacted. Interviews contained 15 questions related to the issues of practical application, interpretation of values and personal experience with special technology used in urgent emergency resuscitation.The study of this thesis shows that health care workers do not have a problem with the interpretation of data available thanks to this technology. In some cases, there is a problem with the proper use of technology or differences of opinions on the application itself among workers from different ambulance stations. It was also found that no one is happy with trainings and the amount of information provided by an employer, because all respondents look up information concerning the technology beyond their job duties. As a contribution of this work I see a brief equipment overview non medical staff use during cardiopulmonary resuscitation. The thesis summarizes everything from the description of basic values to actual applications of the equipment.
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Contribution capnometrics in pre-hospital emergency care
BENEDIKT, Ladislav
In terms of prehospital emergency care (PEC), the rescuers get into contact with patients, who have breathing difficulties in connection with their health condition. As breathing, together with consciousness and bloodstream, is included in the observed vital signs, it is necessary to focus on the precise monitoring of its quality. Except evaluation by sight, we can also beneficially use device monitoring of breathing, more precisely the quality of blood gases exchange. During PEC we can monitor oxygen or carbon dioxide saturation in blood (pulse oximetry or capnometry, respectively). In this bachelor thesis we focused on capnometry. The principle of capnometry measurement is based on infrared light absorption. In comparison with pulse oximetry, the capnometry is useful in situations when we are not able to get objective results by using pulse oximetry. The greatest advantage of capnometry is the almost immediate reaction of a device to metabolic changes in respiratory system of a patient. Using this method is also beneficially during intubation, using combitube and laryngeal mask, because we can get precise overview about cannula position. Theoretical part of this bachelor thesis is focused on capnometry problematics. At the beginning is explained what capnometry and PEC are and they both are described. Also view on monitoring in general is present. The capnometry itself is divided into types according to way of use. Theoretical part is ended by chapter about capnography. The aims of practical part are monitoring of South Bohemian rescuers' knowledge about using of capnometry and using of capnometry during PEC. Data collection were realised quantitatively by using questionnaire focused on theoretical knowledge. Data were collected in March 2015. 100 pieces of anonymous questionnaires were given for filling across the South Bohemian Region (regional centre in České Budějovice and local centres in Český Krumlov, Písek, Prachatice, Strakonice and Tábor). 63 respondents answered the questionnaire (rate of return was 63 %). Questionnaire consisted of 24 questions targeted on knowledge of respondents about capnometry problematics. Results were analysed in statistical software SPSS into graphs and charts and hypotheses were statistically analysed by using of chi-square test method. Statistical analysis shows to us that South Bohemian rescuers have enough information about capnometry and that capnometry is not used for every patient with controlled air passages. The aim of this bachelor thesis is to get information about South Bohemian rescuers' knowledge about using of capnometry. Another aim is to monitor the using of capnometry in prehospital emergency care. Statistical analysis proves that knowledge about capnometry is sufficient among South Bohemian rescuers and they are able to use this method. Furthermore the guide for using of capnometr for rescuers was created on the basis of obtained information. This guide is included in this thesis as an appendix (app. 11).
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