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Readiness of healt care providers to mass disasters
Opltová, Kateřina ; Prošková, Eva (advisor) ; Hošťálková, Monika (referee)
Reception of a large number of the injured to a medical facility as a result of a mass disaster or a catastrophe puts high demands on health care. Such situations can not be dealt with the mere improvisation; it is necessary to create unified organizational procedures defining the composition of medical teams and their activities during the multiple reception of the injured to a medical facility. The theoretical part of this thesis provides a comprehensive overview of the current state of emergency preparedness in healthcare facilities. In the empirical part, I analyzed the readiness of health facilities for a mass disaster in the capital city of Prague. A structured interview with open questions was chosen as a method of data collection. Based on the survey, I concluded that the readiness of health facilities in the capital city of Prague differs. I recommend setting up a phone line while receiving patients as a result of a mass disaster in order to improve the situation in Prague. The sole purpose of such a line would be reporting emergencies. I also recommend health care facilities participate actively in exercises within the integrated rescue system and clearly identify and determine facilities where the reception of the injured takes place if a mass disaster occurs. Keywords: mass disaster,...
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Possibilities of social work in the situation of huge disaster in the relation to victims' needs
Ivanko, Dana ; Vodáčková, Daniela (advisor) ; Matoušek, Oldřich (referee)
IVANKO, Dana. Possibilities of social work in a situation of mass disasters in relation to the needs of victims. Prague: Faculty of Arts of Charles University in Prague, 2013. 87 pp. Diploma thesis. Diploma Thesis - Possibilities of social work in a situation of mass disasters in relation to the needs of victims - focuses on the area of psychosocial assistance and social work in mass disasters. It describes in deeper details the types of assistance in mass disasters, focusing on psychosocial assistance. The focus is on human, with its biological, psychological, spiritual and social needs. Then, social work in situations of mass disaster and competences of a social worker are introduced. A separate chapter discusses mobile crisis teams. To achieve the goals of this work, it presents an overview of standards of psychosocial assistance, including legislative basis of help in mass disasters in the Czech Republic. Research section provides an insight into the work of mobile crisis teams in the Czech Republic in the form of examples of good practice. The methodology will be elaborated based on the examples of work of mobile crisis teams, on what has proved successful in providing psychosocial assistance. Keywords Social work in mass disasters, psychosocial assistance, mass disaster, victims, needs of...
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Readiness of healt care providers to mass disasters
Opltová, Kateřina ; Prošková, Eva (advisor) ; Hošťálková, Monika (referee)
Reception of a large number of the injured to a medical facility as a result of a mass disaster or a catastrophe puts high demands on health care. Such situations can not be dealt with the mere improvisation; it is necessary to create unified organizational procedures defining the composition of medical teams and their activities during the multiple reception of the injured to a medical facility. The theoretical part of this thesis provides a comprehensive overview of the current state of emergency preparedness in healthcare facilities. In the empirical part, I analyzed the readiness of health facilities for a mass disaster in the capital city of Prague. A structured interview with open questions was chosen as a method of data collection. Based on the survey, I concluded that the readiness of health facilities in the capital city of Prague differs. I recommend setting up a phone line while receiving patients as a result of a mass disaster in order to improve the situation in Prague. The sole purpose of such a line would be reporting emergencies. I also recommend health care facilities participate actively in exercises within the integrated rescue system and clearly identify and determine facilities where the reception of the injured takes place if a mass disaster occurs. Keywords: mass disaster,...
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Multidisciplinary Cooperation and the Role of a Nurse in Patient Care Affected by Blast Syndrome
KOPULETÁ, Martina
Blast injury is a very serious lesion caused by the shock wave resulting from an explosion. Further secondary injuries can arise from burying under debris, pieces of shards from the explosive cover, at burning, poisonous gases created by chemical reactions during detonation. The injuries often happen to be fatal and the percentage of people who survive it depends on the fact how far from the epicentre they were situated. If the individual is very close, there is almost no chance to survive, if, however, the individual is situated further from the epicentre, a few tens of meters, the chance is higher. It is so called mass disaster, which includes more injured people at an explosion. Therefore it is necessary for nurses and the hospital staff to know what the procedures are at this incident and how to take medical and nursing care of higher number of such patients suffering from blast injury. The care itself is extremely demanding, since the injured are often in critical condition. The aim of this diploma thesis, the topic of which is multidisciplinary cooperation and the role of a nurse when taking care of the patients suffering from blast injury, was to find out the information based on the latest Czech and foreign literature and create a compact overview of the knowledge of this issue, for it is necessary to have this knowledge to carry out nursing care of such patients. The second aim of this diploma thesis was to map the role of a nurse in details when taking care of a patient suffering from blast injury. This aim was stated for the reason of the demanding character and complexity of nursing care at urgent reception and anaesthesiology and resuscitation unit because the nurses at these units are placed demands on high qualification and requirements. This diploma thesis was purely elaborated as theoretical thesis based on Czech and foreign sources. The given pieces of information were obtained from a great deal of professional and scientific publications, monographs, professional journals and internet sources for each chapter. The first part of the thesis was dedicated to the description of the given issue, pre-hospital care and classifying algorithms that are used at mass health losses in such way so that the injured people have a higher chance to survive. The crisis management at hospitals, the reception of the injured, the care at the urgent unit and finally the follow-up care at the anaesthesiology and resuscitation unit are worked out in the following part. Thereafter the theoretical part focuses on nursing care at the critical care department where the nursing care of a patient suffering from blast injury is described as well as the duties of a nurse. The needed competences of a nurse working at the urgent unit, anaesthesiology and resuscitation unit are also defined in this chapter. According to the valid Czech legislation, only specially trained nurses for intensive care should take care of the patients with blast injury because the extent of their competence for intensive care is many times higher than general nurses have. The last chapter deals with team and multidisciplinary cooperation among the doctors and hospital staff as well as the cooperation concerning the pre-hospital care of the emergency services at emergency incident, for their active and quality communication are the keys for good and well done work with the least consequences.
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Study of emergency medical service preparedness for large number of injuries and casualties - bus accident
PRUDEL, Ondřej
This diploma thesis deals with problematic of emergency medical service preparedness in the Czech Republic, in the place of disaster and during this situation especially in bus accident with large number of injuries and casualties. Bus accident can create high risk of forming mass disaster due to many people transported in small area with low safety components. High risk of many injuries and casualties with chaotic first call make hard decision to activate plans to solve this situation for emergency services. Theoretical part of diploma thesis maps transformation of Czech paramedic system organization from districts to regions and new legislations for emergency medical service that solve preparedness, organization and duties during large incidents. Due to this new legislations were formed offices for emergency preparedness which ensure this preparedness. Practical part of diploma thesis is analysis of Czech paramedic preparedness that solve bus accidents as disaster. For this analysis were used data from regional emergency medical service headquarters (EMS HQ) - bus accident reports, drills for staff and special material equipments. But only 3 EMS HQ provided acceptable data and 1 EMS HQ partly acceptable data. Aim of this study is assessment in preparedness change for disaster during examined time (2000 - 2011) and comparison of real event to training drills. This part of thesis is supplied by statistic data (transformed into graphs) of bus accidents with injuries and casualties from department of Transportation Police of the Czech republic and Fire Rescue Service Directorate. Whole practical part is made by analysis of primary (documents, EMS HQ personal visits) and secondary information (information servers, journals). Within this analysis was made evaluation of Czech emergency medical preparedness for bus accidents with large number of injuries and casualties. This analysis shows that in area of the Czech Republic is missing central directorate for Czech paramedic system. Which is shown in varying material, drill and whole preparedness for disaster situation. This problem is also made by new legislation that were not here before (law for emergency medical system and law notices). High variation of equipments and procedures in solving disasters can cause difficulties during accident intervention on the borders of paramedic regions. For comparison to other countries preparedness is in this thesis mentioned Poland - special training course for specialist in disaster management, USA - Medical Alert Center (MAC) and Israel - control system for disaster drills.
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Cooperation of components of integrated emergency system in catastrophes and multiple disasters
VYHNÁLEK, Jakub
The topic of my bachelor thesis is the Co-operation of the components of integrated emergency system in catastrophes and multiple disasters. The target of the thesis is mapping the knowledge of the type activity of components of the integrated emergency system during the common intervention in the extraordinary event with a high number of the injured and victims with accent on the work of the Medical Rescue Service. The partial target is to find out the knowledge of the communication in the Tetrapol digital system. The thesis is split into the theoretical and practical part. The theoretical part of the thesis is devoted to the Integrated Emergency System, its components and tasks. It defines the concepts used in connection with the multiple disasters and moreover it mentions the documents necessary for the liquidation of an extraordinary event. It also describes the communication in the digital Tetrapol system. In the practical part, the method of the quantitative research in the form of the anonymous questionnaire was selected. The respondents were employees of the Medical Rescue Service of the South Bohemian Region. Based on the determined goals, two hypotheses were postulated. The first hypothesis reads: ?Members of the Medical Rescue Service are able to communicate in the Tetrapol digital system?. The second hypothesis reads: ?The junior employees (up to 5 years of practice) have a better knowledge of the type activity of the components of the integrated emergency system during the common intervention in case of an extraordinary event with a high number of injured and victims for the Medical Rescue Service than the senior employees. The investigation refuted both hypotheses and it has shown the deficiencies in the theoretical preparedness for the liquidation of the extraordinary event in the tested sample. In the framework of improving the awareness and knowledge of liquidation of an extraordinary event, it is suitable to devote more time to the given issue already during the studies of medical rescuers as well as subsequently in the employment for example in the form of internal seminars.
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Model Activities of the Integrated Rescue System Forces in Joint Actions from the Point of View of the Emergency Medical Service
KRÁL, Václav
A set of documents, called the Index of Model Activities of the Integrated Rescue System Forces was compiled to improve coordination of these forces. The Index describes organizational procedures of the IRS forces during ten cases of emergency. However, are members of basic IRS forces familiar with these documents? Are the IRS workers aware of procedures and needs of the Emergency Medical Service (EMS) staff? The objective of this thesis is to survey views and findings of the IRS workers regarding the above mentioned issues, evaluate possibilities to improve knowledge of these issues.
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The identification of mass disaster victims
KOČÍ, Vojtěch
In this thesis the author defined basic concepts in relation to the identification of mass disaster victims, described the current status of the issue, based on questionnaire survey and personal interviews provided, what is the best method of identification in specific cases and suggested measures to improve the process of identifying victims, that means to identify all victims as soon as possible and in the most considerate way for survivors, performing staff and the general public.
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