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Dispatch life support
VÁŇOVÁ, Petra
Dispatcher of medical operation center casts an important and significant role in the chain of survival for emergency resuscitation. Within a short time must quickly and accurately provide information from the caller, delegate a professional help to the place of an incident. Timely launch telephone-assisted resuscitation, which this thesis is about. The first goal was set to chart providing phone-assisted cardiopulmonary resuscitation dispatchers at the regional operational center of emergency medical services. Analyze the process by which the dispatchers manage and provide instructions for conducting cardiopulmonary resuscitation, whether these guidelines actually manage and provide proper instruction to all rescuers. The second goal was to explore the motivational factors MUDr. Ondřej Fraňěk, the author of a publication "The manual of medical dispatcher in operations center " who was deeply engaged in telephone-assisted resuscitation. This goal should be focused on the analysis of the story of the author and the origin of interest to the issue. The research was conducted by qualitative method of data processing. To the research part of the thesis I used to analyze six audio recordings of emergency calls from the archives of the Regional medical operation center of South Bohemia, where dispatchers recognized by the affected persons malfunction of vital signs and started the phone-assisted resuscitation. The recordings were transcribed into electronic form and analyzed. I also realized interviews with MUDr. Franěk, with MUDr. Kratochvil, head doctor of Air Rescue Service of South Bohemia and Mrs. Hornychová, deputy head of the paramedical staff of the Regional Medical Operations Centre South Region. The results of the analysis showed that most of the dispatchers is not progressing adequately in providing telephone-assisted emergency resuscitation. The second objective was not achieved because it has not been possible to obtain the data needed to evaluate the objectives. Dispatchers, after reading my thesis, you can think over this issue. Work can be an incentive for self-improvement and improvement of the results. Prospective students of paramedical staff in health service can help as a source of information.
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History of cardiopulmonary resuscitation and role of professor P. Safar
KOSTOHRYZOVÁ, Barbora
The thesis deals with the history of urgent resuscitation and with the life and work of Professor Peter Safar. In the first part of the thesis, the first attempts of urgent resuscitation are described. The second part of the thesis focuses on life and work of Professor Peter Safar, the Austrian doctor with Czech ancestors. The thesis discusses the first attempts that were not based on scientific knowledge, mainly because of the lack of the knowledge about the anatomy and physiology. Another aspect that slowed down the development in discovering new facts about human body was religion. Because of the religion people believe in afterlife that is why they could not manipulate with the body after death nor even dissect the body. But thanks to the experience from past we could learn a lot to move forward and fully understand the complex needs of the patient. Today, each five years the recommended processes how to do an urgent resuscitation are published by the European commission for resuscitation which consists of algorithms based on the evidence based medicine. The theoretical kind of work was chosen for this thesis. The objective of the thesis is to analyse the development of the techniques of urgent resuscitation and to show the role of Professor Peter Safar in this development. In the conclusion of the thesis there are two charts showing the most important facts, which are placed in a list of attachments. The first chart sums up the history of urgent resuscitation from the oldest found notes about resuscitation. The second one presents the work of Professor Peter Safar.
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The Systematization of the Ambulance Service Paramedic Education
Kukačka, Miloš ; Vrzáček, Petr (advisor) ; Mathauser, Radek (referee)
This thesis explores and evaluates the educational system of certain ambulance service. It's aim is to suggest the recommendations leading to higher efficiency and individualization of the system. This is the way how to address the educational needs of individual employees and help their professional development. Theoretical part of the thesis pays attention to employee's education and describes the specifics of educational cycle in more detail. So far there was no functional educational system in place in explored organization. This is the reason why to make it happen. The change I talk about needs to be prepared, planned and realized. Therefore another theme of theoretical part is devoted to implementation of change in organization. The practical part initially summarizes the attitude of Czech and some foreign ambulance services towards to employee's education, as it appears from their web sides. It also describes the current system of education in explored organization and evaluates it from the change implementation point of view. The attention is also paid to the fulfillment of different parts of educational cycle. Last part of this section is dedicated to research focused on realization of the first phase of cycle - identification of employees' educational needs. The closing part contains all...
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Knowledge of medical secondary school students in South Bohemian region in providing first aid
PROCHÁZKA, Václav
My thesis focuses on knowledge in the field of First Aid taken at pupils of the graduation year to be a Medical Assistant, which they studied as a subject in secondary education. The theoretical part of the thesis can be divided into two segments. The first one deals with first aid itself. Here we discuss first-aid rules, legal liability, and last but not least, this part describes the most common health complications that require urgent solutions. For each, the first aid procedure is described. The second part describes how the first aid should be taught, in society in general and also for professionals who study to become a Medical Assistant. There are also issues related to the training of first aid lecturers. This section also contains a proposal for a new concept that, according to its authors, should make significant progress in first aid education. In the practical part of this bachelor thesis the questions of the questionnaire are analyzed, the questionnaire was given to the pupils of the graduation year studying to be a Medical Assistant in secondary health schools in the South Bohemian Region. These questionnaires were submitted to students to map their level of theoretical knowledge of first aid. Another aim was to detect deficiencies in first aid knowledge of students in the fourth year of the medical assistant at secondary health schools in the South Bohemian Region. The results should be provided to the managements of secondary health schools of the South Bohemian Region as an informative feedback, which reflects the level of knowledge of their pupils. Among other things, research has shown that the theoretical knowledge of graduate Medical Assistant students reaches an adequate level correlating with valid curricula. However, many students have significant shortcomings in their knowledge, especially in the area of basic emergency resuscitation.
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Comparing the success of resuscitation in a device without using Lucas in 2012 in the Emergency Medical Service of the Pardubice Region
SVOBODA, Radek
This thesis deals with the success of manual and instrumental resuscitation. In the theoretical part of the thesis summarizes the history and organizational structure of emergency medical services Pardubice region, description of the Lucas chest compression and theoretical formulation of the problem. The practical part is focused on the evaluation of a set of data that are selected from the total number of trips EMS crews Pardubice. The selected file refers to cases NZO exits and their distribution in the subsequent resuscitation manual or instrument. Describes the percentage will compare their success with the use of the results of individual bases EMS ambulance crews Pak.
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Mapping of Knowledge of the General Public about First Aid.
VÁCHOVÁ, Petra
This thesis deals with first aid knowledge among the general public. The theoretical part focuses on the basic aspects of first aid. The practical part is a survey of the results of the research, which are then evaluated and commented upon in the discussion. The research group consisted of people of working age. To obtain the data used quantitative research, carried out by polling, through a questionnaire. Based on its evaluation were confirmed or refuted in advance the hypothesis. These hypotheses were statistically verified. Research suggests that the level of knowledge of the general public is not sufficient.
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Cardiopulmonary resuscitation in terms of emergency medical services of the South Bohemian Region
DUDKOVÁ, Lucie
The present state of the issue: Sudden circulatory arrest belongs to the most frequent causes of sudden death. The prognosis in persons affected by sudden circulatory arrest is highly unfavourable (5-15% of the affected by sudden circulatory arrest survive, 8-40% in the cases where chamber fibrillation is the first caught rhythm), however it is not hopeless and the right procedure provided by emergency rescue staff might substantially increase the probability of survival The aim of the bachelor thesis is to map the frequency of trips of the Health Rescue Service of South Bohemia to urgent resuscitation, to find out what procedures the middle healthcare staff of the Health Rescue Service of South Bohemia chooses in providing urgent resuscitation and what procedures the physicians of the Health Rescue Service of South Bohemia choose in providing urgent resuscitation. A hypothesis assumes that the procedures of providing urgent resuscitation by middle healthcare staff and physicians of the Health Rescue Service of South Bohemia are not unified. The research is elaborated in quantitative form. A questioning method, the techniques of questionnaire with open, semi-open and closed questions and secondary data analysis were applied to the data collection. The research sample consisted of Health Rescue Service of South Bohemia staff members. The bachelor thesis will contribute as presentation of results at expert conferences and seminars. The bachelor thesis will also contribute to further studies of the problems in question for non-professional and professional public.
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DNR as an ethical and nursing problem
BUBLÁKOVÁ, Jana
This thesis mapped the view of the DNR issue through the eyes of nurses working at the resuscitation department and ICU. A DNR (Do Not Resuscitate) order indicates situations when starting immediate resuscitation is not indicated in respiratory or cardiac arrest. DNR is ordered by a doctor after evaluation of the overall clinic condition and further prognoses of a patient. A patient him/herself has the right to decide on not starting resuscitation in the form of a request expressed in advance. The main task of the nurse continues to care for the patient and her/his family. Qualitative research showed thad nursing care remains unchanged even in a patient with DNR order. Nurses see DNR first of all as termination of patient suffering and consider DNR definitely acceptable in old and terminally ill people. Non resuscitation of a young person or a child is unacceptable for them. They consider the decision making itself an ethical problem. There is vain and inefficient treatment burdening a person on one side and person?s autonomy and participation in deciding on his/her own fate.
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