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Management of life-threating bleeding in pre-hospital emergency care
PFEFFER, František
The topic of this bachelor thesis is ´Management of Life-Threatening Bleeding in Pre-hospital Emergency Care´. It consists of two parts - a theoretical one and a practical one. The objective of the first part is to introduce the readers to the issue of life-threatening bleeding and to define a certain theoretical frame needed for the purposes of understanding this topic. First, information about the anatomy of cardiovascular system is presented, such as what blood is and how it is disseminated throughout the body. Subsequently, the term of bleeding is explained, what the reasons for its occurrence are, its results and how a human body reacts to reverse this pathological situation. Last but not least, the definition of a life-threatening bleeding is stated as well as the current recommended procedures, non-pharmacological and pharmacological means that are being used in pre-hospital emergency care at the occurrence of this serious condition. The practical part contains information acquired via semi-structured interviews with 6 emergency medical workers. These were first analysed and subsequently divided into 11 categories with the purpose of - 1. To discover what diagnostic-therapeutic options and knowledge paramedics working at the ground and air rescue service in the regions of South Bohemia and Plzeň possess. 2. To compare the acquired information among the regions stated above. We believe that the set objectives have successfully been fulfilled and thus it is possible to get an insight into the current procedures that emergency medical workers apply daily in pre-hospital emergency care, encountering a patient suffering from a life-threatening bleeding.
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Early postoperative care of the patient with the left ventricular assist device HeartMate II
Malá, Irena ; Hocková, Jana (advisor) ; Slabý, Josef (referee)
Author's name: Bc. Irena Malá School: Charles university, Prague 1st Faculty of Medicine Institut of Theory and Practice of Nursing Vídeňská 800, 140 59 Prague 4 - Krč Program: Health Care Administration Title: Early postoperative care of the patient with the left ventricular assist device HeartMate II Diploma thesis supervisor: PhDr. Hocková Jana, PhD. Number of pages: 170 Number of attachments: 41 Year: 2013 Key words: early postoperative care, hypotermia, blood transfusion, fluid resuscitation, perioperative cardiovascular dysfunction, pharmacologic support, ventricular assist device HeartMateII, monitoration, device, cardiac arrhythmias, ventilation management, postoperative anticoagulation, glycemic kontrol, renal insufficiency, nutrition, nursing, complications, physiotherapy, psychological aspects The occurrence of the heart failure is similar to an epidemic with high mortality. This fact, together with stagnate or even decreasing number of suitable donors, led to a need of replacing the heart pump activity with an artificial one. Mechanical cardiac support systems are sophisticated devices that are able to support a certain period of time or completely replace the function of the heart as a pump. The indications implantation of mechanical cardiac support is significant symptomatic heart...
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