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Treatment of a patient with thermal injury in pre-hospital urgent care
BAYEROVÁ, Karolína
The topic of this bachelor thesis is Treatment of a patient with thermal injury in prehospital emergency care. The theoretical part informs about the basics of anatomy and physiology, division of thermal injuries, classification and evaluation of extend of burns. Other chapters are dedicated to proper treatment and direction without unnecessary prolongation, leading to an increase in chance of survival of these patients.For the empirical part of the bachelor thesis, three goals were set. First goal was to map out the knowledge of paramedics considering the issue of thermal injuries. Second goal was to map out the approach of paramedics in case of a thermal injury in an adult patient. Last goal was to map out the approach of paramedics in case of a thermal injury in a paediatric patient. The research part was carried out via qualitative method, using semi-structured interviews. The interviews consisted of fifteen questions, which were prepared in advance, and were conducted with the paramedics of the Emergency medical services of the South Bohemia region. There were also ten randomly selected paramedics involved in the research from the regional centres of the South Bohemia region, four paramedics from České Budějovice and six from Jindřichův Hradec, to be exact.The research study has shown, that paramedics are completely oriented in the given topic and have enough knowledge to provide prehospital emergency care in case of thermal injuries. We are convinced, that all the goals were fulfilled.The conclusion contains evaluation of the goals, summary of the research study and recommendations for both the paramedics and the lay public.
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Care for a patient with burns in pre-hospital emergency care
VÁCLAVOVSKÝ, Zdeněk
The bachelor thesis on the topic of Care for a patient with burns in pre-hospital emergency care is divided into a theoretical part and a practical part. The theoretical part deals with the anatomy of the skin, its function and subsequently focused on the burns themselves, their classification, the procedure for providing both lay and urgent care. There is also the inhalation trauma, its division and therapy. Three goals were set for the bachelor thesis. The first objective was to map the knowledge of paramedics regarding the care of burn patients. The second objective was to find out the material and technical equipment suitable for the treatment of a patient with burns in the EMS vehicle. The third objective was to identify current trends in the care of a patient with burns. To achieve the results, a method of qualitative research using the technique of a semi-structured interview containing 10 open questions was used. The interview was recorded through handwritten notes. These interviews were conducted with 14 paramedics of the Emergency Medical Service of the South Bohemian Region. From each regional centre - Strakonice, Tábor, Český Krumlov, Jindřichův Hradec, Písek, Jindřichův Hradec and České Budějovice - 2 paramedics were selected. The results of the work say that the interviewed paramedics have enough knowledge in the issue of burns in pre-hospital emergency care, in which they are well oriented. At the end of the bachelor thesis, in addition to summarizing the results of the research and evaluating the fulfillment of goals, my recommendations for the current practise of paramedics are also mentioned.
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Peculiarities of nursing care for a child under 6 years old with burns
KUČEROVÁ, Radka
Peculiarities of nursing care for a child under 6 years old with burns Current status This thesis deals with the peculiarities of nursing care for a child under 6 years old with burns. Children belong to one of the groups at risk of thermal injury. Treatment of burns is long and painful, because it involves surgical procedures, such as necrectomy, necrotomy and autotransplantation. After burns treatment scars are formed, which can harm a child physically and emotionally. Subsequent rehabilitation requires patience and consistency. The theoretical part is devoted to children burns. It deals with factors affecting the severity of the burn trauma. These factors include the mechanism of injury, location, extent, depth of injury and age of the individual. The work is further focused on the first aid for a burned area of a child and describes the necessary measures to safeguard children's condition. Treatment of burns is divided into conservative and surgical parts. Work aims and research questions To achieve the goals four research questions were created. Question 1: What are the peculiarities of nursing care for children with burns? Question 2: How a follow-up care with burns is done? Question 3: What are the main needs to be satisfied in terms of children with burns? Question 4: What are the problems in meeting higher needs of children with burns? Methodology of work In this work a research qualitative method was carried out, using semi-structured interviews and participant observation. Before undertaking the survey, the principal and head nurse were asked for permission to carry out the survey and they agreed. Interviews were conducted with six nurses who have experience with treating children with burns. The interviews were held separately with each nurse and were recorded in writing. For the purpose of the interview 29 key questions were made (see Appendix 3), and others were added during the interviews, depending on the answers of the nurses. Four nurses were observed at the intensive care unit department. Before the observation an observation sheet was compiled (see Appendix 6) and nurses were observed during their daily services. Results The research showed that the nursing care of children with burns has its own specifics. The selected nurses stated in the interviews that under nutrition having enough proteins and fluids is very important. Regarding the excretion the nurses indicated that when genitalia are burned, they introduce, as prescribed by a doctor, the permanent urinary catheter (hereinafter PUC). Other specifics has the pain treatment. All nurses reported that pain is checked regularly. Apart from analgesics they talked about alternative methods of pain treatment. Another area was sleeping. All nurses reported that they inquire sleep rituals from parents to put their children easier to sleep. Questions about the children needs, nurses had problems with accurate requirements listing. They were unable to identify needs. The results of the observation confirmed that nurses respect the principles of nursing care for a child with burns, as reported in the interviews. Nurses abided by aseptic approach and increased genital hygiene in terms of PUC Conclusion The survey revealed that nurses working at the burns clinic are fully qualified in the field of nursing care for burned children. Nurses know the specifics of nursing care, nutrition, excretion, hygiene, sleep and needs of children. They are aware that in terms of burns it is essential to follow aseptic approach, which means to use sterile disposable equipment and protective clothing. During the interviews with the nurses it was difficult to obtain information about the children needs and their satisfaction. From the interviews and observations emerged that nurses tried to satisfy the children needs as much as possible within the boun
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