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The role of paramedic in curing pacient with acute pulmonary embolism in pre-hospital care
FRANZ, Milan
The bachelor's thesis deals with the issue of pulmonary embolism, especially the role of the paramedic in this issue in pre-hospital care. The theoretical part briefly describes the anatomy and physiology of circulatory and respiratory system. Furthermore, tromboembolic disease, specifically deep vein thrombosis, and especially pulmonary embolism are characterized. The etiology, a clinical picture, diagnosis and subsequent treatment are mentioned in this thesis. Then the pre-hospital care and the definition of the field of paramedics are defined, including the professional procedure in pre-hospital care and paramedic's competences. The research part was performer on the basis of semi-structured and anonymously processed interviews with paramedic from the South Bohemian Region and the Vysočina Region. The data obtained while asking the medical rescuers were analyzed from the point of view of information on a given problem, including work procedures in the occupational crew and from the point of view of the patient's re-directing and/or admitting to other departments. Results of the obtained data led to the finding that paramedies have good awareness about pumonary embolism in terms of it's definition and treatment steps. As the most problematic matter seems to be the question of the right diagnosis. The right diagnosis and transport of the patient is an important step that allows early and correct initiation of treatment. The brochure which was created as part of this bachelor's thesis could be helpful in raising awareness in this regard.
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Pulmonary embolism in the practice of paramedic
KAHOUNOVÁ, Šárka
The bachelor thesis discusses the issue of states of dyspnoea, specifically pulmonary embolism from the perspective of a paramedic working in the area of pre-hospital emergency care. In the theoretical part, a brief characteristic of pre-hospital emergency care is given, the paramedic branch is briefly defined and further on, the basic anatomy and the physiology of the circulatory and respiratory systems is given. Dyspnoea is defined from a general perspective, its causes, diagnosis and risk factors are mentioned. Diagnostically and therapeutically, the thesis is focused on specific characteristics of dyspnoea within pulmonary embolism, including the main causes of their origin. The research part of the thesis was implemented based on semi-structured, anonymously processed interviews. The research file was made of randomly chosen paramedics of the Ambulance in South Bohemia and Central Bohemia. The analysis of the obtained data was focused on the awareness of the paramedics themselves concerning the given issue of dyspnoea, including the presentation of their perspective on the implementation of professional preparation in the dyspnoea issue from their employer´s side. Further on, the procedures of differential diagnosis and pulmonary embolism treatment in pre-hospital emergency care were evaluated. The implemented research has found out that the paramedics from South Bohemia are not sufficiently educated in the issue of dyspnoea, including pulmonary embolism. The paramedics from Central Bohemia are, compared to that, educated by the relevant educational and training centre, educated enough concerning states of dyspnoea. Based on the findings, the thesis results might be presented to the educational and training centre of the South-Bohemian and Central-Bohemian Ambulances to perhaps consider the future aiming of educational and training programmes concerning dyspnoea issues, including the specific aiming at the awareness about pulmonary embolism diagnosis and therapy.
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