|
|
The complexity of the profession of operator of a medical operating center not only during a pandemic
ŽABA, Dominik
The topic of this bachelor thesis is the demanding nature of the job of a medical dispatch center operator, not only during the pandemic. The theoretical part of this thesis describes the work and structure of the emergency medical service, the activities, history, and current state of the medical dispatch center, the job duties and demanding nature of the profession of a medical dispatch center operator, and also describes the Covid-19 pandemic. The practical part of the bachelor thesis contained four objectives and four research questions. The first objective was to map out the demanding nature of the job of a medical dispatch center operator. The second objective aimed to map out the changes in the work of medical dispatch center operators that occurred during the Covid-19 pandemic. The third objective investigated the direct impact of the Covid-19 pandemic on individual medical dispatch center operators. The last objective of this bachelor thesis was to determine how medical dispatch center operators evaluate their preparedness for the job of a medical dispatch center operator. The empirical part of the bachelor thesis was conducted using a semi-structured interview with nine medical dispatch center operators from Pardubice, Jihlava, and České Budějovice. The interview consisted of twenty-four questions, which were divided into nine categories for better clarity. All objectives of this bachelor thesis were fulfilled based on the answers to all research questions. It was found that the job of medical dispatch center operators is undoubtedly demanding, especially from a psychological and communicative standpoint. It was also found that the work of medical dispatch center operators changed during the Covid-19 pandemic, which did not have a significant impact on the operators due to the nature of their profession. We positively evaluate the current preparedness of medical dispatch center operators for their profession. However, the research pointed to insufficient preparedness of medical dispatch center operators before starting this profession.
|
|
|
The preparedness of medical operation center of medical rescue service as a subject of critical infrastructure for electric power failure in selected regions
VAŠTOVÁ, Simona
This thesis deals and discusses about the preparedness of the medical operations centre of the medical rescue service in selected regions, which include the Pilsen Region and the South Bohemia Region, for an electrical outage. The theoretical part describes the medical emergency service, the system of its provision of pre-hospital emergency care and with a focus on the medical operations centre, critical infrastructure, including the critical infrastructure and crisis preparedness entity, and an integral part is the electricity and power outage. The research part is made by a form of controlled interviews with specialist medical emergency services who deal with the issue. Based on the data obtained from the interviews, the SWOT analysis is performed and the results are subsequently interpreted. Research has shown how prepared individual health operations centres are for power outage, and in which areas they have deficiencies. Among the pros are a higher number of self-built diesel aggregates used to deal with power cuts, as well as the delivery of diesel aggregate from the fire brigade of the region. Based on the data identified and the SWOT analysis performed, a procedure is chosen to improve the preparedness for an electrical outage and to eliminate or mitigate weaknesses and, where appropriate, eliminate certain threats. The outcome of the discussion is the presentation of shortcomings and a proposal for possible improvements that would help to improve the readiness of health operations centres. These proposals will be presented to the experts concerned.
|
|
|
Methodology of the medical operating center during the SARS-CoV-2 pandemic
ČÍHAL, Marek
This bachelor's thesis was focused on the methodology of the medical operating center during the pandemic Severe acute respiratory syndrome-related coronavirus 2 (SARS-CoV-2). It examined how the methodology of the medical operating center dispatchers have changed and also mapped the experience of emergency medical service departures in passing information obtained from patients to the emergency line. Although the disease caused by the virus is on the decline at this time, it is still a current global threat that should not be underestimated. The thesis describes both Coronavirus disease (COVID 19) and the methodology of dispatchers of the medical operating centers. The aim of the research was to map the procedures of the dispatchers during the SARS-CoV-2 pandemic and to map the experience of paramedics with the evaluation of the emergency call through themedical emergency dispatch centers for patients with epidemiological criteria of suspected COVID 19. A qualitative type of research was chosen. It was conducted through semi-structured interviews. Ten dispatchers and ten paramedics answered pre-prepared questions. These questions dealt mainly with the evaluated epidemiological criteria, the change in the methodology of the SARS-CoV-2 pandemic and the satisfaction of paramedics with the information provided. The research showed that not all dispatchers od medical operating centers proceed in the collection and evaluation of epidemiological criteria uniformly, but at the same time they are aware of current recommended practices and largely follow them, except for small deviations. At the same time, interviews with crew members showed that although they are not 100 % satisfied with the way the information is passed on to them, they value the work of their colleagues from medical operating center and consider it, given the current situation, more than sufficient.
|
|
|
Telephone Assisted Immediate Adult Patient Resuscitation by Emergency Medical Dispatcher
BARTL, David
This bachelor's thesis deals with Telephone Assisted Immediate Adult Patient Resuscitation by Emergency Medical Dispatcher. This thesis was divided into two parts. The first part was theoretical and the second part was practical. The main focus of the theoretical part was on medical emergency service and medical operations centre. Heart anatomy and cardiac arrest are also mentioned in this thesis, as well as problematics of an urgent resuscitation, chain of survival and telephone-assisted immediate resuscitation. The second part was the research part. Two research questions and two objectives were established in this part. First objective was to map knowledge of dispatchers of a medical operations centre in telephone-assisted immediate resuscitation. Second objective was to map how dispatchers of a medical operations centre proceed in provision of telephone-assisted immediate resuscitation. Semi-structured interview method was performed in the practical part of this thesis. Sample consisted of 10 dispatchers of the Regional medical operations centre of the South Bohemian Region who were asked 27 questions. For the sake of clarity, collected data were divided into 14 categories and processed into tables. Work objectives were fulfilled and research questions were answered. Research showed that dispatchers have stronger theoretical knowledge of telephone-assisted immediate resuscitation management of an adult patient, rather than of a pediatric patient. Research also mapped out the procedure of telephone-assisted immediate resuscitation of each individual responder. Results are rather positive.
|
|
|
The Work of an Operator of Emergency Medical Service
MITTNER, Viktor
This bachelor thesis mostly dealt with the activity of medical controllers as well as the issues of medical operative center in general. Many people don´t know what it is all in all. It is only undemanding sitting at the table and answering the phone for most people. I would like to point out the facts related to this profession and refuted this claim of the majority. This thesis mentions the medical operation center, its history in the Czech Republic, and it is interested in its tasks, layout and equipment. There are also mentioned the activities of emergency medical service-controllers themselves, including their education or criminal responsibility. Emphasis is also placed on the stress on medical service-controllers in the performance of this profession. A large part of the work is devoted to taking the emergency call, telephone-assisted emergency resuscitation and telephone-assisted first aid. Mapping the theoretical knowledge of medical service-controllers and finding out the individual procedures for providing the telephone-assisted resuscitation of both, adults and children, was one of the aims of this bachelor thesis. Another goal was to determine the satisfaction of service-controllers within the performance of their profession. There was performed a qualitative research using the interview technique. The interview included knowledge and satisfaction with this profession as well as the issues of telephone-assisted resuscitation of adults and children. According to the results of this survey there was found that the medical service-controllers are not sufficiently prepared to perform this profession immediately after the graduating their studies. They use the same or very similar procedures within their telephone-assisted resuscitation of an adult or child. The survey also shows they are satisfied with their job.
|
|
|
Indications of Emergency Medical Services Responding
AIZNEROVÁ, Daniela
The bachelor's thesis is focused on a closer understanding of the issue of indications of emergency medical service (EMS) departures through the perspective of medical emergency dispatch centers. The issue of indications of emergency medical service departures is one of the still addressed and current topics in the pre-hospital emergency care. The activities of outreach crews as well as the activities of the dispatch centers are governed by Act 374/2011 Coll., however non-emergent, calls to the emergency line are becoming more and more frequent. The thesis maps the knowledge of the indication list of individual dispatchers and the attitude of dispatchers towards the indications itself. At the same time, it deals with the solution of unindicated calls and also the abuse of emergency services. The aim of the work is to compare the knowledge and procedures of dispatchers of both regions. The research took place at the Medical Emergency Dispatch Center of the South Bohemian Region in České Budějovice and at the Medical Emergency Dispatch Center of the Pilsen Region in Pilsen. The aim of the research was, among other things, to compare approach to indication issue between both regions. The research method chosen was a qualitative type of research that allows deeper examination of the topic. Research was executed by semi-structured interviews. The sample of respondents consisted of 8 dispatchers of the medical operations center i.e., people directly responsible for receiving calls and coordinating crews. The interview questions are focused on both the reception of the emergency call and the operational management. Above all, they focus on the urgencies N3 and N4, ones where we most often encounter not entirely unambiguous indications. It also addresses the relationship between the use of formalized and intuitive procedures in operators' decisions. Last but not least operators are confronted with the notion of EMS abuse and the solution of unindicated calls. The interviews provided information on a wide range of approaches to dispatching work but there was often agreement on key points. The results show that dispatchers are familiar with emergency procedures and legislation, however, despite the application of a largely formalized approach to classifications, it is necessary to act partly intuitively, as no call is ever the same as a regulatory case. There is a greater effort to define the terms unindicated calling and abuse of emergency medical services, which, however, are perceived individually by each of the dispatchers, as well as perceived by every rescuer who comes into contact with them. These concepts often evoke great emotions among dispatchers and rescuers. However, as the results show, even this problem does not have only one point of view, but it has several of them and all of them must be taken into account when solving it.
|
|
|
Receiving an emergency call on the line 155
STÁRKOVÁ, Denisa
Receiving an emergency call on the line 155 is the topic of this bachelor's thesis. The theoretical part of the thesis deals with the description of the medici operating center, the requirements and workload of dispatchers who are currently working at the medici operating center. It also describes the processing of an emergency call, the method of communication with the celer and, last but not least, telephone-assisted first aid and telephone-assisted cardiopulmonary resuscitation (CPR). In the practical part, two goals were set. The first goal was to map the knowledge of dispatchers in providing first aid for telephone-assisted cardiopulmonary resuscitation of adults. The sekond goal was to map the knowledge of dispatchers in providing first aid for telephone-assisted cardiopulmonary resuscitation of children. Qualitative research was performed using the semi-structured interview technique. These interview were conducted at the Medical Operations Center of the South Bohemian Region. The respondents were the emergency dispatchers .Ten respondents were randomly selected. The results were dividend into twelve categories, for better orientation at bachelor's thesis. Both set goals were achieved in this way. It was found that the dispatchers of the medical operating center responded very carefully and with a clear dose of knowledge to the issue of telephone-assisted CPR of children and adults. Dispatchers have knowledge and can describe the procedure of individual steps efore resuscitation. Knowledge and experience with AED was also at a good level. Respondent's answers regarding the need for resuscitation for more disabled people did not agree, some had no answer. Dispatchers could not imagine this situation and would not know how some would make decisions. When communicating with someone who refuses cardiopolmonary resuscitation, dispatchers disagreed. The results of this work showed the need to include in training programs by the employer methods of communication during urgent resuscitation, preferably using model situations.
|
|
|
Ability of laical public providing first aid in acute condition from point of view of paramedics
SKALICKÝ, Tomáš
This bachelor's thesis examines the issues of providing non-professional first aid in acute condition from paramedics'point of view. The bachelor's thesis is divided into a theoretical part and research part. At first, the theoretical part describes the emergency medical service, its rescue forces and types of ambulance crew in order to explain the connection between the first aid and pre-hospital emergency care. This part analyses the first aid not only from the theoretical and practical point of view, but also from a social psychological one. Then, the theoretical part also deals with anatomy, physiology, pathophysiology and the first aid of six selected acute conditions. The second part is focused on the analysis of data obtained from a research survey. The research survey was conducted by a qualitative survey using as main methods a semi-structured interview and direct observation during university practice. The semi-structured interview includes 33 questions and is answered by eight paramedics that serves in the South Bohemian Region. The aim of this thesis is to find out what the range of capabilities of general public is in providing the non-professional first aid, how effective the general public is in providing the non-professional first aid and whether people are willing to help. The obtained information led to answering all research questions and fulfilling the aim of the bachelor's thesis. The results of the research evaluate non-professional public as willing enough and with sufficient abilities to provide the first aid but on the other hand the effectiveness of performed actions is considerably insufficient. The main contribution of this bachelor's thesis is the rise of awareness about the issues of the first aid provided by laical public, which could contribute to the improvement of the first aid educational method and subsequently to the improvement of providing the non-professional first aid by general public in cases of acute conditions.
|
|
|
Drug use among emergency operations centre personnel of emergency medical services
Švarcová, Barbora ; Chomynová, Pavla (advisor) ; Kulhánek, Adam (referee)
Positions in emergency medicine are endangered by increased chance of long-term stress and burnout syndrome. These risks, which are inseparable from their professions, can result in increased consumption of addictive substances. Employees of emergency operations centres are one of these risk groups, hypothesised to have increased drug consumption in comparison to general public. The goal of this thesis was investigation of drug consumption among emergency operations centres personnel and determination of addictive substances and the amounts being used. The second goal was to confirm hypothesis about connection between burn out syndrome and drug use. Data were gained through questionnaire survey which was implemented online in 11 Czech emergency medical services in the first half of the year 2019. 25 % (88 respondents) of asked employees took part in this research. Results show, that emergency operations centres personnel most frequently use tobacco and alcohol, the amount is bigger than the amount used by general public. The results show riskier way of alcohol use and higher lifetime prevalence of cannabis usage among emergency operations centre personnel than in general public. Prevalence of methamphetamine and cocaine is nearly the same as among the general public. The hypothesis of connection...
|
|
|
The development of the South Bohemian Medical operating center
BLÁHOVÁ, Barbora
This bachelor thesis is written in a theoretical form and its main topic lies in the describing of history of the Medical Operating Center of the South Bohemian Region, which is nowadays located in České Budějovice. Therefore, the bachelor thesis is especially focused on changes and development of the Medical Operating Center from the beginning of Emergency Medical Service in České Budějovice in the 19th century. Next aim of this thesis is also mapping the current approaches of receiving and evaluating the emergency calls by operators of this Medical Operating Center. To obtain the fundamental information about history of the Medical Operation Center of South Bohemian Region, many personal meetings with former, but also with current employees of the Emergency Medical Service of the South Bohemian Region were realized. These employees provided essential information for this thesis and thanks to these personal talks, the important and crucial events and changes of Emergency Medical Service of the South Bohemian Region could be written down. Additional information was primarily obtained from annual reports of the Emergency Medical Service of the South Bohemian Region, the State District Archives of České Budějovice and the available literature on this issue. Recapitulated, the final bachelor thesis includes the detailed describing of the history of Medical Operating Center of the South Bohemian Region since the end of 19th century to these days, summarizing of the current state, work approaches and upcoming changes of the Medical Operating Center of the South Bohemian Region. This thesis also contains evaluation of advantages and disadvantages of the centralization process of regional medical operating centres located in whole South Bohemian Region into the only one Regional Medical Operating Center in České Budějovice.
|
guest ::
