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The readiness of the Czech army members to provide first aid in a dangerous environment.
JOHÁNEK, Jakub
This master thesis is focused on the issue of providing first aid in combat conditions according to the principles of Tactical Combat Casualty Care. The centerpiece is a chapter on the TCCC program, which is supposed to provide medical training for all soldiers and medical personnel. The TCCC program is designed to be simple and effective for all staff to use. Every member of the army should thus be able, even with limited material resources, to keep a soldier alive even in his most demanding conditions at least for the necessary time. The aim of this thesis was to map how the members of the Czech Army are prepared to provide first aid in a dangerous environment. The second objective was to map their knowledge in providing first aid in a dangerous environment, reflecting the effectiveness and efficiency of medical training of members of the Czech Army. Qualitative methods were used to achieve the objectives. The research part consisted of non-standardized questionnaires, which served to evaluate the medical training and to verify the knowledge of the Czech Army members in providing first aid according to the TCCC principles. The second part of the research was supplemented by semi-structured interviews with non-medical medical staff of the units. The results show that medical training does not fully comply with the current concept of training of units of the Czech Army and other documents. It is also evident from the research that members of the Czech Army should be educated more on the theoretical level in relation to the provision of first aid according to the TCCC principles, as the awareness of this issue appeared to be minimal. The obtained knowledge will be used both by unit medics leading medical training and by unit commanders who organise medical training and can thus avoid the mentioned deficiencies. Furthermore, the findings can also be used by all other members of the Army of the Czech Republic who are interested in the issue in question and want to find a comprehensive and up-to-date overview of information.
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Forms of provision of pre-hospital emergency care applied to the foreign missions by the Army of the Czech Republic
SMUTNÁ, Jana
The thesis deals with the forms of provision of pre-hospital emergency care (PEC) by paramedics of the Army of the Czech Republic (ACR) and this means above all those forms of PEC which are provided by Combat Medic and Combat Lifesaver (a Combat Lifesaver trained soldier). With regard to the terminology and conception of the thesis comprising the areas of providing PEC, the thesis deals with the levels 1 3 outfeed chain, consequently with the care of the patient to the relevant Role 1 including. The aim of the thesis was to show the basic differences in providing PEC by the Army of the Czech Republic in comparison with the system of emergency medical services of the Czech Republic and then to find out what the specific qualifications for a paramedic´s profession are. I tried to demonstrate this knowledge both by the practical part of the thesis and by its theoretical part.The theoretical part deals with the problems of reaching the paramedic post of the ACR either the Combat Medic or Combat Lifesaver, by required education and necessary courses. Then the thesis deals with providing PEC in the battlefield, up to Role 1, when the wounded person is given the first aid by paramedics. The practical part meant the qualitative research in the form of semi-structured interview and research questions. There I managed to achieve particular aims of the thesis thanks to the interviews with the respondents of the medical personnel of the ACR and the respondents of emergency medical services. All the inverviewed medical personnel of the ACR had to participate in at least one foreign mission. Among the respondents were both the CLS trained soldiers, Combat Medics, and even one medical corps doctor. The thesis is a contribution to the paramedics of the ACR and paramedics in general who could learn more about the problems of providing PEC in extreme circumstances or possibly consolidate the knowledge they have. The research showed that the basic differences in providing PEC between the interviewed groups (it means the military paramedics and paramedics) are above all external factors, the terrain, and material or even the kind of wound or the hierarchy of the medical personnel of the foreign mission. The research also outlines the specifics necessary for exercising an ACR paramedic´s profession, and those are the courses they take before a foreign mission.
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Possibilities of Providing First Aid by Trained Members of the Army of the Czech Republic in Foreign Missions
HLOBILOVÁ, Petra
This Bachelor thesis deals with possibilities that trained members of the Army of the Czech Republic have when giving first aid on their foreign missions. It deals with the soldiers who have passed through a special Combat Lifesaver Course (later just CLS), the activity of doctors and middle medical staff in medical centres is not involved. The work is divided in two parts ? theoretical and practical. In the theoretical part I summarized the specifics of giving first aid in field conditions and the basic principles that military medical staff follow. There are into detail described actions that a Combat Lifesaver performs in case a fellow fighter is injured, to ensure their vital signs immediately after the injury and to transport them to a higher level medical facility. The aim of this work is to provide an idea of giving first aid in the tactical environment of experts and to point out numerous peculiarities which differentiate it from the first aid we know from the civil life. That´s because combat conditions bring lots of restrictions and risks for the injured as well as for the medical staff providing urgent care. The method selected for the qualitative research in the practical part is semi directive interview. The interviews were held with four members of the Army of the Czech Republic, who have attended the above mentioned course and have taken part in a foreign mission with that specialization, and with two instructors of the CLS course. The questions were about the way of selecting soldiers for the CLS course, their training and preparation before their departure to a foreign mission. There were also analysed the competences and obligations of a Combat Lifesaver in case of injury of a fellow fighter. The research has demonstrated that soldiers are selected for the Combat Lifesaver course mainly according to the requirements for the foreign missions. The aim of the selection is the presence of at least one soldier with medical training in each crew. The only requirement on the soldiers that must be fulfilled before departing to a foreign mission is completion of the cited course. Other activities, like training other members of the crew and rounding off their knowledge are up to their consideration. It´s been proved that a Combat Lifesaver fulfils their tasks at a foreign mission in the same way as any other soldier and their specialization is applied only in case of injury of a fellow fighter. They most often deal with gunshot and fragment wounds.
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