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Analysis of forces and means of Integrated Rescue System basic components, emergency scopes
Mičánková, Helena ; Rosická, Zdena (referee) ; Šesták, Ondřej (advisor)
The thesis deals with brief analysis of forces and appliances of Fire rescue service, Police and Emergency medical services. Operations concerning collaboration of IRS bodies in the emergency are also described. The author points out on fire technique, which is outdated and that need restoration. At the end of this work it is dealt with some advantages and disadvantages of using forces and appliances in present conditions including suggestions for improvement. A case study based on a true incident and involved attendance of IRS is presented in the appendix.
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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.
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Hypoglycemic and hyperglycemic states of prehospital care
TOLINGER, Daniel
Diabetes mellitus is a frequently discussed lifestyle disease in today's society. Therefore, I decided to create this bachelor's thesis, which focuses on acute diabetic states in emergency medicine and pre-hospital care by the emergency medical service. The aim of the thesis is to provide an overview of standardized therapy in pre-hospital care and the most common causes of acute diabetic complications that can lead to hospitalization and even life-threatening situations for patients with diabetes. This goal was achieved by collecting data from emergency medical responders from the Emergency Medical Service. The knowledge gained from this work shows that the majority of acute diabetic states were caused by patient errors, whether in inappropriate increases in physical exertion or application of exogenous insulin outside of the prescribed regimen. For successful treatment of acute diabetic states, proper and quick diagnosis is crucial, based on a well-taken medical history and the use of available techniques. Targeted therapeutic procedures help manage these conditions without serious health consequences for patients. The scientific contribution of this work lies in its comprehensive and up-to-date approach to the topic, which enables a better understanding of the issue of acute diabetic states and provides a comprehensive view of current diagnosis and therapy in pre-hospital care. This work may be useful for physicians and nurses working in emergency medicine or emergency medical responders who encounter these conditions in practice. In conclusion, this bachelor's thesis serves primarily to improve the care of patients with acute diabetic states.
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Problems of Physical Load of Paramedic By Medical Devices and Equipment
PARÁČEK, Martin
The bachelor thesis deals with emergency medical service vehicle equipment and devices that are mandatory, each vehicle must meet certain conditions in accordance with legislation. The reader will be introduced to the differences between the individual EMS vehicle types and their equipment. There is legislation setting out conditions for working with excessive burdens and their limit values, which are often exceeded when it comes to paramedic practice. The paper also mentions the parameters of selected essential technical elements of EMS vehicle equipment. The aim of the bachelor thesis was to map an overview of the actual weights of equipment and devices and compare it with requirements for the equipment of emergency medical service vehicles. The goal was also to find out how paramedics perceive thy physical load of the equipment, and thus create a basis for potential innovative procedure related to EMS vehicle equipment. The research part was developer by measuring the weights of medical devices and equipment. The data collection was subsequently amended with the results of a questionnaire, which had been answered by fourteen paramedics. Prior to the research, three research questions were defined, concerning the weight of equipment, subsequent comparison with health and safety regulations, and finally the opinion of the paramedics themselves concerning this issue. The objective of creating an overview of the weights of individual medical equipment and devices, that are commonly used in the field during emergency medical service interventions and the objective of detecting the opinion of paramedics on the given topic were both met. In addition, the real equipment weight load was compared with health and safety regulations. The objective of creating a basis for potential innovative procedures has been fulfilled.
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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.
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Management of extraordinary events in the competence of the Police of Czech Republic
ŠÍR, Martin
This diploma thesis discusses the handling of the emergency events within the competence of the police of the Czech Republic with a focus on the deployment of the newly created position of the police incident commander. In the first part of the work, an emergency event is defined; the history and reasons for the creation of the police incident commander and the method of command at the scene of an emergency situation are discussed. In the practical part, qualitative research is carried out using structured interviews with the commanders of the basic serviced of the integrated rescue system in capital city Prague. Subsequently, a case report is made by analyzing two selected extraordinary events. At the end, a questionnaire survey focused on the knowledge about the police incident commander by file members of the basic services of the integrated rescue services.
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The Preparedness of Emergency Medical Services in the Pilsen Region and The Upper Palatinate for Emergency Situations
JAHN, Vojtěch
The aim of this diploma thesis is to present and analyze the preparedness of ambulances of the Pilsen region and the Upper Palatinate to solve emergencies with a focus on cross-border cooperation. The theoretical part describes the integrated rescue system of both territorial units with emphasis on the medical rescue service and its system of providing pre-hospital emergency care and the system of dealing with emergencies affecting more people. The important part is also the legislation of possible cooperation and an important project of cross-border cooperation, thanks to which this activity even started. The research part is performed in the form of controlled interviews with managers of ambulances and managers of the cross-border cooperation project. These workers regularly participated in joint exercises and their awareness of this issue is at a high level. Based on the data obtained from the interviews, a SWOT analysis is performed, and the results are interpreted. The research demonstrated problems in the communication of the ambulances of the Pilsen Region and the Bavarian Red Cross, the problem in the language barrier and the diversity of procedures in solving emergencies. The advantages include quality training of employees and benefits from previous exercises in the form of new planning documentation for cross-border cooperation. Based on the data obtained and the SWOT analysis performed, an alliance strategy is chosen to take advantage of opportunities to eliminate or mitigate the weaknesses of cooperation. In the discussion, is the result of presenting shortcomings and a proposal for possible improvements that would help to improve cross-border cooperation in the future. These proposals will be presented to the employees concerned at the next meeting of the cross-border cooperation project.
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Emergency situation in practice of a paramedic
ŠEBEST, Jakub
Providers of the emergency medical service are the basic bodies of the integrated rescue system. The paramedics that work in the emergency medical service participate in dealing with emergencies in cooperation with other bodies of the integrated rescue system. Unlike the common operations of the emergency medical service, during emergencies it is necessary to perform the rescue and clean-up work according to the appointed rules of the integrated rescue system. An essential part of the paramedics´ duty are various emergency activities exercising. The aim of the diploma thesis is to introduce a concept of an emergency and participation of paramedics in emergency and distress events. Furthermore, the thesis highlights frequent flaws in paramedics´ knowledge and points at such mistakes that might appear straight during an operation. It should contribute to improvement of an educational system for the paramedics who participate in dealing with emergencies. There are two research questions and two hypotheses set up for this aim. Research question 1: How do the paramedics perceive an emergency? Research question 2: What kind of experience of emergency solutions do the paramedics have? Hypothesis 1: The knowledge of a paramedic concerning the procedures during an emergency is influenced by the length of their practical duty. Hypothesis 2: The knowledge of a paramedic concerning the procedures during an emergency is influenced by the experience in dealing with the procedures. The research part comprises interviews with ten paramedics who practise their profession at least one year. Furthermore, a questionnaire construction with 106 respondents who work as paramedics at least the same time. The set of respondents and informants is composed of some members of the regional emergency medical services of the Czech Republic and other/private providers of the emergency medical services. The results of the thesis provide some flaws in paramedics´ knowledge from the field of the integrated rescue system as well as in cooperation with its other bodies, especially in operations coordination during the emergencies. The results provide an observation that even with a longer practical duty in emergency medical services and with better experience in dealing with emergencies, the knowledge and often also communication and coordinating skills of the paramedics will not improve. The weak points are the fields of terminology, function and structure of the integrated rescue system and their implementation in practical duty. The thesis fully reveals that during an operation of the professional bodies of the integrated rescue system in emergencies, mistakes occur in coordination and communication. It happens that the set competencies are not respected by individual bodies.
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The training of climbing units of basic Integrated rescue services
BÍNA, Martin
This bachelor thesis is focused on "The training of climbing units of the basic services of Integrated Rescue System". The thesis is divided to the theoretical and research part. The theoretical part contains the division of basic units of Integrated Rescue System, their development at work at height and basics of methodology for professional climbing training. The theoretical part also consists of necessery means for the training and their further implementation in the work at height. The research part took form of qualitative research. It focuses on mapping out the issue of professional climbing training of the climbing groups in the basic services of Integrated Rescue System. The research part also consists of mapping out climbing equipment necessery needed for the climbing units intervention. Data acquisition took form of semi-structured interviews in which participated 8 climbers from ranks of the Fire Rescue Service in the South Bohemia region, Special Reaction Unit of the Regional Police Directorate for the South Bohemia region and Emergency Medical Service in the South Bohemia region. Due to absence of the uniform climbing methodology among the basic units of Integrated rescue services this bachelor thesis can serve as an approach of professional climbing training among these units and outline the difference between them.
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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.
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