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Specifics of child patient care in pre-hospital emergency care
POLESOVÁ, Kristýna
A child is not a small adult. It differs from an adult in anatomical, physiological, pathophysiological and metabolic systems. Specifics are also reflected in the approach and communication with the patient. Knowledge of the specifics of childhood is an essential part of all healthcare professionals who care for paediatric patients. In emergency care, this is doubly true. In the Czech Republic, paediatric care is provided to patients from birth to 18 years + 364 days of age. The bachelor thesis is divided into theoretical and practical parts. The theoretical part deals with anatomical and physiological differences of childhood and the specifics of care for a child patient. The thesis describes the paediatric protocol with its use in practice, care for newborns in pre-hospital emergency care and there are specified procedures of procedures necessary to secure a child patient. Furthermore, the theoretical part elaborates the basics of pharmacology in emergency care and alternative routes for drug administration. The thesis also deals with the issue of communication with the patient, the rights of the child, immobilization and transport of a child patient and acute conditions. In the bachelor thesis, 3 goals were set. The first objective was to clarify the specifics of care for a child patient in pre-hospital emergency care. The second objective was to investigate the specifics of communication in the care of a child patient in pre-hospital emergency care. The third objective was to map the specifics of care for a child patient from the perspective of a paramedic. The empirical part of the bachelor thesis was processed by a qualitative method, in the form of semi-structured interviews. The research sample consisted of 10 paramedics from the South Bohemian Region. The research was conducted from March to April 2023. The obtained data was processed and described. In the research part, 3 research questions were identified. The first question examined the specifics of care for a child patient in pre-hospital emergency care. Research has shown that the specifics relate mainly to the anatomy and physiology of the child, pharmacology, different aids, procedures and communication. The second question dealt with the specifics of communication in the care of a child patient in pre-hospital emergency care. All informants found great pitfalls in communicating with the child. Above all, they mentioned the importance of a kind approach, patience and directing communication primarily to the child patient. The third question mapped out the specifics of care for a child patient from the perspective of paramedics. The results of the research have shown that they perceive specifics primarily in the anatomy and physiology of the children's body. Among other things, also in access and communication. Paramedics have expressed fear and apprehension about caring for a critically ill child.
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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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Therapy of arterial hypertension in prehospital emergency care and at urgent admission
SYNKOVÁ, Kateřina
The bachelor thesis on the topic of Therapy of arterial hypertension in prehospital emergency care and in the emergency room is focused on dealing with states in cases of sudden escalation of patient's blood pressure. The thesis is divided into a theoretical part and a practical part. In the theoretical part, blood pressure is characterized, including the methods of its measurement, arterial hypertension and hypertensive crisis. Furthermore, there are descriptions of the basic classes of anti-hypertensives and their use in specific groups with arterial hypertension. In the practical part of the bachelor thesis, three goals were set. The first goal was to map out how arterial hypertension is treated in prehospital emergency care within the competences of paramedics and guidelines of given workplace of the emergency medical service. Second goal was to map out the way in which arterial hypertension is treated in emergency rooms of given workplaces, and the third goal was to find out what are the differences between therapy of arterial hypertension in prehospital emergency care and in the emergency room. The research study was carried out via qualitative method of data collection using semi-structured interviews. The interviews were conducted with paramedics operating within the Emergency medical services of the South Bohemia region in the districts of Písek, Tábor and Český Krumlov. In addition, selected paramedics working in the emergency department of České Budějovice Hospital also took part in the interviews. From the results of the research part of the bachelor thesis can be concluded, that the interviewed paramedics have enough experiences and knowledge in the area of treating a patient with arterial hypertension and know when it is adequate to reach out to a medical professional about possible therapy.
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Modern technology in prehospital emergency care
BRŮŽKOVÁ, Nikola
This bachelor thesis deals with the topic of modern technologies in prehospital emergency care. The bachelor thesis is divided into theoretical and practical part. The theoretical part is focused on individual technologies, which are, according to available sources, considered modern. The set goal, which the bachelor thesis should fulfil, is to find out about applicability of modern technologies in prehospital emergency care. Two research questions were also established: which modern technologies are used in prehospital emergency care and what impact do modern technologies have on the providing of prehospital emergency care. To fulfil set goal, research study was conducted in a qualitative form via the semi-structured interview technique. These interviews were processed using open coding and after that, the analysed data were sorted into individual categories. The research sample consisted of paramedics of the South Bohemia region. The practical part of the bachelor thesis contains results of the research study, in which the answers to the previously mentioned research questions were found and in addition to that also the opinion on modern technologies in prehospital emergency care from the point of view of a paramedic. In the answers of the paramedics was found, among other things, that they all agree on the fact, that the app Záchranka benefits prehospital emergency care. On the contrary, a drone, as an unmanned aerial vehicle, does not have that much of a significance for the prehospital emergency care of the Czech Republic, actually exactly half of the respondents did not have any knowledge about this medium. It was also found, that, according to the respondents, modern technologies overall significantly influence prehospital emergency care, however the experience was not always a positive one. This bachelor thesis can be beneficial due to the processed information in the theoretical part and following results in the practical part.
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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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Anaphylactic shock in prehospital emergency care
DLOUHÁ, Andrea
The bachelor thesis is elaborated on the topic "Anaphylactic shock in pre-hospital emergency care" and consists of two parts - theoretical and practical. The theoretical part aims to acquaint the reader with the finding of professional sources on the topic of pre-hospital emergency care and anaphylactic shock. It also includes basic information about allergies and immune system function. In anaphylactic shock, it is first defined what the condition is and what shock means in general. Furthermore, the data are focused on pathophysiology - what pathological processes take place in this state in the organism, etiology - causes of reaction, clinical picture - manifestations on individual organ systems, and therapy of anaphylactic shock. The second, practical, part presents the information that was obtained through semi-structured interviews. The interview consisted of 19 questions and the research group consisted of 14 paramedics who worked in the regional centers of the Emergency Medical Service of the South Bohemian Region. The results of the research were analyzed, divided into 8 categories, and broken down into tables. The practical part included two objectives: 1. To map the knowledge of paramedics in the field of anaphylactic shock and 2. To map the progress of paramedics in the RZP crew in a patient with anaphylactic shock. We believe that the set goals have been met and thanks to this it will be possible to evaluate the sufficiency of knowledge of this issue and to look into the procedures that paramedics apply when they encounter a patient in anaphylactic shock in pre-hospital emergency care.
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Specifics of emergencies in gynecology and obstetrics
PUPÍKOVÁ, Lenka
The bachelor thesis deals with the topic "Specifics of emergencies in gynecology and obstetrics". It concists of two parts, theoretical and practical. In theoretical part, we provide information on individual emergencies in gynecology and obstetrics. We deal at emergencies, how they manifest, what the risk factors may be and what treatment is in pre-hospital emergency care. In gynecological emergencies we discuss emergencies such as ectopic pregnancy, adnexal torsion, ovarian cyst rupture, endometriosis, ovarian hyperstimulation syndrome, pelvic inflammatory disease and pathological gynecological bleeding. In obstetrics we describe hypertensive conditions in pregnancy, preeclampsia, eclampsia, HELLP syndrome, abortive birth, breech birth, umbilical cord prolapse, placental abruption, placenta previa, amniotic fluid embolism, postpartum hemorrhage and cardiopulmonary resuscitation of pregnant women. In the practical part, we present information collected from interviews with paramedics. The information collected was analysed and divided into 11 categories. The goal of thesis was - 1. To map individual emergencies in gynecology and obstetrics. 2. To map the procedures of paramedics in gynecology and obstetrics emergencies. We believe that we have succeeded in meeting our goals. The results of the research can be used to create recommended procedures in gynecological and obstetrics emergencies.
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The spectrum of surgical procedures in the conditions of pre-hospital emergency care
MONDEK, Jan
The bachelor's thesis is focused on surgical procedures in pre-hospital emergency care within solving reversible causes. The bachelor's thesis consists of a theoretical and research part. At the beginning of theoretical part, I deal with surgical procedures that belong to the environment of pre-hospital emergency care and describe their division, indications, risks and practical procedure for their application. I also describe traumatic circulatory arrest and extended cardiopulmonary resuscitation. In other chapters of the work, I deal with patient monitoring and examination, which is important for revealing reversible causes. I discuss the need for analgesia in pre-hospital care, and the last chapter focuses on the importance of maintaining an aseptic environment and risk sepsis. The research part covers qualitative research in the form of a semi-structured interview, while the research team consisted of 9 paramedics from the South Bohemian Region. The aim of the research was to map the indication and risks of surgical procedures in the conditions of pre-hospital emergency care. Another aim was to find out what awareness and experience the paramedics of the South Bohemian Region have in this issue. All research questions were answered and the aims of the thesis were fulfilled. The research found that the experience and knowledge of the paramedics at the various sites are very similar, the paramedics are sufficiently familiar with the issue, while the station in Jindřichův Hradec is objectively slightly better. This work could be used as study material in the education of paramedic students or for the self-education of paramedics.
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Paramedics Point of View on Pharmacotherapy in Prehospital Care
VACEK, Daniel
The bachelor thesis on the topic of Pharmacotherapy in pre-hospital emergency care from the perspective of a paramedic is divided into a theoretical part and a practical part. The theoretical part deals with the competencies of paramedics, individual drug groups that are used in pre-hospital emergency care and are part of emergency medical service vehicles. Three goals were set for the bachelor thesis. The first goal was to map the paramedic´s knowledge of pharmacotherapy. The second goal was to map the knowledge and procedure of paramedics about the possibilities of pharmacotherapy administration without the indication of an emergency medical service doctor. The third goal was to map the knowledge and procedure of paramedics about the possibilities of pharmacotherapy administration based on the indication of an emergency medical service physician. A qualitative research survey using the technique of semi-structured interview was carried out. Interviews were conducted with 14 paramedics of the South Bohemian Region Emergency Medical Service from the regional centres of Prachatice, Strakonice, Tábor, Písek, Český Krumlov, České Budějovice and Jindřichův Hradec. The results of the work say that the interviewed paramedics have enough knowledge in the issue of pharmacotherapy in pre-hospital emergency care, in which they are well oriented, both in drug groups and in indications and dosage. Paramedics know their competences, but they sometimes consciously exceed them.
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Management of life-threating bleeding in pre-hospital emergency care
PFEFFER, František
The topic of this bachelor thesis is ´Management of Life-Threatening Bleeding in Pre-hospital Emergency Care´. It consists of two parts - a theoretical one and a practical one. The objective of the first part is to introduce the readers to the issue of life-threatening bleeding and to define a certain theoretical frame needed for the purposes of understanding this topic. First, information about the anatomy of cardiovascular system is presented, such as what blood is and how it is disseminated throughout the body. Subsequently, the term of bleeding is explained, what the reasons for its occurrence are, its results and how a human body reacts to reverse this pathological situation. Last but not least, the definition of a life-threatening bleeding is stated as well as the current recommended procedures, non-pharmacological and pharmacological means that are being used in pre-hospital emergency care at the occurrence of this serious condition. The practical part contains information acquired via semi-structured interviews with 6 emergency medical workers. These were first analysed and subsequently divided into 11 categories with the purpose of - 1. To discover what diagnostic-therapeutic options and knowledge paramedics working at the ground and air rescue service in the regions of South Bohemia and Plzeň possess. 2. To compare the acquired information among the regions stated above. We believe that the set objectives have successfully been fulfilled and thus it is possible to get an insight into the current procedures that emergency medical workers apply daily in pre-hospital emergency care, encountering a patient suffering from a life-threatening bleeding.
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