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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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Cardiopulmonary resuscitation of patients with suspected or confirmed COVID-19
HVOZDOVSKÁ, Kristýna
This bachelor thesis was focused on Cardiopulmonary Resuscitation of patients with suspected or confirmed COVID-19. Two objectives were set to map the practices of paramedics in performing cardiopulmonary resuscitation during a Coronavirus disease (COVID-19) pandemic. Another intrinsic indicator was the multilevel risk assessment during the COVID-19 pandemic, which emphasizes increased caution and the use of possible personal protective equipment. The theoretical part of the bachelor thesis was focused on the introduction to the issue of coronavirus disease, as well as on the performance of cardiopulmonary resuscitation during the COVID-19 pandemic.The thesis further describes what precedes the circulatory arrest and from this then further interventions such as cardiopulmonary resuscitation are derived. The practical part of the study was conducted by qualitative research using the method of in-depth interviews with paramedics of the South Bohemia Region and the Vysočina Region. The interview included a total of 20 questions focused on the given issue. The research sample consisted of 13 respondents, 7 paramedics from the Vysočina Region and 6 paramedics from individual regional centres of the South Bohemian Region. The results were subsequently processed into eight categories and tabulated accordingly. The research part showed that the members of the individual Rescue Services have sufficient theoretical knowledge and also have enough practical experience in performing cardiopulmonary resuscitation during the COVID-19 pandemic. I did not find any visible differences in performing cardiopulmonary resuscitation between the regions, the answers of the respondents were almost identical. The research showed that it is not the geographical distribution that matters, but that the Ambulance Services follow clearly defined methodological procedures and take care of their own safety and the safety of patients. The research part showed that the members of the individual Rescue Services have sufficient theoretical knowledge and also have enough practical experience in performing cardiopulmonary resuscitation during the COVID-19 pandemic. I did not find any visible differencesin the performance of cardiopulmonary resuscitation between the regions, the answers of the respondents were almost identical. Only in terms of decontamination were there subtle differences in the disinfectants used. Research has shown that geographical distribution does not matter, but that emergency services follow clear methodological procedures, but do not pay much attention to their own safety with regard to COVID-19.
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Anylysis of technical equipment of IRS components
TARAS, Ivan
The topic of the diploma thesis is Analysis of technical equipment of IRS units. In the theoretical part of the work, readers can learn what an integrated rescue system is, its structure and its main and other components. For individual components, readers can get acquainted with their history, structure, functioning and, last but not least, with the legislative basis. One goal was chosen in the practical part. Analyzing the state of technical equipment at the main IRS units in the South Bohemian Region. A quantitative method of data collection in the form of a questionnaire survey was used to process the research set, where a questionnaire was created for each main component of the IRS separately. Some questions in the questionnaire survey were then enriched with additional information from the statements of representatives of the IRS. The research sample consisted of 90 respondents and 90 completed questionnaires. Thus, 30 completed questionnaires were collected for each IRS component. The output of the diploma thesis is an overview that shows how the SARS-CoV2 pandemic in the period from January 1st 2021 to January 1st 2022 affected the technical and personnel equipment of the Fire and Rescue Service of the Czech Republic, the Czech Police and the Medical Rescue Service in the South Bohemian Region. The work could serve as a realistic view of managing the SARS-CoV2 pandemic in that period through the "eyes" of IRS members in the South Bohemian Region.
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Preparedness of medical ambulances on Covid-19
KYMLA, Tomáš
The topic of the bachelor's thesis is the Preparedness of medical ambulances on Covid19. Three research objectives were set. First, to map both the initial and the current work experience of paramedics with calls throughout the Covid-19 pandemic. Second, to investigate the material preparedness of the emergency medical services for Covid-19 and third, to study the methods of health care offered by paramedics to the Covid-19 positive patients. In addition, three research questions were identified, which were answered during the research survey. The theoretical part of the bachelor's thesis examines the Emergency Medical Services, and then it focuses on infectious diseases and the process of disease spreading, followed by highly dangerous diseases that are similar to Covid-19. The work also introduces the history, diagnosis and treatment of this disease. The work does not forget the pandemic plan of the Czech Republic and the preparedness of medical ambulances for Covid-19. The practical part was carried out by using a qualitative method of semi-structured interview, which contained 27 questions. The research group was created by 10 paramedics from individual regional centers of the Emergency Medical Service of the South Bohemian Region. For the sake of clarity, the research results were divided into 8 categories and compiled into tables. The results of the research survey showed that paramedics often encountered calls to patients with Covid-19, especially at the time when the emergency service did not have a sufficient amount of personal protective equipment (which led to using uncommon protective equipment). The methods of emergency care for Covid-19 patients were also mapped and it was shown that the paramedics proceeded in the same way as to non Covid patients, with a few exceptions. With Covid-19 positive patients, paramedics emphasize increased personal protection and the usage of personal protective equipment, which is also based on saturation and temperature values. Furthermore, the work showed that the Emergency Medical Service of the South Bohemian Region is nowadays very well prepared for a possible next wave of Covid19. The objectives of the work were met and research questions were also answered.
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The organization of proviving pre-hospital emergency care in combat conditions
ŠPRUNGLOVÁ, Ilona
My bachelor thesis titled Organisation of Providing Pre-hospital Medical Care in Combat Conditions is divided into a theoretical and practical part. In the theoretical part I focus on the history of care provided in field conditions, on the legal sphere concerning providing pre-hospital medical care, and on the education of the non-medical workers, including the courses available for the Czech Armed Forces. I also focus on the providing of the first aid in combat and extreme conditions according to the approach of Tactical Combat Casualty Care, where the chapter is separated into parts regarding medical treatment under fire, medical treatment in tactical field care, and medical treatment during the transportation. Chapter First Aid Algorithms follows, consisting of report of the incident, sorting of the wounded, and injury examination. In the last section of the theoretical part I examine medical security, medical equipment, and medical documentation. The research part has one goal: "to elaborate a unified summary of processes of providing pre-hospital medical care in a tactical environment used by paramedics of the Czech Armed Forces and to evaluate their possible implementation into the conditions of the civilian sector, i.e. their possible use by off-site groups of emergency medical care providers." Based on this goal were set down two research questions. Question number 1: "Is it possible to employ the processes of providing pre-hospital medical care used by the Czech Armed Forces in a civilian sphere of emergency medical care providers?" Question number 2: "Is it possible to employ military medical tools and devices also in a civilian sphere of emergency medical care providers?" Answers to these questions were acquired with the help of a qualitative inquiry in form of semi-structured interviews. The inquiry assemblage consisted of six Czech Armed Forces paramedics, five civilian paramedics, and one civilian emergency medical services physician. The respondents were asked ten questions, which were then divided into ten categories. The research showed that the Czech Army Forces and the civilian sphere of emergency medical services are closely connected. This applies to procedures in certain situations or to material equipment.
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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.
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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.
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Specifics od Integrated Rescue System from the General Public View in Jihlava
BLAHA, Tomáš
The Bachelor thesis "Specifics of Integrated Rescue System from the non-professional public's view in Jihlava" pursues the issues of Integrated Rescue System and its bodies in the Czech Republic. The view on the Integrated Rescue System and the opinions about the Integrated Rescue System given by the citizens of Jihlava are considered to be the greatest aspect of this thesis. The theoretical part of the thesis introduces and describes basic and other bodies based on specialised literature. The main focus is on bodies operating in the city of Jihlava, the capital of Vysočina Region. The thesis gives detailed information from the historical pint of view within the whole country and also on the local bases. The practical part focuses on the non-professional public's view on the Integrated Rescue System through a semi-structured questionnaire. There were three hypothesis formed at the beginning of the practical part of the thesis. Following the gained research data these three hypothesis were verified and subsequently confirmed or disproved. The results of the research are presented by graphs, charts and tables for closed-ended questions and word processing of respondents' opinions for open-ended questions. Photographs showing symbols of main bodies of Integrated Rescue System are included in this thesis.
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Preparedness of physicians emergency Medical services of the South Bohemian Region for emergencies with a collective disability of persons
ZAUNMÜLLEROVÁ, Michaela
This master thesis is focused on educating physicians in mass casualty incidents. This paper aims to introduce the basics of mass casualty management, triage categories and tasks of the staff in mass casualty incidents. A questionnaire forms the research. Fifteen physicians working for Emergency Medical Services of South Bohemian Region responded to the questions about their theoretical knowledge about mass casualty management and their opinion about the quality of training courses at EMS of South Bohemian Region. There was a comparative analysis of theoretical knowledge and the real-life experience of the physicians at EMS of South Bohemian Region. The graphs with an evaluation of all the responses showed the results. This paper can make good use for further education on this topic at Emergency Preparedness Service of EMS of South Bohemian Region.
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Epidemiological threats and readiness of medical rescue services of South Bohemia and Pilsen region for transport of patients with highly dangerous infection.
CHALOUPKOVÁ, Klára
The thesis deals with differences in the preparedness of the Biohazard team of the Emergency Medical Services of the South Bohemian and Pilsen Regions in caring for infectiously ill patients, their transport and treatment. It consists of theoretical and empirical parts. The theoretical part focuses on the history and epidemiology of infectious diseases, on the types and occurrence of highly dangerous infections in the Czech Republic while describing the biological risk and individual plans. It also deals with the components involved in measures in the presence or suspicion of a highly dangerous infection, describes the role of health care providers and the role of the Regional Hygiene Station. It highlights the medical units involved in the care of suspicious or highly dangerous infections, it also deals with the training of members of the Integrated Rescue System, personal protective equipment and, last but not least, decontamination of persons and objects. The empirical part consists ofa structured interview. The interview included 15 questions, 14 closed and 1 open. All questions were focused on the awareness of the members of the Biohazard Teams of the Emergency Medical Services of the South Bohemian and Pilsen Regions about the activities of these teams, the relevant legislation and the theoretical and practical preparation and equipment of workplaces. The respondents were members of the Biohazard Team, consisting of 4 paramedics, 4 drivers and 2 physicians from each named region. The results show that the preparedness of the Biohazard Emergency Medical Services of the South Bohemian and Pilsen Region is very similar, while the Biohazard Emergency Medical Services of the Pilsen Region prefers years of service to enter, respondents of this team are more familiar with theoretical knowledge, per year and therefore better prepared to intervene in a suspicion or occurrence of a highly dangerous disease. Members of the Biohazard Emergency Medical Services Team of the South Bohemian Region participate in theoretical training twice a year. The Biohazard Teams of both regions participate in practical exercises four times a year, but there is a problem because there is no uniform methodology for equipping a Biohazard Team in the Emergency Medical Service, there is no central equipment purchasing, which is both very economically disadvantageous and very difficult for cooperation.
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