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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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Palliative care in pre-hospital emergency care
DOBOŠ, Štěpán
This bachelor thesis is concerned with the topic of palliative care in the context of paramedic services. The basic feature of palliative care is the amelioration of care for patients whose curative treatment has been replaced by palliative treatment. The topic is actual because today paramedics visit palliative patients more often. The main goal of the thesis is to learn how paramedics discern the needs of palliative patients. In the thesis, paramedics' knowledge about possibilities of delivering palliative care is researched, as well as their psychical readiness for visits of palliative patients. Research questions are: "What needs of palliative patients employees of paramedic services discern?", "What possibilities of delivering palliative care these employees know?", "How do employees of paramedic services feel about their psychical readiness for visits of palliative patients?" The thesis contains theoretical and empirical parts. The theoretical one defines palliative care and differentiate among palliative patients' needs, and among kinds of delivering palliative care. It analyses possibilities of palliative care delivering in the South Bohemian Region and questions of the confrontation of paramedic services with palliative medicine. The empirical part provides a qualitive research analysis that uses semi-structured interviews with chosen paramedics. Answers to the research questions result from experience of paramedics with the chosen topic and reflect their views on it. Palliative care is perceived as a difficult subject by them that better needs to be dealt with. In light of the confrontation with scholarly literature about the phenomenon of palliative care, chosen paramedics have good knowledge of possibilities of delivering palliative care, as well as of palliative patients' needs. In addition, they declare that they are psychically ready for visits of these patients, yet some more demanding visits happen in the case of infant and younger patients.
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Pre-hospital care for drowning people
HLADKÁ, Marcela
The theme of bachelor´s thesis was Drowning in pre-hospital emergency care. There were set three goals that mapped paramedic´s procedure when they provide pre-hospital emergency care for drowning adult person. Further the prcedure of paramedics in providing pre-hospital emergency care for drowning child. Available rescue aids used in providing pre-hospital emergency care for drowning persons. There was also set three research questions which were answered during the research investigation. The teoretical part of the bachelor´s thesis was dedicated to pre-hospital emergency care, The Water Rescue Service and The Medical Rescue Service. The thesis further describes the definiton of drowning, getting drowned, first aid for drowning, basic emergency first aid and extended emergency resuscitation. Practical part was made by qualitative method using semi-structured interview technique, which contained 21 questions. The research group was made by 6 members of the Water Rescue Service of the South Bohemian Region and 14 paramedics from individual regional centres of the South Bohemian Region Medical Rescue Service. The results of the research was divided into 9 categories for clarity and processed into tables. The research showed, that members of the Water Rescuse Service and paramedics have sufficient theoretical knowledge as well as work experience in providing pre-hospital emergency care for drowning adult person. However, in the provision of pre-hospital emergency care for a drowning child, the members of the Water Rescue Service didn´t prove sufficient work experience. The interviews showed that members of the Water Rescue Service and paramedics are well equipped by rescue equipment for rescuing drowning person.
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Control of medical devices and material equipment in rescue service car and preparation for rescue operation. Manual for a paramedics.
PROCHÁZKA, Jakub
This bachelor thesis deals with the inspection of medical devices and material equipment in a rescue service car. Inspection is one of the work duties that a paramedic must complete during the work shift. An insufficient inspection might lead to the failure of medical devices or the lack of material equipment necessary during the shift. Due to the increasing number of rescue trips, it may sometimes be difficult to do the inspection between each trip. In the theoretical part I outlined the legislation pertaining rescue services, the requirements for the equipment of the cars, dividing the rescue trip groups. I also described the devices and materials that the paramedics use. The goal of this thesis was to record the duration, process and competence during the inspection of medical devices and material equipment. I also focused on the most hazardous instances in the event of an insufficient inspection. The practical part was done using the semi-structured interview method with nine paramedics. The results state that in most cases paramedics have enough time to do the inspection of devices and equipment during the shift, even if the inspection is slow. However, due to the nature of this profession, the time of the inspection, as well as its duration, cannot be planned ahead. The best conclusion would be to shorten the time needed for the inspection to a minimum while having the highest possible quality of the inspection. I also found out that paramedics do different kinds of inspections, which they do on their own and are responsible for. The last part of the research has showed that paramedics consider the failure of medical devices as the most dangerous. Given the minimal instances of a device failure during a rescue trip, I believe that paramedics give the most importance to this part of the inspection.
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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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