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Úkoly a činnosti Zdravotnické záchranné služby Jihočeského kraje při evakuaci osob ze zóny havarijního plánování Jaderné elektrárny Temelín
KADEŘÁBEK, Petr
The thesis describes Medical Rescue Service of South Bohemia Region as the provider of pre-hospital urgent care in the zone of emergency planning of Nuclear Power Plant Temelín. In case radiation emergency arises, its main urgent target is to save as many affected people as possible and to limit the effects on their physical disabilities. Medical intervention by the Medical Rescue Service of South Bohemia Region crews is provided to people with serious health problems or in immediate life danger who participate in rescue and emergency work directly in the epicentre of the radiation emergency of Nuclear Power Plant Temelín. It also provides pre-hospital urgent care to the inhabitants who have already been evacuated right in the zone of emergency planning, on the evacuation routes, on the decontamination points and based on the emergency call also in the receiving centre or emergency accommodation points. The main aim of the thesis is to identify and clarify basic principles of tasks completion and workload of outgoing Medical Rescue Service of South Bohemia Region crews in case of an emergency event occurrence - the radiation emergency at Nuclear Power Plant Temelín. The theoretical part describes the status of the Medical Rescue Service of South Bohemia Region within the Integrated Rescue System in the case of radiation emergency. Attention is also paid to material and technical equipment aimed at personal protection during the intervention in the contaminated environment. Content analysis of key executive documentation and legal regulations research have been made in this part whose synthesis leads to a comprehensive professional text predicting the procedure of urgent medical intervention made by the medical rescue service in the zone of emergency planning. The practical part includes the network analysis of transportation availability of individual decontamination points by the medical rescue service vehicles. Based on the findings, the index of alert has been calculated that reflects the quality and availability of pre-hospital urgent care to the evacuated inhabitants in the decontamination point as the key point of evacuation from the zone of emergency planning. The results proved readiness of the Medical Rescue Service of South Bohemia Region in the decontamination points to tasks completion and workload of medical provision of evacuation from the zone of emergency planning of Nuclear Power Plant Temelín. The thesis has become a concentrated overview as well as operating material for the paramedics working at Medical Rescue Service of South Bohemia Region who could deal with the uneasy task of intervention in the zone of emergency planning of Nuclear Power Plant Temelín. It also reflects the need of preparing a unitary documentation describing the procedure in radiation emergency.
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Life-saving issues in highly infectious patients
GRUNTOVÁ, Petra
For a start, the theme of this bachelor thesis is the problematics of life-saving highly infectious patients. The thesis consists of a theoretical and a researching part. The theoretical part starts with conveys several chapters about highly infectious patients and how the infections are transmitted. Following chapters are devoted to volatile infections, dangerous infections with natural outbreak, and nosocomial infections. Finally the theoretical part ends with chapters concerning life-saving issues, life threat and barrier nursing. Furthermore, the second part was processed in the form of qualitative research. One of the purposes of this bachelor thesis is to map the problematics of life-saving highly infectious patients, then to map infections most often encountered by paramedics and to map the possibilities of protective equipment in pre-hospital emergency care in highly infectious patients. In addition, there were three main questions raised. Firstly, what is the life-saving procedure in highly infectious patients? Secondly, what kind of infection is most commonly encountered by paramedics? Lastly, what are the possibilities of the protective equipment concerning highly infectious patients in pre-hospital emergency medical services? Data have been collected in the form of semi-structured interviews conducted with paramedics who have been working in the ambulance service for more than one year. The research group consists of ten volunteers whose selection was intentional. The research was carried out during March 2019 and was completed when the amount of data was theoretically sufficient. The topics of the interviews were: saving lives, frequency of the infectious diseases and the protective equipment in pre-hospital emergency medical services needed for the highly infectious patients. As a matter of fact, there are three main categories each with own subcategories and codes. With regard to pre-hospital emergency care, this bachelor thesis significantly approaches the problematics of highly infectious diseases and provides with the insight into the difficulties of procedures and barrier care concerning highly infectious patients.
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Life-saving issues in highly infectious patients
GRUNTOVÁ, Petra
The topic of this bachelor thesis is "Problematics of saving life in highly infectious patients."This thesis is consist of teoretic and researcher part. The teoretic part deal with short history of infectious diseases, disease agent and transmission infectious diseases, division of infects by agents, transmission path, selected infectious diseases, barrier care during treatment, selected procedures for security and treatment patients and it is closed chapter about bioterrism and biological weapons. Part of research has been processed by form of quality research. The aim of this bachelor thesis is chart problematice of saving life in highly infectious patients, then chart infections, with which meet paramedics most often and chart possibility of protective equipments in pre-hospital urgent care by highly infectious patients. It has been compiled three following research questions: 1. What is the proces of savinf life in highly infectious patients? 2. With what infections meet paramedics most often? 3. Which are the options of protective equipments in pre-hospital urgent care in highly infectious patients? Data collection was passing of form of semi-structured dialogues, which were implemented with paramedics, who work on ambulance more than a year. Research file consists of 10 probands, whose choice was deliberate. Research was implemented during March 2019 and it was terminated at the time of theoretical saturation. Topics of dialogues were: savig life, frequency of infectious diseases and protective equipments in pre-hospital urgent care in highly infectious patients. Total were processed 3 main categories, from which come out subcategories and codes. Considering pre-hospital urgent care is this thesis beneficial by approaching problematice of saving life in highly infectious diseases and it brings a view at treatment procedures and barrier care in highly infectious patiens.
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Application paramedic in a medical facility
ŠTĚPÁNEK, Marek
The title of the presented bachelor's thesis is: The application of paramedics in a medical facility. The theoretical part focuses on the possible employment of paramedics, i.e. in pre-medical and medical care. It then deals with the education, competences and lifelong learning of paramedics and nurses together with a mention of their motivation. The practical part employs the qualitative method of research. Data collection was carried out by means of a semi-structured interview. The researched group consists of 10 paramedic graduates from selected hospitals. The interviews were focused on the motivation for entering the medical facility, the possibility of their employment and what problems they face upon arrival. The aim of this study was to ascertain what problems the newly-employed paramedics encounter, and how they can be utilized in the facilities. Another goal was to find out what motivated them to start working in a medical facility. It was discovered that the main motivation was the lack of job vacancies or it concerned less specialised paramedic services care. It emerged that the difficulty with the employment of paramedics is the preference of licensed practical nurses with a specialisation, even though a paramedic possesses more competences. However, this is understandable because of the greater versatility of nurses. Nevertheless, the paramedics concurred that, after their integration, the situation on their wards met with their expectations. The main problem, which this study attempts to point out, is connected with the lack of job vacancies in EMS. This was the reason for many paramedics to start working in a medical facility instead of EMS, just to find a job position.
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Basic clinical examination of the client by the medical rescuer in the pre-hospital urgent care in the South-Bohemian Region
VIKTORA, Martin
The issue of the clinical examination is the topic being more a part of physician work from the historical point of view. This state changes under the influence of the development of manning the crews in the rescue service. This bachelor thesis called Basic clinical examination of the client by the medical rescuer in the pre-hospital urgent care in the South-Bohemian Region summarizes the basic examinations which should be theoretically known as well as practically used by each medical rescuer. The target of the thesis was to find out the knowledge of the present medical rescuers working in the Medical Rescue Service of the South-Bohemian Region and if they observe the procedures of clinical examination. The contents of the theoretical part is the characteristics of rescue service, its last development and trend, also the young specialization of ?medical rescuer? is described, i.e. the possibilities of study, powers and contents of work. In the next part, the thesis treats the clinical examination. At first the contents of clinical examination is described, the access to it and its importance is explained, than the individual parts of the examination are analyzed. In the theoretical part, it is possible to find the information about anamnesis, methods of physical examination of all the body parts and organs. At the end, also the basic appliance method is mentioned, contributing to the clinical examination in the pre-hospital care as well as the good attitude to the patient, who is an important part also in this topic. If follows from the results of the quantitative examination that there are big differences between various degrees of the education. The graduates of secondary medical schools, of the study (after GCE) of anesthesiology-resuscitation care and intensive care and of higher professional schools have a lower knowledge in this field than their colleagues with the university education. In total the rescuers do not observe the procedures of the clinical examination more often. Both hypotheses were confirmed. It follows from the thesis that it is necessary to try to close the gap. During the studies, the clinical examination should be more accentuated, we should not reconcile with the present state. Also after the study of the branch, the topic should be repeated at the workplaces by means of theoretical lectures and practical seminars. In future, the medical rescuer will have to substitute also the physician in clinical examination, but he/she is not prepared for this up to now.
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