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Lay resuscitation of newborns and infants awareness among mothers
Pešlová, Veronika ; Lamberská, Tereza (advisor) ; Smíšek, Jan (referee)
This bachelor's thesis deals with the issue of maternal awareness in the field of lay resuscitation of newborns and infants and is concveived as a theoretical-practical work. The theoretical part of the bachelor thesis is divided into seven chapters. The first chapter describes the neonatal and infant period. The next chapters present the recommended practices in neonatal and infant resuscitation according to the current 2021 Guidelines, and define the chain of survival, emergency pre-hospital care, basic and advanced life support. The fifth chapter deals with education in basic life support. The final chapters discuss sudden life-threatening episodes - apparent life-threatening event (ALTE), brief resolved unexplained event (BRUE), sudden unexpected postnatal collapse (SUPC), and last but not least, sudden infant death syndrome (SIDS), with emphasis on its risk factors and preventive measures. For the practical part of my bachelor's thesis, a quantitative questionnaire survey was used, which took place between 12/2022 and 2/2023 at the Gynaecology and Obstetrics Clinic of the 1st Faculty of Medicine and General University Hospital in Prague. The target group of the questionnaire survey are women after childbirth in the six-week wards. The respondents were provided with a questionnaire in paper...
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Cardiopulmonary emergency resuscitation by the general public
SOKOLT, Jakub
The thesis focuses on the problematic of providing cardiopulmonary emergency resuscitation by general public. The theoretical part of the thesis deals with identification of sudden cardiac arrest and most common causes of it. Furthermore, it deals with emergency resuscitation, first aid principles and emergency calls. Great emphasis is placed on the recommended practices for emergency resuscitation in adults and in child with cardiac arrest. Recommended practices focus, among other things, on the speciffic situations such as airway obstruction and drowning. The last theoretical part of thesis deals with the automated external defibrillator (further AED) and its operation by lay rescuer. The empirical part pursues two objectives. The first one is to map the knowledge of cardiopulmonary emergency resuscitation in adult patients. The second objective is to map the knowledge of cardiopulmonary emergency resuscitation in child patients. For the empirical part of the thesis the qualitative research in the form of semi-structured interviews was chosen. The research sample was made up of 8 non-selected members of the general public in the area of South Bohemian Region and Vysočina Region. Results were then categorized into 13 categories. Results show that questioned general public has significant shortcomings in recommended Basic life support practices. All questioned informants agreed they would welcome educational programs which would increase the knowledge of Basic life support practices of lay people.
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An over view of recommendations for an urgent resuscitation and their application in the field
STEHLÍK, Oldřich
The topic of this bachelor thesis are guidelines for resuscitation in field. The entire text is structured into two parts theoretical and empirical one. The emphasis is put mainly on the empirical part and related research. Theoretical part provides definition of resuscitation and specifies its roles and objectives. It includes the possible causes of cardiac arrest, the principles of initiating and ending resuscitation and presentation of factors increasing the probability of cardiac arrest recovery. The emphasis is given on the description of guidelines for basic and advanced life support of adults and children, which is based on "Guidelines for resuscitation 2015" published by European resuscitation council. Theoretical part is concluded with providing the description of resuscitation in specific setting (also known as in field). Empirical part consists of research which was conducted among EMS paramedics and laymen. The data were collected by quantitative research (method of anonymous questionnaires) were processed with the use of statistics and consequently evaluated. We have established two research aims. First aim of the thesis was to look into laymen knowledge of guidelines for resuscitation, second aim is to examine paramedics' knowledge of the specifics of resuscitation in the field. There were set up two groups of respondents, the laymen and the paramedics. We have created a questionnaire for each group. Collected data were presented in tables, statistically processed, evaluated and summarized. Even though, the laymen went through training in resuscitation, their knowledge of the resuscitation procedures were very poor. Most of them did not know when to initiate and stop cardiopulmonary resuscitation. They did not know how to resuscitate, neither. The respondents did not realize the differences between cardiopulmonary resuscitation of adults and of children. The problem of the first magnitude was that they did not know the right compressions/breaths ratio for cardiopulmonary resuscitation of adults. The correctness rate of laymen's answers reached only 43%. We have anticipated, that the knowledge of paramedics of cardiopulmonary resuscitation in pre-hospital care will be flawless. In other words, that the correctness rate of their answers will meet 100%. However, the presumption was too ambitious. The conducted research has shown that the paramedics' knowledge of cardiopulmonary resuscitation in the field is very good, but not perfect. The correctness rate of paramedics' answers reached only 83%. The question, which was focusing on the maximum length of time during which it is possible to suspend cardiopulmonary resuscitation, has appeared to be the most problematic one. It is possible to observe paradox situation in the case of question focusing on differences between cardiopulmonary resuscitation of adults and children, because the correctness rate of paramedics' answers was very low (65%). However, the correctness rate was much higher in the case of questions which were focusing on cardiopulmonary resuscitation of children and adults in detail. In conclusion, considering the laymen's poor knowledge of cardiopulmonary resuscitation it is advisable to reconsider the way of raising public awareness as well as to think of other possible ways and forms of training in cardiopulmonary resuscitation. The research has shown the imperfection of paramedics' knowledge of cardiopulmonary resuscitation in the pre-hospital care. Therefore, it would be highly beneficial to look into its possible reasons. The questions, which have arisen from the research of paramedics' knowledge of cardiopulmonary resuscitation in the field, unfortunately could not be answered within this thesis, therefore it would be suitable to deal with them in upcoming research.
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KNOWLEDGE OF PREMEDICAL FIRST AID REQUIRMENTS FOR TEACHERS IN NURSERY SCHOOL
KOVÁŘÍK, Ondřej
Bachelor thesis ?Premedical First Aid Knowledge Requirements for Teachers in Nursery Schools? summarises urgent conditions and diseases occurring primarily among preschool children. The theoretical part deals with selected injuries, from the most serious injuries (resuscitation, disorders of consciousness, suffocation) to the less serious ones (eg fractures). Pathophysiology, symptoms and finally providing of first aid is briefly described for each of the injuries. This part was described mandatory legislation for teachers regarding first aid education in this section. I used a content analysis of professional publications in this part of my thesis. The second part is practical and related to my research. The aim of the research was to find out level of first aid knowledge among teachers in nursery schools. I used a quantitative method in the form of questionnaires in my research. The questionnaire consisted of fourteen questions. These questionnaires were filled mostly by teachers during personal meetings in nursery schools near my residence in Brno. The research is processed with the charts and descriptions. The results of the answers are given as a percentage in each graph. The hypothesis, established at the beginning of the research, was not confirmed. Teaching staff have sufficient knowledge of first aid. However, they have lacks in innovations piece of knowledge first aid (CPR, choking). In these cases, most teachers would act based on outdated standards. Primarily right answers dominated in further points of the questionnaire. My surprising finding was that half of those surveyed teachers had never undergone any first aid training.
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The retirements homes nurses´knowledge of how to provide the first aid as an assumption of decreasingt the mortality
ULBRICHOVÁ, Dagmar
The subject chosen by me is knowledge of first aid principles of nurses in Pensioner´s Houses as a precondition of death rate reduction, since first aid is the first, essential element of the rescue chain. First aid must be often provided also in number of health institutions, for example in Pensioner´s Houses. Pensioner´s Houses are home for old people, who are the most risky group considering injuries and acute sickness. In order to achieve the above objective a qualitative research has been applied in the form of asking open questions in interviews as well as observations. Data collection has been performed with nurses in Chýnov Pensioner´s House. Data collected during interviews were recorded in a record sheet providing space for answers to all questions. Observations were more of the type complementing and extending information on knowledge concerning resuscitation obtained from the interview. Observations focused on situation when nurses solved a practical task with a figurine used for first aid training. The target and subject group included ten nurses working in Chýnov Pensioner´s House, who may experience situations requiring their first aid skills. The research has been conducted between February and March 2008. Prior research initiation I have been granted permission of the Pensioner´s House´s management to perform this research in their institute. The objective of the work was to map knowledge of first aid principles of nurses in Pensioner´s Houses. This objective has been achieved. Nevertheless in my opinion nurses would benefit from training concerning new first aid practices. The following hypothesis have been defined on the basis of the completed research. H1 Nurses do have knowledge of first aid principles. H2 Nurses are not aware of new recommendations for resuscitation. The following research question may be formulated based on the achieved results: {\clqq}Wouldn{\crq}t it be beneficial to organize periodical fist aid training for health staff in Pensioner´s Houses?`` Results of this research will be provided to Pensioner´s House management to assist them in improvement of their care provided to old people. Chýnov Pensioner´s House will provide first aid training to nurses.
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