The goal of this thesis was to analyze processes of the Emergency Medical Dispatch Center of the Emergency Medical Service of the Pilsen Region (ZOS ZZS Pk) when dealing with a mass casualty incident. The theoretical part of the thesis provides basic information relevant to the Pilsen Region, the Emergency Medical Service of the Pilsen Region, basic information on operations and general work processes of an emergency medical dispatch center during a normal work regime, and specific activities performed when dealing with a mass casualty incident. The research part of this thesis analyses activities and processes of an emergency medical dispatch center as described in the Mutual Mission Types Manual for Integrated Rescue System forces while at a mutual incident - Activities of Integrated Rescue System Forces at a Mass Casualty Incident (STČ 09/IZS). Further on the thesis evaluates activities of the ZOS ZZS Pk taken while dealing with two mass casualty incidents. These were a bus accident nearby Rokycany town in 2013 and a two trains collision nearby Horažďovice town in 2015. In order to make the analysis of readiness of the ZOS ZZS Pk to deal with mass casualty incidents more complex, SWOT analysis was added to the results. Based on the results of the STČ 09/IZS-manual analysis and of the SWOT analysis, suggestions for new manuals were made, that should make all the actions taken by employees of the ZOS ZZS Pk while dealing with a mass casualty incident more efficient and more effective. The goal of this thesis: to analyze activities of the ZOS ZZS Pk while dealing with a mass casualty incident, and to create suggestions of which inadequacies to remove and how to make operations of the ZOS ZZS Pk more efficient and more effective when dealing with mass casualty incidents; has therefore been fulfilled. The main outcome of the thesis are the final recommendations for making operations of the ZOS ZZS Pk more efficient and more effective when dealing with a mass casualty incident.

The expression ``motivation`` describes the fact that the human psyche is affected by internal driving forces, both conscious and subconscious. Holland´s vocational personality typology presents six basic types, namely Realistic, Investigative, Artistic, Social, Enterprising and Conventional. This thesis is aimed at finding and evaluating motivation factors which influence prospective emergency medical technicians in their professional choice. To get the research data, the combination of quantitative and qualitative techniques was used. The research was conducted among emergency medical technician students at the college and university and, as a supportive research material, among Czech and Scottish Emergency Medical Service professionals. The students´ primary motivating factor influencing their vocational choice to become an emergency medical technician is their interest in this field, sometimes supported by a healthcare worker in the family. Over 80% respondents prefer working in the field which they study. An emergency medical technician belongs to the most popular positions while an emergency dispatcher to the less popular ones. The fact that women respondents like working positions connected with driving a car was a surprising discovery of the research. Corresponding to the recent professional literature, the most frequent career types among professionals and students are Realistic and Social types. This thesis can contribute to further research into this topic (working position preferences, career types). Component findings can be introduced into personnel and human resources management of the Emergency Medical Service, especially searching for Investigative and Conventional career types of workers and their subsequent engagement in pedagogical and administrative work. The research can also be helpful in other issues, e.g. how to make a position of an emergency dispatcher more popular.

Submitted by Fabiana Gonçalves Pinto (benf@ndc.uff.br) on 2016-10-19T16:38:30Z No. of bitstreams: 1 Fabiola Chaves Fernandes.pdf: 2730839 bytes, checksum: 872dea61b78bd3c0c9f0a417967fb354 (MD5) / Made available in DSpace on 2016-10-19T16:38:30Z (GMT). No. of bitstreams: 1 Fabiola Chaves Fernandes.pdf: 2730839 bytes, checksum: 872dea61b78bd3c0c9f0a417967fb354 (MD5) Previous issue date: 2016 / Mestrado Profissional Ensino na Saúde / O presente trabalho tem como objeto de estudo a educação permanente como estratégia de reorganização do processo de trabalho, no serviço de emergência de um pronto socorro. Seu objetivo geral foi utilizar a educação permanente como reorganizadora do processo de trabalho no serviço de emergência de um pronto socorro tendo como objetivos específicos: Identificar as dificuldades dos funcionários do pronto socorro no seu processo de trabalho quanto ao encaminhamento de usuários ao serviço de emergência odontológica; Descrever a compreensão dos funcionários acerca do papel do odontólogo no serviço de emergência; Analisar estratégias ou formas de colaboração para atingir a integralidade da assistência e; Elaborar produtos que colaborem na educação permanente dos funcionários envolvidos no atendimento ao paciente, de acordo com a legislação específica, em prol da integridade da assistência. A metodologia utilizada foi a pesquisa convergente assistencial, tipo de pesquisa-ação na qual o pesquisador está envolvido em ações de assistência enquanto pesquisa. O cenário da pesquisa foi o setor de emergência de um pronto socorro localizado em São Gonçalo, cidade do Estado do Rio de Janeiro. A pesquisa contou com três etapas e os instrumentos de coleta de dados utilizados foram: Na primeira etapa, observação participante, na segunda etapa, questionário semi-estruturado e na terceira etapa, grupos educativos; Na primeira etapa, foi construído um fluxo de encaminhamento ao setor de emergência odontológica. Na segunda etapa, construíram-se quatro categorias, após análise de conteúdo de Bardin. São elas: 1) O modelo biomédico ainda refletido no pensar e no agir, evidenciado, diante da análise das respostas, que parte dos funcionários não compreenderem trabalho em equipe multidisciplinar e ainda fazerem alusão ao modelo biomédico; 2) A odontologia do dente por dente: Código de Hamurabi e Tiradentes, revelando que a maioria dos trabalhadores atribui significado bucal ao atendimento odontológico; 3) O que estou fazendo aqui? Construindo a identidade do odontólogo. Demonstrou-se que muitos dos participantes não compreendem o papel do dentista no processo de trabalho em emergência, ao atribuírem significado fora do contexto odontológico a ele, ou mesmo não responderem admitindo não sabê-lo; 4) Construindo pontes para a integralidade, apontando que poucos participantes compreendem os conceitos da EP e sua capacidade de transformar as situações problemas no cotidiano de sua vida profissional. Na terceira etapa, os participantes foram convidados aos grupos educativos, local de diálogo, reflexão e elaboração de hipóteses de soluções, seguindo a proposta da metodologia da problematização. Nesses grupos, discutiu-se a legislação acerca do serviço de emergência, refletiu-se sobre as dificuldades em cumpri-la no serviço e construiu-se o rol de procedimentos eleitos como de urgência /emergência no pronto socorro. Concluiu-se que pouco conhecimento se tinha acerca da legislação vigente sobre o assunto e que o desconhecimento do sentido pleno de educação permanente limitava às tomadas de decisões. Porém, as soluções encontradas pelo grupo, mesmo que este não tenha se constituído uniformemente ao longo dos encontros, foram um somatório de experiências reunidas, o que proporcionou o que Agostinho chama de sabedoria à pesquisa convergente assistencial, de despertar do pensamento crítico e à política nacional de educação permanente em saúde de empoderamento. / The object of study of this paper is the continuing education as a strategy to reorganize the work process in the emergency room at emergency department. The general aims of this study was to use the permanent education as a strategy to reorganize the work process in the emergency room at emergency department. The specifics aims were: to identify the difficulties faced by the staff workers of the emergency settings related to the process of guiding patients to the emergency dental service ; to describe the understanding of the staff workers about the dentist's role in na emergency service; to analyze strategies or manners of collaboration for achieving comprehensive care and; to develop products that can collaborate in continuing education of staff workers involved in patient care, according to the specific laws related to the intregrity of care. The methodology used was the the kind of research which the researcher get involved in the assistance activities while observe. The setting of the study was the emergency department of an emergency room located in Sao Goncalo, State of Rio de Janeiro city. It had three stages and the data collection instruments used were: the first stage was a participatory observation, the second stage was a semi-structured questionnaire and the third stage was na educational focal groups. In the first stage was built a forwarded flow to the dental emergency section. On the second stage, after analysis of contente according to Bardin, it was built four following classes: 1) The biomedical model still reflected on the thinking and action, evidenced on the analysis of the responses, which the employees do not understand working in a multidisciplinary team and also mentioned the biomedical model; 2) Tooth for a tooth: The Code of Hammurabi and Tiradentes, revealing that most workers assign meaning to oral dental care; 3) What am I doing here? Building the identity of the dentist. The study reveals that many of the participants do not understand the dentist's role in emergency work process and they do not respond admitting not knowing it when asked for assign a meaning outside the dental contexto.4) Building up bridges for completeness, noting that few participants understood the concepts of the continuing education and its ability to transform problems situations in their daily professional life. In the third stage, the participants were invited to educational groups, opened for dialogue, reflection and solutions, following the proposal of the problematization methodology. Theese groups discussed the legislations about emergency service, reflected on the difficulties of fulfilling the laws during work and, built up the list of procedures elected as urgent / emergency in the emergency room. In conclusion that little knowledge about the current legislation on the topic and the lack of the full understanding about continuing education can limit the process of decision making. However, the solutions found by the group were a combination and summation of gathered experiences which provided what Augustine calls wisdom of convergent care research awakening the critical thinking and politics national continuing education in health empowerment.

Sjuksköterskor vid Sjukvårdens Larmcentral (SvLC) i Uppsala och Västmanlands län hänvisar regelbundet lågakuta patienter som bedöms inte vara i behov av ambulanssjukvård till alternativa vårdformer. I denna studie kopplades patientdata från SvLC till sjukhusregister för att identifiera patienter som besökte en akutmottagning inom 72 timmar efter en hänvisning vid SvLC. Prevalensen av ett antal utfallsmått undersöktes och logistisk regression användes för att fastställa effekten av ett antal variabler. 20% av hänvisade inringare besökte en akutmottaging inom 72 timmar. Av dessa fick 57% vård på specialistnivå och 37% lades in vid en slutenvårdsenhet. 86% av akutmottagningsbesöken gällde det besvär som patienten kontaktade SvLC för. Äldre patienter hänvisades mindre ofta till alternativa vårdformer, men löpte större risk att kräva vård på specialistnivå och läggas in vid sjukhuset till följd av ett akutmottagningsbesök. Samtal med personer som ringde in flera gånger per månad hänvisades oftare av SvLC än patienter med en kontakt under studiens lopp, medan patienter som ringt in endast ett fåtal gånger besökte akutmottagningen oftare och blev där oftare inlagda. Icke-användning av SvLCs beslutsstöd var vanligare bland hänvisade patienter. Uppdrag som avlsutades utan vidare hänvisning till en annan sjukvårdsinstans resulterade mindre ofta i ett akutmottagningsbesök. Prevalensen av akutmottagningsbesök och inläggningar vid sjukhus efter hänvisning liknar nivån som funnits i andra studier av nordisk prehospital triage. Baserat på resultaten från denna studie föreslås ett antal kvalitetsutvecklingsprojekt samt framtida studier. / Nurses working at the Emergency Medical Dispatch (EMD) centers in the Swedish counties of Uppsala and Västmanland routinely refer patients determined to not require an ambulance to non-emergency care. In this study, hospital records were reviewed to match calls to patients visiting an Emergency Department (ED) within 72 hours of being referred to non- emergency care by an EMD nurse. The prevalence of a number of outcomes was examined, and logistic regression models were used to analyze the effects of several variables of interest. 20% of callers referred to non-emergency medical care visited an ED within 72 hours. Of these, 57% received specialist level care, and 37% were admitted to the hospital. 86% of ED visits were found to be in regards to the condition the patient contacted the EMD for. Elderly patients were less likely to be referred to non-emergency care, but more likely to receive specialist care and be admitted. Very frequent callers were more likely to be referred to non-emergency care, while a moderate rate of contact was associated with increased odds of ED visitation and hospital admission from the ED. Non-utilization of the EMDs’ decision support tool was more common among callers referred to non-emergency care. Calls closed by dispatchers without further referral to other healthcare providers were less likely to result in an ED visit. The prevalence of ED visitations and admissions found in this study are similar to those found in other studies of Scandinavian pre-hospital triage, and a number of possibilities for quality improvement and future studies were identified.

and key words Rynešová, K. (2018). Profession requirements of Emergency medical dispatcher. Master Thesis. Prague: Charles University in Prague, Faculty of Arts, Department of psychology. This master's thesis dedicated to the emergency medical services (EMS) call dispatchers as a rather neglected group of healthcare workers. The main focus is put on the profession requirements of this professionally endangered group. Theoretical part of the thesis describes professional problems with an emphasis on psychological phenomena, which are closely related to this profession. There is described both the work of the EMS call dispatcher, the qualification requirements, working environment, types of calls and the specifics of communication on the 155 Czech national emergency line. The social competences are also discussed as factors related to the handling of the given occupational burden. Thesis also describes negative phenomena that may occur as a result of long-term occupational workload such as stress, burnout syndrome and posttraumatic stress reaction, which are associated with key social competencies that make it easier to manage. In the empirical part of the thesis, quantitative research is being carried out. It is focused on the identification of specific key social competences that allow effective...

This thesis deals with the implementation of the Psychosocial Intervention Service System within the environment of the emergency medical services. The main objective of this thesis is to analyze and identify the problems and causes hindering the implementation of the Psychosocial Intervention Service System. In addition, the thesis analyzes the attitudes, intentions and responsibilities of the parties directly involved in the implementation or affected by this policy, and to identify the applied public policy instruments by which the implementation is realized. The first section focuses on a brief theoretical introduction that deals with the institutional theory, the implementation process and the outlining of the content of the Psychosocial Intervention Service System, which includes stressful situations, their negative effects, psychosocial interventional care and the theory of Critical Incident Stress Management (CISM) as one of the possible methods used to eliminate the negative effects of stress and traumata. The main analytical and research part of this thesis attempts at answering the questions related to the thesis objective, i.e. what factors affect the implementation, what framework applies to the implementation of the project, what interactions take place among the individual parties...

The diploma thesis deals with the experiences of emergency medical workers when going to patients in an unfavorable social situation. Medical rescue service according to Act No. 374/2011 Coll. on emergency medical services, should provide pre-hospital emergency care to patients in acute life-threatening conditions. Nevertheless, the crews of the ambulance service go to patients whose problems fall more into the social field. These patients do not primarily need medical intervention, yet rescuers in the field have to deal with these situations. The aim of the diploma thesis was to find out and compare the experience of rescuers when going to patients in an unfavorable social situation. Find out how rescuers experience and interpret these situations, what situations they encounter during these trips and how they understand the concept of an unfavorable social situation. The theoretical part of this work deals with the definition of basic concepts in the field of emergency medical services and social work. The empirical part is devoted to qualitative research. It contains a description of the research methodology, analysis of interviews with rescuers and their evaluation. The result of the research is evidence that on an almost daily basis, lifeguards deal with these situations with clients...

THE ABSTRACT It has been shown recently that workload, stress, and burnout syndrome among the staff of the medical rescue service may be major risk factors in terms of triggering the use of psychoactive substances. Representing what is understandably a delicate issue, substance use among emergency medical staff has not been thoroughly studied in our country. Emergency medical workers' difficult working conditions and the chronic stress they are exposed to, in combination with a lack of support and care on the part of their employers, result in exhaustion and general distress, accompanied by the development of symptoms associated with both physical and mental disorders. This condition may lead to the use of psychoactive substances as a negative coping strategy. Consisting of both theoretical background and case studies, the paper points out the relationship between the chronic effect of stressors pertaining to the job of emergency medical workers and the use of psychoactive substances as a way of coping with and compensating for the implications of work-related stress and fatigue. Thorough case studies are presented to demonstrate the onset and development of addictive behaviour within a wider context, with special emphasis being placed on its association with coping with both acute and chronic occupational...

A set of documents, called the Index of Model Activities of the Integrated Rescue System Forces was compiled to improve coordination of these forces. The Index describes organizational procedures of the IRS forces during ten cases of emergency. However, are members of basic IRS forces familiar with these documents? Are the IRS workers aware of procedures and needs of the Emergency Medical Service (EMS) staff? The objective of this thesis is to survey views and findings of the IRS workers regarding the above mentioned issues, evaluate possibilities to improve knowledge of these issues.

Impacts of global climate changes in the form of repeated natural disasters are becoming a part of the day-to-day life of the present-day society. The issue of preparedness for extraordinary and crisis situations is becoming more and more topical. The Czech Republic is no exception; it regularly faces heavy rains, floods or snow. The key prerequisite for successful management of these emergencies is an effective prevention and preparedness in the form of crisis plans or crisis preparedness plans. The objective of my thesis is to find out whether Emergency Medical Service of Zlín Region is sufficiently prepared for the occurrence of emergencies and to propose solutions if shortcomings are identified. The Emergency Medical Service of Zlín Region constitutes a basic component part of the Integrated Rescue System of Zlín Region. As a provider of emergency medical services, it is included in the Crisis Plan of Zlín Region. Capacity for action and the activities of the Emergency Medical Service of Zlín Region have to be ensured not only in day-to-day operation, but also if an emergency occurs and continues. The theoretical part of my thesis provides a general overview of emergency and crisis planning, competencies of administrative authorities with respect to emergency medical services in case of an emergency situation announcement, traumatology plan and pandemic plan. This chapter includes also characterization of the legal entity of Emergency Medical Service of Zlín Region and description of special antropogenic and natural threats. The theoretical part is followed by qualitative research, which involves in particular a detailed study of available professional resources in printed and electronic form, especially crisis and emergency planning documents of Zlín Region and internal documents of Emergency Medical Service of Zlín Region. The practical part of the thesis contains an analysis of external and internal threats at respective ambulance stations of Emergency Medical Service of Zlín Region. The external risks analysis is based on the Crisis Plan of Zlín Region and Emergency Plan of Zlín Region, while the internal risks analysis is based on an expert estimate of potential risks at respective ambulance stations of EMS ZR. I assigned the potential impact on the activity of EMS ZK to each identified risk in the risk analysis. The outputs from the analysis became the main source for the preparation of the crisis preparedness plan. The analysis of external risks confirmed that agility and EMS ZK activities may disrupt in particular the following threats: natural flood (ambulance station in Zlín Peroutkovo nábřeží, Uherské Hradiště, Vsetín), special flood (ambulance station in Zlín - Peroutkovo nábřeží, Karolinka, Vsetín), risks arising from climatic conditions (especially heavy snow in Wallachia), disruption of pharmaceuticals and medical supplies (secondary consequence of the crisis) and electricity cuts (especially ambulance stations that do not dispose of emergency power unit). The thesis result is a proposal of Crisis Preparedness Plan of Medical Emergency Service of Zlín Region. A legal entity or an individual who secures the performance of measures resulting from the regional crisis plan is responsible for the preparation of the crisis preparedness plan. The particulars and manner of preparation of the crisis preparedness plan are described in detail in the Government Decree No. 462/2000 Coll., which implements the provisions of Sec. 27(8) and Sec. 28(5) of Act No. 240/2000 Coll., on Emergency Management and Amendment to Some Acts. When drafting the plan I proceeded according to valid legislation. This plan is an internal document of the legal entity to solve the challenges of security in crisis situations.