Organization of pre-hospital urgent care upon transport accident with mass health disability

This thesis deals with the organization of pre-hospitalization emergency care in the event of a traffic accident involving multiple human injuries. It characterizes the activities of the emergency medical service. The objective of this thesis is to map in detail the organization of pre-hospitalization emergency care in the event of a traffic accident involving multiple human injuries. However, the established structure of the organization applies to any emergency involving multiple human injuries. Two research questions were defined for the research part of the thesis; they focused on the Emergency Medical Service of the Central Bohemia Region and the Emergency Medical Service of the South Bohemia Region in order to obtain research value. The first research question focused on comparing the ways in which paramedics were prepared to deal with emergencies in traffic accidents involving multiple human injuries at the Emergency Medical Service of the South Bohemia Region and the Emergency Medical Service of the Central Bohemia Region. The second research question was intended to map the solutions of traffic accidents involving multiple human injuries at the Emergency Medical Service of the Central Bohemia Region and the Emergency Medical Service of the South Bohemia Region from 2002 to 2012. The methodology selected for the research part of the thesis was a method using a qualitative research conducted through interviews in the form of semi-controlled interviews with paramedics with the Emergency Medical Service of the South Bohemia Region and the Emergency Medical Service of the Central Bohemia Region. The research group was composed of paramedics from two emergency medical services from each of which five respondents were selected randomly. Processing of the results relating to the first research question, which dealt with comparing the ways in which paramedics are prepared to deal with emergencies in traffic accidents involving multiple human injuries, showed that although the structure of the training is largely determined by law and, therefore, it is very similar at both the emergency medical services, there is a striking difference in the access and participation of paramedics to the training organized. The paramedics with the Emergency Medical Services of the Central Bohemia Region do not participate in theoretical preparations regularly, compared to their counterparts, even if they are organized every year. Processing of results relating to the second question, which focused on mapping the solutions of traffic accidents involving multiple human injuries, showed that the Emergency Medical Service of the South Bohemia Region participated in a much more serious traffic accidents involving multiple human injuries than the Emergency Medical Service of the Central Bohemia Region. The description of the procedures selected by paramedics at the scene of a traffic accident clearly shows that they had to use disaster medicine procedures, such as triage using sorting identification cards, for rescue and disposal operations. It can be clearly concluded that they are an emergency medical service far more experienced in the procedures for dealing with traffic accidents involving multiple human injuries are. When examining the organization of pre-hospitalization emergency care in the event of a traffic accident involving multiple human injuries I found out, using the methods of qualitative research conducted through interviews in the form of semi-controlled interviews carried out at two emergency medical services, some differences concerning theoretical training and actual procedures of dealing with traffic accidents involving multiple human injuries. The cause of these differences can be seen mainly in the frequency of occurrences of emergencies in the South Bohemia Region. For this reason, I see the paramedics with the Emergency Medical Service of the South Bohemia Region as more experienced