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Mass casualty incidents and their occurrence are a real threat not only to the society as a whole but also to emergency medical service providers, who, at the moment of the occurrence of a mass casualty incident, must completely change their approach to providing care and switch into the emergency regime. At that moment, high demands are placed on the entire integrated rescue system, both with regard to ensuring safety, preventive measures and organizing activities at the site of the mass casualty incident, andto providing quick and expert assistance. This bachelor thesis concerns mainly providers of emergency medical services during mass casualty incidents and problems of sorting of casualties. In case of a mass casualty incident, the situation requires a completely different approach to the treatment of the casualties than everyday work. In this situation, the individual medicine model when the emergency medical crew provides care to one patient only, from the initial contact to the transfer of the patient to a medical facility, does not apply. In a regime of mass casualty incident, it is necessary to set priorities for treatment, to carry out such treatment and transport the patient to a medical facility. The priority in such a situation is not to save everyone's life, but to eliminate the extent of injuries of the people to the minimum. The treatment of casualties at the site of a mass casualty incident is complicated by many factors that negatively affect the situation. In particular, there is a lack of time for decision-making and treatment, chaos, stress, panic, and in the initial phase also a lack of resources and forces, concerning not only the providers of emergency medical services, but the entire integrated rescue system. Since the on-site situation is optimized within thirty and sixty minutes of the start of operations, it is crucial in the initial phase to focus on the organization and management of the integrated rescue system units. The bachelor thesis is devoted to the issue of classification of the casualties on the site of amass casualty incident. The theoretical part deals with the topics of disaster medicine, the integrated rescue system and in the last part it is devoted to the classification itself. The theoretical part is based on expert literature and current legislation. In the part focused on the classification of the casualties, the individual methods for classification of casualties and scoring systems are analysed in detail, especially the START method and classification identification card, which dominate in our country. The practical part of the thesis is done in the form of qualitative research and compares the answers obtained by a semi-structured interview with two groups of respondents. Respondents were non-doctor medical personnel of the emergency medical service, one group from the Vysočina Region and the other from the South Bohemian Region. The content of the interview was divided into four categories, each focusing on a particular area of casualty incidents. The individual categories dealt with general and specific procedures at the site of a mass casualty incident, cooperation of the integrated rescue system and the issue of classification of patients. The aim of this thesis was to find out how the rescue workers are prepared for a mass casualty incident both theoretically and practically, how they evaluate the cooperation within the whole integrated rescue system. The aim of the thesis was also to verify the theoretical knowledge of the respondents concerning this area of interest and the procedures. The results obtained by the interview and their analysis are included in the chapter Vyhodnocení rozhovorů. The research questions and their results are discussed in the chapter Diskuze. The overall conclusion is included in the chapter Závěr.

Mass accidents and catastrophes do not occur on a daily scale, they occur irregularly and unpredictably and always have devastating consequences that negatively affect the society or nature. They are usually accompanied by a large number of casualties or damage whose removal cannot be managed using usual local means. To cope with such events, it is necessary to have a professionally trained staff in the Integrated Rescue System and an appropriate coordination of rescue and liquidation. In recent years, there has been an increase of such incidents which have resulted in a mass disability of people. The events of recent days have brought a series of terrorist acts, for example in Paris or Brusselles, of suicide bombings that claimed 130 dead and numerous wounded. These acts, which are associated with the current migration crisis on the European continent, cause considerable tension in the society and evoke questions like whether the readiness of IRS to eliminate the consequences of such events is sufficient. Due to these facts, the thesis tries to find out what knowledge the members of the emergency medical service in South Bohemia have on the issue of disaster medicine and mass accidents. The theoretical part of the thesis titled Knowledge of the Members of the Emergency Medical Service in SB on Disaster Medicine and Mass Accidents defines disaster medicine and all tasks and subjects it deals with. It also mentions the Integrated Rescue System including its basic and other components, its powers and organizational structure resulting from the legislation. Furthermore, it describes the security system and planning, specifically crisis and emergency planning, up to the individual partial plans related to this issue. Finally, the thesis deals with the organization of emergencies with a mass disability of people and a detailed procedure of medical emergency regarding the sorting and evacuation of the wounded. The aim of this thesis is to map the knowledge of the members of the emergency medical service in SB, which concern the issue of disaster medicine and mass accidents, where the level of knowledge is later analyzed to confirm or disprove the hypothesis that the knowledge of the SB IRS members corresponds with a normal distribution frequency. The practical part uses a quantitative method based on questionnaires completed anonymously, where 50 questionnaires were selected randomly as a statistical set. The survey focuses on a group of emergency workers in South Bohemia. The meetings with them were organized during previous practical studies. The results of the survey were analyzed using statistical investigation. The statistical investigation used the methods of scaling, measurement of the absolute, relative and cumulative frequency. Later on, the empirical parametres used for non-parametric testing were counted. The results of this pilot study indicate the current state of the knowledge of the SB IRS members on disaster medicine and mass accidents. The thesis will be a beneficial study material for current and future paramedics and students of the field of population protection.

I have chosen the topic ``Knowledge of Work with a Traumatological Plan by Workers of the Medical Rescue Service{\crqq} due to topicality its content. Nowadays so called extraordinary events are still more frequent. The most frequent ones in the Czech Republic are floods, windstorms and traffic accidents, both on railways and roads. Also danger of terrorist attacks is still more frequent, not only in the world, but also in our territory. The extraordinary event is practically always connected with higher number of wounded people. Therefore it is necessary for us to be better prepared for these situations (events), especially as far as providing timely and effective pre-hospital immediate care is concerned, i.e. providing expert medical first aid in the spot of the extraordinary event. For these reasons the traumatological plan of the medical rescue service has been developed, which is updated twice a year in compliance with the latest pieces of knowledge. The objective of my thesis was to map knowledge of work with the traumatological plan in pre-hospital immediate care at workers of the Medical Rescue Service of the South Bohemian Region. There have been established two hypotheses for research. The hypothesis 1, i.e. that workers of the Medical Rescue Service of the South Bohemian Region have theoretical knowledge of the traumatological plan, have been confirmed by the total share of 71 % of all correct responses provided by all respondents. In my opinion this number is in the low limit of capacity in order to confirm this hypothesis. However I consider this value sufficient for confirmation of theoretical knowledge of the traumatological plan, and consequently also of the hypothesis 1. The hypothesis 2, i.e. that workers of the Medical Rescue Service of the South Bohemian Region can use theoretical knowledge of the traumatological plan in practice, has not been confirmed based on the 52% share of respondent, who during their work in the medical rescue service participated in practical exercises in the framework of the traumatological plan. However I do not consider the share of 52 % as sufficient for confirmation of the hypothesis 2. This results in disproving of hypothesis 2. This bachelor thesis could be used as a study material for students in medical specializations in higher educational institutions and colleges.

Bachelor thesis "Mass accident and their management" deals with the problem with management extraordinary events. The aim of this study is to resume the basic information and pieces of knowledge concerned the theme of the mass accidents. It is a theoretical study with practical instructions. By the processing of this work is gone from the specialized literature and from the up-to- date thesis relating to different kinds of catastrophes and mass accidents. At the beginning of the thesis there is described what the medicine of catastrophe is and a little bit of the history of this medicine branch. Next part of the study deals with classification of the catastrophes. Some catastrophes, which destroy our earth, for example tsunami in Asia in 2004 and floods in the Czech Republic in 1997 and 2002 are mentioned. The study introduces integrated rescue system and organization in place of the extraordinary event. More closely my study devotes the classification of the wounded. In this part there are the charts, which are used to classification. Finally there are the basics of first aid of some injuries introduced in this work. The study mentions the contagious diseases, epidemic hazards and psychological effects of mass accidents. In study there is the case reports and the manual "What do when the siren sounds"....