Challenges to national defence in contemporary geopolitical situation

The paper deals with the problems of the occurrence of aggression and aggressive behavior as a provoking cause of various injuries and the need to provide pre-hospital emergency care. Based on the analysis of professional literature, as well as on the basis of experience from practice, it can be stated that members of Emergency Rescue Service exit groups often encounter manifestations of aggression and aggressiveness when providing pre-hospital emergency care. The results of a retrospective observational study of the medical records of the Plzeň and Ústí regions in the Czech Republic are presented. We focused on the analysis and in-depth examination of the calls of ambulance groups to patients whose injuries were caused by aggression and aggressive behavior. This was in terms of the number of call-outs, the frequency of individual diagnoses, NASA score and urgency level, as well as the characteristics of the deployment of individual call-out groups, etc. Options for managing aggression and aggressive behavior are also presented, including an assessment of the potential risk of aggression and escalation. Attention is also paid to the issue of preparing the members of call groups to cope with this negative phenomenon, which has an increasing tendency in the conditions of providing pre-hospital emergency care. The paper deals with this issue comprehensively.