Generolo Jono Žemaičio Lietuvos karo akademija

The central topic of this paper is the complex issue of providing crisis intervention, post-traumatic care, posttraumatic intervention care, psychosocial intervention services in the basic components of the integrated rescue system in the Czech Republic. We draw on theoretical knowledge and also on practical experience that members and officers of the integrated rescue system in their daily practice are involved in a number of highly traumatic emergencies and crisis situations. The negative impact of dealing with emergencies and crisis situations has primary or secondary impact on their psychological state. Almost in their daily practice they encounter emotionally stressful situations such as traffic accidents accompanied by severe injuries or death of the participants, mass disabilities of persons, encounters with death (in various forms: natural death, death as a result of a criminal act, etc. ), notification of deaths to survivors, dealing with psychologically and physically demanding conflicts with persons showing elements of aggression and aggressive (verbal and physical) behaviour, interventions against armed offenders, implementation of crisis communication (personal or telephone) with persons demonstrating suicidal intent, implementation of crisis communication with affected persons or their family members, implementation of communication with persons with specific needs (e.g. etc.), implementation of multicultural communication, etc. Thus, traumatic events affecting their psychological state occur in their daily practice. That is why a psychological examination (analysing their mental health as well as their level of resilience to stress, etc.) is part of their recruitment into the basic components of the integrated rescue system. Subsequently, their lifelong learning process includes post-traumatic care, strengthening resilience and the ability to cope with traumatic and stressful events, prevention of post-traumatic stress disorder, prevention of psychological distress or burnout syndrome, etc. Taking into account the above-mentioned facts, the basic components of the integrated rescue system have a system of providing post-traumatic care, and the characteristics of each system and the issue of providing this care is the subject of this paper .

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.