01 - Pre-hospital Care In The Czech RepublicYou must be a full Eusem member to view this file Go backPrehospital Care in the Czech RepublicStrenghts and ChallengesDr. Jana eblov, Ph.D.EMS of the Central Bohemian RegionPrezident of Czech Society for Emergency and Disaster MedicineHistorical backgroundlong history of the system1798 Society for rescue of seemingly dead people or persons being in acute danger of death27. 11. 1857 Prague Voluntary Safeguard Association this date is the date of establishing the EMS of the Capital Prague 70ties of the 20th century the first EMS within the anaesthesiological and resuscitation departments, standards of Ministry of Health for first aid and prehospital care 90ties economical, personal and professional independence of EMS due to legislation (434/1992 Sb) Equipment has changed a little bit.Development of Emergency Medicine in CRSociety for Prehospital Care nad Disaster Medicine established 1994, the name changed into Society for Emergency and Disaster Medicine1997 postgraduate Department for Emergency and Disaster Medicine within Institute for Postgraduate Medical Education1998 Emergency Medicine in CR as supraspecialty2004 Emergency Medicne in CR as a basic specialtymore than 300 physicians had undertaken the specialisation examination so farDevelopment of EMS in CREMS in big cities (Prague, Brno, regional centers)1987 HEMS, 10 helicopter stations in CR1992 and later district based EMS (83)2000 and later due to changes of political system changing the district EMS into regional ones at the time: 14 regional EMS services, responsible for providing prehospital care, centers for crisis preparedness, medical dispatch, educationstandards, quality management, regional training centers, taking the patient to the place of definite careStrengths of Prehospital Care in CRexperience physicians mostly with anaesthesiological professional background able to work in prehospital settingscombination of teams with physician and with emergency medical nurses or paramedics and so called rendez-vous system multilevel responsehigh education of paramedics (postgraduate or even baccalaureate degree)the whole CR covered by national emergency line 155 and european emergency number 112regional system can better ensure standardization and qualityLegislationConstitutional Law No. 110/1998 Coll., about security of the Czech RepublicLaw No. 239/ 2000 Coll., about Integrated Rescue System (EMS, Fire Brigade, Police)Law No. 240/ 2000 Coll., about crisis managementprepared: Law about health service and conditions for its delivery (instead of the law from 1960)Law about Emergency Medical Service (instead of a EMS decree of Ministry of Health No 434/1992)Crisis Preparednessprehospital (EMS)hospital: EDs, Trauma Centres and Burn CentresCentre for Highly Virulent DiseasesCentres for Radiation ExpositionCentre for Health Emergency LogisticsToxicological Information Centre with the stock of chosen antidotesInformation Centre for Disaster Medicinegreat steps in the last yearspractical experience due to floods in 1997 (Moravia), 2002 (Prague, Central, North and South Bohemia)large scale field excercises, regional trainingsPaediatric and Adult Trauma CentersBurn centersPrehospital research projectsdevelopment of prehospital research projects:EMS of the Capital Prague outcome after cardiac arrest i |