Decree of the Ministry of Health of the Czech Republic No. 434 / 1992 Coll.
Decree of the Ministry of Health of the Czech Republic on medical emergency services
Valid
Effective from 07.09.1992
434
DECLARATION
Ministry of Health of the Czech Republic
of 28 July 1992
on medical emergency services
The Ministry of Health of the Czech Republic provides pursuant to § 18b of Act No. 20 / 1966 Coll., on the care of the health of the people, as amended by the Act of the Czech National Council No. 548 / 1991 Coll. (Full text with effect for the Czech Republic No. 86 / 1992 Coll.):
(1) Medical emergency services provide professional pre-hospital emergency care.
(2) Pre-eminent emergency care is the care of the disabled at the site of their accident or sudden illness and during their transport for further professional treatment and when they are transferred to a health care facility provided in the state which
(a) are directly life-threatening;
(b) may lead to sudden death by deepening disease changes;
(c) causes permanent disease changes without rapid provision of professional first aid;
(d) causes sudden suffering and sudden pain,
(e) cause changes in the behaviour and behaviour of the affected person, threaten his or her surroundings.
(3) Pre-hospital emergency care shall consist of medical emergency medical assistance for the conditions referred to in paragraph 2.
Basic tasks
The medical emergency services shall ensure, organise and manage continuously through a single communication system:
(a) qualified reception, processing and evaluation of emergency calls and identifying the most appropriate way of providing hospital emergency care;
(b) the provision or provision of pre-hospital emergency care at the site of an accident or sudden illness, in the case of the transport of the affected and in the course of its transmission to a healthcare establishment competent for the provision of health care in the conditions referred to in Article 1 (2);
(c) transport of wounded, sick and parents under pre-hospital emergency care conditions between medical establishments;
(d) transport related to the performance of the tasks of the transplant programme;
e) transport of wounded and sick in pre-hospital emergency care from abroad to the Czech Republic,
(f) pre-hospital emergency care in the management of the health consequences of mass disasters and disasters;
(g) coordination of synergies with practical and journalistic physicians and with first aid medical services;
(h) the rapid transport of experts to provide urgent care to health care facilities which they do not have, or medicines, blood and its derivatives and biological materials necessary for the further provision of urgent care already started;
(i) interaction with the fire brigade of the regions and operational and information centres of the integrated rescue system. 1)
Network of facilities and workplaces
(1) The medical emergency services network consists of:
(a) zoning centres located in Hradec Králové, Ústí nad Labem, Liberec, Pilsen, České Budějovice, Jihlava, Brno, Olomouc and Ostrava and zoning centres for the Central Bohemia Region, Karlovy Vary Region, Pardubice Region and Zlínské kra1a) at the locations of the headquarters of the fire department of the region, 1b) established by the Ministry of Health, and a zoning centre of emergency services with headquarters in Prague, established by the capital of Prague, (hereinafter referred to as the "territorial centres"),
(b) emergency relief centres (hereinafter referred to as "district centres") established by district authorities in the counties, with the exception of the capital of Prague and the counties in which territorial centres are established;
(c) exit groups established by the Ministry of Health, exit groups established by the county authorities and exit groups established by natural persons, municipalities or other legal persons1c) integrated into the health services network under a contract with a territorial or district centre ("exit groups").
(2) The medical emergency services network must be organised in such a way as to ensure that pre-hospital emergency care is available and provided within 15 minutes of receipt of the emergency call, except in cases of special consideration.
Internal breakdown of territorial and district centres
(1) The zoning centre shall always:
(a) the management section;
(b) the Health Operations Centre;
(c) an air rescue service centre, with the exception of a zoning centre established in Central Bohemia, Pardubice, Karlovy Vary and Zlín.
(2) A part of the district centre is always
(a) the management section;
(b) the Health Operations Centre.
(3) The territorial and district centres include exit groups, technical section and crisis department ensuring coordination of the procedure with other components of the integrated rescue system. 1d)
(4) The head of the regional and regional operational centres are doctors who are responsible for ensuring the tasks of pre-hospital emergency care in the catchment area.
(5) Territorial and district centres are equipped with medical, transport, communication and other means and staff competent for this activity. The minimum equipment of the territorial and district centres is regulated by special regulation.2)
Medical Operations Centre
(1) The Health Operations Centre continuously and immediately manages the activities of the medical rescue services exit groups and integrates the activities of all pre-hospital emergency care articles in the designated drop zone in continuous operation. Health Operations Centre activities are provided by health professionals.
(2) Health Operations Centre
(a) accept continuous emergency calls for pre-hospital emergency care, which it assesses and decides, according to the degree of urgency and severity of the condition, the most appropriate way of providing pre-hospital emergency care; when receiving emergency calls, it shall be governed by the Basic Regulations set out in Annex 1, which are part of this Decree;
(b) after assessing the emergency call according to the degree of urgency and the specific operational situation, impose tasks on each group of emergency care services or medical or medical practitioners, first-aid medical services or transport services which are a permanent backup of medical emergency services,
(c) it shall concentrate information on available beds at the emergency care departments, which shall, where appropriate, call for the beneficiary to be admitted;
(d) collect and evaluate data on the performance of pre-hospital care in the catchment area and keep the prescribed documentation in accordance with Annex 2;
(e) organise and manage the needs of pre-hospital emergency care in the relevant catchment area of the transport health service;
(f) coordinate and ensure the implementation of transport activities under the transplant programme, the transport of medicines, blood and its derivatives, or of experts needed to provide urgent care;
(g) ensuring the disposal of the health consequences of a mass disaster or disaster, maintaining contact with all concerned, organising a quick exit of the necessary forces and resources, calling on the hospital department to be ready for the reception of more disabled, activating, where necessary, an emergency plan of the relevant territory, requiring synergies of medical facilities, civil defence health services, police and fire services, evaluating all relevant information, ensuring their transmission and implementation of the necessary measures.
(3) In addition to the tasks referred to in paragraphs 1 and 2 (a) to (g), the Centre for Health Operations shall perform the following tasks:
(a) manage the deployment of the air rescue service, in cooperation with the Health Operations Centre of the District Centre;
b) Organises certain specialised activities in the catchment area, in particular secondary performance, transport of patients and injured in pre-hospital emergency care conditions from abroad to the Czech Republic and requires synergies in mass disasters and disasters pursuant to § 5 (2) (g).
(4) In addition to the tasks referred to in paragraphs 1 and 2, the Health Operations Centre of the District Centre shall inform without delay the relevant Health Operations Centre of the situation with a mass occurrence as referred to in Section 1 (2) in its catchment area.
(5) In the event of the liquidation of the health consequences of a mass disaster or disaster referred to in paragraph 2 (g), the medical practitioner shall be the first to arrive at the site of a mass disaster or disaster, the chief medical examiner of the rescue operation. If a doctor superior to the chief medical examiner arrives at the site of a mass disaster or disaster, he shall take over the lead rescue operation.
Exit groups
(1) Pre-eminent emergency care is provided by exiting groups of the nature
(a) a rapid medical assistance group in which at least two crew members consist of drivers - rescue workers or medium-sized health workers - rescue workers, one of whom is the head of the group;
(b) a rapid medical assistance group with at least three crew members, the personnel referred to in (a) and a physician who is also the head of the group;
(c) a group of air rescue services in which the medical part of the crew is at least two members in the composition of a physician and a paramedic.
(2) Departure groups use specially designed and equipped ground or air vehicles, working clothes and other professional activities for their activities. Minimum adjustments and equipment of means of transport are provided in the specific legislation.2)
(3) The activity of the exit groups is ongoing; this activity has the character of activities in the bed of urgent care and risk work.
(4) The exit groups ensure
(a) primary performance, which means the implementation of the requirements of the medical operating centre to provide hospital emergency care, including driving and, where appropriate, flight to the affected, his examination and treatment, transport to the nearest appropriate or contractually secured medical establishment, depending on the degree of disability and cooperation in the acute intake of the affected;
(b) secondary performance, which means the transport of wounded, sick and parents under pre-hospital emergency care conditions, between health care establishments, after prior agreement of the relevant establishments;
(c) the disposal of the health consequences of mass accidents, disasters or other emergency situations in the pre-hospital phase.
(5) When the requirements and the limited number of forces and means coincide, primary performance security shall prevail over secondary performance security.
(6) The examination and treatment shall not be provided by the exit group in cases where their implementation would seriously jeopardise the health or life of the members of the group.
(7) The exit group shall keep the specific documentation set out in Annex 2, which is part of this Decree, on its activities.
Air Rescue
The air rescue service shall be part of the relevant territorial centre. Its activities in the provision of pre-hospital emergency care are always managed by an operational medical centre of the relevant zoning centre. The County Centre shall, where indicated, request the relevant Territorial Centre to provide pre-hospital emergency care by air rescue services.
(1) The activities of the medical emergency services in the event of an acute intake affected by a medical institution are carried out by cooperation of the exit group with the relevant workplace of the target medical establishment. This medical facility is obliged to take care of the disabled at the call of the exit group.
(2) On the proposal or with the agreement of the Ministry of Health of the Czech Republic, a private bed department of the zoning centre may be set up in large urban conurbations. In this case, the acute income may be realised in this workplace.
Efficacy
This decree shall take effect on the day of its publication.
Minister:
MUDr. Lom CSc. v. r.
Příloha č. 1
Annex No 1
Basic timetable
Medical operating centres shall be equipped with a connection technology for telephone and radio communications, which ensures operational links between them and the exit groups, synergies with medical devices and links with other emergency system operators.
1. The telephone connection via the telephone network ensures:
(a) reception of emergency calls from the public telephone network, which takes place throughout the Czech Republic only at 155; other telephone numbers for emergency calls shall not be used or published;
(b) the link between the health care establishments in the main participating telephone station of the public telephone network or the special-purpose telephone network; the telephone numbers 150, 155 and 158 cannot be used in connection;
(c) coexistence with other emergency services through the main subscriber telephone station of the public telephone network or the special-purpose telephone network; the telephone numbers 150, 155 and 158 cannot be used in connection;
(d) the transmission of text and graphic information by fax connected to the main subscriber telephone station of the public telephone network, which is reserved only for this purpose.
2. Radio connection serves:
(a) to manage the exit groups and to coordinate the transport activities of wounded, sick and parents by the health centre; each medical operating centre has at least one operating channel from eight 74 MHz channels according to the frequency plan specified by the Czech Telecommunications Authority;
(b) to ensure synergies between mobile means of exit groups and transport of wounded, sick and parents on the 74,725 MHz operating channel;
(c) the management of exit groups, the operational link between the operational centres of each emergency system operator and the operational direct link between the exit groups of each emergency system operator via the PEGAS bulk radio communications network which is part of the emergency system; The 74 MHz operating channel is used to manage the transport of wounded, sick and parents and to coordinate its activities with the exit groups.
Příloha č. 2
Annex No 2 to Decree No 434 / 1992 Coll.
Special emergency documentation
6. Book of report on the course of the service:
contains:
specified data from the course of the shift and data on the replenishment of the sanitary wagon by medical materials and medicinal products;
leads: medium health worker, serious data are recorded by the doctor;
archives: emergency services.
1) Sections 5, 10 and 12 of Act No. 239 / 2000 Coll., on the Integrated Rescue System and on the amendment of certain laws.
1a) Constitutional Act No. 347 / 1997 Coll., on the creation of higher territorial units and amending the constitutional law of the Czech National Council No. 1 / 1993 Coll., Constitution of the Czech Republic.
1b) § 2 (2) of Act No. 238 / 2000 Coll., on the Fire Department of the Czech Republic. § 5 (1) of Act No. 239 / 2000 Coll.
1c) § 3 (1) of the ČNR Act No. 160 / 1992 Coll., on health care in non-state health institutions.
1d) § 2 (a) and § 4 (4), (6) and (7) of Act No. 239 / 2000 Coll.
2) Decree No. 49 / 1993 Coll., on technical and material requirements for medical equipment, as amended.
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Regulation Information
| Citation | Decree of the Ministry of Health of the Czech Republic No. 434 / 1992 Coll., on the Medical Rescue Service |
|---|---|
| Regulation Type | - |
| Author | - |
| Collection | Code of Laws |
| Date of Promulgation | 07.09.1992 |
|---|---|
| Effective from | 07.09.1992 |
| Effective until | - |
| Status | Valid |
The regulation text is for informational purposes only.
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