[Organization of emergency medicine in hospital health care]

Emergency Department of Zenica Canton Hospital, from its beginning of the existence dated on February 1, 1994, is trying to implement within its work the following basic issues of urgent medicine: continued education in a field of treatment life threatening diseases and injures; co-operation with different medical specialists; human and unselfish care of patients; widely open readiness for perception of new knowledge's and giving support in the education of other people. Thanks to the supervision of doctors from USA, Australia and Canada, which lasted from February 1, 1994 until September 30, 1997, Emergency Department stuff members, managed to go over beginning birth difficulties of this Department, followed by continued education and implementation of basic organisation issues. Work organisation is based on receiving of the patients, treatment of life threatening diseases. Triage of patients depending on the cause, co-ordination with different medical specialists with the purpose of final treatment, as well as the education of stuff members in particular separated spaces such as: reanimation room, surgery room, paediatric room, receiving room, observation room and education room at the end (slides). During the wartime ED affectedly infected on other departments in a field of primary treatment of the patients, adequate triage, preparation of the patient for the surgery, as well as in the observation of cold and unclear cases. Statistics of treated patients during six months time period in 1995 and 1996 shows the increase of the number of patients with final treatment ED and almost equal number of surgery and internal cases (graphic presentation). Problematic of ED has its own specifics, which needs to be presented in special way (graphic presentation).