Pogotowie Ratunkowe: the emergency medical system of Poland.

In March 1983, in conjunction with the Columbia University Affiliated Hospitals Residency in Emergency Medicine, Overlook Hospital, and under the auspices of the Ministry of Health in Warsaw, we visited Poland to study the country's emergency medical system. The emergency medical service, Pogotowie Ratunkowe, is responsible for civilian acute care throughout the nation. Its domain includes operation of the freestanding emergency medical care centers, all emergency transport and ambulance services, and several short-stay emergency hospitals. The system utilizes a modular concept, and the same basic organization is employed in each of the 49 provinces and five largest cities. The heart of each module is a central dispatch station, ambulance base, and emergency treatment facility. A hub of substations, with treatment areas and ambulance bases, completes the system. All ambulance dispatches come from the central office. A toll-free number provides access. An integral part of the central dispatch station is the information bureau. Individuals seeking a missing person can, by calling a single number find out if they have been picked up by any ambulance, admitted to any hospital, or treated in any ambulatory emergency center within the province. Ambulances are staffed by physicians and equipped with medications. Once on the scene the physician may elect to treat the patient, transport him to an emergency station, or admit him to a hospital. A system of general and specialized ambulances makes the best use of limited resources, such as cardiac resuscitation and trauma vehicles. The need for such technology as telemetry is averted because a physician is on the scene to read the electrocardiographic monitor.(ABSTRACT TRUNCATED AT 250 WORDS)