ER for Adults

Our Team      Photogallery

A brief overviw of the Emergency Department for Adults

The Emergency Department for Adults provides acute emergency care for patients with a sudden health disorder. It is a newly reconstructed department that was opened in April 2014.

Every year about 50.000 people arrive at the department with a number of health conditions that vary in their severity. 

The department cooperates with a majority of the departments and specialized centers in our hospital. Sometimes we call for the resuscitation service from the Specialized Center of Anesthesiology, Resuscitation and Intensive Care Medicine and daily request tens or even hundreds of examinations from the Specialized Center of Radiology and Diagnostic Imaging. We serve as a link between pre-hospital emergency care and hospital ward care.  

How will your detailed schedule look like? What type of procedures, methods or treatment can you observe? Check what can you see by shadowing every member of the mentoring team.

Is this specialty placement ideal for you?

  • Emergency medicine offers you one huge benefit that other medical specialties cannot - you will see a wide range of patients and conditions that are not specific to one organ or system in the body. You observe various cases every shift and explore the fullness of medicine. Another skill you can learn in the ER is how to be detailed oriented with a capacity to quick evaluation of facts and decision making.This placement requires you to be very stress resistant, as most of the patients are transferred to our department in critical conditions. 
  • The ER specialty placement is a perfect choice for those of you who want to become a paramedic or a doctor in urgent medicine, who stands in the first line and has the first contact with the patient. 

Let's take a closer look at the specialties…

Patients come to our department either through the Medical Rescue Service or by themselves. As we are alerted about the most severe cases in advance it allows us to prepare properly for any unexpected complications. The biggest benefit of this department is its systemic purpose. In the past patients had to go around the hospital searching for doctors. Now, when they come to our department we take care of everything for them.

If the patients arrive on their own, first they have to visit the reception, where a qualified nurse determines where the patient should be referred – emergency department, traumatology or to the specialized outpatient departments. In more difficult cases, the nurse takes advice from a doctor. The reception runs 24 hours a day and it also serves as a contact place for relatives of the patient. Here, patients can get information about their loved ones and it also acts as a contact place for the medical rescue service.

We have at our disposal  high-tech equipment for life threatening cases which comprise around 5% of all patients. In addition to an operating room, where we can manage even the most severe conditions,  we also have a patients’ wards with 27 beds that are equipped just as in ARU. The layout of our department is like a small hospital within the big University Hospital in Motol.

In emergency situations, the department acts as an organizational center where the reception becomes a communication center for the dispatching of emergency and rescue services and, in addition, has an overview of  the beds in intensive care. On call doctors are also provided by our department.

Who do we take care of?

The ER for adults doesn't cater for patients suffering from trauma caused by accidents. Instead these patients are referred to the Traumatology Department. The aim of the Emergency department is to treat patients whose worsening health conditions have suddenly become acute such as a victim of a stroke or a heart attack. Patients brought to the hospital by ambulance and whose condition requires immediate treatment are always given priority.

In other situations, patients are treated according to the severity of their condition.  In the department our doctors carry out a diagnosis, provide a treatment or suggest further examinations by calling upon a number of interdisciplinary services. They will also decide if a patient needs to be hospitalized and where. Our department takes care of every single patient that requests our help.

Our methods and procedures

Emergency medicine is a very specific area of health care where the number one goal is to treat a patient's condition quickly, appropriately and in line with its requirements. By employing a triage method we can assign treatment to a patient according to the urgency of their condition..

Where there is a need to make a quick, crucial decision about a patient's condition we have at our disposal a number of diagnostic procedures such as Ultrasonography, X rays, Computed Tomography( CT) and Magnetic Resonance Imaging (MRI). In combination with an evaluation of the vital functions by clinical examination and  fast laboratory testing, these imaging methods form part of the basic diagnostic procedures in emergency medicine. Furthermore, an inseparable part of our approach is the constant training of doctors and paramedics in the treatment of emergency cases.

The basis of our treatment procedures follows the recommended guidelines for severe injuries such as severe trauma, cerebral stroke, acute coronary syndrome (ACS), gastrointestinal tract bleeding and many more. We cooperate closely with our colleagues in other hospital departments and centers, such as the Specialized Center of Cardiology in cases of ACS, acute myocardial infarction which are treated with percutaneous coronary interventions, Neurology in cases of cerebral strokes treated with thrombolysis, and with surgeons in Traumatology and with the Specialized Center of Neurosurgery and the Specialized Center of Internal Medicine.

How does the usual schedule look like?

  • The ER for Adults runs 24/7 and therefore you might have to work a number of shifts: morning, afternoon, night or even at the weekend. The different shifts will also give you an insight into how emergency medicine can vary throughout the week. Your schedule will change according to your mentors’ schedule. It may also mean that you will be asked to take a longer shift with the doctor but, in such cases, you will have the next day off. Bear it in mind that you will spend at least 25 hours in the hospital per week. But the actual number of hours maybe higher.

If you are not sure whether this choice is suitable for you, don't hesitate to contact us. We will discuss your experience and motivation and come up with the best solution for you.

Our Team


Photo Jan Šibík

doc. MUDr. Jan Bydžovský, Ph.D.

Senior Doctor

Doctor


My goal as a student was to become a doctor in an emergency department. I was attracted to the idea of working under pressure, in extreme conditions, with limited equipment, and most importantly, treating patients in life threatening conditions. My dream came true, I was a tutor of ER doctors in Cambodia, I worked as a doctor in a refugee camp in Slovenia and as an examiner for the European Board Examination in Emergency Medicine. Nowadays I work in the ER of the University Hospital in Motol, which is a very modern department.

Why did I become a healthcare professional?

I decided to become a healthcare professional when I was 15 years old. The decision came from a desire to know the structure and function of the human body, as well as its disorders. Until that time, I was interested in technology, mainly in computers and programming. Then suddenly one day I realized I should completely change my study focus and that everything should be different. Last but not least, the cause of the sudden change in my life was the desire to know more about human health, because I have always known that it concerns all of us.

Come and find out if the emergency room is the right choice for you. I am looking forward to meeting you. The placement in the Emergency Department will test your capabilities and your motivation in a very stressful and intense environment. It is the best way to uncover if you are the type of person who wants to contribute to finding solutions in a fast paced environment.

What do I love the most about my specialty?

I like the unpredictability of the emergency department. Every member of the team has a lot of individual responsibility, and must be capable of making quick and important decisions, and improvising when necessary. This specialty is unique in that the team receives quick feedback about whether the diagnosis was correct and whether the administered medication was effective as well as in moments of tension and surprise.

What can you see by shadowing our team?

Together we will hear the stories of patients, from banal issues to the most severe cases. We will witness suffering and pain. Perhaps we will laugh together with patients, too. We will examine the injuries by asking questions, performing examinations, and using modern medical methods. Based on all of our findings, we will try, using all the necessary medicines and treatments, to help the patients so they can leave with relief and eventually go home for further outpatient treatment. If letting the patient go home would not be sufficient or even dangerous, we will discuss further treatment in our hospital.

Apart from being a healthcare professional...

I like teaching students, taking photographs, web design, and desktop publishing. My friends and I also enjoy organizing paramedic contests for students.

My motto…

Experience does not have to be pleasant, but it needs to be strong.

Photo Jan Šibík

MUDr. Tereza Lužná

Junior Doctor

Doctor


Our department is the perfect place to see and learn about differential diagnoses, as we receive a non-selected variety of patients, including those with life-threating conditions. It is up to us to make a preliminary diagnosis and either confirm it, change it, or exclude it. We are the ones who provide the first line of treatment and then send the patient for hospitalization, give them medicine, tell them to go home, and/or transfer them to one of the acute departments.

Why did I become a healthcare professional?

Since my childhood, I have wanted to work as a doctor, just as my dad does. I have always considered medicine to be a beautiful and useful occupation, and I believe it is my contribution toward making the world a better place. The head doctor of the ER in the University Hospital in Motol was kind enough to trust me, so I started to work there, even though I was not sure which field I would choose after my studies. It is very important to have teachers that you can learn from, and I have amazing colleagues who have already taught me so much.

Our department offers an overall look at acute, non-selected medicine. It is a very dynamic place which demands constant communication, decision-making, and putting the pieces together. It can show you wide range of procedures, situations, and strategies.

What do I love the most about my specialty?

I like the variety of my work; it is almost never the same. Every patient and their complaints are different, which can make things quite a challenge. I always learn something new. I also like the dynamics and order of our work, as well as the working hours. Usually, we are either quite busy or extremely busy, so the time passes very quickly and is never boring. Last but not least, we have a very friendly team of doctors, nurses, and non-medical staff, so the atmosphere at work is great. That is a strong source of motivation for me, and I love going to work as a result.

What can you see by shadowing our team?

You will be the first line of contact with non-selected patients. You can encounter many kinds of illnesses, from non-serious cases meant primarily for a GP, to very serious cases requiring ET intubation or resuscitation. We also decide whether patient needs to be hospitalized or are able to undergo ambulatory treatment. The most common conditions we encounter include: acute infections, abdominal pain, collapses, chest pain, dyspnea, renal problems, allergic reactions, neurological problems, back pain, deterioration of elderly or oncological patients, and intoxication. We also see a lot of travelers. Some of the cases are very interesting and unusual, and we cooperate with many specialists who come to examine the patients.

Apart from being a healthcare professional...

I love sports, and I try to spend my time outdoors when I can. I also love dancing; I dance in a Slovakian folk group and I also dance the tango. From time to time, I have a chance to go to the theatre or to concerts. I also enjoy reading.

My motto…

Life is full of things to explore, and it is always worth doing so. smile

Photo Jan Šibík

MUDr. Dana Pittlová

Senior Doctor

Doctor


In medicine, you can never say that you know everything because there is always something new to learn and discover. During my three-year internship in Africa, I gained experience in pediatrics and tropical medicine, and I came in contact with very sick patients and the most urgent cases. At this point in my life, I have a sense of humility because I know that we as doctors do not have sole control over human lives.

Why did I become a healthcare professional?

I always knew who I wanted to be, and I did everything to make it a reality. Being a doctor always seemed like an interesting and even mysterious profession to me. During my studies at grammar school, I was convinced that it would be me who would discover a cure for cancer. I was fascinated by the perfect functionality of the human body and its many secrets. As a doctor today, I consider emergency medicine universal; experiences from this field can be used everywhere, and the demand for emergency doctors is very high. I was grateful for the opportunity to learn that when I was working in England and Northern Ireland.

Don’t be afraid to take this opportunity for a placement in emergency medicine.There is always positivity in our workplace, and when the tough moments come, they never last too long. 

What do I love the most about my specialty?

The work is exciting and unpredictable because I meet many different patients every day. Sometimes the cases are simple and the diagnosis is obvious, but sometimes diagnosing a patient can take a very long time. I learn something new every day, even after years in this profession. It is a wonderful feeling when you can save someone’s life; nevertheless, we have to accept the fact that not everyone can be saved. I also love the utter unpredictability of my work – in the morning, I never know what the day will bring, and during my shift, I don’t know what will happen in the following minutes or hours. 

What can you see by shadowing our team?

You will be able to see a variety of things. First and foremost, you will have the opportunity to see the entire department and the personnel that work within it. Second, you will observe the complete process of treatment from beginning to end. This can include delivery of the patient via ambulance, the patient’s first examination, determination of a diagnosis, laboratory examinations, imaging methods, urgent operations, documentation of the patient’s history, insertion of an intravenous cannula or I-J catheterization, drawing blood, x-ray and CT scans, non-invasive or artificial ventilation, administering medication, infusions, analgosedation, and much more. Treatment for every patient is completely unique and individual because everyone comes in with a different problem.

Apart from being a healthcare professional…

My main hobbies are sleeping, traveling around the world and in the Czech Republic, cross-country running, and biking. I enjoy reading books, specifically sci-fi, and listening to classical music. I also enjoy chatting with friends to relax a bit.

My motto…

If you find a path with no obstacles, it probably doesn’t lead anywhere.

Photo Jan Šibík

MUDr. Jiří Šoupal

Senior Doctor

Doctor


I have been working in healthcare for twenty five years. My path to emergency medicine was a long one: I pursued internal medicine, then cardiology, then spent a few beautiful years working in ambulances, where I needed to diagnose and choose treatments for my patients quickly. With each and every day, I became more and more certain that I was attracted by the diversity of my work and didn’t want to specialize in the treatment of one organ, but rather that I wanted to treat my patients’ bodies as well as their souls. My biggest motivation is the opportunity to help and care for people who need it. I believe that these are the ethical foundations that every medical worker should possess.

Why did I become a healthcare professional?

Some of the main reasons I chose to go into healthcare were the desire to be useful, an interest in an intellectually fulfilling yet practical specialty, and the challenge (which I thrive on). I also found the profession appealing because it has no relation to politics, and in case of a war, I didn’t want to be the one destroying human lives, but the one saving them. After every shift, I go home with the feeling that I helped my patients, freed them of their pain, or improved their condition, and that is a feeling worth living for.

We are the largest and most technologically advanced emergency department in the Czech Republic. We have many enthusiastic doctors who enjoy their work, including senior ones who can share all their knowledge and skills with you. In our workplace, it is a guarantee that you will be well accepted, and maybe even become our friend. You will definitely see a variety of interesting clinical situations and their modern solutions.

What do I love the most about my specialty?

As an emergency doctor, I like the quick decision-making and working under pressure. When I come home, I can tell myself that I helped some people and relieved them of their pain, and perhaps made them a bit happier. We have the opportunity to save people’s lives and help patients with the troubles that brought them here – pain, emphysema, nausea, and so on. Emergency medicine is a specialty which fulfills a doctor’s desire to help and allows them to see the results of their work instantly.

What can you see by shadowing our team?

We see hundreds of patients every day, and in fact treat around 100,000 each year. Approximately half of them are sent back home or given ambulatory care, while the other half of them are admitted to the hospital right away. During a day at emergency reception, you will see everything that I see. You will witness the full operation of the emergency department of the biggest hospital in the Czech Republic. You will see a wide spectrum of adult patients, who come to us with different difficulties, including strokes, heart attacks, acute abdominal issues, serious injuries, the common flu, and many others. Furthermore, you will observe the process of triaging patients according to the severity of their condition. You will learn how to recognize the significance of different vital functions and the difference between stable patients and patients in shock. Emergency reception is a place where you never stop and something is always happening. But the hours of rush and pressure are sometimes replaced by well - deserved rest of the staff. The people who work in our department love their jobs, and they can be an inspiration for you and your future career.

Apart from being a healthcare professional...

Other than reading good literature, I enjoy sports, walking, and other activities, preferably with my family. I need to perform physical activities in order to stay healthy and strong; without that, you can’t perform well in this profession. However, loving my family is my main hobby. I have a son who is 22 months old, an 8-year-old daughter, and 17- and 21-year-old sons. I have a lovely wife and friend. I talk with my older children for at least one hour once or twice a week. The younger ones need as much love and attention as they can get.

My motto…

No man is an island. Life exists to be lived.

Photogallery

LOVE WHAT YOU DO WITH EVERY HEARTBEAT