Emergency Medicine (EM) has evolved since 1950s – in the Czech Republic as well as abroad – from Anaesthesiology and Resuscitation in parallel with the Burn Medicine which has separated from Plastic Surgery. EM creates a link between the laymen first aid and the specialized hospital care, which is realized by the Emergency Medical Service (EMS). The EMS interventions for serious burn patients comprise the early professional prehospital medical care: establishing free airway and breathing, establishing intravenous/intraosseous access into the blood circulation, early shock therapy, early pharmacotherapy and analgesia, aseptic covering of damaged body surface, releasing escharotomies of circumferential burns of the chest and neck and optimal transport of patients into burn centres

        Key words: burn patient, on the spot care for severe burn patients, prehospital medical care, emergency medicine, emergency medical service, directing of burn patients