We present the experience with two years service of Emergency Department in a rural hospital, and the interconnection of this admission part into the organizational model of care for acutely ill patients. This texture is determined by the cooperation with out-hospital based Emergency Medical Service System and a rural hospital. There is stressed the need for hospital based Emergency Departments for the new subspecialty Emergency Care, bringing benefit for both prehospital and hospital health care personnel as well as for patients, of course.

        Key words: admission part of the hospital – expectatory beds – cooperation of Emergency Medical System and a hospital - organizational model - emergency medicine