The multicultural society in Germany also has an impact on the healthcare system. Regardless of country of origin and denomination, all migrants are entitled to high-quality emergency medical care and equal access to facilities and services of the German healthcare system. Literature review and evaluation of results. In the care of foreign patients, it is necessary that the emergency physician is aware of potential sources of miscommunication. The causes of misunderstandings are often due to verbal communication itself. However, misunderstandings start earlier and also relate to nonverbal communication. Misunderstandings in rescue personnel who interact with foreign patients are found on the verbal level in two forms: insufficient language skills and so-called organ metaphors that prevent understanding of the content of a message. When language barriers in communicating with foreign patients are present, there are three alternatives: communication via a universal language (e.g., English), communication through an interpreter, and the use of visual communication aids. If verbal communication is restricted or not possible, only nonverbal communication is usually of help. Culturally sensitive care can only be achieved if the subject of intercultural competence is increasingly implemented in education and training. To develop culturally sensitive patient care, change and development processes are required at several levels and must involve all parties concerned.