Update Telenotfallmedizin
Die Anaesthesiologie, vol. 72, pp. 506–517
Abstract
CURRENT STATUS OF EMERGENCY MEDICINE IN GERMANY: Increasing numbers of rescue missions in recent years have led to a growing staff shortage of paramedics as well as physicians in the emergency medical system (EMS) with an urgent need for optimized usage of resources. One option is the implementation of a tele-EMS physician system, which has been established in the EMS of the City of Aachen since 2014. IMPLEMENTATION OF TELE-EMERGENCY MEDICINE: In addition to pilot projects, political decisions lead to the introduction of tele-emergency medicine. The expansion is currently progressing in various federal states, and a comprehensive introduction has been decided for North Rhine-Westphalia and Bavaria. The adaptation of the EMS physician catalog of indications is essential for the integration of a tele-EMS physician. STATUS QUO OF TELE-EMERGENCY MEDICINE: The tele-EMS physician offers the possibility of a long-term and comprehensive EMS physician expertise in the EMS regardless of location and, therefore, to partially compensate for a lack of EMS physicians. Tele-EMS physicians can also support the dispatch center in an advisory capacity and, for example, clarify secondary transport. A uniform qualification curriculum for tele-EMS physicians was introduced by the North Rhine and Westphalia-Lippe Medical Associations. OUTLOOK: In addition to consultations from emergency missions, tele-emergency medicine can also be used for innovative educational applications, for example, in the supervision of young physicians or recertification of EMS staff. A lack of ambulances could be compensated for by a community emergency paramedic, who could also be connected to the tele-EMS physician.
Authors 5
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Hanna Schröder Aachen Aachener Institut für Rettungsmedizin & zivile Sicherheit Klinik für Anästhesiologie, Medizinische Fakultät
RWTH Aachen University · Universitätsklinikum Aachen
Affiliation as printed
Aachener Institut für Rettungsmedizin & zivile Sicherheit, Uniklinik RWTH Aachen, Aachen, Deutschland
Klinik für Anästhesiologie, Medizinische Fakultät, Uniklinik RWTH Aachen, RWTH Aachen University, Pauwelsstr. 30, 52074, Aachen, Deutschland
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Stefan Kurt Beckers Aachen Aachener Institut für Rettungsmedizin & zivile Sicherheit Klinik für Anästhesiologie, Medizinische Fakultät
RWTH Aachen University · Universitätsklinikum Aachen
Affiliation as printed
Aachener Institut für Rettungsmedizin & zivile Sicherheit, Uniklinik RWTH Aachen, Aachen, Deutschland
Fachbereich Feuerwehr und Rettungsdienst Aachen, Ärztliche Leitung Rettungsdienst, Aachen, Deutschland
Klinik für Anästhesiologie, Medizinische Fakultät, Uniklinik RWTH Aachen, RWTH Aachen University, Pauwelsstr. 30, 52074, Aachen, Deutschland
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Christina Borgs Aachen Aachener Institut für Rettungsmedizin & zivile Sicherheit Klinik für Anästhesiologie, Medizinische Fakultät
RWTH Aachen University · Universitätsklinikum Aachen
Affiliation as printed
Aachener Institut für Rettungsmedizin & zivile Sicherheit, Uniklinik RWTH Aachen, Aachen, Deutschland
Klinik für Anästhesiologie, Medizinische Fakultät, Uniklinik RWTH Aachen, RWTH Aachen University, Pauwelsstr. 30, 52074, Aachen, Deutschland
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RWTH Aachen University · Universitätsklinikum Aachen
Affiliation as printed
Klinik für Anästhesiologie, Medizinische Fakultät, Uniklinik RWTH Aachen, RWTH Aachen University, Pauwelsstr. 30, 52074, Aachen, Deutschland
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Marc Felzen corresponding Aachen Aachener Institut für Rettungsmedizin & zivile Sicherheit Klinik für Anästhesiologie, Medizinische Fakultät
RWTH Aachen University · Universitätsklinikum Aachen
Affiliation as printed
Aachener Institut für Rettungsmedizin & zivile Sicherheit, Uniklinik RWTH Aachen, Aachen, Deutschland. mfelzen@ukaachen.de
Fachbereich Feuerwehr und Rettungsdienst Aachen, Ärztliche Leitung Rettungsdienst, Aachen, Deutschland. mfelzen@ukaachen.de
Klinik für Anästhesiologie, Medizinische Fakultät, Uniklinik RWTH Aachen, RWTH Aachen University, Pauwelsstr. 30, 52074, Aachen, Deutschland. mfelzen@ukaachen.de
Klinik für Anästhesiologie, Medizinische Fakultät, Uniklinik RWTH Aachen, RWTH Aachen University, Pauwelsstr. 30, 52074, Aachen, Deutschland
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