History of emergency medicine in Germany

Sefrin, Peter; Weidringer, J. W.

doi:10.1016/0952-8180(91)90168-m

Cited by 9 publications

(7 citation statements)

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“…[42] Aufgrund der Zunahme und der Ausbreitung des Verkehrs, zunächst der Eisenbahnen, dann aber auch des Straßen-und Schiffsverkehrs, waren es zunächst Chirurgen, die sich um die Weiterentwicklung der präklinischen Notfallversorgung bemühten. Sowohl Esmarch wie auch Kirschner sahen in der präklinischen Versorgung und im optimalen Transport von Unfallverletzten eine Hauptaufgabe des Rettungswesens [39].…”

Section: Allgemeine Historische Vorbemerkungenunclassified

Geschichte der Notfallmedizin in Deutschland - unter besonderer Berücksichtigung des Notarztdienstes

2003

Anasthesiol Intensivmed Notfal

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Emergency medicine is part of the oldest fields in medicine, however, organized rescue services were at first recognizable in the end of the 19th century or rather in the beginning of the 20th century. In 1908, on the first international congress for rescue services in Frankfurt, the preclinical part was described as a special science, for which a medical instruction would be necessary. In spite of an initially general rejection of an involvement of physicians in the rescue services, it was ascribed to physicians very early to carry out first aid in accidents or sudden illness. In 1958 Kirschner demanded an early medical care at the scene of the accident. After the second world war, the public rescue services were mainly controlled by the occupying powers. The realization of the rescue service was delegated to aid agencies and the fire brigades. In 1956 Bauer was the pioneer of the emergency physician service by dispatching a physician to the scene of the accident with a bus. Out of this resulted the first emergency physician service, which was imitated in many big cities within the Federal Republic of Germany. Since the care for accident casualities stood in the foreground at the beginning, surgeons mainly carried out this service. As the system became more and more established, the characteristics of the patients changed and medical emergency patients increasingly constituted the population of patients. That leaded to a shift in the specialties of the physicians taking part in the emergency physician service. Regarding the qualification specific guidelines were released in 1983 by the federal chamber of physicians in Germany.

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Section: Allgemeine Historische Vorbemerkungenunclassified

Geschichte der Notfallmedizin in Deutschland - unter besonderer Berücksichtigung des Notarztdienstes

2003

Anasthesiol Intensivmed Notfal

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“…31,32 Emergency Medicine is not recognised as a specialty. ''Emergency physicians'', dominated by anesthesiologists, 8 practise prehospital care only. Patients are triaged at scene and admitted directly to inpatient specialty units.…”

Section: Anglo-american Modelmentioning

confidence: 99%

“…The success of these resuscitation and life support measures, together with advances in anaesthesia, surgery, cardiology, critical and intensive care, demonstrated that lives could be saved while previously considered unsalvageable. 8 Economic development created a larger middle class population. Public expectation increased, demanding convenient and effective medical care.…”

Section: Catalysts For Changementioning

confidence: 99%

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The Evolution of Emergency Medicine

Chung¹

2001

Hong Kong Journal of Emergency Medicine

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Objective: Emergency Medicine as an independent medical specialty has a history of only about 30 years. However, emergency medical care has been practised ever since human civilization. As emergency physicians, it is necessary to know the evolution of Emergency Medicine throughout the centuries and its development in different parts of the World. Lessons learned in the past may guide our future development. Methods: Medical literature on evolution, development and history of Emergency Medicine were searched from the Medline, HealthSTAR and EMBASE. Relevant full text articles were retrieved through hospital library network. Information was also obtained through Internet and books on history of medicine. Results: Most of the articles were contained in the International Report Section of the Annals of Emergency Medicine. The historical development, the catalysts for change and the different models of modern emergency care were found to be interesting and enlightening. Conclusion: Emergency Medicine is still at its formative stage. Different models exist in different parts of the World. The specialty is rapidly changing and moving in different directions, both locally and internationally.

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“…Certain conditions that have emerged are proving beneficial for the profession. Working hours, for instance, have considerably shortened in the last decades and previous long on-call duties for GPs were replaced by introducing emergency medical services (EMS) in the 1970s [ 4 – 6 ]. This change has made the field of general practice more compatible with family life, resulting in an increasing number of women choosing this specialization [ 7 , 8 ].…”

Section: Introductionmentioning

confidence: 99%

Insights from end-of-career general practitioners on changing working conditions and generational differences: considerations for future strategies

Schrimpf,

Scheiwe,

Bleckwenn

2024

BMC Prim. Care

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The landscape of general practice has experienced notable transformations in recent decades, profoundly influencing the working conditions of general practitioners (GPs). This study aimed to examine the most salient changes affecting GPs' daily practices. Through semi-structured qualitative interviews with 15 end-of-career GPs, the study explored how these changes affected work organization, equipment, working hours, work-life balance, job satisfaction, training, patient relationships, and reputation. The interviews revealed that these changes were perceived as barriers, opportunities, or a complex interplay of both for general practice. While the interviewed GPs valued technological advancements and reported positive developments in working conditions, challenges included a gradual reduction in the range of tasks, growing administrative burdens, and less practical training for young physicians. Other changes, such as new doctor-patient dynamics, the transition from single to group practice, and differing professional expectations of the younger generation, were seen as both challenging and strengthening for general practice. By combining these factors and trade-offs observed by end-of-career GPs in our study over the past few decades with general societal changes, we provide ideas for the design of future framework conditions in general practice that might enhance the attractiveness of the profession. These insights offer key considerations that can guide future strategies for general practice and medical education.

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History of emergency medicine in Germany

Cited by 9 publications

References 0 publications

Geschichte der Notfallmedizin in Deutschland - unter besonderer Berücksichtigung des Notarztdienstes

Geschichte der Notfallmedizin in Deutschland - unter besonderer Berücksichtigung des Notarztdienstes

The Evolution of Emergency Medicine

Insights from end-of-career general practitioners on changing working conditions and generational differences: considerations for future strategies

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