Verfügbarkeit bodengebundener Notarztstandorte in Rheinland-Pfalz

Abstract

This tool enables the large-scale collation and analysis of the operational readiness of physician-based ambulance services. Currently the state does not suffer from a general lack of emergency physicians. However, rural areas as well as bases affiliated with small hospitals show a considerable deficit in operational readiness caused by a shortage of staff. These deficits may be partially compensated by optimized planning and disposition within rescue coordination centers. Moreover, they call for corrective actions in the light of health care politics. In addition, analyses of other elements of EMS (i.e. rescue helicopters) should be undertaken.

Telemedical support for prehospital Emergency Medical Service (TEMS trial): study protocol for a randomized controlled trial

“…In the majority of cases it reduced the requirement of EMS physicians and also enabled immediate medical advice to be given by EMS physicians to the paramedics. The “TemRas” project showed that an EMS teleconsultation system with a transregional teleconsultation center is feasible, can be operated without any complications, and that its requirements are in demand for daily use [ 7 , 24 ]. Transfer of real-time patient vital data, pictures and audio communication system function between the paramedics on scene and the physician in the teleconsultation center was fast and reliable [ 26 , 27 , 37 , 38 ].…”

“…However, the data reveal that the time interval between the arrival of the EMS ambulance and the EMS physician is frequently prolonged. In addition, as recently shown in the German state of Rhineland-Palatinate, some EMS-physician sites do not provide continuous operational readiness due to the aforementioned shortage of physicians [ 7 ]. Although there is a lack of systematic data for all German states, it is obvious that similar conditions are widespread.…”

Das Telenotarztsystem – Potentiale für die präklinische Notfallversorgung im ländlichen Raum

“…Die rückläufige Notarzt-Beteiligungs-Quote zeigt, dass der TNA einen Teil der Notarzteinsätze übernehmen konnte und somit der Notarzt entlastet wurde. Allerdings sind weitere hier nicht untersuchte Einflussfaktoren auf die Entwicklung der Gesamteinsatzzahl im Betrachtungszeitraum nicht auszuschließen, wie beispielsweise schwankende Umwelteinflüsse oder wirtschaftspolitische Entwicklungen [9,13].…”

Telenotarzt

“…Die steigende Inanspruchnahme des Rettungsdienstsystems, verbunden mit der zunehmenden Schwierigkeit, Notarztdienste v. a. in ländlichen Regionen adäquat zu besetzen, führt zur Verknappung der Ressource Notarzt [17,24]. Die genannten Faktoren begünstigen ferner, dass zunehmend mehr Patienten die Notaufnahmen der Krankenhäuser selbst oder über die Inanspruchnahme des Rettungsdienstes aufsuchen [21].…”