Rescue concept

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A rescue concept or a deployment strategy describes the procedure of emergency services when taking their measures in an emergency.

The application of each concept depends on

  • the assessment of the rescue personnel on site
  • the situation on site
  • the training of rescue personnel
  • the equipment of the life-saving equipment on site
  • the possibilities and needs of transportation
  • regional regulations / strategies at state or federal level

They are characterized with English terms. Your application is conceptually planned but can be decided individually.

Load and Go

Translated, for example, charging and driving , also known as scoop and run (for example, picking up and running away ): The rescue service tries to get the patient from the scene to the hospital as quickly as possible . Hardly any measures are taken on site. This concept is mainly used when adequate patient care is not possible at the emergency location or the implementation of medical measures in the hospital would unduly delay:

  • Illnesses or injuries that cannot be controlled in the pre-clinical setting (e.g. internal bleeding) or only allow a short time window for therapeutic measures
  • Situation at the emergency site that requires immediate transport (e.g. in the military area)
  • Lack of diagnostic or therapeutic options for the emergency services

The extreme case (common in the early days of the ambulance service) in which the ambulance is manned by only one employee and care during the journey is necessarily limited to observing the patient in the rearview mirror is also known as rearview mirror rescue .

Stay and Play

Translated, for example, stay and play : The rescue service remains on site until the patient can be transported without restrictions from a medical point of view. The paramedics stabilize the patient's condition and try to take the most comprehensive medical history possible and initiate therapy before the patient is transported. This means that there may be considerable supply times at the emergency location or after the patient has been transferred to the ambulance.

In the meantime, the concept is considered outdated by medical professionals, but is occasionally still practiced internationally. According to the state of the art, patients who cannot be stabilized prehospital must be transported as quickly as possible in order to compensate for the equipment deficit of the emergency medical service compared to the emergency room in the hospital.

A prominent example of a life that could possibly be saved by faster transport is Princess Diana . The “Stay and Play” rescue concept used in France, together with the subsequent ambulance at walking pace, led to an arrival at the hospital after an hour and forty minutes - over a distance of six kilometers - too late to be able to counteract internal bleeding.

Treat and Run

Translated, for example, supply and run , also Treat in Street , supply similarly on the way : The current, basic rescue philosophy is a combination of the strategies mentioned above. The aim is to reach the hospital as quickly as possible, but without neglecting the necessary measures:

  • the time at the deployment site is kept as short as possible (about 15, maximum 20 minutes)
  • Diagnosis and therapy at the emergency site are limited to life-saving measures
  • Further measures are carried out during the transport

application areas

The preference of one system does not automatically exclude the other, the tactics always depend on the current situation.

While paramedic-supported systems (e.g. USA, Canada, Great Britain) place more emphasis on rapid transport, stay and play is widespread in emergency doctor-supported rescue services, especially in the French-Germanic area. In both cases, however, the trend is towards treat and run .

Web links

Individual evidence

  1. ↑ a b From “Stay and Play” to “Treat and Run” , 3sat - hitec. Retrieved July 24, 2013.
  2. ↑ The article speaks of lying on the operating table.
  3. ^ The golden hour of the emergency services , hitec TV show ( 3sat ); Retrieved July 24, 2013.