Medical Task Force

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The German interior ministers and senators unanimously approved the new federal civil protection concept at the interior ministers' conference in June 2007. The Medical Task Forces (MTF) are a central element of the planning . So far, civil protection in Germany has not been able to provide medical care to contaminated patients across the board. This will change with the introduction of the new unit.

This article represents the current status of the development of the Medical Task Force and takes into account all sources known and published up to the present time. The concept was presented to the general public at the Federal Rescue Service Congress in Kassel on April 4, 2008. Another presentation and presentation of the first concept-compliant vehicles took place at the RettMobil trade fair in May 2008 in Fulda. On May 20, 2008, the New Concept for Civil Protection, Supplementary Federal Equipment for Disaster Protection was published on the BBK website. On August 1, 2018, a revised and expanded Medical Task Force framework came into force.

Basic idea

With this fundamental restructuring, the federal government is pursuing a new strategy for providing medical care to the population in the event of major incidents . While he has previously provided the supplementary components for disaster control in the federal states, in the future he will set up his own units to support the disaster control of the federal states with special forces.

The medical troop vehicles , 4-stretcher ambulances , care combos , care trucks and field cookers that have been made available by the federal government almost nationwide for the medical and care services of the federal states will no longer be provided by them in the future. This massive reduction has far-reaching consequences for the federal states, since in the past they largely relied on the equipment and thus also the funding of the federal government. For the disaster control of the federal states, the federal government provides the federal states with support components in the form of emergency vehicles for the areas of fire protection (fire fighting group vehicles, hose trolleys) and support (equipment trolley support, support combination). The federal states can choose to use the federal government's “shopping basket” to identify their needs.

With the introduction of the new concept, the previous separation between civil protection and disaster control is to be redefined. The former civil defense in accordance with Art. 73 of the Basic Law to the Civil Protection are transferred. This should include the tasks of medical care in the event of a defense, the support of the federal states in the event of major cross-border incidents and terrorist attacks. In order to be able to define the responsibilities of the various units and institutions, the federal government has defined new levels of care (1 to 4). The Medical Task Forces are to be deployed in protection and care level 4. This special protection enables more seriously injured people to be cared for in a treatment center of protection level 3, extends its stamina and also extends the treatment center to include the ability to provide emergency medical care to contaminated patients. At all previous levels of care, the tools of everyday or extended security in the municipalities or states remain responsible. At the beginning of 2010, the construction of a total of 61 units began in Kassel with the first pilot location. The complete equipping of the units should not be completed until 2017.

Vehicles of the component treatment center of the Medical Task Force Kassel

Medical task forces are to be integrated into the EU community procedure , among other things . This means quick help and better coordination of operations to protect the population inside and outside the EU. It is intended to strengthen cooperation in disaster control operations between the participating European countries. The procedure can be activated in the event of natural disasters, major accidents or terrorist attacks. Every country that is no longer able to cope with a dangerous situation on its own can ask for help and support, which can be provided within the framework of the EU community procedure in the form of expertise, emergency teams, resources and facilities such as hospital beds. This requires a high degree of flexibility and commitment. Similar to the units of the Federal Agency for Technical Relief , the units must be ready for use worldwide within a few days or even hours.

Legal basis

Civil protection in the Federal Republic of Germany is divided into civil protection (in the case of defense) and disaster protection (in peacetime). The federal government is responsible for civil protection; disaster control is the responsibility of the states ( federalism ). Due to the further development of the old Civil Protection Act to become the Civil Protection and Disaster Relief Act , which came into force on April 9, 2009, the federal government may, however, also act outside of its original jurisdiction. Henceforth it is allowed that the funds provided by the federal government are used by the federal states even in the event of particularly serious accidents and natural disasters. A practice that has been in place for decades now also has the legal framework. In addition, at the request of a federal state, the federal government can in future also act as a coordinator. Finally, the training and further education measures carried out centrally by the federal government will be placed on a modern legal basis. As a result, the MTF can also be used by the federal states if necessary.

Equipment and structure

Medical Task Force emergency ambulance
Medical equipment vehicle (GW-San) of the Medical Task Force Kassel

As already mentioned at the beginning, the requirement of a medical task force is the care of (possibly contaminated) patients. In order to be able to realize this, it is divided into so-called modules. These supplement the previous operational units , especially for level 4 . The following modules are planned:

module helper vehicles Furnishing Number of procurements
guide 6
1 command car of the Medical Task Force ,
1 executive car of the Medical Task Force
Management and communication tools 61
FüKw still in planning
treatment 6
1 treatment equipment trolley ,
7–8 medical equipment trolleys ,
2 treatment personnel transport trolleys
Emergency medical and medical equipment for at least 50 patients 61
Logistics / support 3
1 equipment trolley for logistics support ,
1 equipment trolley for logistics W ,
1 equipment trolley for logistics supply
Camp beds, blankets, spare clothing, toiletries, equipment for the preparation of meals, supplies 61
Decontamination of injured persons 9

1 personnel trolley for decontamination of injured persons ,
1 equipment trolley for decontamination of injured persons ,
1 equipment trolley for decontamination EV ,
1 equipment trolley for decontamination personnel ,
1 personnel trolley for decontamination of injured persons

Equipment for decontamination of injured persons, personal protective equipment for work in the black area ("dirty area" before decontamination) => FwDV 500 or NBC protection 61
transport 12 6 emergency ambulances (KTW type B) see equipment set, loading plan and data sheet for type B emergency ambulances (PDF; 1.28 MB) 366

Each MTF thus ideally comprises 21 vehicles by 2018, according to the current concept 26 vehicles. A total of 1242 vehicles were produced for all MTFs, which are to be supplemented in the next few years by the vehicles added as planned in 2018. In this context, the MTFs were provided with 450 medical equipment trolleys with "material to supplement the medical supply capacity" in accordance with federal regulations. These equipment trolleys enable a treatment center to be set up for use beyond the local area. According to the concept, "this supplementary part [...] is a necessary addition, since the equipment of supply levels 2 and 3 cannot be carried along in supra-local use , as it belongs to the original HVB ​​area to ensure security". The first emergency ambulance based on the new concept was handed over to the Interior Minister of the State of Baden-Württemberg on September 18, 2008 by BBK President Christoph Unger. In the course of 2008, the procurement of a total of 230 of these vehicles was initiated and delivered to the federal states in the following years.

Further development

The first emergency KTW and 25 decon trucks have been delivered since spring 2009. In spring 2009, an interdisciplinary working group created a concept for the medical equipment trolley. The tender for an initial 170 vehicles was published in February 2011 with the option for a further 220 units.

On March 10, 2010, the first MTF location started in Kassel in the pilot operation. The first team transport vehicles were delivered to MTF at the end of 2011 and continued in early 2012. The delivery of the medical equipment trolleys began in mid-2012.

On August 1, 2018, a revised and supplemented framework concept for the Medical Task Force came into force, from which additional procurements, personnel reinforcements and, above all, further training requirements result (e.g. a number of paramedic positions were defined as technical qualifications).

Chronology of important publications

Task force locations as specified in 2015

According to the concept, there are a total of 61 MTFs distributed throughout Germany, the distribution depends on the population density. Every federal state has at least one MTF:

Medical Task Force - Country Locations - MTF Numbers
country number
Baden-WürttembergBaden-Württemberg Baden-Württemberg 5
BavariaBavaria Bavaria 7th
BerlinBerlin Berlin 3
BrandenburgBrandenburg Brandenburg 5
BremenBremen Bremen 1
HamburgHamburg Hamburg 2
HesseHesse Hesse 4th
Mecklenburg-Western PomeraniaMecklenburg-Western Pomerania Mecklenburg-Western Pomerania 3
Lower SaxonyLower Saxony Lower Saxony 6th
North Rhine-WestphaliaNorth Rhine-Westphalia North Rhine-Westphalia 10
Rhineland-PalatinateRhineland-Palatinate Rhineland-Palatinate 3
SaarlandSaarland Saarland 1
SaxonySaxony Saxony 3
Saxony-AnhaltSaxony-Anhalt Saxony-Anhalt 3
Schleswig-HolsteinSchleswig-Holstein Schleswig-Holstein 2
ThuringiaThuringia Thuringia 3

The individual locations are broken down below:

MTF No. Location MTF No. Location
1 East coast (Schleswig-Holstein) 31 Düsseldorf (North Rhine-Westphalia)
2 West coast (Schleswig-Holstein) 32 Düsseldorf (North Rhine-Westphalia)
3 Lüneburg (Lower Saxony) 33 Detmold (North Rhine-Westphalia)
4th Bremen (Bremen) 34 City and district of Kassel (Hesse)
5 Hamburg 1 (Hamburg) 35 Districts Gießen-Fulda (Hesse)
6th Oldenburg (Lower Saxony) 36 City of Frankfurt a. M. (Hesse)
7th Hanover (Lower Saxony) 37 City of Darmstadt and Lk. Darmstadt-Dieburg (Hesse)
8th Osnabrück (Lower Saxony) 38 Rhineland-Palatinate North (Rhineland-Palatinate)
9 Göttingen (Lower Saxony) 39 Rhineland-Palatinate West (Rhineland-Palatinate)
10 Braunschweig (Lower Saxony) 40 Rhineland-Palatinate South (Rhineland-Palatinate)
11 Western Pomerania (Mecklenburg-Western Pomerania) 41 Lk Saarlouis, Regional Association Saarbrücken (Saarland)
12 Middle Mecklenburg (Mecklenburg-Western Pomerania) 42 Stuttgart II / Heilbronn (Baden-Württemberg)
13 West Mecklenburg (Mecklenburg-Western Pomerania) 43 Karlsruhe (Baden-Wuerttemberg)
14th Regional control center Oderland 44 Freiburg (Baden-Wuerttemberg)
15th Northwest / Potsdam 45 Stuttgart center (Baden-Wuerttemberg)
16 Northeast 46 Tübingen (Baden-Wuerttemberg)
17th City of Brandenburg an der Havel / LK Potsdam 47 Würzburg / Lower Franconia (Bavaria)
18th Lausitz 48 Bayreuth / Upper Franconia (Bavaria)
19th Berlin 1 (Berlin) 49 Regensburg / Upper Palatinate (Bavaria)
20th Altmark (Saxony-Anhalt) 50 Ansbach / Middle Franconia (Bavaria)
21st Harz (Saxony-Anhalt) 51 Landshut / Lower Bavaria (Bavaria)
22nd Anhalt / Wittenberg (Saxony-Anhalt) 52 Augsburg / Swabia (Bavaria)
23 Leipzig (Saxony) 53 Munich / Upper Bavaria (Bavaria)
24 Dresden (Saxony) 54 Berlin 2 (Berlin)
25th Chemnitz (Saxony) 55 Berlin 3 (Berlin)
26th MTF Ost: Gera (Thuringia) 56 Hamburg 2 (Hamburg)
27 MTF North: Erfurt (Thuringia) 57 Detmold (North Rhine-Westphalia)
28 MTF Süd-West Meiningen (Thuringia) 58 Münster (North Rhine-Westphalia)
29 Arnsberg (North Rhine-Westphalia) 59 Münster (North Rhine-Westphalia)
30th Arnsberg (North Rhine-Westphalia) 60 Cologne (North Rhine-Westphalia)
61 Cologne (North Rhine-Westphalia)

Web links

Commons : Medical Task Force  - collection of pictures, videos and audio files

Individual evidence

  1. ^ Event information from the BBK ( Memento from March 4, 2016 in the Internet Archive )
  2. Publication of the BBK ( Memento of December 24, 2015 in the Internet Archive )
  3. a b Framework of the Medical Task Force from August 1, 2018
  4. BBK: Supplementary federal equipment for disaster control ( Memento of March 3, 2016 in the Internet Archive ) (PDF)
  5. BBK press release of March 10, 2010 on the inauguration of the MTF pilot site in Kassel
  6. Civil Defense and Disaster Relief Act
  7. MTF equipment concept ( Memento of the original from June 24, 2015 in the Internet Archive ) Info: The archive link was inserted automatically and has not yet been checked. Please check the original and archive link according to the instructions and then remove this notice. (PDF) @1@ 2Template: Webachiv / IABot /
  8. Annual report of the BBK 2008 ( Memento from September 2, 2013 in the Internet Archive ) (PDF)
  10. BBK: upcoming vehicle handover from MTW, status: November 16, 2011  ( page no longer available , search in web archivesInfo: The link was automatically marked as defective. Please check the link according to the instructions and then remove this notice. (PDF)@1@ 2Template: Toter Link /  
  11. BBK: upcoming vehicle handover by MTW, as of: April 6, 2012  ( page no longer available , search in web archivesInfo: The link was automatically marked as defective. Please check the link according to the instructions and then remove this notice. (PDF)@1@ 2Template: Toter Link /  
  12. BBK: upcoming vehicle handovers by GW San, as of: September 6, 2012 ( Memento from September 2, 2013 in the Internet Archive ) (PDF)
  13. ^ Federal Government of the Federal Republic of Germany
  14. ^ BKK framework concept for the Medical Task Force (RK MTF) accessed on Jan. 21, 2020 in PDF