Ambulance service in Hamburg

Ambulance of the Hamburg fire brigade on an emergency trip

The ambulance service of the city ​​state of Hamburg is responsible for the emergency care and the transport of sick and injured people.

history

In 1768 the Hamburg rescue center for drowned and suffocated people was founded. In April 1946, the British occupying forces handed over the rescue service to the Hamburg fire brigade . The first vehicle to be purchased was an ambulance. These were still ivory in color . When 80 VW buses were purchased for the rescue service from the 1950s, the typical red paint scheme established itself. Until 1990 the Herrmann company was the main producer of the ambulances used in Hamburg. In addition to the VW buses, various Mercedes-Benz models were also in use, such as the first ambulance in 1968. The largest incidents include the S-Bahn accident at the Berliner Tor , the steam boiler explosion during the construction of the Anders Maersk and the accident with the Martina barge .

Rescue Service Act

The Hamburg Rescue Service Act ( HmbRDG ) of June 9, 1992 regulates the public rescue service in Hamburg. The last change was made on May 18, 2018. An amendment of the law is currently in the citizenship .

Regular rescue service

The responsible office is the Hamburg fire brigade and thus the interior and sports authority . In 2018, the number of ambulance operations was 253,168. The planning value for the travel time is five minutes for an ambulance vehicle (corresponds to an arrival time including discussion, disposition, disengagement and start-up time of six minutes), for an NEF 12 minutes. The compliance rate in 2016 was 66%. The costs for the rescue service were around 71 million euros that year. The ambulance of the Neuwerk volunteer fire brigade is also part of the Hamburg rescue service .

Control center

The rescue service in Hamburg is coordinated by the Integrated Control Center Florian Hamburg (FEZ) . The control center is manned Monday to Thursday at 18, Friday at 19, Saturday at 17 and Sunday at 16 and during the night Monday to Thursday at 13, Friday at 16, Saturday at 17 and Sunday at 13 dispatchers. The alarm can be sent via an alarm fax, digital message receiver, a gong with announcement, telephone or via SDS via digital radio . There are also numerous operations centers for ambulance transport and the volunteer control centers Rotkreuz Hamburg and Akkon Hamburg for civil protection and medical security .

Organizations

ADAC

The ADAC Air Rescue operates in Hamburg a location on BG Medical Center Hamburg . There is Christoph Hansa as intensive transport helicopter stationed. Christoph Hansa also flies primary missions and was therefore the ITH with the most missions in Germany in 2002 and 2003.

ASB

The Arbeiter-Samariter-Bund operates ASB Rettungsdienst Hamburg GmbH in Hamburg with 85 employees.

• RW 21 Osdorf 14-RTW-R and 14-RTW-S, NAW 21/51 and NAW 21/52 in cooperation with Asklepios
• RW 22 Ottensen 12-RTW-R
• RW 32 Niendorf 15-RTW-P and 15-RTW-R

armed forces

The Bundeswehr operates a rescue center at the Bundeswehr Hospital in Hamburg and a NEF in Harburg.

• Rescue center BWK 23-NAW-B, 23-NEF-C, 23-ITW-D, Christoph 29 together with the Federal Ministry of the Interior and the 33-NEF-C on FuRw 33 Veddel

DRC

The German Red Cross operates the DRK Ambulanzdienst Hamburg gGmbH in Hamburg.

• RW 27 Altona NAW 27/51
• RW 28 cracks 14-RTW-T
• RW 70 Wilstorf 31-RTW-F, 31-RTW-P, 31-RTW-R, 31-RTW-S (over the weekend)
• RW 73 Eißendorf 36-RTW-R, NAW 73/52

fire Department

The fire brigade provides most of the RTW and NEF in Hamburg and has around 140 positions for the rescue service. Every fire station has an ambulance Kaufmann (RTW-K) to cover peak loads, the crew of which can also occupy an equipment vehicle in a double function. 18 volunteer fire brigades can go on missions with an HLF First Responder .

• RW F05 Fire Brigade Academy 05-ELW-ORGL 05-GW-BHP
• RW F11 downtown 11-RTW-A, 11-RTW-B, 11-RTW-C, 11-RTW-K
• RW F12 Altona 12-RTW-A, 12-RTW-B, 12-RTW-C, 12-RTW-K, 12-GRTW-A and 12-GRTW-B, 12-IRTW-A and 12-IRTW-B , 12-GW-MANV
  • Othmarschen branch office 12-RTW-E, 12-RTW-F
• RW F13 Rotherbaum 13-RTW-A, 13-RTW-B, 13-RTW-C, 13-RTW-K, 13-NEF-A with UKE
• RW F14 Osdorf 14-RTW-A, 14-RTW-B, 14-RTW-C, 14-RTW-K, 14-GW-BHP
  • Branch office Asklepios Klinik Altona 14-NEF-A
  • Branch office Rissen 14-RTW-F
• RW F15 Stellingen 15-RTW-A, 15-RTW-B, 15-RTW-C, 15-RTW-D, 15-RTW-K, 15-GW-MANV
  • Branch office Niendorf 15-RTW-F, 15-NEF-A
  • Branch office Eidelstedt 15-RTW-G
  • Branch office Schnelsen 15-RTW-I, 15-RTW-J
• RW F16 Alsterdorf 16-RTW-A, 16-RTW-B, 16-RTW-K
  • Branch office Langenhorn 16-RTW-F
  • Branch office Ochsenzoll 16-RTW-G
• RW F21 Wandsbek 21-RTW-A, 21-RTW-B, 21-RTW-C, 21-RTW-D, 21-RTW-I 21-RTW-K, 21-NEF-A with Asklepios Klinik Wandsbek , 21- GW-MANV
  • Branch office Rahlstedt 21-RTW-F
  • Branch office Marienthal 21-RTW-G, 21-RTW-H
• RW F22 Berliner Tor 22-RTW-A, 22-RTW-B, 22-RTW-C, 22-RTW-D, 22-RTW-K, 22-GW-MANV
  • Branch Asklepios Klinik St. Georg 22-NEF-A
• RW F23 Barmbek 23-RTW-A, 23-RTW-B, 23-RTW-C, 23-RTW-K, 23-GW-BHP
  • Branch office Barmbek-Nord 23-RTW-F, 23-NEF-A with Asklepios Klinik Barmbek
  • Outstation Hinschenfelde 23-RTW-G
• RW F24 Sasel 24-RTW-A, 24-RTW-B, 24-RTW-L, 24-RTW-K, 24-NEF-A
  • Branch office Bramfeld 24-RTW-F
  • Branch office Volksdorf 24-RTW-G
  • Branch office Lemsahl-Mellingstedt 24-RTW-I
• RW F25 Billstedt 25-RTW-A, 25-RTW-B, 25-RTW-C, 25-RTW-K
  • Branch office BG Klinikum Hamburg 25-NEF-A
• RW F26 Bergedorf 26-RTW-A, 26-RTW-B, 26-RTW-C, 26-RTW-D, 26-RTW-K
  • Branch office Mümmelmannsberg 26-RTW-F
• RW F31 Harburg 31-RTW-A, 31-RTW-B, 31-RTW-K, 31-GW-BHP
• RW F32 Technology and Environmental Watch 32-UDI-1, Analytical Task Force
  • Branch office Rossdamm 32-BITW-A
• RW F33 Veddel 33-RTW-A, 33-RTW-K, 33-SRTW-A, 33-GW-MANV
• RW F34 Wilhelmsburg 34-RTW-A, 34-RTW-B, 34-RTW-C, 34-RTW-K
• RW F35 Finkenwerder 35-RTW-A, 35-RTW-K
• RW F36 Süderelbe 36-RTW-A, 36-RTW-B, 36-RTW-K, 36-GW-MANV
  • Branch Asklepios Clinic Harburg 36-NEF-A
  • Branch office Eissendorf 36-RTW-F
• FF F3936 Neuwerk Ambulance Neuwerk

GARD / Falck

Ambulance from GARD

The non-profit ambulance and rescue service (GARD) and the Falck Rettungsdienst Hanse GmbH operate eight ambulance vehicles as private rescue service companies after a court settlement . These are also involved in the public rescue service of the Hamburg fire brigade.

• Bahrenfeld GARD-BAHRF1
  • UKE ITW GA-141 branch office
• Barmbek GARD-BARMB1 and GARD-BARMB2
• Langenhorn GARD-LANGH1
• Lohbruegge GARD LOHBR1
• Poppenbüttel GARD-POPPB1
• Rothenburgsort GARD-ROTB1 and GARD-ROTB2

JUH

Ambulance of the Johanniter Hamburg

The Johanniter provide three ambulances and the SEG rescue in Hamburg

• RW 26 Osdorf control center Akkon Hamburg, SEG rescue
• RW 41 Winterhude 23-RTW-S and 23-RTW-R
• RW 54 Wandsbek SEG rescue
• RW 69 Bergedorf 26-RTW-R and SEG rescue

Best before

The Maltese relief service operates two guards

• RW 43 Steilshoop 24-RTW-R and 24-RTW-S
• RW Volksdorf 24-RTW-T and 24-RTW-U

Factory rescue service

There are five works fire brigades in Hamburg, and some also operate an ambulance.

• Airbus RTW-Airbus
• Aurubis RTW-Aurubis-1, RTW-Aurubis-2
• Airport RTW-Airport-1
• Holborn RTW-Holborn

vehicles

Ambulance (RTW)

A RTW must be at least a paramedic as a driver and a paramedic as a supervisor (to 31 December 2020 and paramedic be occupied possible). Most ambulances have a box body from Fahrtec based on a Mercedes Sprinter . Since the Rahlstedt station is too small for a suitcase, box vans with expansion from the companies Fahrtec and Miesen drive there. The fire brigade, Johanniter and the German armed forces operate an ambulance on an Iveco Daily basis and an ambulance on a Fiat Ducato basis GARD. From WAS , the Johanniter and the DRK have an RTW and the ASB a NAW. The RTW GARD have been developed by Hospimobil, the ASB also runs with Binz RTW and the MHD has both System Strobel and GFS RTW in operation. The JUH has an ambulance from Ambulanz Mobile.

Since 2019, the data has been digitally recorded on the fire brigade's ambulance and can be transmitted to the hospital. The equipment of the ambulance was criticized several times. For example, 12-lead ECG machines were only procured in 2019.

Heavy-duty ambulance (S-RTW)

Since 2012, the fire brigade has had an S-RTW with a lifting platform for transporting patients weighing up to 400 kg on a MAN TGL basis. This is stationed at the Veddel station and stands out due to its color RAL 1016 sulfur yellow.

Infection ambulance (I-RTW)

The fire brigade has two I-ambulances for the transport of highly infectious patients. You are stationed at the police station in Altona. The Hamburg Ebola patient was also transported in this in 2014.

Large ambulance (G-RTW)

G-RTW have a long tradition in Hamburg. The fire brigade currently operates two G-RTW at the Altona station based on Mercedes Citaro buses. Up to 22 patients can be transported per bus. They can also be used as intensive care transport or, thanks to the hospital bed on board, for heavy-duty patients.

Emergency doctor vehicle (NEF)

The emergency doctors deployed must have the additional qualification of emergency medicine and work in the field of anesthesia.

There are five NEF bases at hospitals and four NEF bases at rescue stations. The NEF of the fire brigade according to the vehicle concept 2017 was expanded on a Sprinter basis by Miesen, that of the Bundeswehr by Fahrtec,

Nortarztwagen (NAW)

The DRK operates one NAW in Altona and one NAW in Harburg, the ASB operates two NAWs in cooperation with Asklepios and the Bundeswehr operates one NAW at the rescue center of the Bundeswehr in Hamburg.

Intensive care transport vehicle (ITW)

Christoph Hansa in front of the Michel

Christoph 29 with a Turtle Airlines sign in the window

Both the UKE (in cooperation with GARD) and the Bundeswehr Hospital each operate an ITW .

Baby intensive care vehicle (B-ITW)

The fire brigade operates a B-ITW at the Rossdamm branch. It is an incubator transport vehicle and not an ambulance that serves as a pediatric ambulance for primary rescue.

Intensive care transport helicopter (ITH)

The ITH is operated by ADAC Air Rescue as Christoph Hansa . The D-HHBG is an Airbus Helicopters EC 135 P2i in operation. It is the only EC 135 that flies as ITH in Germany. Until 2004 an MD-900 Explorer flew as Christoph Hansa.

Rescue helicopter (RTH)

The RTH is operated by the Federal Ministry of the Interior as Christoph 29 (formerly SAR 71) and is stationed at the Bundeswehr Hospital in Hamburg . The machine is an Airbus Helicopters EC135 T2i . Until 2006 a Bell UH-1D was used, which became famous through the series The Rescue Aviators. This is also responsible for the nickname Turtle Airlines due to the color and shape .

Ambulance

An ambulance (KTW) must be manned by two paramedics . The Hamburg fire brigade itself does not provide a KTW. The largest provider of ambulance services in Hamburg is GARD. The journeys of Johanniter, Maltese and the Red Cross are coordinated by the Central Office for Sick Transport and Emergency Service (ZKN) . The Arbeiter-Samariter-Bund has its own operations center. There are also smaller private companies that offer ambulance services.

The Medical Transport Service (MTD) transports organs, blood reserves, laboratory samples and also medical teams. It is carried out by the DRK and JUH, as well as the MTD company. This puts on a vehicle for the ECMO team.

Special locations

medical corps

At large events such as the port birthday or the Schlagermove , the regular rescue service is supported by ambulances manned by volunteers. In addition, first aid is ensured by a paramedic service .

Major disaster situations

In the event of a mass incidence of injured persons (MANV), there are defined alarms and special vehicles and emergency units for the deployment keyword NOTFMANV .

Equipment trolley MANV (GW-MANV)

The GW-MANV is a transporter that moves out together with an HLF . The fire brigade has six GW-MANV stationed at the Altona, Stellingen, Wandsbek, Berliner Tor, Veddel and Süderelbe guards. These are equipped with two mesh boxes containing three emergency cases , three oxygen bags, three emergency ventilators and a quick- build tent . As a vehicle to serve only the VW T5 and under the new vehicle concept in 2017 now Mercedes-Benz Sprinter .

Equipment trolley treatment station GW-BHP

The GW-BHP, formerly GW-Rettungsdienst, is a Mercedes-Benz Vario which is alerted to equip a treatment center for up to 250 people. There are four GW-BHP in Hamburg, which are loaded with rapid deployment tents, stretchers and medical supplies.

Rapid deployment group (SEG)

In addition to the SEG-H (height rescue F23) and the SEG-T (diver F25) there is a SEG-R (rescue). This has been provided by the Johanniter since 2002 and is used to support the rescue service.

Medical Task Force (MTF)

The Federal Medical Task Forces 5 (DRK) and 56 (ASB, JUH, MHD) are stationed in Hamburg . They carry the code numbers 80, 81 and 82. The 80 stands for the multi-purpose vehicles of the MTF Hamburg, the 81 stands for the DRK disaster control vehicles and the 82 stands for the disaster control vehicles of the remaining aid organizations ( JUH , MHD , ASB ).

Patient transport train (PTZ)

The patient transport train can be formed from the command vehicles, multi-purpose vehicles and N-KTWs of the two MTFs. This is used, for example, in evacuations to transport people to the emergency accommodation.

Structured patient tray (PAL)

A structured patient rest is a mixture of a patient rest and a treatment station. It is used when the removal of the patient is faster than setting up a complete treatment center, which is usually the case in Hamburg due to the large number of ambulances. In the case of a PAL, the patients are placed side by side in two rows on stretchers and medical supplies are in the center aisle.

Operations management

In addition to the fire brigade operations management (FL service, A service, B service with ELW 1, C service with ELW 1, U service, command vehicle as ELW 3 , equipment vehicle for telecommunications equipment), an organizational head of the rescue service with ELW will be appointed for the rescue service and a senior emergency physician provided. OrgL and consultants wear a green label , the LNA a blue one. In addition, the aid organizations provide a specialist advisor, as well as a B service and a C service. The overall head of operations wears a yellow vest / yellow roller. A section leader wears a silver panache or a white vest. A platoon leader wears a red Koller or a red vest. A group leader wears a red and white roll or a blue vest.

criticism

The fire brigade Hamburg was criticized for the equipment of the ambulance. Until 2019, the ambulances were equipped with an EKG device, which was only a 6-channel EKG and could not print out a rhythm strip, as it was only designed for patient transport. External pacemaker stimulation or cardioversion were also not possible. The ambulances are equipped with very few medicines and devices. For a long time there was no amiodarone and no tourniquet on the fire brigade's ambulance. Medicines for nausea, headache, fever and antihypertensive drugs as well as devices for intraosseous access are still not available on the ambulance . The Senate justifies this with the high density of hospitals and emergency doctors in Hamburg.

The distribution of operations between the fire brigade and aid organizations, as well as the organization of ambulance transports, gave cause for criticism.

Web links

Hamburg Rescue Service Act

Video on the history of the Hamburg rescue service

Vehicles at BOS vehicles

Individual evidence

1. ^ The Hamburg ambulance service and its history: 160 years between authority and honorary office // history // Diplomica Verlag. Retrieved November 17, 2019 . 
2. ↑ ^{a b c d} NDR: Hamburg ambulance through the ages. Retrieved November 17, 2019 . 
3. ↑ NDR: Rescuers remember: "Hear the screams". Retrieved November 17, 2019 . 
4. ↑ NDR: Hamburg gets a new rescue service law. Retrieved November 17, 2019 . 
5. ↑ ANNUAL REPORT 2018. Accessed November 17, 2019 . 
6. ^ Development of the public rescue service in Hamburg. Retrieved November 18, 2019 . 
7. ↑ Information on the introduction of the AGBF protection goal. Retrieved November 17, 2019 . 
8. ↑ WELT: New regulation: Hamburg gets a new rescue service law . March 6, 2019 ( welt.de [accessed November 18, 2019]).
9. ^ NDR: Tschentscher: Rescue service important for everyone. Retrieved November 17, 2019 . 
10. ↑ ^{a b} printed matter 21/15514. Retrieved November 17, 2019 . 
11. ↑ Schnell-Einsatz-Gruppe Hamburg. Retrieved November 17, 2019 . 
12. ↑ Printed matter 21/9999. Retrieved November 17, 2019 .