Transfer doctor emergency vehicle
The transfer doctor's vehicle ( VEF ) is an ambulance service vehicle that brings a transfer doctor to a patient transport accompanied by a doctor.
Situation in Bavaria
Reasons for the introduction
In preparation for the new version of the Bavarian Rescue Service Act (BayRDG), the Bavarian State Ministry of the Interior has commissioned the Institute for Emergency Medicine (INM) of the Ludwig Maximilians University in Munich to carry out some specialist analyzes. Among other things, patient transports accompanied by a doctor were examined more closely. One suggestion that emerged from these analyzes was the introduction of the VEF. Since neighboring emergency doctor locations are sometimes very far apart, especially outside the big cities , it was previously difficult to do without them for relocation trips. With the VEF, for example, district clinics with a lower level of care can now easily move patients to specialist clinics without having to send their own staff or have to resort to the emergency doctor. In view of the increasing specialization of hospitals, the need for such relocations is increasing.
Legal basis
The legal basis for the relocation doctor service with VEF was created for the first time in a state rescue service law with the amendment of the BayRDG in 2009. Linked to this was the reorganization of the operational categories. Patient transport accompanied by a doctor (ITH, ITW, VEF) was added to the existing emergency and ambulance transport and regulated for the first time, Art. 2 Para. 4, 13, 15, 16 BayRDG.
Tasks and indications
Similar to the emergency medical vehicle , it serves as a transfer doctor (see rendezvous system ). The transfer doctor then carries out transfer journeys accompanied by a doctor (usually from clinic to clinic) together with an ambulance . The 10 VEFs are alerted nationwide in the 26 control center areas.
A working group in the Bavarian Ministry of the Interior is currently working out the precise indications for use and the necessary equipment. This catalog of indications is intended to clarify the distinction between the primary rescue service and intensive care transport. Problems in the delimitation should still not arise. The "old" alerting scheme for intensive care transport can be used. In the term "emergency doctor" only "VEF" has to be read. If neither ITW, ITH nor VEF are available and a time-critical transport is pending, this must exceptionally (principle: priority of emergency rescue, Art. 15 para. 1 sentence 2 BayRDG) be driven by the emergency doctor of the provision.
Since only doctors with emergency doctor qualifications are allowed to be deployed on VEF, a basic deployment in emergency rescue is possible and even required according to Art. 15, Paragraph 1, Sentence 2 of the BayRDG. In order not to burden the supraregional deployment with emergency doctor assignments, the VEF should only be used for emergency doctor assignments if a medically relevant time advantage compared to alerting a regular emergency doctor location is to be expected, § 4 sentence 2 AVBayRDG. It is problematic for dispatchers that § 4 sentence 2 AVBayRDG does not remove the criminal offenses (see Art. 31 GG ).
crew
The crew consists of a driver with the minimum qualification of a paramedic and an emergency doctor . In contrast to the emergency medical service, the driver is mandatory.
equipment
Medical transfer vehicles are to be equipped in Bavaria like emergency medical vehicles, Section 5 (2) AVBayRDG.
execution
| VEF location | organization | doctors | founding |
|---|---|---|---|
| augsburg | BRK | Augsburg Hospital | March 1, 2011 |
| Bayreuth | BRK | Bayreuth Clinic | April 1, 2011 |
| Deggendorf | Best before | Deggendorf Clinic | May 3, 2010 |
| gain | BRK | Emergency doctor group Erlangen (BRK) | May 1, 2010 |
| Kempten | BRK | ||
| Munich | BRK | Barmherzige Brüder Hospital, Munich | January 1, 2009 |
| regensburg | BRK | Uniklinik Regensburg, KH Barmherzige Brüder | January 10, 2011 |
| Schweinfurt | Best before, ASB, JUH | Clinic doctors from Schweinfurt | July 1, 2011 |
| Traunstein | Best before | Traunstein Clinic | March 1, 2011 |
| Wurzburg | BRK, JUH, MHD | University clinic or Würzburg emergency doctors | September 1, 2010 |
According to the current radio call name directive of the Bavarian State Ministry of the Interior, the radio call name is included in the number range of emergency medical vehicles , for example Rotkreuz Erlangen 9/76/10.
Situation in Saarland
A secondary emergency doctor has been available in the Saar Rescue Association since June 2008 as part of a pilot phase. It is intended to complement the range of services offered by the Intensiv-Transport-Mobil, which specializes in intensive relocations.
execution
The SHG clinic in Völklingen is the contractual partner of the Saar Rescue Service and Fire Brigade Alerting Association and is responsible for carrying out the service . She introduces the doctor. The association bears the costs. The vehicle is stationed at the Völklingen rescue station and has the nickname Rettung Saar 10/91.
Furnishing
- Emergency backpack
- EKG / defibrillator
- 4 m band radio
- Hands-free mobile phone
- Ventilator
- Syringe pump
- Emergency backpack child
- Suction pump
Standby times
The additional emergency doctor service is available on weekdays from 4.30 p.m. to 7.30 a.m. and on weekends and public holidays from 7.30 a.m. to 7.30 a.m. By a special purpose association decision of March 13, 2013, the transfer doctor's working hours were reduced to 7:30 a.m. to 7:30 p.m. daily.
Indications
- Acute myocardial infarction / unstable angina pectoris: transfer to cardiological / cardiac surgical care
- Apoplexy / intracerebral hemorrhage: Relocation for neurological / neurosurgical care
- Other indications in which a follow-up restoration from a vital indication is required within 60 minutes
Individual evidence
- ↑ Bavarian Rescue Service Act
- ↑ a b c Staufer, Mittelhammer: "The transfer doctor in Bavaria" , Emergency + Rescue Medicine, 4/2011, pp. 291-296.
- ↑ Wurmb et al .: The transfer doctor in Bavaria - a new option for the doctor-accompanied interhospital transfer: Alerting algorithm and differentiation from intensive care transport vehicles , in: Der Notarzt, 5/2011, pp. 203-208. doi : 10.1055 / s-0031-1276931
- ↑ Art. 43 para. 2, sentence 4 and para. 5 sentence 1 BayRDG
- ↑ Augsburg presents transfer doctor emergency vehicle .
- ↑ BRK Bayreuth ( Memento of the original from December 9, 2015 in the Internet Archive ) Info: The archive link was automatically inserted and not yet checked. Please check the original and archive link according to the instructions and then remove this notice.
- ↑ RZV Straubing
- ↑ Transfer doctor emergency vehicle for Erlangen
- ↑ Transfer doctor emergency vehicle takes up duty
- ↑ ILS-TS
- ↑ Additional emergency vehicle for doctors - Würzburger Johanniter-Unfallhilfe puts new car into service ( Memento from September 5, 2010 in the Internet Archive )
- ↑ Guideline for radio call names and operational-tactical addresses (OPTA) of the non-police BOS in Bavaria from November 6, 2014
- ↑ Press release of the Rescue Association Saar ( Memento of the original from October 5, 2010 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.
- ↑ BOS vehicles
