Information about German EMS system
In Germany, each state is responsible for the legislation ruling the EMS services and needs to assure the accessibility of the EMS system by all inhabitants. Since the emergency medical services are organized by the federal system, each state has the opportunity to delegate this responsibility to other organizations, such as the fire department, aid organizations or other institutions. In general, the EMS system is considered a public function.
Most of the fire departments and EMS agencies work with the “rendezvous” system involving the separate arrival of the ambulance and the physician-staffed response vehicle on the emergency site. The ambulance usually arrives first and initiates the resuscitation of the patient until the EMS physician is available on site to carry out invasive advanced life support measures.
An advantage of this system is that the physician-staffed response car is flexible and once the patient is stabilized it is immediately available for the next mission. Especially in times of high demand of EMS physicians, this system is crucial to the service. TemRas aims to further exploit this system by creating the teleconsultation center where paramedics are able to reach a tele-EMS physician for support until the EMS physician arrives on site. This ensures a highly qualified treatment of the patient even if not enough physicians are available for the high amount of emergencies.