Sicherheit ist ein zentrales Bedürfnis älterer Menschen. Dazu zählt der Wunsch, in Notsituationen auf Hilfe zugreifen zu können. Notsituationen können z.B. körperliche Beschwerden, Stürze oder aber auch ein Einbruch sein. Gerade Alleinlebenden können technische Hilfen Sicherheit geben.

Dank Digitalisierung und 5G kann die Idee vom Rettungswagen als mobilem, vernetztem Krankenhaus, das zum Patienten kommt, Realität werden.

5G ist weit mehr als der Nachfolger von LTE: Medizintechnikhersteller können damit eigene Netze aufbauen und damit die Fabrikautomatisierung vorantreiben. Zudem ermöglicht 5G durch kurze Latenzzeiten und hohe Zuverlässigkeit ein medizinisches Internet of Things. Der Startschuss für neue medizinische Geräte?

Emergency medical services (EMS) vary across Europe, with two predominant models: the Anglo-American model which uses mainly paramedics in a prehospital setting, where ‘the patient goes to the doctor’; and the Franco-German model which uses mainly physicians in a prehospital setting, where ‘the doctor goes to the patient’. No perfect model exists, and each country has an EMS model based upon the needs of the community and the available economic resources. This overview shows that the EMS in Europe are modern, efficient and structured in the same way. The dispatch centre, the means and the response times are similar; the biggest differences concern the personnel who staff ambulances and their training, although they all have to perform the same emergency procedures and manage similar types of patient. The role of emergency medical technicians (EMT) is vital in all prehospital EMS systems. However, the training of EMT with equal skills is very different, with great variations as a function of each country. European harmonization appears to be necessary, even if it seems difficult.

The U.S. vs. European Emergency Medicine system is compared by top Emergency Medicine expert. “Load and go” and “scoop and run” or “stay and play”? Does U.S. Emergency Medicine system has advantage over European Emergency Medicine system? When is it better to transport patient to big hospital as soon as possible? When it’s better to provide medical treatment at the place of accident or other emergency?

This Interactive Qualifying Project (IQP), prepared for MIRAD Laboratory, provides a
basic understanding of the role of emergency medical services (EMS) in selected countries
around the world. An overview of the Anglo-American and Franco-Germany EMS systems and
their structure, functions and governing standards of operations are presented. A substantial
number of countries around the world are using these systems as a framework to provide
quality care in pre-hospital or emergency medicine. The Franco-German system is a PhysicianEMS-based model that enables a Doctor and EMS to evaluate and treat a patient on the scene
of a medical emergency. The patient can be taken to a hospital or clinic if further evaluation is
required. The Anglo-American model, on the other hand, consists of ambulances staffed with
Emergency Medical Technicians (EMTs) and Paramedics trained in Basic, Intermediate and
Advanced life support. They provide pre-hospital emergency care, including stabilization,
intervention and the transport of the patient to a hospital or clinic for further evaluation by
emergency Doctors or Physicians. The IQP presents analysis of the Franco-German and AngloAmerican models. Selected countries with varying economic, political, and geographic
backgrounds are studied. These countries include the United States, the Sultanate of Oman,
Germany, Portugal, the People’s Republic China, and South Africa. This IQP presents how each
of these countries have utilized modified versions of the two models to fit their emergency
medicine practices and capabilities. The derived results provide an opportunity for the IQP
team to appreciate the social impact of pre-hospital services and the ethical challenges that are
involved in delivering continuous quality of patient care in a sustained manner.

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