The Scenario

In the event of a civil protection incident, an audio and video connection is established between an paramedic and a tele-senior EMS physician using the available technology. After a short transmission of the most important information, the physician takes the lead in diagnosing the patient and guides the paramedic in carrying out the necessary diagnostic steps. In the treatment centres, additional technical components are available that enable the direct transmission of vital parameters. Outside the treatment centres, the paramedics are responsible for collecting this data. After the diagnosis has been made, an adapted treatment is carried out. In this process, the physician also guides the paramedic and can also delegate invasive and medical measures, such as the insertion of an intravenous line or the administration of medication. The measures are based on so-called SOPs (Standard Operation Procedures), which were developed for civil protection cases and must be adapted to the level of training of the paramedics. Medical measures are thus not only possible by the medical personnel on site, but also by the tele-senior EMS physicians, and better patient care is expected.