Wache: BF Bremen NEF Mitte, Deutschland (Germany), Stadt Bremen, Feuerwehr, Berufsfeuerwehr (BF). Das Notarzteinsatzfahrzeug (NEF-Mitte) stationiert am Klinikum Bremen-Mitte gehört auch personell zur Wache. Ein weiteres HLF 20/16 (3. Generation HLF). Notarzteinsatzfahrzeug NEF der Berufsfeuerwehr Bremen, stationiert am Klinikum Bremen Mitte. Es handelt sich hierbei um eines von zwei gleichzeitig.
Wache: BF Bremen NEF SüdWache: BF Bremen NEF Mitte, Deutschland (Germany), Stadt Bremen, Feuerwehr, Berufsfeuerwehr (BF). Wache: BF Bremen NEF Süd, Deutschland (Germany), Stadt Bremen, Feuerwehr, Berufsfeuerwehr (BF). NEU: Exclusives Busch-Sondermodell der Feuerwehr Bremen: Bei dem Modell handelt es sich um einen vorbildgetreu bedrucktes "NEF-Mitte" der Feuerwehr.
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However, more and more it became evident, that not only transport saves live of patients, but treating them on-scene.
The need to professionalize emergency health care was picked up by several university medical centers in the late s and 60s Cologne, Frankfurt, Heidelberg and Munich.
The idea to "bring the doctor to the patient, rather than the patient to the doctor" was already born before World War II, now rediscovered mids.
The result was the evolution of a type of emergency physician called a Notarzt who dealt primarily with providing emergency medical care in the out-of-hospital setting.
The service delivery model that this approach describes is commonly referred to as the Franco-German model. In the late s and early s, advanced demands lead to the establishment of helicopter ambulance services, dispatch centers, radio communication and general better organization of EMS as well as scientific approaches to provide better emergency care.
The first emergency medical technicians were trained by some fire departments, organizations and even universities. The system was largely improved in the s and s, leading not only to the then-new profession of Rettungsassistent but also to the availability of modern medical equipment in outdoor quality.
In the year the new occupation of Notfallsanitäter was introduced, including a three-year education and training for the role as high professional emergency care provider as well as a substantial assistant to the emergency physician on scene.
Today Germany has a dense net of emergency services available, providing emergency care at a high professional standard. In Germany the individual German states are legally responsible for the provision of emergency services, but typically delegate these responsibilities to the district level "Kreis" or "kreisfreie Stadt".
Municipalities, including both smaller communities "Gemeinden" and cities "Städte" are given responsibility by the State for equipping and operating fire departments "Feuerwehr" , which can operate an EMS system by permission of the district see below.
German law mandates the provision of fire and rescue services, including EMS, staffing and equipping according to levels which correspond to local population.
In independent cities, this is usually provided directly by the Fire Prevention Bureau "Amt für Brand- und Katastrophenschutz", sometimes called "Amt 37" ; one of the standard departments in a municipality.
Unlike fire protection, the task of providing EMS, while legally mandated, is not necessarily performed directly by the district.
In some cases, local municipalities will provide the service directly, usually through a full-time staffed fire department.
EMS may, however, be contracted out by the district to a number of other potential service providers, including both community non-profit organizations and privately owned companies.
Thus, EMS in Germany may be provided by any of the following:. In Germany, EMS is a component of one of the key tasks public safety which every municipal government is required by law to perform.
As a result, there are strict regulations regarding qualifications, job performance, EMS system performance including response time , and the types of vehicles and equipment required.
Typically, community or service area "Rettungsdienstbereich" employs a medical director , Ärztlicher Leiter Rettungsdienst , with a role that is similar to EMS medical directors elsewhere.
The medical director is responsible for the creation and issue of regulations , protocols , and standards of care on behalf of the community.
Compliance with such regulations and medical protocols is mandatory for both EMS provider organisations, and for their personnel. The medical director usually performs these tasks with considerable latitude.
Regulations and protocols may be developed and issued at the discretion of the medical director, who is required to govern their actions according to the general guidelines and financial guidance provided by his county or municipality.
In addition to regular emergency and non-emergency services, there are mobile intensive care units MICU stationed in most of the major cities.
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