[COVID-19 Stress test for ensuring emergency healthcare: strategy and response of emergency medical services in Berlin].
Der Anaesthesist · 2020-11-28 · Other / unclear
Abstract
BACKGROUND: The COVID-19 pandemic represents an unprecedented severe test for emergency medicine in Germany. In addition to in-hospital emergency medicine, prehospital emergency medicine has the decisive task of fully guaranteeing emergency medical healthcare. In this article the Berlin Fire Brigade shows new ways for emergency medical services to fulfil these increased responsibilities during the pandemic in prehospital emergency medicine in the State of Berlin. METHODS: A systematic presentation of the challenges and conceptional responses of preclinical emergency medicine to the COVID-19 pandemic was carried out using the example of the emergency medical services in the State of Berlin. RESULTS: The Berlin Fire Brigade has a dispatch center that coordinates all requests for assistance in the State of Berlin over the emergency telephone number 112. On average a total of 2565 emergency calls are received every 24 h, from which 1271 missions are generated. During the pandemic there was a striking increase in missions to patients with acute respiratory diseases (ARD). Of the missions 11% were carried out to patients with the suspicion of COVID-19. The duration of the emergency calls was extended on average by 1:36 min due to the additional questions in the pandemic protocol and the duration of the mission by an average of 17 min with the additional alarm keyword acute respiratory disease (ARD). CONCLUSION: The continuing pandemic reveals that tasks and responsibilities of public services in emergency rescue go far beyond the immediate medical prevention of danger to life and limb. In addition to the controller and triage functions in the integrated dispatch center of the Berlin Fire Brigade (112), the emergency and healthcare measures could be ensured. This was accomplished by comprehensive measures for situation control, situation reports and mastering situations despite the lack of alternative outpatient care options, especially in the areas of general practitioner, public health care and medical specialist practices.
Abstract © the authors or publisher, via PubMed. Reuse and removal
Tags
Time intervals · Dispatchers & call takers · Fire service & police · Implementation · COVID-19 pandemic
Related articles
- Rapid reorganization of the Milan metropolitan public safety answering point operations during the initial phase of the COVID-19 outbreak in Italy. (J Am Coll Emerg Physicians Open, 2020)
- The organization of ambulance decontamination during the COVID-19 pandemic: a process analysis based on the Lean Thinking philosophy (Emergency Care Journal, 2023)
- Quality improvement in a crisis: a qualitative study of experiences and lessons learned from the Irish National Ambulance Service response to the COVID-19 pandemic. (BMJ Open, 2022)
- The system-wide effects of dispatch, response and operational performance on emergency medical services during Covid-19. (Humanit Soc Sci Commun, 2022)
- Maximizing the Role of Emergency Medical Services in COVID-19 Response. (Disaster Med Public Health Prep, 2021)
- Evaluating the impact of a medical telephone helpline and the use of a structured initial assessment on demand for acute and emergency care in Germany: an ecological study using secondary data. (BMJ Open, 2026)