Koncz Viola, Kohlmann Thorsten, Bielmeier Stefan, Urban Bert, Prückner Stephan
Institut für Notfallmedizin und Medizinmanagement, Klinikum der Universität München, Ludwig-Maximilians-Universität, Schillerstr. 53, 80336, München, Deutschland.
Unfallchirurg. 2019 Sep;122(9):683-689. doi: 10.1007/s00113-019-0679-8.
Telemedical concepts, already successfully established in various clinical areas, such as radiology, are increasingly being implemented in the preclinical setting throughout Germany (tele-emergency physician).
The aim of the article is to present the objectives and requirements as well as the practical implementation and the potential indications for a telemedical emergency system in the preclinical situation.
Discussion of scientific facts and expert recommendations, specifically from experiences of the tele-emergency physician (Telenotarzt) project in an urban environment (City of Aachen). In addition, reference is made to a second pilot project in a rural region (Straubing, Bavaria).
The successful implementation of a prehospital telemedical emergency system requires a specific framework, in particular of a legal and technical nature. In order to achieve optimal process quality it is important to establish a comprehensive concept that takes aspects of patient safety into account. The entire dispatch process in the control center as well as the training of all involved personnel must also be taken into consideration.
With its special structures and processes, the overall concept of the telemedical emergency physician meets the changing challenges in the preclinical healthcare system and opens up new possibilities for patient care that meet the current requirements.
远程医疗概念已在放射学等多个临床领域成功确立，目前正在德国各地的临床前环境中越来越多地得到应用（远程急救医生）。
本文旨在介绍临床前情况下远程医疗急救系统的目标和要求、实际实施情况以及潜在适应症。
讨论科学事实和专家建议，特别是来自城市环境（亚琛市）中远程急救医生（Telenotarzt）项目的经验。此外，还提及了农村地区（巴伐利亚州施特劳宾）的第二个试点项目。
院前远程医疗急救系统的成功实施需要一个特定的框架，特别是法律和技术性质的框架。为了实现最佳的流程质量，建立一个考虑到患者安全方面的全面概念非常重要。还必须考虑控制中心的整个调度过程以及所有相关人员的培训。
远程医疗急救医生的整体概念凭借其特殊的结构和流程，应对了临床前医疗系统不断变化的挑战，并为满足当前要求的患者护理开辟了新的可能性。
