Die Ziele des vorliegenden Forschungsvorhabens sind die bundesweite Erhebung der rettungsdienstlichen Infrastruktur und die Erfassung und Analyse repraesentativer Einsatzdaten zur Beurteilung der Leistungsfaehigkeit des oeffentlichen Rettungsdienstes in der Bundesrepublik Deutschland. Hierbei werden zunaechst als Teil I die Ergebnisse der bundesweiten rettungsdienstlichen Infrastrukturerhebung 2000 dargestellt, gefolgt von Teil II, der Analyse des Leistungsniveaus im Rettungsdienst fuer die Jahre 2000/2001. Die wesentlichen Ergebnisse des Teils I beziehen sich auf: - Bestand und Betriebsformen der Rettungsleitstellen; - Bestand und Fahrzeugausstattung der Rettungswachen; - bodengebundene Notarztstandorte und ihre Betriebsformen; - Fahrzeugbestaende; - Personalbestand (hauptamtliche Mitarbeiter, Zivildienstleistende, Leistungsumfang). Teil II stellt in detaillierter Form dar: - Einsaetze und Einsatzfahrten; - Einsatzraten (einwohnerbezogenes Einsatzaufkommen); - Anzahl der rettungsdienstlichen Hilfegesuche nach Einsatzkategorien; - Anteil der Notfalleinsaetze am Gesamteinsatzaufkommen; - Aufteilung des Notfallaufkommens mit und ohne Notarztbeteiligung; - Verteilung des Einsatzfahrtaufkommens nach der Benutzung von Sonderrechten; - Fehlfahrtquoten; - mittlere Hilfsfristen getrennt nach Notfaellen und bei Strassenverkehrsunfaellen. Bericht zum Forschungsprojekt 87.008/2000 (ITRD-Nummer D706991). Titel in Englisch: Emergency services performance. English abstract: The aims of this research project are: • to examine the emergency services infrastructure across the country, and • to record and analyse representative deployment data in order to assess the performance levels of public emergency services in the Federal Republic of Germany. To this end, we shall initially present, in part 1, the results of nation-wide research into the emergency services infrastructure carried out in 2000. We shall follow this, in part 2, with an analysis of emergency services performance levels in the year 2000/2001. The most significant results of part 1 of the research project are: • It can be assumed that there are at least 321 emergency control centres in the Federal Republic of Germany. Of these, around 80% are operated as combined/integrated control centres. • The number of stations run by the public emergency services totals more than 1,800, with around 90% of these always assigned at least one Ambulance. • The land-based emergency services have more than 1,005 emergency medical locations, of which around 87% are organised as pure ‘rendez-vous’ systems with Emergency Doctor’s Cars and around 9% as pure ‘station’ systems with Fully Crewed Ambulances. • The total number of vehicles in use around the country by public emergency services in the year 2000 was around 7,700. Of these, around 44% was made up of Ambulances, 35% of Patient Transport Vans, 15% of Emergency Doctor’s Cars and 4% of Fully Crewed Ambulances. • In total, there are around 31,800 full-time staff employed in the emergency services in the Federal Republic of Germany, with almost another 4,200 people filling community service positions. In total, there are on average 118 employed per emergency services district. The number of hours of work provided on a voluntary basis in the emergency services totals around 3.7 million. • On average, each emergency services district shares the support facilities provided for land-based teams by the air rescue service with a total of five other control centres. The most significant results of part 2 of the research project are: • It can be extrapolated from the survey that each year in the Federal Republic of Germany, the emergency services are deployed around 10.3 million times, making around 11.9 million emergency call-out journeys. • For the period of the report (2000/01), this equates, in terms of head of population, to 125.6 call-outs per 1,000 residents per year (i.e. this is the call-out rate). • Of the total of around 10.3 million calls for emergency services help that come into control centres across the country, around 5.9 million (57%) fall into the category of ‘ambulance required’. • The number of emergency call-outs (with or without an emergency doctor) in the period under review amounts to around 4.4 million per year, which equates to around 43% of all call-outs. • Dividing emergencies by whether or not a doctor accompanied the call-out, shows that around half of the emergency call-outs (47%) were indeed accompanied by an emergency doctor. • The number of call-outs in emergencies shows that around every 16th emergency call-out (6.1%), with or without a doctor, related to a road traffic accident. • In more than two out of five call-outs (43%), sirens were employed, equating to around 5.1 million journeys nation-wide undertaken with sirens and emergency driving privileges. • In the period 2000/01 there was an annual total of over 967,000 emergency journeys undertaken as a result of false alarms, equating to an average false alarm rate of around 8%. • Calculations of response times are based on when the first appropriate emergency vehicle arrived on the scene, and are limited to call-outs requiring use of sirens, etc. On this basis, we can calculate an average nation-wide response time of 7.8 minutes, with 95% of all emergencies attended by an appropriate emergency vehicle within 15.9 minutes. • Average response times for road traffic accidents in built-up areas are 6.9 minutes in daytime and 7.1 minutes at night. Outside of built-up areas, these times are 8.7 minutes in daytime and 8.9 minutes at night. (Author/publisher) The English abstract is also available at http://www.bast.de/htdocs/veroeffentlichung/kurzfass/m147.htm
Abstract