Ambulance emergency response vehicle

The ambulance emergency vehicle ( NEF) is a vehicle of the emergency service, which brings the ambulance to the site. It is used for pre-hospital care of emergency patients who require medical assistance.

The NEF is as emergency shuttle by ambulance, which enables the transport of patients, part of the rendezvous system. Contrary to this, the compact system in which an ambulance with emergency medical ( ambulance = ) is used.

In many cases it is not necessary following successful emergency medical care that the emergency physician accompanies the patient during transport to the hospital. In these cases, the patient then to the ambulance which is also located at the site (RTW ) and its crew is passed, and the NEF team is thus ready for use again for the next job to the rescue center. Power of the patient's condition however, the presence of the emergency physician on the way to the hospital absolutely necessary, this can always accompany the emergency patient in the ambulance to the target hospital.

By then occupied in this case only with the driver, but without the paramedics were " empty" after moving ambulance emergency vehicle or a far more flexible deployment option is present even for the responsible Rescue Coordination Centre always has the possibility of an ambulance, the patient just in the ambulance accompanied to the hospital to inform you that a new urgent use is present. The emergency doctor but then decides independently whether it cancels the transport escort and the new application takes over or if he still wants to continue to accompany the patient to the destination hospital for medical reasons.

This flexible Disponierbarkeit is also the decisive advantage of the NEF compared with the NAW system. There must be the patient transport, if necessary, be carried out always by the NAW. Thus, the emergency operator is still bound when it is no longer necessary.

Staff

Germany

The NEF is at least occupied by an emergency physician. Frequently it is a driver side, at best, with the qualification as a paramedic. The state regulations govern the different. In some rural areas, a private practitioner performs with " technical instruction Rescue Service " emergency medical service, partly as a supplement to their regular service. In this case, the doctors are mostly self-drive. The transport of the vehicle is then often not understood. Either a member of the crew of the ambulance, the doctor himself or a medical professional employee of the medical practice go then often the car.

Austria

In Austria, the NEF are part of organized rescue service and therefore always busy with an emergency physician and a paramedic.

Standardization and vehicles

The equipment of a NEF regulates Germany's DIN 75079th addition to the loading corresponding demands on the Construction of Vehicles ( acceleration, maximum loading) there are provided. A Europe-wide standardization has not yet been provided. In Austria, the European standard EN 1789 and EN 1865, which was acquired by the ÖNORM applied.

As NEF cars are often used in combination variant. They are agile, fast, and have a low headroom. But SUVs or minivans, their advantage in better visibility in heavy traffic and - due to the higher seating position of the driver - are available in greater overview, are used. SUVs have additionally - especially against station wagons - a better off-road capability, eg on forest trails.

Station wagon

Minibus

History and distribution

The use of emergency physicians has been successfully tested for the first time in the 1950s in Heidelberg and in parallel in Cologne and from then on ambulances were deployed throughout Germany.

In order to minimize time delays through the collection of the emergency physician, the NEF has been developed and presented at the 1979 International Motor Show in Frankfurt am Main for the first time to the public by the Björn Steiger Foundation. The following year, the foundation gave four charities in Bonn each one of these vehicles.

In addition to Germany and Austria, such a system exists in the Belgian and French rescue service, which is why French- Germanic from the so-called system speaks ( "Stay and Play" ), in contrast to the Anglo-American system, in which brought the patient to the nearest hospital as quickly as possible ( "Scoop and Run " ) and is supplied only medically there.

Special shapes

• Children NEF: a pediatric emergency physician staffed (see also Baby ambulance )
• Toxicological emergency medical service: specializing in the treatment of poisoning emergencies. The emergency physician has special experience in toxicology.