Life support

Emergency medical service ( abbreviated to CHG ) (also commonly medical emergency service, medical service, medical emergency, medical radio service (abbr.: ÄBD, AEFD ), in the international parlance standby duty) is a representation of the physician or the family doctor outside of normal office hours and is thought disorders, their treatment can not wait until the next working day.

The duties of emergency service centers are:

• Placement of locums of the family doctor
• Telephone consultations
• Coordination of representation doctors who make house calls,

And announcement of open surgeries and emergency surgeries at certain times.

Demarcation to the emergency

Due to the similarity of names of medical emergency is often confused with the emergency physician, who is part of the emergency services.

The medical emergency service is provided by office-based physicians in most medical specialties. He is the representation of GPs outside of which the regular opening times dar. Accordingly, the medical emergency contact in cases of extreme urgency, but not acutely life-threatening. The supply is depending on the requirements in the premises of the medical emergency service or as a home visit. Depending on local organization and the volume of patients a home visit is usually within one to three hours.

The supply acutely life- threatening diseases, however, the responsibility of the emergency physician in collaboration with the rescue service personnel. Emergency physicians are in contrast to the medical emergency service specially trained in emergency medicine and must, depending on the state of the technical instruction rescue service or the additional designation have acquired emergency medicine. The emergency physician is available around the clock and has the operating site within a few minutes after entering the emergency call, the so-called period of help, can achieve.

With few exceptions, the medical emergency from the emergency services is organized separately.

Situation in Germany

Each resident doctor has the duty to participate in the emergency medical service in Germany. Legal basis, the medical profession laws of the states calling for this public service obligation. Specific details are set out in professional codes of medical associations and emergency service orders. The medical emergency service in Germany is also part of the freezing order, the doctors' associations under Section 75 paragraph 1 of the SGB V. (hence it is called in Germany often also from the so-called " cash medical emergency ").

Other terms for this are: General medical emergency or emergency or standby service or Collegial practitioner's representation services outside the workday usual practice opening times. DHD - In the GDR, the service Urgent home visit service said. He was a department of the Rapid Medical Help - SMH.

Because of the likelihood of confusion with the rescue or emergency medical service, the National Association of Statutory Health Insurance Physicians has gone over to talk about the medical "on call ". In the legal texts is still "Emergency service ".

Telephone availability

In some countries there are national Arztrufzentralen. The valid numbers are available by phone book and information, to ascertain in most cases by answering the family doctor and from the local press. Since April 2012, there is a nationwide single telephone number 116 117 All local phone numbers remain initially exist in parallel.

Under the uniform national number 116 117 is caller can communicate outside of normal surgery hours to a general medical Doctor in their environment in urgent, but not life -threatening. The number is against free from both the fixed - and mobile networks.

The phone number 116 117 2009 has been reserved by the European Commission at EU level for on-call for medical assistance in non-life threatening situations. The initiative came from the physicians' association Brandenburg. In Germany, this number of accredited Physicians was assigned. Germany is the first country in the EU, which has introduced the number.

On April 16, 2012 was the nationwide launch of the phone number. In Baden- Württemberg, Saarland and parts of Rhineland -Palatinate and Hesse, the number will be unlocked but with a few months delay, temporarily there is a recorded message heard.

Medical Assistance

The medical emergency service if necessary, make home visits; the decision on the actual need is for the judgment of the practitioner. In general, ambulatory patients are scheduled into practice.

Nationwide, there has been in recent years to the founding of numerous centrally located emergency surgeries, in which at least two doctors are on duty, one for appearing in practice patients, a home visit for rides. The emergency practices can be visited as a rule without prior appointment.

The medical emergency service is free for insured of the statutory health insurance.

Situation in Austria

Apart from the actual rescue service ( with emergency physicians ) exists in Austria since 1968, the so-called Doctors Radio Service ( AEFD ) with the emergency number 141, which is not operated by the Austrian Medical Association and the Austrian Red Cross nationwide uniform. In the Tyrol the corresponding device is commonly referred to as a doctor on call.

In Vienna and Graz you will be supervised via telephone emergency number 141 general practitioners, resolve the reported problems and illnesses in advance or advise the patient. If necessary, a home visit, with those practitioners usually of a paramedic ( both drivers ) are supported in their work is done.

In Lower Austria the emergency was 141 and 144 merged after allegations of diagnostic errors in 2010, so that both emergency numbers are equivalent handled by the 144 emergency call Lower Austria. On April 1, 2013, the pan-European emergency call 116 117 is enabled to emergency Lower Austria.

Swell

• First aid
• Health service
• Ambulance service
• Emergency Medicine
• Service sector