Monday, July 8, 2019
Main-Kinzig-Kreis is the first hessen to innovate in medical emergencies. Paramedics can get advice from telenote physicians when they use it, and they can connect via video. After a good start, other rescue vehicles will be equipped in this way.
Gelnhausen (dpa / lhe) – In Hesse, the number of ambulance and emergency medical services is increasing, while experts fear an urgent emergency doctor. This can be a problem, because in an emergency it can take a few seconds. Main-Kinzig-Kreis is therefore adopting new ways and relying on telemedicine.
In the ambulance in Gelnhausen, there is a lot of activity: Philip is lying on the stretcher, the ECG beeps next to him. Paramedic Karsten De Man measures the young man's blood pressure, perfuses him and puts on his breathing mask. Philipp's collapsed after a bee sting – perhaps an allergic shock.
"There is no known allergies in our patient, but he had circulatory problems, he reacted very badly to the bite of the bee," said Paramedic De Man in his atrium Bluetooth, "so I ask you to take care of the patient with me." A voice in his ear answers: "Yes, it shows, I see it well," while paramedic De Man points to the site of the puncture.
The voice belongs to Bernd Rotermund. He is a telenot doctor and sits at the Aachen Rescue Center. From there, he follows everything that happens in the ambulance: thanks to the cameras placed on the ceiling of the vehicle, Rotermund can see the patient on his computer screen, on another screen he sees the ECG data. Everything is transmitted via mobile Internet.
The Telenotarzt system has so far been used in Hesse only in this ambulance of Kinzig's main circle. For less than six months, tests have been underway in Spessart, on the border between Hesse and Bavaria. Due to the long travel times, the region offered, says district rescue officer Günther Seitz, who launched the pilot project. If the paramedics ask for the ambulance on site, they can meet for more than 30 minutes. The telemedicine doctor, however, is immediately there – at the touch of a button.
In addition, we wanted to check if the Internet connection was valid. "The first results of the first six months are very encouraging," says Seitz after a successful test. As a result, Main-Kinzig-Kreis now equips six other Telenotarzt ambulances and has seven units. "We are waiting for relief from our five emergency medical systems," Seitz said. They wanted to intervene with the emergency physicians and take up the emergency services of the hospitals. According to the Telenotarzt system forecasts, emergency physicians should drive more than a tenth less in a year.
The telenotic system will be tested for two years from July. For this, six other ambulances will be equipped with technology. The district bears the budget costs of the emergency services fees, so that they are fully refinanced via health insurance. For the first year of the project, according to Kreis calculated 485,000 euros.
Main-Kinzig-Kreis cooperates closely with the project partner and operator of the Telenotarztnetzwerk Aachen, "P3 Telhealthcare". The telenot doctor system has been used since 2014 in Aachen. In Hesse, between the new territory Main-Kinzig-Kreis. In other districts such as Casting and Marburg-Biedenkopf, the use of Telenot Doctor should be considered.
"The system can not replace the traditional emergency doctor, which should not be dismantled," said Jörg Blau, president of the Hesse Association of Emergency Physicians, the "Hessian Broadcasting". "The telenot doctor can not intervene, he can not handle the complications, he is not there, you can not do it from his office."
Nevertheless, technology is a good support for the normal rescue service, says Blue. The people responsible for the Main-Kinzig-Kreis are of the same opinion: the telenotarzt should complement the existing structures, not replace them. In the process, the telenot doctor may prescribe treatments or medications even without being physically present.
Telenotarzt Bernd Rotermund: According to the patient, Philipp in the ambulance at Gelnhausen: He must be observed at the hospital. This time it is only an exercise. But from the next emergency call, he again treats a real patient, about 300 km away.