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Apply now. Leitung von Projekten. Leitung von Projekten Detailed job description Apply now. Both the development of the EMS and the public protection system are examined. The public protection system of fire departments and EMS is structured into a system for everyday use and an additional system for major accidents and disasters civil protection system. Dabei wird sowohl die Entwicklung des Rettungsdienstes als auch die Weiterentwicklung der Gefahrenabwehr beleuchtet.

Die Stellung untereinander sowie das Zusammenwirken werden beschrieben. Emergency medical services EMS in Germany are regulated according to the EMS state law and are seen as part of civil protection system as well as of services for the public [ 3 ].

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Ambulance services were basically simply small vehicles, some with two stretchers. The rapidly growing amount of traffic led not only to an increase in traffic deaths in West Germany the maximum was reached at the beginning of the s with ca. These injured people also had to be transported to the hospital, which was done with the available ambulances, but also with private vehicles.

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The growing number of injured persons triggered innovations in this field, such as additional equipment, larger emergency vehicles, and the founding of organizations that were dedicated to first aid, which brought about the first organized emergency physician services in Cologne and Heidelberg in Along with the increase in magnitude came an increase in the amount of equipment and thus more possibilities to help.

Whereas speed was the most important aspect for taking the injured to the hospital back then, with the onset of EMS ambulance car, ambulance car with emergency physician , the ability to practice an enhanced and more comprehensive first response became more and more important. On the initiative of the traffic ministry, i. Thereby, regular meetings of the EMS representatives from all federal states took place.

Consequently, the corresponding discussion and voting platforms were created from which the EMS state law developed in the mids. The rescue services themselves were essentially carried out by aid organizations. However, it is still being discussed today as to how EMS can be systematically embedded in the architecture of the civil protection system, which tasks are to be carried out by EMS, which competencies are needed for these tasks, and how the participating stakeholders can best interact.

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This question has increasingly come to the foreground since EMS actions have been growing across Germany for years, in part in double-digit percentages. However, there has not been an actual increase in the inner dangers , life-threatening diseases, or injuries [ 11 ]. Another special feature is the provision of EMS, as with the operation of EMS, which in contrast to the other civil protection organizations that are publicly funded, is refinanced by health insurance funds.

Increasing operative mission numbers, especially those that do not serve to ward off inner dangers life-threatening danger or severe harm to health due to illness or injury , are therefore being questioned regarding whether they are not actually part of the responsibility of other stakeholders in the public health sector and should be carried out by them. In particular, this raises the question as to how far the responsibility of EMS reaches, where it ends, and ultimately which responsibilities start thereafter.

In addition to the question of responsibility, increasing numbers of EMS personnel are questioning the purpose of their missions, because it is not the missions with life-threatening issues that are increasing, but rather requests for assistance with other causes. The public EMS authorities have to ensure that the constantly increasing work overload in combination with nonurgent cases does not drive the employees to burnout.

Suggestions for funding these new tasks were also made. Moreover, the classification of the individual elements is disputed. This includes all measures and activities that aim to stop or minimize dangers and consequences thereof. Examples of these are preventative fire protection, company contingency planning, strengthening resilience, etc. These measures occur before the danger event has occurred.

Operative civil protection comes into action when the danger event has occurred and must be combated or averted. These areas deal with all measures that provide plants, companies, or organizations with safety, including occupational safety. The origin of the civil protection system in Germany derives from police law [ 19 ]. Maintaining public security and order forms the essential basis of civil protection and is one of the core tasks of an orderly political state constitutionally protected fundamental democratic order that provides internal police as well as external protection defense.

Therefore, police work can be called practiced police civil protection. This refers to all civil protection areas that are not necessarily police work, i. There are overlapping areas in tasks carried out by public regulatory authorities governed in the respective federal state laws with tasks carried out by the federal state police.

This can also be partially found in the federal states between tasks carried out by the federal state police and public regulatory authorities. These tasks are carried out by specially trained and equipped emergency personnel and are legally regulated as public tasks. This area comprises fire prevention as well as firefighting and additionally technical rescue usually designated as technical assistance. Police and regulatory authorities also avert external dangers, which include dangers due to disorderly conduct e. Maintaining order and security through the police and regulatory measures as well as through technical measures firefighting, technical rescue protects citizens in their integrity and in those areas of life that are threatened.

In general, the federal states established independent laws on civil protection that predate—historically seen—laws on rescue services by ca. These equipment, gear, and deployment concepts have further developed, especially since the end of the s.

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Increasingly, EMS now comprise, in addition to averting external dangers that endanger human health and life, tasks for averting internal dangers. Internal dangers include all injuries and diseases that endanger human life or cause severe health problems [ 11 ]. The connection with the other areas of civil protection occurs owing to the common nature of civil protection. Moreover, since internal dangers do not always occur as isolated incidents, but rather especially as the result of external dangers that impact life e.

Operational civil protection architecture in Germany. Examples of external and internal dangers are not complete. Police, fire departments, and EMS are parts of the common civil protection system. Civil protection services, THW, and German Armed Forces in Germany are part of the second line of defense in civil protection when great dangers threaten humans or areas, and especially the infrastructure. It is likely that the judiciary wished to secure the transport and continued care of injured or impaired, but non-critical, patients, especially in the case of external danger.

The primary task of EMS is averting life-threatening danger and other severe harms to health. Hereby, the focus in EMS is averting external dangers that threaten lives or cause severe bodily harm. This includes persons who are in emergencies that do not require other civil protection services such as police or firefighters.

These emergencies are primarily caused by external dangers e. The EMS personnel, initially without additional aid, save people at risk. Furthermore, the personnel must be able to recognize if the emergency beside being caused by external threats is also caused by internal threats e.

This task has been carried out in the past by the ambulance services, since emergency medical rescue was not yet available. The legal basis for this is the protection of legitimate interests pursuant to Art. We will contact you for advertising purposes by email, telephone or fax only if you have given your explicit consent. You may at any time object to the processing of your personal data for advertising purposes. Transfer of Personal Data to Third Parties We will transfer your personal data to third parties only in the following cases: - where this is necessary to establish or execute a contractual relationship; the legal basis for this is Art.

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