Nef Bremen. - Notarzteinsatzfahrzeug

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Analog pagers will silently listen on the air for a 5-tone signal being transmitted. Once the individual signal for that pager is detected, the pager will sound an alarm, and will often open the channel for the crew to hear the dispatcher.

Further information is being given via radio. The digital pagers will listen on a different channel and once its individual address is transmitted, will prepare to receive a data package.

This package normally consists of a short message, providing the address and nature of the emergency as well as additional information.

This clears the radio channel of lengthy calls. Theoretically, no additional radio traffic is required when using such a system.

All public emergency services in Germany i. EMS, fire, police, disaster response use the same radio system for communication. Thus, they can connect to each other with their radio equipment.

Since the s the units were equipped with radios in the 4m frequency band, handheld units work in the 2m band.

This analog radio usage is protected by law for emergency use only. Relay stations cover whole Germany. With entering the appropriate channel, every radio can reach another dispatch center or agency.

Since around a nationwide digital radio communication standard is implemented. Main advances over the old analog radio system are availability of far more channels and communication groups, encryption possibilities, noise filtering and enhanced signal reliability.

To cover whole Germany about base stations are needed. Every radio can be allowed access to the communication of another agency, either when already programmed this way or given access by the dispatch center.

Organization, infrastructure and security keys are centrally managed by a government authority Bundesanstalt für den Digitalfunk der Behörden und Organisationen mit Sicherheitsaufgaben , assisted by a net of authorized and tactical bodies throughout the country.

There are two different strategies used in dispatching EMS vehicles in Germany; the Rendezvous system and the Station system.

In most emergencies, only the ambulance is deployed for providing patient care and transport. However, when the situation on scene is of a more severe nature, the ambulance crew can radio in for support by a physician and the NEF will be deployed.

There are some medical situations where the NEF will be deployed automatically; those are usually pediatric emergencies, patients who are unconscious , emergencies including neurological or cardiovascular conditions, mass-casualty incidents, and situations where the need for analgesics and anesthetics is foreseeable.

The advantage of this system is the fact that the physician is available for other emergencies, while the ambulance crew can handle minor cases on their own.

In this system, the physician on duty will actually staff the ambulance, which is now called a Notarztwagen , will be deployed to any serious medical case.

The advantage with this approach lies in the ability to perform more difficult tasks without delay, however, on most calls the presence of the physician is not actually required.

Nowadays, it's rather outdated. From Wikipedia, the free encyclopedia. Franco-German emergency medical services system". Prehosp Disaster Med.

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