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Background/aim <p>Palliative interventions are becoming increasingly important for emergency medical services (EMS). However, research in Germany has mainly been limited to emergency physicians. This study aims to describe emergency situations and care processes in a&#xa0;palliative context for all EMS.</p> Methods <p>A&#xa0;secondary analysis of routine deployment data in the area of the centralized emergency dispatch center Oldenburg Land was conducted. Data consisted of quantitative deployment characteristics, which were evaluated descriptively, and medical history texts, which were analyzed both through deductive and inductive code generation. In a&#xa0;second step, an artificial intelligence (AI)-supported, open text analysis was carried out to validate and supplement the results.</p> Results <p>In most cases, paramedic-staffed EMS ambulances (66.7%, <i>n</i> = 348) and emergency physicians (19.7%, <i>n</i> = 103) were dispatched. Complaints mainly included weakness/deterioration (27%, <i>n</i> = 112) and pain crises (20.2%, <i>n</i> = 84). Transportation took place in 40.2% (<i>n</i> = 201) of cases. The use of community paramedics was low at 5.9% (<i>n</i> = 31). An (AI-supported) qualitative analysis showed that the activities of the EMS on site concentrated on the administration of pain medication and improving coordination between medical and nursing care.</p> Conclusion <p>Palliative interventions by EMS require a&#xa0;shift away from classic emergency and transport concepts. The focus is often on symptom management and coordination between next of kin, primary care physicians, and specialized nursing teams.</p>

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Rettungsdiensteinsätze in der palliativen Situation

  • 期刊论文

  • 发表日期：

    2025年8月6日

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  • Elias Wolfgang Eisenreich,
  • Marc Schütte,
  • Tjard Sattler,
  • Stefan Thate

摘要

Background/aim

Palliative interventions are becoming increasingly important for emergency medical services (EMS). However, research in Germany has mainly been limited to emergency physicians. This study aims to describe emergency situations and care processes in a palliative context for all EMS.

Methods

A secondary analysis of routine deployment data in the area of the centralized emergency dispatch center Oldenburg Land was conducted. Data consisted of quantitative deployment characteristics, which were evaluated descriptively, and medical history texts, which were analyzed both through deductive and inductive code generation. In a second step, an artificial intelligence (AI)-supported, open text analysis was carried out to validate and supplement the results.

Results

In most cases, paramedic-staffed EMS ambulances (66.7%, n = 348) and emergency physicians (19.7%, n = 103) were dispatched. Complaints mainly included weakness/deterioration (27%, n = 112) and pain crises (20.2%, n = 84). Transportation took place in 40.2% (n = 201) of cases. The use of community paramedics was low at 5.9% (n = 31). An (AI-supported) qualitative analysis showed that the activities of the EMS on site concentrated on the administration of pain medication and improving coordination between medical and nursing care.

Conclusion

Palliative interventions by EMS require a shift away from classic emergency and transport concepts. The focus is often on symptom management and coordination between next of kin, primary care physicians, and specialized nursing teams.