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<p>Prehospital emergency care is facing increasing demographic and epidemiological pressures. Despite a&#xa0;comprehensive physician-based emergency medical system in Lower Austria (NÖ), a&#xa0;discrepancy was observed between the actual need for emergency physician interventions and the number of dispatched emergency physician vehicles (NEF). To address this imbalance, the dispatch and response regulation (AAO) was fundamentally revised based on a&#xa0;retrospective analysis of deployment data and evidence-based indication criteria. The implementation of the revised AAO (AAO-NEU) introduced a&#xa0;competence-oriented resource management approach, with increased involvement of advanced paramedics (Notfallsanitäter:innen, NFS) and alternative care models such as the acute community nurse (ACN). Initial results show a&#xa0;reduction in non-indicated emergency physician deployments. This structural reorganization enables a&#xa0;more needs-based emergency response, reduces the burden on medical personnel and represents a&#xa0;future-oriented model for the further development of emergency medical service structures.</p>

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Zielgerichtete Alarmierung von Notarztsystemen

  • 期刊论文

  • 出版模式：

    开放获取

  • 发表日期：

    2025年5月22日

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  • Jennifer Uhl,
  • Nicole Kordina,
  • Christoph Holzhacker,
  • Stephanie Horschitzka-Doppler,
  • Markus Putzenlechner,
  • Christian Fohringer

摘要

Prehospital emergency care is facing increasing demographic and epidemiological pressures. Despite a comprehensive physician-based emergency medical system in Lower Austria (NÖ), a discrepancy was observed between the actual need for emergency physician interventions and the number of dispatched emergency physician vehicles (NEF). To address this imbalance, the dispatch and response regulation (AAO) was fundamentally revised based on a retrospective analysis of deployment data and evidence-based indication criteria. The implementation of the revised AAO (AAO-NEU) introduced a competence-oriented resource management approach, with increased involvement of advanced paramedics (Notfallsanitäter:innen, NFS) and alternative care models such as the acute community nurse (ACN). Initial results show a reduction in non-indicated emergency physician deployments. This structural reorganization enables a more needs-based emergency response, reduces the burden on medical personnel and represents a future-oriented model for the further development of emergency medical service structures.