Materielle Ausstattung des Heidelberger Medical Intervention Car

In Germany, there are no specifications for the equipment of special emergency vehicles. Systems such as pediatrician-staffed ambulances, extracorporeal membrane oxygenation (ECMO) ambulances, the Berlin Stroke Mobile, or medical intervention cars (MIC) work with a selection of materials/equipment determined by the operators themselves. This article describes the equipment carried by the Heidelberg MIC and the underlying rationale for its selection. The Heidelberg MIC based on a Volvo V90 cannot carry the complete equipment of a standard physician-staffed response car and the additional special equipment for reasons of payload and space. It is, therefore, an add-on system whose equipment is geared towards the special requirements of the range of missions: pediatric emergencies, exsanguination, and cardiac arrest due to special circumstances or causes. For these tasks, medical products are available that have hardly or not at all been used in prehospital care so far: video laryngoscope with a hyperangulated blade for children, 13 Fr shock catheter, packed red blood cells, fibrinogen, prothrombin complex concentrate (PPSP), material for performing a clamshell thoracotomy and resuscitative endovascular balloon occlusion of the aorta (REBOA), a blood gas analyzer, echocardiography (transthoracic and transesophageal), ECMO devices and a near-infrared spectroscopy (NIRS) monitor. This equipment is subject to constant re-evaluation and comparison with international studies on prehospital interventions.