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Background and objective <p>The 2008 consensus paper defined the framework conditions and objectives of emergency medical care and formed the basis for structural requirements and planning. &#xa0;The update in 2016 achieved enormous reach. New developments and increasing utilization made further revision necessary. The result is presented in this article.</p> Methods <p>A draft was sent by the core group to 30 scientific associations, institutions, and organizations (FIO), further developed in a symposium, and discussed in a plenary session. The results were incorporated into the final text and then agreed upon in an online voting process. Twenty-seven FIO participated in the vote. The consensus is based on an approval rate of 91.6 %.</p> Results <p>The paper focuses on emergency rescue and contains recommendations on structural planning, procedures, and requirements for target hospitals. Criteria for measuring structural and care quality were defined for the tracer diagnoses of traumatic brain injury, stroke, polytrauma, ST-segment elevation myocardial infarction, cardiac arrest, and sepsis, with reference to control center processes, emergency medical diagnostics and therapy, operational tactics, time management, hospital care, and quality management. The section on the care of critically ill/injured children has been redesigned. New core recommendations concern post-primary emergency transfers and low-code deployments. The glossary has been expanded.</p> Conclusion <p>Thanks to the broad participation of the relevant FIO, the 2025 consensus paper currently forms the most comprehensive basis for definitions, structural and quality requirements and serves as a common orientation for integrated needs planning in politics, planning and practice.</p>

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Eckpunktepapier 2025 zur notfallmedizinischen Versorgung der Bevölkerung in der Prähospitalphase und in der Klinik

  • 期刊论文

  • 出版模式：

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  • 发表日期：

    2025年9月5日

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  • Heiko Trentzsch,
  • Matthias Fischer,
  • Hartwig Marung,
  • Jan-Thorsten Gräsner,
  • Konrad Huppert,
  • Christian Frieß,
  • Jan Wnent,
  • Bert Urban,
  • Stephan Prückner,
  • Özlem Acikgöz,
  • Janina Bathe,
  • Andreas Bayer,
  • Stefan K. Beckers,
  • Michael Bernhard,
  • Dan Bieler,
  • Sabine Blaschke,
  • Matthias Bonigut,
  • Bernd W. Böttiger,
  • Jörg Braun,
  • Hans-Jörg Busch,
  • Sebastian Carnarius,
  • Christian Deindl,
  • Alexander Dietl,
  • Marc Gistrichovsky,
  • Bernd Gruber,
  • Johannes Gruber,
  • Birthe Heins,
  • Florian Hoffmann,
  • Philipp Jung,
  • Stephan Katzenschlager,
  • Clemens Kill,
  • Maximilian Kippnich,
  • Matthias Klein,
  • Philipp Lakatos,
  • Daniel Limmer,
  • Carsten Lott,
  • Tom Malysch,
  • Gerrit Matthes,
  • Uwe Max Mauer,
  • Reinhold Merbs,
  • Stefan Otto,
  • Orkun Özkurtul,
  • Thomas Plappert,
  • Joachim Röther,
  • Marcus Sandri,
  • Raik Schäfer,
  • Felix C.F. Schmitt,
  • Thomas Schmitz-Rixen,
  • Roman Schniepp,
  • Uwe Schweigkofler,
  • Jens Schwietring,
  • Teresa Singer,
  • Philipp Störmann,
  • Nicole Angela Terpolilli,
  • Nina Thies,
  • Helge Topka,
  • Dominik von Stillfried,
  • Sebastian Wolfrum,
  • Christian Wrede

摘要

Background and objective

The 2008 consensus paper defined the framework conditions and objectives of emergency medical care and formed the basis for structural requirements and planning.  The update in 2016 achieved enormous reach. New developments and increasing utilization made further revision necessary. The result is presented in this article.

Methods

A draft was sent by the core group to 30 scientific associations, institutions, and organizations (FIO), further developed in a symposium, and discussed in a plenary session. The results were incorporated into the final text and then agreed upon in an online voting process. Twenty-seven FIO participated in the vote. The consensus is based on an approval rate of 91.6 %.

Results

The paper focuses on emergency rescue and contains recommendations on structural planning, procedures, and requirements for target hospitals. Criteria for measuring structural and care quality were defined for the tracer diagnoses of traumatic brain injury, stroke, polytrauma, ST-segment elevation myocardial infarction, cardiac arrest, and sepsis, with reference to control center processes, emergency medical diagnostics and therapy, operational tactics, time management, hospital care, and quality management. The section on the care of critically ill/injured children has been redesigned. New core recommendations concern post-primary emergency transfers and low-code deployments. The glossary has been expanded.

Conclusion

Thanks to the broad participation of the relevant FIO, the 2025 consensus paper currently forms the most comprehensive basis for definitions, structural and quality requirements and serves as a common orientation for integrated needs planning in politics, planning and practice.