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<p>The number of ambulance dispatches has been increasing continuously for years—with an annual growth rate of around 4%. At the same time, it has been well documented for years that far fewer than 20% of emergency medical dispatches actually require emergency medical intervention. Furthermore, emergency physicians state that they are only actually required in 11% of interventions. For this secondary analysis, eight relevant primary studies were systematically extracted, categorised and aggregated using a&#xa0;specific research principle. The aim was to categorize and compare the available data from the included studies with regard to the medical activities performed by emergency physicians in accordance with Section&#xa0;2a NotSanG. A&#xa0;total of 53,361 mission logs were analysed. These mission logs revealed a&#xa0;total of 85,491 (100%) activities. The aggregated results show that 95.14% of the medical measures performed can be assigned to the areas of competence recommended for emergency paramedics in the pyramid process. With a&#xa0;total of 55,965 (65.46%), pharmacological activities, as defined by the pyramid process, represent the largest share of emergency medical activities performed by the ambulance service. The administration of full electrolyte solution was the most frequently performed pharmacological activity, accounting for 35.22%. Further research into occupational fields in nonhospital acute and emergency care is necessary in order to analyse and optimise care structures. Empirical occupational research can help to systematically analyse occupational activities, competency requirements and skills needs within the field of nonhospital acute and emergency care. Health services research complements this perspective by examining healthcare structures, resource management and patient-centred care models.</p>

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Zur Durchführung von heilkundlichen Maßnahmen durch Notärzt:innen im Handlungsfeld der außerklinischen Akut- und Notfallversorgung – eine Sekundäranalyse auf Grundlage retrospektiver Untersuchungen von Einsatzprotokollen aus 8 Regionen in Deutschland

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  • 发表日期：

    2026年7月6日

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  • Sebastian Koch,
  • Philip Junkersdorf,
  • Philipp Dahlmann

摘要

The number of ambulance dispatches has been increasing continuously for years—with an annual growth rate of around 4%. At the same time, it has been well documented for years that far fewer than 20% of emergency medical dispatches actually require emergency medical intervention. Furthermore, emergency physicians state that they are only actually required in 11% of interventions. For this secondary analysis, eight relevant primary studies were systematically extracted, categorised and aggregated using a specific research principle. The aim was to categorize and compare the available data from the included studies with regard to the medical activities performed by emergency physicians in accordance with Section 2a NotSanG. A total of 53,361 mission logs were analysed. These mission logs revealed a total of 85,491 (100%) activities. The aggregated results show that 95.14% of the medical measures performed can be assigned to the areas of competence recommended for emergency paramedics in the pyramid process. With a total of 55,965 (65.46%), pharmacological activities, as defined by the pyramid process, represent the largest share of emergency medical activities performed by the ambulance service. The administration of full electrolyte solution was the most frequently performed pharmacological activity, accounting for 35.22%. Further research into occupational fields in nonhospital acute and emergency care is necessary in order to analyse and optimise care structures. Empirical occupational research can help to systematically analyse occupational activities, competency requirements and skills needs within the field of nonhospital acute and emergency care. Health services research complements this perspective by examining healthcare structures, resource management and patient-centred care models.