Emergency physicians in emergency medicine
Who they are, what they do and which devices they use: a research-based profile for recruiting this target group for MedTech and pharma projects.
Overview
Emergency physicians recognise and treat imminent and actual emergencies and restore acutely threatened vital functions. They work at the scene, in the emergency physician response vehicle, in the rescue helicopter and on secondary and intensive care transfers. Their measures include emergency ECG, monitoring with capnography, resuscitation, defibrillation, airway management up to emergency anaesthesia, and bleeding control. They choose the appropriate receiving hospital, carry out a structured handover and document the mission. In mass casualty incidents they perform triage, and they also certify death and carry out the preliminary post-mortem examination.
Profession by country
Fields of use and typical tasks
Prehospital emergency medicine
Evidence from: DE, AT, CH
- Emergency care of life-threatening illness and injury at the scene
- Resuscitation in out-of-hospital cardiac arrest
- Secondary and specialised transfers, including with circulatory support systems and for children
- Urgent emergency transfers with intensive care support
- Medical coordination in major incidents as chief emergency physicians
- Trauma bay care and in-hospital emergency care
Specializations
Devices and systems they use
- Manual defibrillator
- Patient monitor
- Video laryngoscope
- Intensive care ventilator
- Capnograph
- Point-of-care ultrasound device
- Fingertip pulse oximeter
- Transport ventilator
- Suction pump
- ECMO system
- Handheld pulse oximeter
- Ventricular assist device (VAD)
- Intra-aortic balloon pump
- Intraosseous access device
- Laryngeal mask airway
- Mechanical CPR device
Who they work with
- Dispatchers at the emergency dispatch centre
- Paramedics (Notfallsanitäter)
- General practitioners
- Social psychiatric service
- Specialised outpatient palliative care teams
- Air rescue pilots
- Chief emergency physicians (incident medical commanders)
Frequently asked questions
Which devices do emergency physicians operate themselves?
According to the training content, they perform emergency ECG, basic monitoring and capnography, defibrillate and cardiovert, use transcutaneous pacing and secure airways including with video laryngoscopy.
Where do emergency physicians work?
At the scene, in the emergency physician response vehicle or rescue helicopter, and on secondary and intensive care transfers between hospitals.
Who do they work with on a mission?
With paramedics, with the dispatch centre and, in air rescue, with pilots; in major incidents with chief emergency physicians.
What happens after a mission?
The training requires a structured handover, documentation, reporting to emergency registries and a structured debriefing.
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Related target groups
Same work area
Same specialty
Sources
- eLogbuch Zusatz-Weiterbildung Notfallmedizin, Sächsische Landesärztekammer (DE)
- Notfallmedizin, Klinik für Anästhesiologie und Intensivmedizin, Medizinische Hochschule Hannover (DE)
- Notfallmedizin, Klinik für Anästhesiologie, Intensivmedizin, Notfallmedizin und Schmerztherapie, Gesundheit Nordhessen Holding AG, Klinikum Kassel (DE)
- Ausstattungs- und Bestückungskonzept Notarzteinsatzfahrzeug, DRK Kreisverband Rhein-Neckar/Heidelberg e.V., veröffentlicht über Klinik für Anästhesiologie Universitätsklinikum Heidelberg (DE)
- Hospitationsreglement NEFs, Klinik für Anästhesiologie, Universitätsklinikum Heidelberg, Sektion Notfallmedizin (DE)
- Notarztstützpunkt, Oberösterreichische Gesundheitsholding, Pyhrn-Eisenwurzen Klinikum Steyr (AT)
- Notarztdienst Freistadt, Österreichisches Rotes Kreuz, Landesverband Oberösterreich (AT)
- Notfallmedizin, Universitätsklinik für Anästhesiologie und Operative Intensivmedizin, Kepler Universitätsklinikum (AT)
- Jahresbericht 2022: Notärzte, Rettung Chur (CH)
- Jahresbericht 2018 Rettungsdienst, Spital Thurgau AG, Rettungsdienst (CH)
- Medienmitteilung: Rettungsdienst mit Notarztsystem, Spital Limmattal (CH)
- Field Response / MD On-Call, University of Wisconsin School of Medicine and Public Health, BerbeeWalsh Department of Emergency Medicine, EMS Section (US)
- Resident and EMS Fellow Response Vehicles, Western Michigan University Homer Stryker M.D. School of Medicine, Department of Emergency Medicine, EMS Division (US)
- Emergency Medical Services Fellowship, Penn State College of Medicine / Penn State Health Milton S. Hershey Medical Center (US)