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Tele-EMS system for Bonn and the Rhein-Sieg district

Mayor Katja Dörner, District Administrator Sebastian Schuster and UKB Director Prof. Wolfgang Holzgreve sign the contract for a public law agreement for the sponsorship. Bonn, the Rhein-Sieg district and the UKB are further expanding their established cooperation with the Telenotarztsystem.

Signing the contract: (from left) Sebastian Schuster, District Administrator of the Rhein-Sieg district, Bonn's Mayor Katja Dörner and Prof. Wolfgang Holzgreve, Medical Director of Bonn University Hospital (UKB), at the signing of the public law agreement for the joint telemedicine system.

An important addition to the rescue service in Bonn and the Rhein-Sieg district is expected to be in place by 2025: The district and city want to jointly establish a tele-EMS system to further improve care for people in the area. On Tuesday, January 23, 2024, another important step was taken towards this goal. The Mayor of Bonn, Katja Dörner, and Sebastian Schuster, District Administrator of the Rhein-Sieg district, signed the contract for a public law agreement for a sponsoring association, which is necessary as a legal basis to define and set up the service.

The representatives of the two local authorities came together for the signing ceremony in the control center of Fire Station 1 on Lievelingsweg - which will also be home to the future tele-emergency medical center, as Bonn is the core provider. Professor Wolfgang Holzgreve, Medical Director and CEO of the UKB, also signed the agreement. The UKB provides the doctors required to implement the telemedicine system.

"Our joint signing of the contract is an important step towards further improving healthcare for people in the region. The joint service is another example of the long-established and good supra-regional cooperation," said Lord Mayor Katja Dörner. She also thanked the steering group with representatives from Bonn and the Rhein-Sieg district, which drew up the agreement as part of the inter-municipal project work.

"The introduction of the tele-emergency doctor system is a sensible and good addition to the existing rescue service," emphasizes District Administrator Sebastian Schuster. "It is not intended to replace the emergency doctors, but to help further improve the fastest possible medical care for patients."

"We are delighted to be working with the UKB to provide the medical component of the pioneering tele-emergency doctor concept and thus further improve the quality of care for Bonn, the Rhein-Sieg district and the region, also in view of the shortage of medical specialists. Experienced UKB emergency physicians, who are also qualified as tele-emergency physicians, will use their high level of expertise and experience to provide telemedical advice and guidance to the rescue service personnel on site with the patients in such a way that the best possible care is made possible for those affected," says Prof. Wolfgang Holzgreve, Medical Director and Chairman of the Board of the UKB.

Through targeted deployment, tele-emergency physicians can relieve the burden on the "traveling" emergency physicians in the established emergency physician service that is available throughout the country and, in suitable cases without acute danger to life, take over and accompany patient care via telemedicine. Particularly in cases where no emergency physician involvement was initially planned or is perhaps not absolutely necessary, the rescue personnel can receive low-threshold medical advice and support at the scene. The technical transmission of the patient's measured values and the derived ECG can be interpreted by a doctor and targeted, medically prescribed drug therapy can be administered by the emergency medical personnel.

Launch of the telemedicine system in 2025

Tele-EMS physicians are experienced emergency physicians who are located in the tele-EMS center and use telecommunications, real-time vital data transmission, voice and, if necessary, visual contact to care for patients in the ambulance service. This care is provided in cooperation with the ambulance crew on site.

Around 20 UKB doctors will be specially trained for their role as tele-EMS physicians. In addition to working in the tele-EMS center, they will also continue to work on the emergency ambulances in Bonn and the Rhein-Sieg district. The aim is to launch the tele-emergency doctor service in the course of 2025 with up to eight ambulances in Bonn and seven vehicles in the Rhein-Sieg district. In its final stage, the system should be available in 60 ambulances by 2028. In addition, the tele-emergency doctor will also be available by telephone to advise the crews of ambulances and emergency ambulances on specialist issues.

Background to the telemedicine system in NRW

In 2020, the Ministry of Labor, Health and Social Affairs of the state of North Rhine-Westphalia, together with the associations of health insurance funds, the municipal umbrella organizations and the medical associations, reaffirmed its intention to implement a needs-based, high-quality, nationwide and cost-effective establishment of telemedicine systems in North Rhine-Westphalia. The state has defined criteria for implementation in the municipalities, which must be taken into account in the actual implementation. Last September, the city council of Bonn and the district council of the Rhein-Sieg district both passed resolutions as the basis for establishing the system.