Observational studyBMC emergency medicine2025
Location-based response times of emergency physicians in rural Germany: an observational study.
Observational study in BMC emergency medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
1 citing paper in PubMed.
- [Videolaryngoscopic endotracheal intubation during out-of-hospital cardiac arrest from the perspective of paramedics : Training requirements and subjective procedural confidence-results of an anonymous cross-sectional survey].Medizinische Klinik, Intensivmedizin und Notfallmedizin · 2026Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
3 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThe number of emergency callouts in Germany has doubled in the last 20 years. The shortage of doctors and social developments have led to challenges in ensuring emergency medical services and to temporary closures of entire emergency medical service areas. Stationing the emergency doctor on duty in the home environment is one option for making emergency medical services more attractive and could help to alleviate the problem of staff scheduling.
objectiveThe response times of emergency physicians stationed in their home environment were compared with those of emergency doctors stationed at hospitals or rescue stations.
methodsThe response intervals and arrival times at the patient's location were statistically analyzed depending on the physician's location and distance from the rescue station. A support vehicle was used to reduce response times. The emergency physician met the full-time emergency vehicle at predefined points depending on the direction of the call.
resultsThe response interval from the emergency station was 2.2 ± 1.0 min, from the hospital 3.1 ± 1.2 min and from the home environment 3.8 ± 1.6 min (p < 0.0001/Kruskal-Wallis test). In terms of the time taken to reach the patient, there was a significant advantage (p < 0.0001/Kruskal-Wallis test) in the group of call-outs from the rescue station (8,6 ± 3,9 min min. 2 and max. 23 min) compared to call-outs from the hospital (10.0 ± 4.4 min; min. 2 and max. 31 min) and the home environment (10.2 ± 4.2; min. 2 max. 33 min), with the difference between the hospital and the home environment not being significant at p = 0.256 (Kruskal-Wallis test). The actual distance of the emergency physician from the rescue station provides the best results for modeling response interval and showed no significant difference compared to being stationed at the hospital in terms of time to arrival at the scene for distances less than 3 km (p < 0.0001/Kruskal-Wallis test).
conclusionsStationing the emergency doctor in a domestic environment with a support vehicle and establishing fixed meeting points with the full-time emergency vehicle shows no disadvantage compared to stationing the emergency doctor in the hospital.
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