Teleconsultation system
Technical details are described elsewhere [All paramedics on a telemedically-equipped ambulance received a one-day training focused on indication for teleconsultation and telemedical equipment. Every conventional EMS physician is at least in the 4th year of residency in anaesthesiology and passed an examination in emergency medicine. In addition, every tele-EMS physician is a board-certified anaesthetist and completed at least 500 on-site emergency missions combined with further training in telemedicine.Paramedics are obliged to call the tele-EMS physician 24/7, if drugs or invasive procedures are to be carried out according to an SOP, as they are not allowed to carry out them alone according to German law [