CYIL vol. 12 (2021)

CYIL 12 (2021) The impact of the adoption of the Framework Agreement… integrated rescue system (§ 8 (4) ZZSl) 12 . It can only be noted that the situation in the Federal Republic of Germany is quite different. The organization of the emergency medical service is left in the hands of the individual federal states. Within them, the organization has a much more decentralized form). 13 The focus of the activities of the emergency medical service lies in the provision of pre- hospital emergency care to persons with severe disabilities [§ 3 letter a) ZZSl] or in direct danger to life [§ 3 letter. b) Act. ZZSl], on the basis of an emergency call. 14 An emergency call is an evaluated call to the national emergency call number 155 or a call transmitted by the operations center of another component of the integrated rescue system. 15 The ambulance service is obliged to ensure the continuous qualified immediate receipt of such calls and calls. Subsequently, they must evaluate their degree of urgency and decide on the most appropriate immediate solution to the emergency challenge according to the patient‘s state of health. The basis for such a decision is then to determine whether the emergency call falls within the mandatory scope of the emergency medical service, ie whether it is a case of serious disability or direct threat to life. In the event that the call is evaluated in this way, the operation center of the ambulance service should decide on the deployment of an outreach group, or on its redirection. The outreach group should then provide appropriate urgent pre-hospital care. This care is provided on the one hand at the place of the event, ie at the place of serious disability or direct threat to life, and also during the transport of the disabled person to the target provider of acute inpatient care (if such transport occurs). During transport, systematic health care should be provided and indicators of the patient‘s basic vital functions should be monitored continuously. This systematic health care ends only at the moment of personal transfer of the patient to the health care provider of the target provider of acute inpatient care. Thus, the closest available provider is professionally qualified to ensure the continuation of the provision of health care to the patient, corresponding to the severity of the disability or the direct threat to life [§ 3 letter d) ZZSl]. The target provider of acute inpatient care is obliged to confirm the acceptance of the patient into care in writing to the head of the field group of the emergency medical service (§ 6 (2) ZZSl). From the above, it is clear that the provision of emergency medical services is clearly based on public law. The adjustment is mandatory. The emergency medical service provider must follow this procedure. A different conduct would have to be considered a breach of the law, with all the ensuing consequences. Just intense the requirement that this procedure be 12 The integrated rescue system is regulated in Act No. 239/2000 Coll., On the integrated rescue system. In addition to the providers of medical rescue services, the basic components of the integrated rescue system also include the Fire and Rescue Service of the Czech Republic and selected fire protection units included in the area coverage of the region and the Police of the Czech Republic. 13 The transfer of new work in the field of emergency medical services to the individual federal states follows from (according to Art. 30, 70 (1) of the Federal Constitution). In Bavaria, such a law is the Bavarian Rescue Service Act(Bayerisches Rettungsdienstgesetz of 22 July 2008 - BayRDG GVBl. S. 429, BayRS 215-5-1-I), in Saxony the Saxon Act on Fire Protection, Recue and Disasters Control (Sächsisches Gesetz über den Brandschutz, Rettungsdienst und Katastrophenschutz of 24 June 2004 – SächsGVBl. 245, 647). 14 The ambulance service may also perform other activities stipulated by law (eg transport of a patient by air between providers of acute inpatient care or transport of tissues and organs for transplantation), the provision of certain commercial services (eg first aid training, cultural, sports assistance and social events, etc.). Under certain conditions, it can also provide patient transport services between individual healthcare facilities. However, these activities are only complementary, they do not form the basis of the activities of the emergency medical service. 15 Of course, it is also possible to use the single European emergency number 112.

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