The German model for rescue of traumatized XXXX .

@entity1 @entity174 @entity542 @entity1576 @entity204 @entity130
Accidents and their sequelae are the main cause of @entity204 in Germany among @entity1 under 40 years of age. The cost in disability payments and lost work averages  40 000 per injury. The author describes the German system for @entity130 rescue. The aims of rescue care in Germany are to reduce the interval between injury and hospital admission and to bring the @entity1 to the right hospital, bypassing smaller hospitals if necessary. Ambulance rescue systems are of two types: the stationary, in which the physician travels with the ambulance, and the rendezvous, in which the physician and ambulance, travelling separately, meet at the accident site. At the beginning of the 1970s the air-rescue system was started and now comprises 32 stations and 25 BO-105 helicopters. The Hannover experience shows that of the initial diagnoses made at the accident site by helicopter rescue service, 51.9% of victims had @entity542 , 35.5% fractures of extremities, 17.0% thoracic @entity130 , 10.2% @entity174 . Because of @entity1576 or unconsciousness with danger of aspiration, 12.0% of the @entity1 had to be intubated endotracheally. One hundred and twenty-two @entity1 with a clinical diagnosis of @entity204 were successfully resuscitated at the accident scene. A study comparing the efficiency of the helicopter and ambulance systems showed that as the severity of the injuries increases, the @entity204 rate is greater in the group rescued by ambulance. Of 22 accidents involving rescue helicopters, 7 (32%) resulted in at least one @entity204 . Between 1973 and 1983, 16 doctors, pilots or attendants were killed.
