May my will be done?!

Patient information by paramedics in EMS mission

Abstract

Background 

Emergency paramedics (NotSan) play a crucial role in pre-hospital emergency medicine and are authorized to independently perform medical and invasive procedures. In addition to technical expertise, this requires social skills such as empathy to ensure patient-centered care. Comprehensive patient information and consent are central to respecting patients‘ right to self-determination. The aim of this article st o examine the legal framework and the requirements for legally secure and ethically sound patient information provided by NotSan.

Results 

The patient's right to self-determination is enshrined in the German Basic Law (Art. 2 Para. 2 GG) and requires effective consent based on adequate information. According to § 630e BGB, such information must include the nature, scope, risks, alternatives, and success probabilities of the procedure. In emergencies, the extent of information can be reduced, with presumed consent possible in cases of unavoidable interventions. NotSan are responsible for providing this information if no emergency physician is present. The effectiveness of the information depends on clear, situation-appropriate communication that meets both legal and practical requirements. Inadequate or lacking information may lead to legal consequences.

Conclusion

Legally sound patient information is essential to protect patients' autonomy and ensure the legality of emergency medical interventions. Incorporating this aspect into the training and continuing education of NotSan is crucial for developing both professional and interpersonal skills. Regular training and simulations help strengthen the necessary competencies. In summary, patient information is not only a legal requirement but also a demonstration of respect and professionalism in emergency services. It fosters trust and ensures the quality of care.