1.                   1. Local medical service

      1.1. It is the medical attendance form, when the medical insurance of the attendance of a program happens without the use of an ambulance car.

      1.2. The medical insurance with the local medical service can only be performed in a building or on a program held outdoor on a smaller ground, if the number of the participants is between 500-1000 people, except the case under point 2.6.1. In case of higher number of participants, mobile duty service is needed.

      1.3. The medical attendance is performed by a nurse, an ambulance man, a doctor, an oxyological consultant, or by more of them jointly at the same time.

      1.4. At the location of the program there must be a (permanent or temporary) place which is suitable for medical examination and where the patients can lie down. There must be provided wired or wireless device for communication, furthermore a medical equipment for the adequate medical attendance. The composition of this medical equipment is determined in the professional guide of OMSZ.

   

2.                     2. Mobile duty service

 

      2.1. It is the medical attendance form, when the performance of the rescue-standby is carried out according to the material and personal conditions; furthermore it is performed at the determined location and time. The rescue-standby means the insurance of the medical attendance performed by doctors, ambulance men or nurses at the location of the probable oxyological service.

      2.2. Mobile duty service can only be performed by organizations which perform life-saving activities               2.3. During mobile duty service the suitable type of ambulance car must be ensured for the probable oxyological service among the ones listed at point 2.4 a)-h), taking into consideration what is written at point 2.6.

      2.4. The medical attendance performed by mobile duty service can be carried out with

            a.                   ambulance car
b.                  highlighted ambulance car
c.                   emergency ambulance

            d.                  response unit

            e.                   child-ambulance response unit
f.                   air ambulance craft
g.                  ambulance automobile

            h.                  ambulance motorbike

            i.                    oxyological ambulance.

The oxyological ambulance:

      a.       it contains a place where the participants of the program who need medical attendance can be examined and observed, and it also contains a place where if it is necessary dead people can be isolated.

      b.      its equipment includes the devices and appliances needed for the oxyological service, together with the required insurance of the hygienic conditions.

      c.       its leader is an oxyological consultant or a skilled ambulance doctor, their group consists doctors, ambulance men, nurses and auxiliary staff.

 

       2.5. The head of mobile duty service keeps URH-, and phone contact with the regional authorized Leading Group.

       2.6. The medical insurance levels of mobile duty service:
 2.6.a.1.  In case of a program with a smaller number of participants (less than 1000 people) the mobile duty service is necessary if the program is organized especially for diseased or older people.
 2.6.a.2.  If the number of the attendance is between 1001 and 5000 people, at least one emergency ambulance car is needed.
 2.6.a.3.  If the number of the attendance is between 5001 and 10 000 people, at least one emergency ambulance and an ambulance car is needed.
 2.6.a.4.  If the number of the attendance is between 10 001 and 50 000 people, at least one response unit, an emergency ambulance and an ambulance car is needed.
 2.6.a.5.  If the number of the attendance is between 50 000 and 200 000 people, one emergency ambulance and an ambulance car is needed for every 50 000 people. Furthermore one response unit is needed for every 100 000 people.
 2.6.a.6.  If the number of the attendance is over 200 000 people, one response unit, one emergency ambulance and two ambulance cars are needed for every 100 000 people. In this case one of the response units can be replaced with an ambulance automobile.
 2.6.7.  In case of a program with more than 50 000 participants, there must be oxyological ambulance ensured.
 2.6.8.  
 2.6.9.  In case of outdoor vehicle motor sport programs –according to the increased contingency– one helicopter is necessary, if the program is on a bigger field and it is hardly passable with an ambulance car. It is also needed if the farthest point of the field cannot be reached in 10 minutes and if the nearest medical institution cannot be reached in 20 minutes with an ambulance vehicle.
 2.6.10. The organizer of the program names a responsible leader in the interest of the continuous communication with the participants of the insurance of the location.

 

            3. The transportation of the patient from the program

If the patient was attended according to points 1-2, and he/she needs to be carried to the nearest medical institution, it must be performed by the organization which ensures the medical attendance of the program. If it is not done, or the planned oxyological service proves insufficient, the extra expenses verified by OMSZ must be refunded by the organization which ensured the medical attendance of the program.