Central Emergency Room [ZNA]

Also known as the ‘outpatient clinic’, the Central Emergency Room [ZNA – Zentrale Notfallaufnahme] of the Municipal Hospital is the first point of contact for all emergency patients. It is located directly in the entrance area.

The ZNA provides trauma patients and patients suffering from sudden illnesses with the quickest treatment possible.


The treatment spectrum includes:

  • Cardiovascular diseases
  • Diseases of the internal organs
  • Surgical and urological disorders 
  • Treatment of traumas and musculoskeletal injuries
  • Gynaecological and paediatric diseases
  • Neurological and psychiatric disorders

The ZNA treats some 20,000 patients each year. This corresponds to more than 50 patients per day. Patients are treated not according to the time of their arrival, but rather based on the severity and thus the urgency of their disease.

This urgency is assessed using the certified Manchester Triage System. The system distinguishes among five degrees of urgency that range from immediate commencement of treatment to a reasonable waiting period of two hours prior to initial medical contact. If the capacity of the Central Emergency Room is exceeded, waiting times can be extended and a second assessment by nursing staff required.

The Central Emergency Room has 15 treatment spaces, 14 of them for patients lying down. In addition to a patient-history interview (anamnesis) and a physical examination many apparatus-based tests are performed here as well.

These may include measurements of blood pressure, pulse and temperature, electrocardiograms, blood tests and other laboratory tests. Also possible are ultrasound examinations of the thorax, abdomen, vessels, joints and musculoskeletal system, as well as X-rays.

It is important to remain calm in order to be able to answer the questions of the Central Control Centre:

WHO is calling?

WHAT happened?

WHERE did it happen?

HOW MANY injured people are there?

WAIT for follow-up questions – do not hang up!

The call must not be terminated until the Control Centre has confirmed that it has all the necessary information. Following this, first aid must be begun until the emergency physician arrives.

If available, the insurance card should be kept at the ready as well.

Do not transport the emergency patient to the hospital on your own, as there is a risk of further health complications during the trip. Instead, a professional rescue service can perform an initial diagnosis and radio this information ahead to the receiving hospital.

Another area of focus is uncomplicated communication with the referring physicians before, during, and after treatment. We do this because it has been our experience that patients’ long-term prospects of success increase if all stakeholders participate holistically in the patients’ recovery.

Central emergency number (ZNA)




Fast and deliberate action can save lives. So in an emergency of any kind, always dial the central emergency number 112!

The emergency physician and, if necessary, the fire brigade will be activated from there.

WHO is calling?
WHAT happened?
WHERE did it happen?
HOW MANY injured people are there?
WAIT for follow-up questions – do not hang up!

My questions for the Medical Director of the ZNA

Max-Peter Weber

E-mail: ambulanz@kh-pirmasens.de