112, 116117, private doctor: three systems, three jobs
Germany operates a three-tier system of out-of-hospital acute care. Dialling 112 mobilises ambulances, paramedics and, when life-threatening indications apply, an emergency physician. It is the right channel for heart attack, stroke, severe respiratory distress, anaphylaxis, seizures, polytrauma and any condition where every minute counts.
116117 is the nationwide number for the statutory on-call service, intended for statutory-insurance patients with acute but non-life-threatening complaints outside practice hours. Berlin waiting times can run to several hours depending on the day of the week.
Private medicine – RAB on +49 30 550 77 870 – forms the third pillar. It serves private patients, civil-servant insurance holders, self-payers, hotel guests and expats who need acute care without hospitalisation. The separation of these three systems is not academic, it is vital.
When you must dial 112
Sudden severe chest pain radiating into arm, jaw or back; acute shortness of breath; clouded consciousness; unilateral weakness or speech disturbance; major trauma; anaphylactic reactions with breathing difficulty; seizures; heavily bleeding wounds – the only correct number is 112.
The Berlin fire service maintains a dense round-the-clock network of rescue vehicles with typical arrival times under ten minutes. No private house-call service – RAB included – can compete with that system in life-threatening situations, and we never claim to.
If you are unsure, call 112 first. The dispatcher runs structured emergency questioning and decides whether rescue assets are required. In case of doubt: better one call too many than one too few.
When a private specialist visit is the better choice
High fever without respiratory distress, purulent tonsillitis, acute gastroenteritis without shock signs, urinary tract infection with flank pain, acute migraine, hypertensive crisis without neurological deficit, lumbago, febrile infection in the elderly patient, acute bronchitis – these are textbook indications for a private house call.
The benefit: no waiting in an emergency department alongside polytrauma or suspected STEMI. You stay in bed, are examined by a specialist, receive treatment, a prescription and a sick note when needed. Arrival in central Berlin districts is sixty to ninety minutes – slower than 112 but typically faster than the statutory on-call service.
This is not a substitute for emergency services but a way of relieving them: emergency departments can focus on truly critical cases when patients with manageable complaints are treated at home.
How RAB triages and decides
Every call starts with structured symptom screening. Dispatch asks about chief complaint, onset, course, accompanying signs, comorbidities and medications. Any red flag – chest pain with vegetative symptoms, neurological deficit, respiratory distress – is consistently redirected to 112.
If the presentation is compatible with outpatient care, the next available specialist accepts the case. In equivocal situations the physician calls back for a clinical telephone consultation before travelling. This medical pre-triage is an essential safety loop.
On site the physician examines the patient in accordance with the AWMF guidelines for acute care. If the findings turn out to require hospital care after all, transport is organised – via 112 for escalation or via private transport for a stable patient.
Berlin reality: waiting times, emergency rooms, pressure
Berlin emergency departments are chronically overburdened. Charité Campus Mitte, Vivantes Friedrichshain, DRK Westend, Helios Buch – all report regular intake stops. Waits of four to seven hours for non-critical cases are routine. Private insurance does not help in the waiting area.
The statutory on-call service 116117 is an important pillar but frequently saturated in Berlin. House calls via 116117 are possible, but waits of six to twelve hours are common at peak times.
Against this background a private specialist house call is not a luxury but a relief valve – provided it is used correctly and triage remains honest.