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Emergency Doctor, 112, 116 117 or Home Visit? Hamburg's Triage Guide

RAB Arztbesuche brings the doctor to you instead of you to a waiting room: anywhere in Hamburg, to your home, office or hotel, daily from 6 am to midnight.

Susanne Reiche

Medically reviewed by Susanne Reiche

Consultant in internal medicine, geriatrics and palliative care, private physician

Last updated · published

The Hamburg medical-emergency triage guide is a decision tool that clearly separates four care routes for sudden symptoms anywhere in Hamburg: the emergency number 112 (ambulance service with emergency physician), the hospital emergency room, the medical on-call service 116 117, and the private home visit. The Hamburg Fire Brigade control centre takes a high number of medical emergency calls every day, yet only a share of them are genuine life-threatening emergencies, which makes the right judgement decisive for survival, waiting time, and the responsible use of resources.

Important first: This guide does not replace medical assessment. At any suspicion of a life-threatening situation, such as shortness of breath, unconsciousness, chest pain, stroke signs, or severe bleeding, call 112 immediately. The private medical on-call service RAB Hamburg is intended only for acute but stable complaints and never replaces the ambulance service.

Emergency Doctor Hamburg: The Phone Numbers That Matter

In a life-threatening emergency in Hamburg, always dial 112: the call is free, answered around the clock, and dispatches the emergency doctor and ambulance. For urgent but non-life-threatening complaints, call 116 117 (the statutory on-call service, free of charge). A private house call without waiting is available daily from 6 am to midnight on +49 40 524 729 688; costs under the GOÄ are usually 150–300 €, covering all 7 Hamburg districts.

The four care routes in Hamburg at a glance

Hamburg operates a tiered emergency system with four clearly separated points of contact, and each serves a distinct purpose. The overview below matches situation, responsibility, and number:

Situation Right route Number / contact
Life-threatening emergency: shortness of breath, unconsciousness, suspected heart attack or stroke, severe bleeding Ambulance service with emergency physician 112, free around the clock
Serious but self-reachable complaints: deep cut, fracture, neurological assessment Emergency room go to hospital directly (drive yourself only if stable)
Acute but not life-threatening: fever, infection, gastrointestinal trouble, back pain outside office hours Statutory medical on-call service 116 117, free around the clock
Fast, personal medical help at home, in the office or hotel Private home visit (RAB Hamburg) 040 524 729 688, daily 6 am to midnight

When you must call 112 immediately

112 is the right choice whenever there is acute danger to life or it cannot be ruled out, in Hamburg it dispatches the ambulance service of the Hamburg Fire Brigade with an ambulance and, if needed, an emergency physician. The number is valid nationwide and across Europe, is free of charge, and works on any mobile phone even without credit or a SIM card. With the following warning signs every minute counts, call 112 without hesitation:

  • Unconsciousness or no response when spoken to.
  • Suspected heart attack: persistent severe chest pain radiating into the arm, jaw, or back, with shortness of breath and cold sweat.
  • Suspected stroke: sudden paralysis on one side of the body, drooping mouth, speech or vision disorders (FAST test: Face, Arms, Speech, Time).
  • Severe shortness of breath that deteriorates rapidly, for example during an asthma attack or anaphylactic shock.
  • Severe, uncontrollable bleeding after an accident or operation.
  • Serious injuries after a fall from height, traffic accident, electrical accident, or large burn.
  • Seizures that do not stop or occur for the first time.
  • Severe allergic reactions or suspected poisoning.

For psychiatric emergencies involving danger to self or others, also call 112 or the police emergency number 110. A call to 112 does not automatically commit you to an ambulance deployment: the dispatchers in the Hamburg control centre are trained to assess urgency over the phone and to arrange the right care if in doubt. The rule of thumb: better to call once too often than once too little.

How fast the ambulance service arrives in Hamburg

The ambulance service in Hamburg is run by the Hamburg Fire Brigade through its control centre. For life-threatening deployments the planning target is a short response time of around eight minutes from the emergency call, though the actual arrival time varies with traffic, time of day, and current call volume. State your exact location and the patient's condition on the phone so the dispatcher can prioritise correctly, and do not hang up until the control centre releases the call.

What to do until the ambulance arrives

After the emergency call you can provide decisive first aid until the ambulance service arrives, these minutes save lives. Follow the dispatcher's questions: where it happened, what happened, how many people are affected, which injuries, and wait for follow-up questions. Until help arrives:

  • For unconsciousness with breathing: recovery position.
  • For cardiac arrest: start chest compressions immediately, about 100–120 per minute.
  • For severe bleeding: apply firm pressure to the wound.
  • For shock: elevate the legs, keep the person warm, and reassure them.

Emergency room or emergency call, when do I drive myself?

Driving yourself to the emergency room makes sense only when your condition is stable and no deterioration is expected during the journey. The emergency room is designed for serious, acute cases with direct access to laboratory, CT, X-ray, and surgery. Typical reasons to visit the emergency room yourself are a deep cut that needs stitches, a fracture without visible deformity, or severe abdominal pain without signs of shock. If, however, there is danger to life or the condition could turn during the trip, never drive yourself, then 112 applies without exception.

The problem: emergency rooms in a large city like Hamburg are chronically overloaded, especially in the evening, at the weekend, and on public holidays. A considerable share of patients at the major hospitals such as the UKE, the Asklepios clinics, or Marienkrankenhaus could be treated safely through the medical on-call service or a home visit. For exactly these patients, the on-call service and the medical home visit are the faster and more appropriate choice.

When the medical on-call service (116 117) is enough

The statutory medical on-call service under the nationwide number 116 117 is the right point of contact for acute but not life-threatening complaints outside office hours, free of charge and available around the clock. The control centre of the Hamburg Association of Statutory Health Insurance Physicians assesses your symptoms and either arranges an appointment at an on-call practice or, for non-mobile patients, the mobile service of the KV Hamburg. Typical cases for 116 117 are:

  • High fever over several days, or severe flu or cold symptoms.
  • Gastrointestinal complaints with vomiting or diarrhoea that are very unpleasant but stable.
  • Ear, throat, or urinary tract infections that need prompt treatment.
  • Back pain, migraine, or acute joint pain without neurological deficits.
  • Sick note or prescription at the weekend.

If the phone call reveals that it is in fact a genuine emergency, the 116 117 control centre immediately alerts the ambulance service. Conversely, 112 refers non-urgent cases to 116 117, the two systems work hand in hand. Those who are mobile are usually directed to a medical on-call practice, in Hamburg for example at the UKE in Eppendorf, at the Asklepios Klinikum St. Georg, and in Bergedorf and Harburg. According to a patient survey, around 37 percent wait there less than 15 minutes, on average about 30 minutes, although it can be considerably longer depending on demand.

When a private home visit is the better choice

RAB Arztbesuche is a private medical on-call service that, for acute but stable complaints, sends a licensed physician anywhere in Hamburg directly to your home, office, hotel, or holiday flat daily from 6 am to midnight, usually within 60 to 90 minutes. The service closes the gap between an overcrowded emergency room and a closed family practice, without tying up emergency resources. Unlike anonymous call centres, at RAB you speak with medically trained, German- and English-speaking staff who clarify in advance whether a genuine emergency exists, and in that case explicitly refer you to 112.

On site, the RAB physicians carry out a full examination and, depending on the findings, can provide pain therapy, infusions, an ECG, laboratory analyses, prescriptions, and sick notes directly. Billing follows the German scale of medical fees (GOÄ): privately insured and civil-servant-aid patients are usually fully reimbursed, while self-payers typically pay between 150 and 300 euros, depending on the day, time, and scope of service. This makes the service especially suitable for families, elderly or immobile people, and international guests who want prompt help without a waiting room.

Frequently asked questions about medical emergencies in Hamburg

Which number do I call in an emergency in Hamburg?

For acute danger to life, always 112, it dispatches the ambulance service with an emergency physician and is free, valid across Europe, and available around the clock. For acute but not life-threatening complaints outside office hours, 116 117 is responsible. If you want fast, personal help at home, you can reach RAB Hamburg daily from 6 am to midnight on 040 524 729 688.

What happens if I call the wrong number?

No harm is done, because the control centres are networked. If you accidentally call 116 117 during a life-threatening emergency, the staff will ask you to call 112 immediately and alert the ambulance service themselves if needed. Conversely, the 112 control centre refers non-urgent cases to 116 117. RAB Hamburg too clarifies in advance whether a genuine emergency exists and refers you to 112 if in doubt.

How fast does the ambulance arrive in Hamburg?

The Hamburg Fire Brigade dispatches its ambulance service for life-threatening cases with a response target of around eight minutes, the actual time depends on traffic and call volume. A private home visit from RAB Hamburg for non-life-threatening complaints usually takes place within 60 to 90 minutes, without drawing on the ambulance service.

May I call the emergency physician for severe pain?

Severe pain alone is not automatically an emergency, the accompanying symptoms are decisive. If shortness of breath, altered consciousness, neurological deficits, or circulatory problems also occur, call 112 immediately. For severe but stable pain without these warning signs, such as back, abdominal, or joint pain, the medical on-call service or a home visit is the right choice.

Does health insurance cover the costs?

Statutory health insurance covers the ambulance deployment (112) and the on-call home-visit service (116 117) when medically necessary. For the private service RAB it depends on your insurance: privately insured and civil-servant-aid patients are usually fully reimbursed for the GOÄ billing, while those with statutory insurance use RAB as self-payers.

When should I not hesitate to get help?

At any suspicion of danger to life you should never wait, an emergency call placed too late can cause permanent damage in the case of heart attack or stroke. If you are unsure whether an emergency exists, call 112 if in doubt, the trained control centre will make the assessment for you. For stable but urgent complaints, a medical assessment via the on-call service or a home visit is sensible before the condition worsens.

What does an ambulance call-out cost in Hamburg?

Where medically necessary, statutory health insurance covers the cost of the ambulance call-out; insured adults from age 18 pay only the statutory copayment of 10 percent of the transport costs, at least 5 and at most 10 euros. Privately insured patients submit the invoice to their insurer. Important: in a genuine emergency, never hesitate to call 112 for cost reasons, the question of costs is always secondary when life is at risk.

Is 116 117 also available online?

Yes, at 116117.de you will find the online symptom assessment, the search for currently open on-call practices and the appointment service for specialist appointments. For acute complaints, calling 116 117 is usually the faster route, because the call centre assesses the urgency directly and, if necessary, immediately arranges a house visit or the rescue service.

Do you need prompt medical help in Hamburg and there is no life-threatening situation? You can reach the private medical on-call service RAB Hamburg daily from 6 am to midnight on 040 524 729 688, or book your appointment directly online. For life-threatening emergencies, call only the emergency number 112.

What is the emergency doctor's phone number in Hamburg?

You reach the emergency doctor in Hamburg, as everywhere in Germany, via 112; the call is free and answered 24/7. For non-life-threatening complaints, 116 117 is responsible. A private house-call doctor from RAB Arztbesuche is available daily from 6 am to midnight on +49 40 524 729 688.

Which number applies for statutory patients without an emergency?

Statutory (GKV) patients reach the statutory on-call service free of charge on 116 117; it refers you to on-call practices and, where medically justified, arranges home visits. The private house call is open to GKV patients as a self-pay service under the GOÄ, usually 150–300 €, including a sick note, also on weekends.

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