Reason for the project: The rescue of people from fall endangered areas, e.g. confined spaces, cranes, cliffs, cable cars, etc. is a special challenge for the fire service and the ambulance services. To provide the best possible help for victims it would be necessary that the rescuers are multi-skilled both in rope rescue techniques and in medical emergency response. Due to the general task of the fire service – which is fire fighting and technical rescue - on one hand and the ambulance service – which is urgent medical rescue and patient transport - on the other hand in many countries the necessary multi-skills are very often not provided by the standard training program of these organizations.