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 on one hand and the ambulance service (EMS) on the other hand the necessary multi-skills are very often not provided by the standard training program of these organizations due to the national organization of theses services.