Acute Coronary Syndrome Clinical Trial
Official title:
Telemedical Support in Prehospital Emergency Care of Acute Coronary Syndromes
The aim of the study is to investigate the quality of prehospital emergency care in acute coronary syndromes, when paramedics are supported telemedically by an EMS physician.
Six ambulances from five different Emergency Medical Service (EMS) districts are equipped
with a portable telemedicine system. In cases of suspected acute coronary syndrome
(including STEMI), the paramedics can use this system to contact a so called "tele-EMS
physician" after consent of the patient is obtained. The tele-EMS physician has an
audio-connection to the EMS team and receives vital parameters (e.g., ECG, pulse oximetry,
non-invasive blood pressure) in real-time. Also 12-lead-ECGs can transmitted to the tele-EMS
physician. The transmission of still pictures - taken with a smartphone - and video
streaming from the inside of the ambulance can be carried out, if meaningful. The tele-EMS
physician supports the EMS team in obtaining all relevant medical history, ECG diagnosis,
general diagnosis and can delegate the application of medications. This can be carried out
to bridge the time to the arrival of an EMS physician or in less severe cases without an EMS
physician on-scene.
The quality of prehospital care and the possible influences on the initial inhospital phase
should be investigated and compared with regular EMS.
;
Allocation: Non-Randomized, Endpoint Classification: Safety/Efficacy Study, Intervention Model: Single Group Assignment, Masking: Open Label, Primary Purpose: Treatment
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