Videoconferencing Between Ambulances and Physician at the Emergency Medical Dispatch Center, Effects on On-Site Patient Treatment and Patterns of Referral

Acute Illness Clinical Trial

Official title:

Telemedical Solutions in Medical Emergencies, Advantages and Disadvantages for Patients, Healthcare Professionals, and Healthcare System. Study 2: Videoconferencing Between Ambulances and Physician at the Emergency Medical Dispatch Center,

Clinical Trial Details — Status: Recruiting

Administrative data

• NCT number: NCT02095067
• Other study ID #: NRAA2
• Status: Recruiting
• Phase: N/A
• First received: March 20, 2014
• Last updated: September 23, 2014
• Start date: June 2013
• Est. completion date: December 2014

Study information

• Verified date: March 2014
• Source: University of Aarhus
• Contact: Nikolaj Raaber, MD
• Phone: 23821085
• Email: nikoraab[@]rm.dk
• Is FDA regulated: No
• Health authority: Denmark: Danish Dataprotection AgencyDenmark: National Board of Health
• Study type: Interventional

Clinical Trial Summary

The prehospital resources are limited. The emergency medical dispatch center (EMDC) is manned by qualified health care personnel around the clock. The investigators believe that the EMDC is an unexploited resource in the prehospital treatment of patients. By the use of videoconferencing the investigators will activate this resource.

Mobile videoconferencing between ambulances and physician at the EMDC enables patient consultation at a distance. Video consultation between patient and the physician at the EMDC can take place when the patient is at home or in the ambulance.

The primary aim of this study is to examine the effect of video consultation between physicians at the EMDC and patients receiving treatment by ambulance personnel on the number of patients receiving final treatment on-site in the pre hospital setting.

Recruitment information / eligibility

• Status: Recruiting
• Enrollment: 150
• Est. completion date: December 2014
• Est. primary completion date: October 2014
• Accepts healthy volunteers: No
• Gender: Both
• Age group: N/A and older

Eligibility

Inclusion Criteria:

• Less ill/slightly injured patients receiving prehospital care by ambulance personnel

Exclusion Criteria:

Study Design

Allocation: Non-Randomized, Endpoint Classification: Efficacy Study, Intervention Model: Parallel Assignment, Masking: Open Label, Primary Purpose: Treatment

Related Conditions & MeSH terms

• Acute Illness
• Acute Injury
• Emergencies

Intervention

Device:
• Video consultation

Locations

Country	Name	City	State
Denmark	Prehospital Emergency Medical Services, Aarhus, Central Denmark Region	Aarhus N
Denmark	Responce A/S	Horsens

Sponsors (4)

Lead Sponsor	Collaborator
University of Aarhus	Aarhus University Hospital, Central Denmark Region, Prehospital Medical Emergency Services, Aarhus, Central Denmark Region, Denmark

Country where clinical trial is conducted

Denmark, 

Outcome

Type	Measure	Description	Time frame	Safety issue
Other	Ambulance staff evaluation of usability of equipment	Is investigated by the use of survey	At the time of using the equipment, asessed up to 36 months, presented up to 36 months	No
Other	Physicians evaluation of usability of equipment	Is evaluated by the use of survey	At the time of using the equipment, assessed up to 36 months, presented up to 36 months	No
Primary	Number of patients receiving final treatment on-site prehospitally		Final treatment is registered for the present consultation, assessed up 36 months, presented up to 36 months	No
Secondary	Readmission	For all patients receiving consultation from physician at the dispatch center resulting in final treatment on-site, number of patients admitted to hospital within 3 days will be assessed.	Within 3 days of primary contact, assessed up to 36 months, presented up to 36 months	Yes
Secondary	Change in site of referral	If the department to receive the patient is changed during consultation with physician at the dispatch center.	If destination for patient is changed during consultataion with physician, assessed up to 36 months, presented up to 36 months	No
Secondary	Number of treatments delivered by ambulance personnel		The number of treatments delivered by ambulance personnel during consultation with physician at the dispatch center, assessed up to 36 months, presented up to 36 months	No
Secondary	Change of transportation mode	If the mode of transportation is changed during consultation with physician at the dispatch center. Eg. from ambulance to standard patient transportation without monitoring og the possibility of treatment, ether with patient sitting up or lying down.	If mode of transportation is changed during consultation with physician, assessed up to 36 months, presented up to 36 months	No