Emergency Medical Service Clinical Trial
Official title:
Telemedically Supported Analgesia in the Emergency Medical Service
The aim of the study is to evaluate the safety and efficacy of telemedically supported and delegated pain therapy in the Emergency Medical Service (EMS).
Six ambulances from five different Emergency Medical Service (EMS) districts are equipped
with a portable telemedicine system. In cases of emergencies, where intravenous analgesia is
necessary, 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. 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 and can delegate the application of morphine and
other analgesics. 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.
All regular ambulances of the five districts are not allowed to administer analgesics
without an physician on-scene. They have to call an Advanced Life Support response unit,
staffed with an EMS physician, who carries out all kinds of ALS interventions.
The safety, efficacy and the quality of analgesia should be compared with regular EMS.
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Allocation: Non-Randomized, Endpoint Classification: Safety/Efficacy Study, Intervention Model: Single Group Assignment, Masking: Open Label, Primary Purpose: Treatment
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