Prehospital Telemedical Support in Acute Stroke

Status Completed

Clinical Trial Summary

The aim of the study is to investigate the quality of prehospital emergency care in acute stroke, when paramedics are supported telemedically by an EMS physician.

Clinical Trial Description

Six ambulances from five different Emergency Medical Service (EMS) districts are equipped with a portable telemedicine system. In cases of suspected acute stroke (including intracranial hemorrhage), 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), 12-lead-ECGs and video streaming from the inside of the ambulance can also be carried out, if indicated. The tele-EMS physician supports the EMS team in obtaining all relevant medical history, neurological 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. ;

Study Design

Intervention Model: Single Group Assignment, Masking: Open Label, Primary Purpose: Treatment

Related Conditions & MeSH terms

Clinical Trial Details

NCT number	NCT01644019
Study type	Interventional
Source	RWTH Aachen University
Contact
Status	Completed
Phase	N/A
Start date	August 2012
Completion date	September 2015

View Details

See also
Status	Clinical Trial	Phase
Completed	`NCT03281590` - Stroke and Cerebrovascular Diseases Registry
Enrolling by invitation	`NCT06074081` - Comparison of 4-weeks of Motor Relearning Program and Mirror Therapy in Improving Upper Limb Motor Function in Stroke Patients.	N/A
Terminated	`NCT04039178` - Efficacy of EMF BCI Based Device on Acute Stroke	N/A
Completed	`NCT04521634` - Glycaemic Variability in Acute Stroke
Completed	`NCT03477188` - The Effects of Somatosensory and Vestibular Rehabilitation Additional Conventional Therapy on Balance in Patients With Acute Stroke.	N/A
Recruiting	`NCT05065216` - Treatment of Acute Ischemic Stroke (ReMEDy2 Trial)	Phase 2/Phase 3
Recruiting	`NCT02677415` - Impact of Anesthesia Type on Outcome in Patients With Acute Ischemic Stroke (AIS) Undergoing Endovascular Treatment	N/A
Recruiting	`NCT01541163` - Heart and Ischemic STrOke Relationship studY	N/A
Completed	`NCT01210729` - Mechanical Recanalization With Flow Restoration in Acute Ischemic Stroke	Phase 2
Recruiting	`NCT00785343` - Study of Robot-assisted Arm Therapy for Acute Stroke Patients	Phase 1
Completed	`NCT04779710` - How Does Dysphagia Assessment in Acute Stroke Affect Pneumonia?
Active, not recruiting	`NCT03635749` - Intensive Medical Therapy for High-risk Intracranial or Extracranial Atherosclerosis	Phase 3
Recruiting	`NCT06149754` - BraiN20® Monitoring in Acute Stroke Undergoing Thrombectomy
Recruiting	`NCT04491695` - Tirofiban for the Prevention of Neurological Deterioration in Acute Ischemic Stroke	Phase 2/Phase 3
Recruiting	`NCT04283760` - Investigation of the Reliability and Validity of the Movement Imagination Questionnaire - Revised Second in Acute Stroke Patients
Recruiting	`NCT05454397` - A Study on the Status of Nutritional Risk Screening and Nutritional Therapy in Neurology Hospitalized Stroke Patients
Completed	`NCT04488692` - Early Functional Training in Acute Stroke Inpatient Ward	N/A
Recruiting	`NCT04214522` - Reliability and Validity of the Kinesthetic and Visual Imagery Questionnaire in Acute Stroke Patients
Not yet recruiting	`NCT04157231` - Essential Acute Stroke Care in Low Resource Settings: a Pilot studY	N/A
Recruiting	`NCT05469438` - IMAS Optimization and Applicability in an Acute Stroke Setting.