Acutely Ill Clinical Trial
Official title:
Emergency Medical Technician Treat-and-leave Patients Receiving Telemedicine Consultation With Emergency Medical Dispatch Physician - a Controlled Before and After Pilot-study
A large part of acutely ill patient's access to the health care system starts by calling the
emergency number 1-1-2 and thereby getting in touch with the emergency medical dispatch
center (EMDC). In most cases an ambulance is dispatched and the patient is brought to the
hospital. These patients are not referred by a physician (eg. a GP) and represent an
unselected subpopulation of the acutely ill patients. At present, all non-critically ill
patients not evaluated by a pre-hospital physician are normally be transported to hospital
as category 2 (without activated emergency lightning and sirens).A part of this patient
population, however, is not critically ill and a proportion of these may not need hospital
admittance . Emergency medical technicians (EM) are not allowed to treat - and- leave
patients without a physician's involvement. If the EMT had 24/7 online access to medical
control i.e. in form of a physician present in the EMDC , the number of patients transported
to hospital for assessment may be reduced as well as response times for patients actually
needing ambulance transportation. This could potentially reduce the workload on the whole
healthcare system involved in the management of these patients - thereby potentially
reducing costs.
The objective of this study is to evaluate if a systematic telemedical assessment by an
EMDC-physician of all patients who receive an ambulance but are not critically ill and would
have a category 2 transport to hospital can reduce the number of the patients that are
transported to hospital and save costs and time.
n/a
Endpoint Classification: Safety/Efficacy Study, Intervention Model: Single Group Assignment, Masking: Open Label, Primary Purpose: Treatment
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