Emergency Clinical Trial
Official title:
Telemedical Support for Prehospital Emergency Medical Service - a Prospective Randomized Controlled Trial
The purpose of this study is to evaluate the safety and quality of a pre-hospital holistic
multifunctional teleconsultation system. This system consists of on-line transmissions of
vital parameters, audio- and video-signals from the scene to a telemedicine centre, where a
trained emergency physician (tele-EMS physician) uses software-based guideline conform
algorithms for diagnosis and treatment.
At the prehospital emergency scene half of the patients will receive this telemedicine-based
approach and the other half the conventional emergency physician-based care.
The usual Emergency Medical Services (EMS) in Germany consists of a dual system with two
paramedics and one EMS physician on scene.
Telemedicine networks between medical personnel and medical experts were shown to be
beneficial for the quality of health care in many medical fields. The investigators have
developed a holistic multifunctional mobile EMS teleconsultation system, as a complementary
structural element to the ground based and air based EMS. This tele emergency system was
evaluated and implemented during two third-party funded telemedicine projects (Med-on-@ix and
TemRas) in the city of Aachen, Germany.
The EMS teleconsultation system was step-wise introduced in the clinical routine of Aachen.
Several cases (hypertensive emergency cases, stroke, dislocated fractures etc.) with the
primary indication for an EMS physician are already dispatched solely to the paramedics, who
can demand support by a tele-EMS physician at any time.
Our aim is to demonstrate that the tele-EMS system is non-inferior in comparison to the
conventional german EMS physician system with respect to safety. Moreover, the investigators
want to evaluate which system provides a better quality with respect to recording important
aspects of medical history and a more guideline conform treatment.
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