Analgesia Clinical Trial
Official title:
Comparison of Analgesic Treatment Quality Between Prehospital Emergency Care of Telemedically Guided Paramedics and On-scene Physicians - a Retrospective Longitudinal Study
The purpose of this retrospective study is to analyze quality and adverse events of analgesia by telemedically supported paramedics in comparison to conventional treatment by on-scene emergency medical service (EMS) physicians in the EMS of the city of Aachen, Germany.
The standard emergency medical service (EMS) in Germany consists of a two-tiered system with
ambulances (paramedics) and prehospital EMS physician units. For example, legal conditions
restrict opioid-based analgesia to physicians. Based on pre-defined standards regional
emergency dispatch centers deploy both kinds of emergency units.
In recent years telemedicine emerged as a complementary system in EMS that may provide
remote medical expertise and sustain or even improve quality of medical treatment on-scene.
Particularly, based on the results of the projects Med-on-@ix and TemRas (telemedical rescue
assistance system), emergency telemedical services were gradually implemented in daily
routine of the EMS of the city of Aachen, Germany.
In this retrospective study the quality and adverse events of analgesia by telemedically
supported paramedics shall be compared to conventional treatment by on-scene EMS physicians
in the EMS of the city of Aachen, Germany.
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Observational Model: Case Control, Time Perspective: Retrospective
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