Telemedical Support in Prehospital Emergency Care of Acute Coronary Syndrome
NCT ID: NCT01644006
Last Updated: 2015-09-22
Study Results
The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.
Basic Information
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COMPLETED
NA
39 participants
INTERVENTIONAL
2012-08-31
2015-09-30
Brief Summary
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Detailed Description
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The quality of prehospital care and the possible influences on the initial inhospital phase should be investigated and compared with regular EMS.
Conditions
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Study Design
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NON_RANDOMIZED
SINGLE_GROUP
TREATMENT
NONE
Study Groups
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Device: Teleconsultation
In cases of suspected acute coronary syndrome (including STEMI), if patients give informed consent the paramedics can use this system to contact a so called "tele-EMS physician" with audio-connection to the EMS team and receives vital parameters (e.g., ECG, pulse oximetry, non-invasive blood pressure) in real-time. Also 12-lead-ECGs can be transmitted to the tele-EMS physician. 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 in obtaining all relevant medical history, ECG 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.
Teleconsultation
Teleconsultation of an EMS physician to support the paramedics in acute coronary syndromes
Historical Matched Pairs
Historical matched pairs were searched from local protocols. During this phase no teleconsultation system was existent.
No interventions assigned to this group
Interventions
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Teleconsultation
Teleconsultation of an EMS physician to support the paramedics in acute coronary syndromes
Eligibility Criteria
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Inclusion Criteria
* Verbal consent for teleconsultation obtained or patient is not able to consent due to the severity of the emergency
Exclusion Criteria
* No suspected acute coronary syndrome
18 Years
ALL
No
Sponsors
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RWTH Aachen University
OTHER
Responsible Party
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Principal Investigators
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Rolf Rossaint, Prof. Dr.
Role: STUDY_CHAIR
University Hospital Aachen, Germany, Department of Anesthesiology
Jörg C Brokmann, Dr.
Role: PRINCIPAL_INVESTIGATOR
University Hospital Aachen, Germany, Emergency Department
Locations
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University Hospital Aachen
Aachen, , Germany
Countries
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References
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Brokmann JC, Conrad C, Rossaint R, Bergrath S, Beckers SK, Tamm M, Czaplik M, Hirsch F. Treatment of Acute Coronary Syndrome by Telemedically Supported Paramedics Compared With Physician-Based Treatment: A Prospective, Interventional, Multicenter Trial. J Med Internet Res. 2016 Dec 1;18(12):e314. doi: 10.2196/jmir.6358.
Other Identifiers
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PtJ-Az.: z0909im002b
Identifier Type: OTHER_GRANT
Identifier Source: secondary_id
005-1003-0034-1
Identifier Type: -
Identifier Source: org_study_id
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