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Emergency Medical Technician Treat-and-leave Patients Receiving Telemedicine Consultation With Emergency Medical Dispatch Physician - a Controlled Before and After Pilot-study

NCT ID: NCT02228317

Last Updated: 2015-12-09

Study Results

Results pending

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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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

774 participants

Study Classification

INTERVENTIONAL

Study Start Date

2014-09-30

Study Completion Date

2014-11-30

Brief Summary

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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.

Detailed Description

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Conditions

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Acutely Ill Acutely Injured

Keywords

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Emergency Medical Dispatch Telemedicine Emergency Medical Services Pre-hospital

Study Design

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Allocation Method

NA

Intervention Model

SINGLE_GROUP

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Telemedicine consultation

EMTs will systematically establish teleconsultation by either telephone or video with the EMDC-physician in all cases of non-critical illness

Group Type EXPERIMENTAL

Telemedicine consultation

Intervention Type DEVICE

Telemedicine consultation done by telephone or video

Interventions

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Telemedicine consultation

Telemedicine consultation done by telephone or video

Intervention Type DEVICE

Other Intervention Names

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For video consultation iPAD AIR 4G/3G 16 GB will be used. LifeSize ClearSea solution will be used for videoconferencing. 4G/3G mobile network. For telephone consultation Nokia C2-01 GSM telephone will be used.

Eligibility Criteria

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Inclusion Criteria

* Patients receiving an emergency ambulance after calling the EMDC Patients who are going to be admitted to a Hospital in the Central Denmark Region.
* Patients who are going to be transported as category 2 patients (non-critical illness, not requiring transport with activated lightning and sirens.

Exclusion Criteria

* Critically ill patients (Patients who are going to be transported as category 1 patients (critical-illness, requiring immediate transport with activated sirens and warning lights )
* Patients who are not supposed to be admitted to a hospital in the Central Denmark Region
Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Central Denmark Region

OTHER

Sponsor Role collaborator

Aarhus University Hospital

OTHER

Sponsor Role collaborator

University of Aarhus

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Locations

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Prehospital Emergency Medical Services, Aarhus

Aarhus N, , Denmark

Site Status

Countries

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Denmark

Other Identifiers

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NRA5

Identifier Type: -

Identifier Source: org_study_id