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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NOT_YET_RECRUITING
NA
250 participants
INTERVENTIONAL
2026-01-31
2026-09-30
Brief Summary
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Detailed Description
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Conditions
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Keywords
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Study Design
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RANDOMIZED
PARALLEL
SUPPORTIVE_CARE
NONE
Study Groups
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Physician Consultation
Mecklenburg EMS agency (MEDIC) crew chiefs (EMTs and/or paramedics) may decide, based on patient circumstances, to consult OMC for patients wishing to refuse care.
Physician Consultation
Every other month will be randomized to either Physician Consultation or Standard of Care. During the months designated for Physician Consultation, direct communication between the patient and a designated physician by phone will be implemented when a patient refuses transport in cases where the EMS clinician feels that physician consultation is warranted for further guidance. The physician will attempt to address patient concerns and provide additional medical advice.
Standard of Care
Refusal-of-care consultation not provided to patient
Standard of Care
Every other month will be randomized to either Physician Consultation or Standard of Care. During the months designated for Standard of Care, physician intervention will not be provided. For safety reasons, if physicians or EMS MEDIC clinicians feel that speaking with the patient is important to provide additional clinical benefit, they may do so without hesitation and can override the designated intervention month.
Interventions
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Physician Consultation
Every other month will be randomized to either Physician Consultation or Standard of Care. During the months designated for Physician Consultation, direct communication between the patient and a designated physician by phone will be implemented when a patient refuses transport in cases where the EMS clinician feels that physician consultation is warranted for further guidance. The physician will attempt to address patient concerns and provide additional medical advice.
Standard of Care
Every other month will be randomized to either Physician Consultation or Standard of Care. During the months designated for Standard of Care, physician intervention will not be provided. For safety reasons, if physicians or EMS MEDIC clinicians feel that speaking with the patient is important to provide additional clinical benefit, they may do so without hesitation and can override the designated intervention month.
Eligibility Criteria
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Inclusion Criteria
Exclusion Criteria
* Patient refuses to speak with online medical control EMS Physicians. MEDIC or patient requests to have primary care physician.
* Lack of clinical capacity.
* Incarcerated population.
18 Years
ALL
No
Sponsors
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Wake Forest University Health Sciences
OTHER
Responsible Party
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Principal Investigators
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Stephen Tyler Constantine, MD
Role: PRINCIPAL_INVESTIGATOR
Atrium Health Carolinas Medical Center
Locations
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Atrium Health Carolinas Medical Center
Charlotte, North Carolina, United States
Countries
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Central Contacts
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Facility Contacts
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Stephen Tyler Constantine, MD
Role: primary
Other Identifiers
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IRB00134848
Identifier Type: -
Identifier Source: org_study_id