Videoconferencing Between Ambulances and Physician Manned Rapid Response Vehicles, Effects on On-site Patient Treatment and Patterns of Referral

Telemedical Solutions in Medical Emergencies, Advantages and Disadvantages for Patients, Healthcare Professionals, and Healthcare System. Study 3: Videoconferencing Between Ambulances and Physician Manned Rapid Response Vehicles, Effects on On-site Patient Treatment and Pattern of Referral

Physician manned rapid response vehicles are a limited resource in the prehospital handling of acute patients.

In this study mobile videoconferencing between ambulances and the rapid response vehicles enables patient consultation at a distance. Video consultation between patient and the prehospital physician can take place when the patient is at home or in the ambulance.

The primary aim of this study is to examine the effect of video consultation between physician manned rapid response vehicles and patients receiving treatment by ambulance personnel on the number of patients receiving final treatment on-site in the pre-hospital setting

Study Overview

• Status: Withdrawn
• Conditions: All Acutely Ill or Injured Patients Receiving Care by Ambulance Personnel
• Intervention / Treatment: Device: iPad air with 4G/3G SIM card

• Study Type: Interventional
• Phase: Not Applicable

Contacts and Locations

Study Locations

• Denmark
  • Horsens, Denmark, 8700
    • Responce A/S
  • Horsens, Denmark, 8700
    • Lægebilen, Hospitalsenheden Horsens

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: Child; Adult; Older Adult
• Accepts Healthy Volunteers: No
• Genders Eligible for Study: All

Description

Inclusion Criteria:

• All patients receiving prehospital care by ambulance personnel
• Must receive either telephone or video consultation by physician in rapid response vehicle

Exclusion Criteria:

-

Study Plan

How is the study designed?

Design Details

• Primary Purpose: Treatment
• Allocation: Non-Randomized
• Interventional Model: Parallel Assignment
• Masking: None (Open Label)

Number of Arms

2

Arms and Interventions

Participant Group / Arm	Intervention / Treatment
Experimental: Video consultation; Patients in this arm receive video consultation from physician in doctor manned rapid response vehicle.	Device: iPad air with 4G/3G SIM card; iPad air with 4G/3G SIM card is used as device for videoconferencing. LifeSizeClearSea solution is used for videoconferencing. Video consultation; Other Names: LifeSizeClearSea
Active Comparator: Telephone consultation; Patients receiving prehospital care by ambulance personnel whom receive telephone consultation/supervision by physician in rapid response vehicle.	Device: iPad air with 4G/3G SIM card; iPad air with 4G/3G SIM card is used as device for videoconferencing. LifeSizeClearSea solution is used for videoconferencing. Video consultation; Other Names: LifeSizeClearSea

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Time Frame
Number of patients receiving final treatment on-site prehospitally	Final treatment is registered for the present consultation, expected assesment averagely within 1 hour. Expected to be presented up to 36 months after assessment

Secondary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Readmission	For all patients receiving consultation from physician manned rapid response vehicles the number of patients admitted to hospital within 3 days will assessed.	Within 3 days of primary contact. Will be assessed up to 24 months after primary contact. Expected to be presented up to 36 months after assessment.
Change in site of referral	If the department to receive the patient is changed during consultation between physician in rapid response vehicle and patient	If destination for patient is changed during consultatation with physician it wille be assessed at the end of consultation, expected averagely to be within 1 hour after consultation, expected to presented up to 24 months after primary assessment
Number of treatments delivered by ambulance personnel		The number of treatments delivered by ambulance personnel during consultation with physician in rapid response vehicle. Expected to be assessed averagely within 1 hour of consultation. Expected to be presented up 36 months after primary assessment

Other Outcome Measures

Outcome Measure	Measure Description	Time Frame
Ambulance staff evaluation of usability of equipment	Is investigated by the use of survey	1 day
Physicians evaluation of equipment	Is investigated by the use of survey	1 day
Patient satisfaction	Is investigated by telephone survey.	Within 3 weeks after receiving consultation

Collaborators and Investigators

• Sponsor: University of Aarhus
• Collaborators: Central Denmark Region
• Investigators: Principal Investigator: Nikolaj Raaber, MD, Central Denmark Region; Study Director: Erika Christensen, MD, medical director, Central Denmark Region

Study record dates

Study Major Dates

• Study Start: May 1, 2014
• Primary Completion (Anticipated): November 1, 2014
• Study Completion (Anticipated): December 1, 2014

Study Registration Dates

• First Submitted: March 12, 2014
• First Submitted That Met QC Criteria: March 20, 2014
• First Posted (Estimate): March 21, 2014

Study Record Updates

• Last Update Posted (Estimate): December 8, 2015
• Last Update Submitted That Met QC Criteria: December 7, 2015
• Last Verified: December 1, 2015

More Information

Terms related to this study

• Other Study ID Numbers: NRAA3