Videoconferencing Between Ambulances and Physician at the Emergency Medical Dispatch Center, Effects on On-Site Patient Treatment and Patterns of Referral

September 23, 2014 updated by: University of Aarhus

Telemedical Solutions in Medical Emergencies, Advantages and Disadvantages for Patients, Healthcare Professionals, and Healthcare System. Study 2: Videoconferencing Between Ambulances and Physician at the Emergency Medical Dispatch Center,

The prehospital resources are limited. The emergency medical dispatch center (EMDC) is manned by qualified health care personnel around the clock. The investigators believe that the EMDC is an unexploited resource in the prehospital treatment of patients. By the use of videoconferencing the investigators will activate this resource.

Mobile videoconferencing between ambulances and physician at the EMDC enables patient consultation at a distance. Video consultation between patient and the physician at the EMDC 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 physicians at the EMDC 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

Unknown

Conditions

Intervention / Treatment

Study Type

Interventional

Enrollment (Anticipated)

150

Phase

  • Not Applicable

Contacts and Locations

This section provides the contact details for those conducting the study, and information on where this study is being conducted.

Study Contact

  • Name: Nikolaj Raaber, MD
  • Phone Number: 45 23821085
  • Email: nikoraab@rm.dk

Study Contact Backup

Study Locations

  • Denmark
      • Aarhus N, Denmark, 8200
        • Recruiting
        • Prehospital Emergency Medical Services, Aarhus, Central Denmark Region
        • Contact:
        • Contact:
        • Principal Investigator:
          • Nikolaj Raaber, MD
        • Sub-Investigator:
          • Ingunn Riddervold, MSc, PhD
      • Horsens, Denmark, 8700

Participation Criteria

Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.

Eligibility Criteria

Ages Eligible for Study

  • Child
  • Adult
  • Older Adult

Accepts Healthy Volunteers

No

Genders Eligible for Study

All

Description

Inclusion Criteria:

  • Less ill/slightly injured patients receiving prehospital care by ambulance personnel

Exclusion Criteria:

-

Study Plan

This section provides details of the study plan, including how the study is designed and what the study is measuring.

How is the study designed?

Design Details

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

Arms and Interventions

Participant Group / Arm
Intervention / Treatment
Experimental: Video consultation
Patients in this arm receive video consultation from physician at the emergency medical dispatch center
Device: Video consultation
Other Names:
  • For video consultation Apple iPad AIR 4G/3G 16GB will be used.
  • LifeSizeClearSea solution will be used for videoconferencing
  • 4G/3G mobile network
No Intervention: Telephone consultation
Patients receiving prehospital care by ambulance personnel whom receive telephone consultation/supervision by physician at the emergency medical dispatch center.

What is the study measuring?

Primary Outcome Measures

Outcome Measure
Time Frame
Number of patients receiving final treatment on-site prehospitally
Time Frame: Final treatment is registered for the present consultation, assessed up 36 months, presented up to 36 months
Final treatment is registered for the present consultation, assessed up 36 months, presented up to 36 months

Secondary Outcome Measures

Outcome Measure
Measure Description
Time Frame
Readmission
Time Frame: Within 3 days of primary contact, assessed up to 36 months, presented up to 36 months
For all patients receiving consultation from physician at the dispatch center resulting in final treatment on-site, number of patients admitted to hospital within 3 days will be assessed.
Within 3 days of primary contact, assessed up to 36 months, presented up to 36 months
Change in site of referral
Time Frame: If destination for patient is changed during consultataion with physician, assessed up to 36 months, presented up to 36 months
If the department to receive the patient is changed during consultation with physician at the dispatch center.
If destination for patient is changed during consultataion with physician, assessed up to 36 months, presented up to 36 months
Number of treatments delivered by ambulance personnel
Time Frame: The number of treatments delivered by ambulance personnel during consultation with physician at the dispatch center, assessed up to 36 months, presented up to 36 months
The number of treatments delivered by ambulance personnel during consultation with physician at the dispatch center, assessed up to 36 months, presented up to 36 months
Change of transportation mode
Time Frame: If mode of transportation is changed during consultation with physician, assessed up to 36 months, presented up to 36 months
If the mode of transportation is changed during consultation with physician at the dispatch center. Eg. from ambulance to standard patient transportation without monitoring og the possibility of treatment, ether with patient sitting up or lying down.
If mode of transportation is changed during consultation with physician, assessed up to 36 months, presented up to 36 months

Other Outcome Measures

Outcome Measure
Measure Description
Time Frame
Ambulance staff evaluation of usability of equipment
Time Frame: At the time of using the equipment, asessed up to 36 months, presented up to 36 months
Is investigated by the use of survey
At the time of using the equipment, asessed up to 36 months, presented up to 36 months
Physicians evaluation of usability of equipment
Time Frame: At the time of using the equipment, assessed up to 36 months, presented up to 36 months
Is evaluated by the use of survey
At the time of using the equipment, assessed up to 36 months, presented up to 36 months

Collaborators and Investigators

This is where you will find people and organizations involved with this study.

Sponsor

University of Aarhus

Collaborators

Aarhus University Hospital
Central Denmark Region
Prehospital Medical Emergency Services, Aarhus, Central Denmark Region, Denmark

Study record dates

These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.

Study Major Dates

Study Start

June 1, 2013

Primary Completion (Anticipated)

October 1, 2014

Study Completion (Anticipated)

December 1, 2014

Study Registration Dates

First Submitted

March 20, 2014

First Submitted That Met QC Criteria

March 21, 2014

First Posted (Estimate)

March 24, 2014

Study Record Updates

Last Update Posted (Estimate)

September 25, 2014

Last Update Submitted That Met QC Criteria

September 23, 2014

Last Verified

March 1, 2014

More Information

Terms related to this study

Keywords

Additional Relevant MeSH Terms

Other Study ID Numbers

  • NRAA2

This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.

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