MedPath

AmbulaNCE Teletransmited PHOtography for Trauma REgulation

Not Applicable
Completed
Conditions
Trauma
Telemedicine
Interventions
Other: Photography teletransmission
Other: No photo
Registration Number
NCT04034797
Lead Sponsor
Poitiers University Hospital
Brief Summary

Physicians in charge of medical regulation within French SAMU have to take difficult decisions regarding patient's orientation (in or out-of hospital care) but suffer from lack of information. Such information usually consist in a simple phone conversation without any visual information. Visual assesment of the situation would be of great help, especially for traumatized patients.

Private Ambulance societies all over territory in charge of SAMU 86 now work with teletransmission devices allowing photography transmission.

The objective of the study is to determine if routine use of teletransmitted photography help SAMU 86's physians for a better orientation of non-severe traumatized patients, especially by avoiding unnecessary transportations to Emergency Departments.

Detailed Description

Not available

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
179
Inclusion Criteria
  • Emergency call at SAMU for trauma issue
  • Pre-hospital management by private ambulance equipped with teletransmission device
Exclusion Criteria
  • Severe trauma with need of a pre-hospital emergency medical team
  • Traffic accident
  • Head trauma associated with anticoagulant therapy or platelet antiagregant therapy
  • Pre-hospital management by firefighters

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
PhotoPhotography teletransmission-
No photoNo photo-
Primary Outcome Measures
NameTimeMethod
Impact of Photography on patient orientation1 - 2 hours

Number of patient dispatched anywhere else than the local hospital after ambulance assesement.

Either the patient was dispatched to a higher level hospital (i.e. if the local hospital doesn't provide surgical facility when the patient needs it) or he was leaved at home and oriented to a general practitioner.

Secondary Outcome Measures
NameTimeMethod
Overtriage10 days

To evaluate the number of patients initially oriented to in-hospital care when it wasn't necessary

Undertriage10 days

To evaluate the number of patients initially oriented to out-of hospital care that needed to go to emergency department during following days

Trial Locations

Locations (1)

CHU Poitiers

🇫🇷

Poitiers, Aquitaine, France

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