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

Not Applicable

• Conditions: Acute Illness; Acute Injury
• Interventions: Device: Video consultation

• Registration Number: NCT02095067
• Lead Sponsor: University of Aarhus

Brief Summary

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.

Detailed Description

Not available

Study Timeline

• Study Start: 2013-06
• Status Verified: 2014-03
• Study First Submitted: 2014-03-20
• Study First Submitted QC: 2014-03-21
• Study First Posted: 2014-03-24
• Last Update Submitted: 2014-09-23
• Last Update Posted: 2014-09-25
• Primary Completion: 2014-10
• Study Completion: 2014-12

Recruitment & Eligibility

• Status: UNKNOWN
• Sex: All
• Target Recruitment: 150

Inclusion Criteria

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

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Exclusion Criteria

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Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
Video consultation	Video consultation	Patients in this arm receive video consultation from physician at the emergency medical dispatch center

Primary Outcome Measures

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

Secondary Outcome Measures

Name	Time	Method
Change in site of referral	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.
Number of treatments delivered by ambulance personnel	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
Readmission	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.
Change of transportation mode	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.

Trial Locations

Locations (2)

Responce A/S; 🇩🇰 Horsens, Denmark

Prehospital Emergency Medical Services, Aarhus, Central Denmark Region; 🇩🇰 Aarhus N, Denmark