All Acutely Ill or Injured Patients Receiving Care by Ambulance Personnel
Conditions
Brief summary
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
Interventions
iPad air with 4G/3G SIM card is used as device for videoconferencing. LifeSizeClearSea solution is used for videoconferencing. Video consultation
Sponsors
Study design
Eligibility
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
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Design outcomes
Primary
| 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
| Measure | Time frame | Description |
|---|---|---|
| Readmission | 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. | For all patients receiving consultation from physician manned rapid response vehicles the number of patients admitted to hospital within 3 days will assessed. |
| Change in site of referral | 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 | If the department to receive the patient is changed during consultation between physician in rapid response vehicle and patient |
| 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
| Measure | Time frame | Description |
|---|---|---|
| Patient satisfaction | Within 3 weeks after receiving consultation | Is investigated by telephone survey. |
| Ambulance staff evaluation of usability of equipment | 1 day | Is investigated by the use of survey |
| Physicians evaluation of equipment | 1 day | Is investigated by the use of survey |
Countries
Denmark