Acute Illness, Acute Injury
Conditions
Keywords
Telemedicine, Emergency medical dispatch, Prehospital care, Video conference
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.
Interventions
Sponsors
Study design
Eligibility
Inclusion criteria
* Less ill/slightly injured patients receiving prehospital care by ambulance personnel
Exclusion criteria
\-
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| 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
| Measure | Time frame | Description |
|---|---|---|
| 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 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 | — |
| 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. |
Other
| Measure | Time frame | Description |
|---|---|---|
| Ambulance staff evaluation of usability of equipment | At the time of using the equipment, asessed up to 36 months, presented up to 36 months | Is investigated by the use of survey |
| Physicians evaluation of usability of equipment | At the time of using the equipment, assessed up to 36 months, presented up to 36 months | Is evaluated by the use of survey |
Countries
Denmark