Emergencies, Prehospital, Telemedicine, Telehealth
Conditions
Brief summary
The study team aims to test connectivity metrics and follow patient outcomes using a new, innovative synchronous video technology in the prehospital setting in three distinct areas: 1. \- 911 Calls 2. \- Pediatric Critical Care Transport Currently, paramedics and pediatric transport teams seek advice from physicians using a telephone. This project replaces the phone with video consultation where the physicians can directly interact with patients, paramedics and transport teams when care advice is needed.
Interventions
Video consultation with emergency medicine physicians for patients that are critically ill prior to arrival in the ED
Sponsors
Study design
Eligibility
Inclusion criteria
* Cardiac Arrest * Hemodynamically unstable trauma patients requiring resuscitation and airway management * Trauma patients with altered mentation requiring airway management * Acute stroke patients * Medical patients that refuse transport for medical evaluation Pediatric Intensive Care Telemedicine Program * Complex clinical situations where paramedic teams need immediate management guidance * Critically ill pediatric patients requiring evaluation/stabilization for interfacility transport * Pediatric patients requiring intervention for respiratory failure * Pediatric patients with ongoing seizures and/or neurological abnormalities * Hemodynamically unstable patients * Complex clinical situations requiring medical control guidance
Exclusion criteria
• All other patients not list above
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Video Consultations Completed | 1 year | Total number of video consultations completed |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Mortality | 1 year | Total number of subject deaths |
| Hospital Length of Stay | 1 year | Total number of hours subjects were admitted to the hospital |
| Emergency Room Length of Stay | 1 year | Total number of hours subjects were admitted to the emergency room |
Countries
United States