Mild Traumatic Injury, Pre-hospital Dispatching, Visioconference
Conditions
Brief summary
Photography teletransmission allow a better and optimized dispatching of patients calling an Emergency Medical Call Center (EMCC) for a mild traumatic injury. It has previously been studied for patients to whom an ambulance was sent and therefore presumed to be older or with co-morbidities. The present trial aim to evaluate in the general population, the effect of a smartphone-mediated visioconference in the dispatching of patients calling an EMCC for mild traumatic injury.
Interventions
PROCEDUREVisioconference: live visual injury evaluation
For patients randomized in the intervention group, a live visual evaluation of the injury is performed by the Emergency Medical Call Center physician using a dedicated, secure smartphone app
PROCEDUREControl
For patients randomized in the control group, the evaluation is performed by the Emergency Medical Call Center physician only by pone call
Sponsors
Poitiers University Hospital
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
DIAGNOSTIC
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* adult patients (≥18 years of age), * free of will (not under any guardianship or liberty privation), * suffering from Mild Traumatic Injury, * availability of a smartphone with internet connection for the patients or witness, * consenting to participate in the study
Exclusion criteria
* severe trauma requiring immediate medical assistance * trauma associated with head injury, on antiplatelet therapy (APT) or anti-coagulation therapy (ACT)
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Proportion of patients dispatched elsewhere than to the nearest hospital | 1 year | Proportion of patients dispatched elsewhere than to the nearest hospital (left at home for outpatient care / referred to a higher-level hospital / handled by MICA for advanced pre-hospital medical care) |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Under-triage | 1 year | Under-triage : the proportion of patients initially left at home for outpatient care who had to visit an ED within the 10 following days for care related to the initial traumatic injury |
| Over-triage | 1 year | Over-triage : the proportion of patients initially dispatched to an ED who could have underwent outpatient care |
Countries
France
Outcome results
None listed