Synchronous Video (Telemedicine) Consulation in the Prehospital Setting

Mayo Clinic

Status: Completed

Conditions: Emergencies; Telemedicine; Prehospital; Telehealth

Treatments: Device: Video Consultation

Study type: Interventional

Funder types: Other

Identifiers

NCT03800316

18-005054

Details and patient eligibility

About

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.

Enrollment: 85 patients

Sex: All

Volunteers: No Healthy Volunteers

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

Trial design

Primary purpose: Health Services Research

Allocation: N/A

Interventional model: Single Group Assignment

Masking: None (Open label)

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85 participants in 1 patient group

Synchronous Video Consultation

Experimental group

Description:

Testing the feasibility of a synchronous video consultation in the field prior to emergency department arrival.

Treatment:

Device: Video Consultation