Non-severe Traumatic Injuries Evaluation Using smartPhone Camera for Extra-hospital Regulation

Study Overview
=================
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.

Official Title
-----------------
Non-severe Traumatic Injuries Evaluation Using smartPhone Camera for Extra-hospital Regulation

Conditions
-----------------
Mild Traumatic Injury, Pre-hospital Dispatching, Visioconference

Intervention / Treatment
-----------------
* Procedure: Visioconference: live visual injury evaluation
* Procedure: Control


Participation Criteria
=================
Eligibility Criteria
-----------------
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)

Ages Eligible for Study
-----------------
Minimum Age: 18 Years

Sexes Eligible for Study
-----------------
All

Accepts Healthy Volunteers
-----------------
No

Study Plan
=================
How is the study designed?
-----------------

Design Details

Primary Purpose: Diagnostic
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Visioconference: live visual injury evaluation<br>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 | Procedure: Visioconference: live visual injury evaluation<br>* 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<br>|
| Other: Standard Procedure<br>Usual management of patients | Procedure: Control<br>* For patients randomized in the control group, the evaluation is performed by the Emergency Medical Call Center physician only by pone call<br>|

What is the study measuring?
-----------------
Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Proportion of patients dispatched elsewhere than to the nearest hospital | 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) | 1 year | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Under-triage | 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 | 1 year | 
| Over-triage | Over-triage : the proportion of patients initially dispatched to an ED who could have underwent outpatient care | 1 year |