Mobile Transmission of Prehospital Vital Signs to the Emergency Department

Study Overview
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Brief Summary
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The purpose of this study is to examine if real time transmission of vital signs, ECG and chat communication between the prehospital ambulances and the emergency department has an effect on patient mortality, ICU admission, hospitalization time, time to doctor, time to treatment and time to diagnostics

Official Title
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Telemedical Solutions in Medical Emergencies, Advantages and Disadvantages for Patients, Healthcare Professionals, and the Healthcare System: Study 1: Mobile Transmission of Prehospital Vital Signs to the Emergency Department - Effect on Patient Outcomes, Treatment and Diagnosis

Conditions
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Telemedicine, Triage, Emergency Medical Service

Intervention / Treatment
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* Device: Real time transmission of patient related data. Device used: MobiMed 3.1, manufactured by Ortivus AB Sweden


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: All patients transported with ambulance to the emergency department Exclusion Criteria: None

Ages Eligible for Study
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Minimum Age: 15 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Health Services Research
Allocation: Non-Randomized
Intervention Model: Parallel Assignment
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Transmission of vital signs, ecg, chat<br>Data from patients transported in ambulances with equipment which enables real time transmission of vital signs, ecg and chat from ambulances to the emergency department. | Device: Real time transmission of patient related data. Device used: MobiMed 3.1, manufactured by Ortivus AB Sweden<br> <br> * Other names: Vital signs, ECG and Chat-messaging delivered real time from prehospital ambulances to the receiving emergency dept.;|
| No Intervention: No transmission of data<br>Patient transported with conventional ambulances without the possibility to transmit real time patient related data. | |

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Time to physician | Time from the patient arrival registered in the patients' logistics system (Cetrea) to registered first patient/physician contact registered in the same patients logistics system. | Time from arrival to first patient-physician contact, assessed up to 36 months | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| All cause mortality |  | 30 days, assessed up to 36 months | 
| Time to treatment | Time from the patient arrival registered in the patients' logistics system (Cetrea) to first administered iv antibiotics registered in the patient's hospital record | Time from arrival to administration of first iv. antibiotics, assessed up to 36 months | 
| Time to x-ray | Time from the patient arrival registered in the patients' logistics system (Cetrea) to completion of x-ray requisition form registered in the radiologic logistics system (Kodak RIS, 2010 edition) | Time form arrival at the emergency department to completion of x-ray requisition form, assessed up to 36 months | 
| Time to ICU | Time from the patient arrival registered in the patients' logistics system (Cetrea) to time of admission to the ICU registered in the patient's hospital record. . | Time from arrival to admission to the ICU, assessed up to 36 months | 
| Number of ICU admissions |  | During present hospitalization, assessed up to 36 months | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Telemedicine, Mobile, Vital signs, Prehospital care, Emergency medicine