Videoconferencing Between Ambulances and Physician Manned Rapid Response Vehicles, Effects on On-site Patient Treatment and Patterns of Referral

Study Overview
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Brief Summary
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Physician manned rapid response vehicles are a limited resource in the prehospital handling of acute patients. In this study mobile videoconferencing between ambulances and the rapid response vehicles enables patient consultation at a distance. Video consultation between patient and the prehospital physician can take place when the patient is at home or in the ambulance. The primary aim of this study is to examine the effect of video consultation between physician manned rapid response vehicles and patients receiving treatment by ambulance personnel on the number of patients receiving final treatment on-site in the pre-hospital setting

Official Title
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Telemedical Solutions in Medical Emergencies, Advantages and Disadvantages for Patients, Healthcare Professionals, and Healthcare System. Study 3: Videoconferencing Between Ambulances and Physician Manned Rapid Response Vehicles, Effects on On-site Patient Treatment and Pattern of Referral

Conditions
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All Acutely Ill or Injured Patients Receiving Care by Ambulance Personnel

Intervention / Treatment
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* Device: iPad air with 4G/3G SIM card


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: All patients receiving prehospital care by ambulance personnel Must receive either telephone or video consultation by physician in rapid response vehicle Exclusion Criteria: -
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: Treatment
Allocation: Non-Randomized
Intervention Model: Parallel Assignment
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Video consultation<br>Patients in this arm receive video consultation from physician in doctor manned rapid response vehicle. | Device: iPad air with 4G/3G SIM card<br>* iPad air with 4G/3G SIM card is used as device for videoconferencing. LifeSizeClearSea solution is used for videoconferencing. Video consultation<br>* Other names: LifeSizeClearSea;|
| Active Comparator: Telephone consultation<br>Patients receiving prehospital care by ambulance personnel whom receive telephone consultation/supervision by physician in rapid response vehicle. | Device: iPad air with 4G/3G SIM card<br>* iPad air with 4G/3G SIM card is used as device for videoconferencing. LifeSizeClearSea solution is used for videoconferencing. Video consultation<br>* Other names: LifeSizeClearSea;|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Number of patients receiving final treatment on-site prehospitally |  | Final treatment is registered for the present consultation, expected assesment averagely within 1 hour. Expected to be presented up to 36 months after assessment | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Readmission | For all patients receiving consultation from physician manned rapid response vehicles the number of patients admitted to hospital within 3 days will assessed. | Within 3 days of primary contact. Will be assessed up to 24 months after primary contact. Expected to be presented up to 36 months after assessment. | 
| Change in site of referral | If the department to receive the patient is changed during consultation between physician in rapid response vehicle and patient | If destination for patient is changed during consultatation with physician it wille be assessed at the end of consultation, expected averagely to be within 1 hour after consultation, expected to presented up to 24 months after primary assessment | 
| Number of treatments delivered by ambulance personnel |  | The number of treatments delivered by ambulance personnel during consultation with physician in rapid response vehicle. Expected to be assessed averagely within 1 hour of consultation. Expected to be presented up 36 months after primary assessment |