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โ† Trials
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Simulation Trial of Telemedical Support for Paramedics

RecruitingNAAges 21 Years - anyAllBoston Medical Center
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In plain words

What the trial is, and whether it could suit you

In the United States, the current standard of prehospital (i.e. outside of hospitals) emergency care for children with life-threatening illnesses in the community includes remote physician support for paramedics providing life-saving therapy while transporting the child to the hospital. Most prehospital emergency medical services (EMS) agencies use radio-based (audio only) communication between paramedics and physicians to augment this care. However, this communication strategy is inherently limited as the remote physician cannot visualize the patient for accurate assessment and to direct treatment. The purpose of this pilot randomized controlled trial (RCT) is to evaluate whether use of a 2-way audiovisual connection with a pediatric emergency medicine expert (intervention = "telemedical support") will improve the quality of care provided by paramedics to infant simulator mannequins wi

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๐Ÿ“‹ Eligibility rules (as published)
Inclusion Criteria: * Certified Emergency Medical Technicians (EMTs), Advanced EMTs (AEMTs), and Paramedics (EMT-Ps) who provide direct scene response. * Board-certified Pediatric Emergency Medicine (PEM) and Emergency Medicine (EM) physicians whose practice includes online medical support for EMS are eligible. * The control arm will include physicians who provide radio/telephone support in usual care at each site. In the intervention arm, experts will be PEM with/without EMS board-certification as they have relevant pediatric training and experience. Exclusion Criteria: * EMS personnel providing interfacility transport and/or pediatric specialty transport * Resident physicians-in-training * Non-physician providers
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What it tests

  • Video teleconsultation
  • Audio support
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Where

9 sites
Children's Hospital Los Angeles
Los Angeles, United States
Children's Hospital Colorado, University of Colorado Denver Anschutz Medical Campus
Aurora, United States
Yale University
New Haven, United States
Children's National Medical Center
Washington D.C., United States
BostonMedical Center
Boston, United States
University at Buffalo
Buffalo, United States
Cincinnati Children's Hospital Medical Center
Cincinnati, United States
University of Utah
Salt Lake City, United States

โ€ฆand 1 more on ClinicalTrials.gov.

๐Ÿค Taking part is your choice, and you can leave at any time. Only the trial team can confirm you are eligible โ€” always decide together with your own doctor.
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