Prehospital Emergency Care of Obstructive Respiratory Emergencies With the Use of Teleconsultation

NCT01644045 | Completed

• 2 other identifiers: 005-1003-0034-4PtJ-Az.: z0909im002b
• Study Type: interventional
• Target: 17
• Locations: 1 country
• Sites: 1

Brief Summary

The aim of the study is to investigate the quality of prehospital emergency care in acute respiratory emergencies, when paramedics are supported telemedically by an EMS physician.

Conditions

Asthma; COPD

Keywords

Asthma; COPD; emergency medical service; teleconsultation; telemedicine

Outcome Measures

Primary Outcomes (1)

• Oxygen Saturation

  Measurement of pulse oximetric oxygen saturation at the timepoint of first contact with a physician (EMS physician OR hospital arrival)

  average 1 hour

Secondary Outcomes (3)

• Quality of emergency care

  average 1 hour

• Rate of ventilation

  average 1 hour

• Rate of complications

  2 hours

Study Arms (1)

Device: Teleconsultation

EXPERIMENTAL

In cases of acute obstructive, respiratory emergencies if patients give informed consent the paramedics can use this system to contact a so called "tele-EMS physician" who has an audio-connection to the EMS team and receives vital parameters (e.g., ECG, pulse oximetry, non-invasive blood pressure) in real-time. The transmission of still pictures (taken with a smartphone), 12-lead-ECGs and video streaming from the inside of the ambulance can also be carried out, if indicated. The tele-EMS physician supports the EMS team in obtaining all relevant medical history, diagnosis and can delegate the application of medications. This can be carried out to bridge the time to the arrival of an EMS physician or in less severe cases without an EMS physician on-scene. The quality of prehospital care and the possible influences on the initial inhospital phase should be investigated and compared with regular EMS.

Device: Teleconsultation

Interventions

Teleconsultation DEVICE

Teleconsultation for the EMS in acute respiratory emergencies

Device: Teleconsultation

Eligibility Criteria

• Sex: all
• Healthy Volunteers: No
• Age Groups: Child (0-17), Adult (18-64), Older Adult (65+)

You may qualify if:

• Obstructive, respiratory emergency
• Verbal consent for teleconsultation obtained or patient is not able to consent due the severity of the emergency

You may not qualify if:

• No respiratory emergency
• Refused consent for teleconsultation

Sponsors & Collaborators

• RWTH Aachen University: lead

Study Sites (1)

University Hospital Aachen

Aachen, 52074, Germany

Location

MeSH Terms

Conditions

Asthma; Pulmonary Disease, Chronic Obstructive

Condition Hierarchy (Ancestors)

Bronchial Diseases; Respiratory Tract Diseases; Lung Diseases, Obstructive; Lung Diseases; Respiratory Hypersensitivity; Hypersensitivity, Immediate; Hypersensitivity; Immune System Diseases; Chronic Disease; Disease Attributes; Pathologic Processes; Pathological Conditions, Signs and Symptoms

Study Officials

• Rolf Rossaint, Prof. Dr.

  University Hospital Aachen, Germany, Department of Anesthesiology

  STUDY CHAIR

• Jörg C Brokmann, Dr.

  University Hospital Aachen, Germany, Emergency Department

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: NA
• Masking: NONE
• Purpose: TREATMENT
• Intervention Model: SINGLE GROUP
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: July 12, 2012
• First Posted: July 18, 2012
• Study Start: August 1, 2012
• Primary Completion: July 1, 2013
• Study Completion: September 1, 2015
• Last Updated: September 22, 2015

Record last verified: 2015-09

Locations

DE (1)