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Quality of Telemedically Guided Prehospital Analgesia | Clinical Trials | Clareo Health

COMPLETED

Quality of Telemedically Guided Prehospital Analgesia

Comparison of Analgesic Treatment Quality Between Prehospital Emergency Care of Telemedically Guided Paramedics and On-scene Physicians - a Retrospective Longitudinal Study

NCT02928705•RWTH Aachen University

View on ClinicalTrials.gov

Summary

The purpose of this retrospective study is to analyze quality and adverse events of analgesia by telemedically supported paramedics in comparison to conventional treatment by on-scene emergency medical service (EMS) physicians in the EMS of the city of Aachen, Germany.

Detailed Description

The standard emergency medical service (EMS) in Germany consists of a two-tiered system with ambulances (paramedics) and prehospital EMS physician units. For example, legal conditions restrict opioid-based analgesia to physicians. Based on pre-defined standards regional emergency dispatch centers deploy both kinds of emergency units. In recent years telemedicine emerged as a complementary system in EMS that may provide remote medical expertise and sustain or even improve quality of medical treatment on-scene. Particularly, based on the results of the projects Med-on-@ix and TemRas (telemedical rescue assistance system), emergency telemedical services were gradually implemented in daily routine of the EMS of the city of Aachen, Germany. In this retrospective study the quality and adverse events of analgesia by telemedically supported paramedics shall be compared to conventional treatment by on-scene EMS physicians in the EMS of the city of Aachen, Germany.

Eligibility

Age

1 - No limit years

Sex

ALL

Healthy Volunteers

Inclusion Criteria

•Initial Numerical Rating Scale ≥ 5 and
•Documented administration of analgesics

Exclusion Criteria

•Missing consent for telemedical consultation (in teleconsultation group)
•Initial NRS \< 5
•Analgesia in non-ST-segment elevation acute coronary syndrome (Non-STEMI-ACS) and ST-elevating myocardial infarction (STEMI)
•Initially unconscious patient
•Inter-hospital transfer missions
•Cases involving both on-scene and telemedical-EMS physicians

Locations (1)

University Hospital Aachen

Aachen, Germany

Key Dates

Start Date

January 1, 2014

Primary Completion Date

March 1, 2016

Completion Date

June 1, 2016

Last Updated

October 10, 2016

Enrollment

381

ACTUAL participants

Conditions

AnalgesiaPrehospitalTelemedicineAmbulanceOpioidsTeleconsultationTele-emergency Medical ServicesAdverse EventsCity of AachenPrehospital Emergency Medical Service Physician

Interventions

physician operated telemedical prehospital analgesia

PROCEDURE

prehospital analgesia by on-scene EMS physicians

PROCEDURE

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Data Source & Attribution

This clinical trial information is sourced from ClinicalTrials.gov, a service of the U.S. National Institutes of Health.

ClinicalTrials.gov last update: October 10, 2016Data synced to Clareo: March 29, 2026

Modifications: This data has been reformatted for display purposes. Eligibility criteria have been parsed into inclusion/exclusion sections. Location data has been geocoded to enable distance-based search. For the authoritative and most current information, please visit ClinicalTrials.gov.

Neither the United States Government nor Clareo Health make any warranties regarding the data. Check ClinicalTrials.gov frequently for updates.

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Quality of Telemedically Guided Prehospital Analgesia

Inclusion Criteria

Exclusion Criteria

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