Condition: Emergencies · Cardiopulmonary Arrest · Acute Respiratory Failure · Sponsor: Boston Medical Center
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 with life threatening illness (respiratory failure). Paramedics receiving real-time telemedical support by a pediatric expert may provide better care due to decreased cognitive burden, critical action checking, protocol verification, and error correction. Because real pediatric life-threatening illnesses are rare, high stakes events and involve a vulnerable population (children), this RCT will test the effect of the intervention on paramedic performance in simulated cases of pediatric medical emergencies. The two specific aims for this research are: * Aim 1: To test the intervention efficacy b…
This description comes directly from the study's public registry record.
Tehnaz Boyle, MD PhD · 617-414-3682 · tehnaz.boyle@bmc.org
Robert Seitter, MS · 781 571 2664 · Robert.seitter@bmc.org
Always discuss trial participation with your own doctor first.
| Children's Hospital Los Angeles | Los Angeles, California, United States | Recruiting |
| Children's Hospital Colorado, University of Colorado Denver Anschutz Medical Campus | Aurora, Colorado, United States | Recruiting |
| Yale University | New Haven, Connecticut, United States | Active Not Recruiting |
| Children's National Medical Center | Washington D.C., District of Columbia, United States | Not Yet Recruiting |
| BostonMedical Center | Boston, Massachusetts, United States | Recruiting |
| University at Buffalo | Buffalo, New York, United States | Recruiting |
| Cincinnati Children's Hospital Medical Center | Cincinnati, Ohio, United States | Not Yet Recruiting |
| University of Utah | Salt Lake City, Utah, United States | Not Yet Recruiting |
| University of Washington | Seattle, Washington, United States | Not Yet Recruiting |
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Source record: clinicaltrials.gov/study/NCT06441760