Videoconferencing Between Ambulances and Physician at the Emergency Medical Dispatch Center, Effects on On-Site Patient Treatment and Patterns of Referral

Videoconferencing Between Ambulances and Physician at the Emergency Medical Dispatch Center, Effects on On-Site Patient Treatment and Patterns of Referral

Telemedical Solutions in Medical Emergencies, Advantages and Disadvantages for Patients, Healthcare Professionals, and Healthcare System. Study 2: Videoconferencing Between Ambulances and Physician at the Emergency Medical Dispatch Center,

Prehospital Medical Emergency Services, Aarhus, Central Denmark Region, Denmark, Central Denmark Region, Aarhus University Hospital

The prehospital resources are limited. The emergency medical dispatch center (EMDC) is manned by qualified health care personnel around the clock. The investigators believe that the EMDC is an unexploited resource in the prehospital treatment of patients. By the use of videoconferencing the investigators will activate this resource. Mobile videoconferencing between ambulances and physician at the EMDC enables patient consultation at a distance. Video consultation between patient and the physician at the EMDC 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 physicians at the EMDC and patients receiving treatment by ambulance personnel on the number of patients receiving final treatment on-site in the pre hospital setting.

Patients in this arm receive video consultation from physician at the emergency medical dispatch center

Patients receiving prehospital care by ambulance personnel whom receive telephone consultation/supervision by physician at the emergency medical dispatch center.

For video consultation Apple iPad AIR 4G/3G 16GB will be used., LifeSizeClearSea solution will be used for videoconferencing, 4G/3G mobile network

Final treatment is registered for the present consultation, assessed up 36 months, presented up to 36 months

For all patients receiving consultation from physician at the dispatch center resulting in final treatment on-site, number of patients admitted to hospital within 3 days will be assessed.

If the department to receive the patient is changed during consultation with physician at the dispatch center.

If destination for patient is changed during consultataion with physician, assessed up to 36 months, presented up to 36 months

The number of treatments delivered by ambulance personnel during consultation with physician at the dispatch center, assessed up to 36 months, presented up to 36 months

If the mode of transportation is changed during consultation with physician at the dispatch center. Eg. from ambulance to standard patient transportation without monitoring og the possibility of treatment, ether with patient sitting up or lying down.

If mode of transportation is changed during consultation with physician, assessed up to 36 months, presented up to 36 months

Inclusion Criteria: Less ill/slightly injured patients receiving prehospital care by ambulance personnel Exclusion Criteria: -