AmbulaNCE Teletransmited PHOtography for Trauma REgulation (NiCEPHORE)

Physicians in charge of medical regulation within French SAMU have to take difficult decisions regarding patient's orientation (in or out-of hospital care) but suffer from lack of information. Such information usually consist in a simple phone conversation without any visual information. Visual assesment of the situation would be of great help, especially for traumatized patients. Private Ambulance societies all over territory in charge of SAMU 86 now work with teletransmission devices allowing photography transmission. The objective of the study is to determine if routine use of teletransmitted photography help SAMU 86's physians for a better orientation of non-severe traumatized patients, especially by avoiding unnecessary transportations to Emergency Departments.

Number of patient dispatched anywhere else than the local hospital after ambulance assesement. Either the patient was dispatched to a higher level hospital (i.e. if the local hospital doesn't provide surgical facility when the patient needs it) or he was leaved at home and oriented to a general practitioner.

To evaluate the number of patients initially oriented to out-of hospital care that needed to go to emergency department during following days

Inclusion Criteria: Emergency call at SAMU for trauma issue Pre-hospital management by private ambulance equipped with teletransmission device Exclusion Criteria: Severe trauma with need of a pre-hospital emergency medical team Traffic accident Head trauma associated with anticoagulant therapy or platelet antiagregant therapy Pre-hospital management by firefighters

Magimel-Pelonnier E, Marjanovic N, Couvreur R, Drugeon B, Mimoz O, Guenezan J. Photography tele-transmission by regular ambulance staff for the management of mild traumatic injury: the NiCEPHORE randomised-controlled trial. Scand J Trauma Resusc Emerg Med. 2022 Oct 14;30(1):53. doi: 10.1186/s13049-022-01026-0.