Observational studyDer Anaesthesist2015
[Potential and effectiveness of a telemedical rescue assistance system. Prospective observational study on implementation in emergency medicine].
Observational study in Der Anaesthesist, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 20 papers.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Telemedical Support for Prehospital Emergency Medical Service - a Prospective Randomized Controlled Trial
Implementation Strategy From Research to Routine Care of a Comprehensive Prehospital Telemedicine System and Pre-post Analysis of Systemic Effects
Who cites it
20 citing papers in PubMed.
- Telemedical support for prehospital emergency medical service in severe emergencies: an open-label randomised non-inferiority clinical trial.Critical care (London, England) · 2023Trial
- Photography tele-transmission by regular ambulance staff for the management of mild traumatic injury: the NiCEPHORE randomised-controlled trial.Scandinavian journal of trauma, resuscitation and emergency medicine · 2022Trial
- Technical Support by Smart Glasses During a Mass Casualty Incident: A Randomized Controlled Simulation Trial on Technically Assisted Triage and Telemedical App Use in Disaster Medicine.Journal of medical Internet research · 2019Trial
- Blood pressure management and guideline adherence in hypertensive emergencies and urgencies: A comparison between telemedically supported and conventional out-of-hospital care.Journal of clinical hypertension (Greenwich, Conn.) · 2017Trial
- Trial
- [Tele-emergency physicians-a cost-benefit analysis].Medizinische Klinik, Intensivmedizin und Notfallmedizin · 2026Review
- The urgent need for patients' diagnoses and outcome feedback in Germany's emergency medical services - insights from a web-based survey.BMC emergency medicine · 2025Article
- Comparison of the diagnostic concordance of tele-EMS and EMS physicians in the emergency medical service-a subanalysis of the TEMS-trial.Frontiers in digital health · 2025Article
- Article
- Telemedical emergency services: central or decentral coordination?Health economics review · 2021Article
- Comparing the diagnostic concordance of tele-EMS and on-site-EMS physicians in emergency medical services: a retrospective cohort study.Scientific reports · 2020Article
- [System and skill utilization in an Austrian emergency physician system: retrospective study].Der Anaesthesist · 2020Article
- Evaluation of a Rural Emergency Medical Service Project in Germany: Protocol for a Multimethod and Multiperspective Longitudinal Analysis.JMIR research protocols · 2020Article
- Utilization, Safety, and Technical Performance of a Telemedicine System for Prehospital Emergency Care: Observational Study.Journal of medical Internet research · 2019Observational
- [Tele-emergency physician : New care concept in emergency medicine].Der Unfallchirurg · 2019Review
- Article
- Quality of analgesia in physician-operated telemedical prehospital emergency care is comparable to physician-based prehospital care - a retrospective longitudinal study.Scientific reports · 2017Article
- [Future of emergency medicine in Germany 2.0].Der Anaesthesist · 2017Review
- [Medical Emergency Preparedness in offshore wind farms : New challenges in the german north and baltic seas].Der Anaesthesist · 2016Review
- Developing telemedicine in Emergency Medical Services: A low-cost solution and practical approach connecting interfaces in emergency medicine.The journal of medicine accessArticle
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
8 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThe demographic change and an increasing multimorbidity of patients represent increasing challenges for the adequate prehospital treatment of emergency patients. The incorporation of supplementary telemedical concepts and systems can lead to an improved guideline-conform treatment. Beneficial evidence of telemedical procedures is only known for isolated disease patterns; however, no mobile telemedical concept exists which is suitable for use in the wide variety of different clinical situations.
aimThis article presents a newly developed and evaluated total telemedical concept (TemRas) that encompasses organizational, medical and technical components. The use of intelligent and robust communication technology and the implementation of this add-on system allows the telemedical support of the rescue service for all emergencies.
methodsAfter development of the telemedical rescue assistance system, which includes organizational, medical and technical components, a telemedical centre and six ambulances in five different districts in North-Rhine Westphalia were equipped with this new tool. During the evaluation phase of 1 year in the routine emergency medical service the rate of complications as well as differences between urban and rural areas were analyzed with respect to different target parameters.
resultsBetween August 2012 and July 2013 a total of 401 teleconsultations were performed during emergency missions and 24 during secondary interhospital transfers. No complications due to teleconsultation were observed. The mean duration (±SD) of teleconsultations was longer in rural areas than in urban areas with 28.6±12.0 min vs. 25.5±11.1 min (p < 0.0001). In 63.2% of these missions administration of medications was delegated to the ambulance personnel (52.0% urban vs. 73.6% rural, p < 0.0001). The severity of ailments corresponded to scores of III and VI in the National Advisory Committee for Aeronautics (NACA) classification.
conclusionEmergency medical care of patients with support by a telemedical system is technically feasible, safe for the patient and allows medical treatment independent of spatial availability of a physician in different emergency situations.
Indexed as
Identifiers
26036316What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.