ArticleScientific reports2017
Quality of analgesia in physician-operated telemedical prehospital emergency care is comparable to physician-based prehospital care - a retrospective longitudinal study.
Article in Scientific reports, 2017. 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 18 papers, 1 of them a synthesis that pooled it.
What it found
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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.
Implementation Strategy From Research to Routine Care of a Comprehensive Prehospital Telemedicine System and Pre-post Analysis of Systemic Effects
Feasibility and Efficacy of Ambulance-Based m-Health for Pediatric Emergencies in Low Resource Settings (FEAMER) Trial
Who cites it
18 citing papers in PubMed, 1 synthesis or guideline pooled it.
- How safe is prehospital care? A systematic review.International journal for quality in health care : journal of the International Society for Quality in Health Care · 2021Pooled it
- Telemedical support for prehospital emergency medical service in severe emergencies: an open-label randomised non-inferiority clinical trial.Critical care (London, England) · 2023Trial
- Patterns and determinants of medication use by paramedics in German prehospital emergency care: a six-year multicenter analysis.BMC emergency medicine · 2026Observational
- 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
- [Comparison of the preclinical quality of analgesia of emergency physicians and paramedics based on trauma patients].Die Anaesthesiologie · 2024Article
- Long-term effects of a prehospital telemedicine system on structural and process quality indicators of an emergency medical service.Scientific reports · 2024Article
- Analgesic Therapy with the Opioids Fentanyl and Morphine by Ambulance Personnel in Rural Areas: An Observational Study Over 7 Years.Journal of pain research · 2024Article
- Clinical Research in Prehospital Care: Current and Future Challenges.Clinics and practice · 2023Review
- Application of analgesics in emergency services in Germany: a survey of the medical directors.BMC emergency medicine · 2023Article
- Comparing effects and application of telemedicine for different specialties in emergency medicine using the Emergency Talk Application (U-Sim ETA Trial).Scientific reports · 2023Article
- [Update tele-emergency medicine : Status quo and perspectives].Die Anaesthesiologie · 2023Review
- Opioids for Treatment of Pre-hospital Acute Pain: A Systematic Review.Pain and therapy · 2022Review
- Pain Management in a Prehospital Emergency Setting: A Retrospective Observational Study.Journal of pain research · 2022Article
- Tele-EMS physicians improve life-threatening conditions during prehospital emergency missions.Scientific reports · 2021Article
- Article
- Nurse-Administered Analgesic Treatment in Italian Emergency Medical Services: A Nationwide Survey.Journal of pain research · 2021Article
- Utilization, Safety, and Technical Performance of a Telemedicine System for Prehospital Emergency Care: Observational Study.Journal of medical Internet research · 2019Observational
- [Analgesia in the emergency medical service: comparison between tele-emergency physician and call back procedure with respect to application safety, effectiveness and tolerance].Der Anaesthesist · 2019Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
7 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Acute pain is a common reason for summoning emergency medical services (EMS). Yet in several countries the law restricts opioid-based analgesia administration to physicians. Telemedical support of paramedics is a novel approach to enable timely treatment under the guidance of a physician. In this retrospective observational study, conducted in the EMS of Aachen, Germany, the analgesic quality and occurrence of adverse events were compared between telemedically-supported paramedics (July-December, 2014) and a historical control group (conventional on-scene EMS physicians; January-March, 2014). INCLUSION CRITERIA: pain (initial numerical rating scale (NRS) ≥5) and/or performed analgesia. Telemedically-assisted analgesia was performed in 149 patients; conventional analgesia in 199 control cases. Teleconsultation vs. CONTROL: Initial NRS scores were 8.0 ± 1.5 and 8.1 ± 1.7. Complete NRS documentation was carried out in 140/149 vs. 130/199 cases, p < 0.0001. NRS scores were reduced by 4.94 ± 2.01 and 4.84 ± 2.28 (p = 0.5379), leading to mean NRS scores at emergency room arrival of 3.1 ± 1.7 vs. 3.3 ± 1.9 (p = 0.5229). No severe adverse events occurred in either group. Clinically relevant pain reduction was achieved in both groups. Thus, the concept of remote physician-based telemedically-delegated analgesia by paramedics is effective compared to analgesia by on-scene EMS physicians and safe.
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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.