ArticleResuscitation plus2026
Feasibility and acceptability of pediatric expert teleconsultation during critical ambulance transports: a pilot randomized controlled simulation trial.
Article in Resuscitation plus, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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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.
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Authors and funding
14 authors.
Funding
Abstract
Background: Before a trial testing prehospital teleconsultation for children, we studied acceptability, feasibility, and workload after integrating teleconsultation into Emergency Medical Service (EMS) workflows. Methods: We randomized paramedic-physician teams to teleconsultation (audio/video call, intervention) or usual care (audio call, control) for three simulated pediatric transports using mixed methods. Paramedic dyads provided in-ambulance simulated care while remote pediatric emergency physicians offered real-time consultation. In the intervention group, we used the Telehealth Usability Questionnaire to measure acceptability [primary; Total Usability Score (TUS), maximum = 7] and feasibility [secondary; Interaction Quality Score (IQS)]; and interviews for Technology Acceptance Model themes. Between groups, we calculated descriptive statistics and compared connection success and workload. Results: Twenty-four teams (12/group) completed 72 simulated transports. Intervention paramedics attempted physician contact in 94% (34/36) of transports versus 47% (17/36) in control; 92% connected in ≤2 attempts. In the intervention group, mean TUS was 5.6 (95% CI 5.2, 6.0) for physicians and 5.8 (95% CI 5.5, 6.0) for paramedics; mean IQS was 5.2 (95% CI 4.6, 6.0) and 5.9 (95% CI 5.4, 6.3) respectively. Intervention paramedics reported similar workload to controls ( Conclusions: In simulations, teleconsultation for pediatric EMS transports was acceptable and feasible with minor technical modifications. Implementation should balance physician workload and clarify roles through training. Future trials should evaluate patient outcomes.
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