Simulation Trial of Telemedical Support for Paramedics

This study is looking at how paramedics and doctors can work together better during emergencies involving children. Currently, paramedics often talk to doctors over the radio while transporting a child to the hospital. This study wants to see if using video calls (video teleconsultation) or just audio calls (audio support) helps doctors give better guidance to paramedics. The study will involve certified paramedics and emergency doctors participating in simulated (practice) emergency situations in ambulances. The main goal is to see if one method leads to fewer serious safety events for the patient. The study aims to enroll 420 participants, but its current status is unclear.

Study design
This study is an interventional trial planning to enroll 420 participants. It compares two methods of remote physician support for paramedics: video teleconsultation and audio support.
What's involved
Participants will take part in four video-recorded simulated transports in fully equipped ambulances, providing resuscitative care in simulated high-risk pediatric emergencies.
Compensation
Not stated in the trial record.
Follow-up
Serious safety events will be measured at post-treatment, usually 4 hours after the simulated emergency.

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NCT06441760

Simulation Trial of Telemedical Support for Paramedics

Recruiting
NAAges 21+InterventionalHealth services
Boston Medical Center
~420 participants
Updated 2026-06-30 on ClinicalTrials.gov
What's tested:Video teleconsultationAudio support

At a glance

Recruiting sites
4 of 9 listed sites are recruiting right now
RecruitingSuspended, closed, or not yet open
What they're measuring
Number of Serious Safety Events
Measured over Post treatment usually 4 hours
Emergencies
Cardiopulmonary Arrest
Acute Respiratory Failure
Status Epilepticus
9 sites across 9 states
California1
Colorado1
Connecticut1
District of Columbia1
Massachusetts1
New York1
Ohio1
Utah1
  • Tehnaz Boyle, MD PhD · PRINCIPAL_INVESTIGATOR · Bosotn Medical Center, Pediatrics Department

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Eligibility criteria

Inclusion

Certified Emergency Medical Technicians (EMTs), Advanced EMTs (AEMTs), and Paramedics (EMT-Ps) who provide direct scene response.
Board-certified Pediatric Emergency Medicine (PEM) and Emergency Medicine (EM) physicians whose practice includes online medical support for EMS are eligible.
The control arm will include physicians who provide radio/telephone support in usual care at each site. In the intervention arm, experts will be PEM with/without EMS board-certification as they have relevant pediatric training and experience.

Exclusion

EMS personnel providing interfacility transport and/or pediatric specialty transport
Resident physicians-in-training
Non-physician providers
  • Number of Serious Safety EventsPost treatment usually 4 hours

    Serious safety events are defined as clinical care actions that reach the patient and have the potential to cause moderate-to-severe harm or death. An investigator developed predefined serious safety event checklist developed for each simulated transport scenario will be used to record serious safety events. Serious safety events will be scored as: present, absent, or not observable.