See if video telemedicine with a caller’s mobile camera improves care for adults with acute dyspnea

Is this trial a fit for you?

A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.

What this trial studies

The trial investigates the addition of telemedicine to the standard medical dispatch process for adults calling emergency services with acute dyspnea. Video-enabled telemedicine is used during the call to support remote clinical assessment and management decisions. The study is conducted across several French hospitals and emergency centers, enrolling patients who meet criteria related to age, symptoms, and access to a mobile camera-enabled device. Non-life-threatening cases proceed through the enhanced dispatch pathway unless immediate intervention is required by local protocols. Outcomes focus on coordination of care, timeliness, and clinical decision-making in acute respiratory distress.

Why it matters

Who can join: the full rules

Inclusion Criteria:

* Patients aged 18 or over
* Contacting the Emergency Medical Communication Center regarding acute dyspnea, respiratory distress or shortness of breath, as the main reason for the call, regardless of the underlying cause
* The patient or a bystander must have a mobile phone equipped with a camera and capable of making video calls
* Emergency inclusion authorized by the emergency physician responsible for medical regulation in accordance with the emergency consent procedure applicable at the time of the call

Non-inclusion Criteria:

* An immediate life-threatening emergency justifying the dispatch of an emergency response team on an automatic basis in accordance with local protocols
* Patient at the end of life or where a decision to limit treatment is known at the time of the call.
* Refusal to use telemedicine
* Lack of a telephone network enabling video consultation.
* Patient already included in the study.
* Individuals requiring enhanced protection, namely minors, pregnant or breastfeeding women, persons deprived of their liberty by a judicial or administrative decision, and adults under legal guardianship known at the time of the call

Exclusion criteria (post-inclusion):

* Refusal to pursue the study (patient or relative consent withdrawal).
* Patient not benefiting from a social security system.
* Free subject, without guardianship nor subordination.

Where it's running

• University Hospital of Angers
  Angers, France Recruiting
• Bayonne Hospital Center
  Bayonne, France Recruiting
• La Roche sur Yon Hospital
  La Roche-sur-Yon, France Recruiting
• La Rochelle Hospital
  La Rochelle, France Recruiting
• University Hospital of Montpellier
  Montpellier, France Recruiting
• University Hospital of Nancy
  Nancy, France Recruiting

Study contacts

• Study coordinator: Nicolas MARJANOVIC
• Email: nicolas.marjanovic@chu-poitiers.fr
• Phone: +33549441873

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How to take part

1. Review the eligibility criteria above with your treating physician.
2. Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
3. Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.