Two-way video support for paramedics caring for infants with life-threatening breathing problems.

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

In a pilot randomized controlled simulation trial, paramedics will manage infant mannequin scenarios of respiratory failure while receiving either standard audio-only radio consultation or two-way audiovisual telemedical support from pediatric emergency medicine experts. Performance will be compared using objective quality-of-care measures such as timing and correctness of interventions in simulated prehospital scenarios. Certified EMTs/AEMTs/paramedics and board-certified PEM or EM physicians who provide online medical direction will participate, while resident physicians and non-physician providers are excluded. The work is conducted at multiple US academic centers in collaboration with NICHD to inform whether larger clinical trials are warranted.

Why it matters

Who can join: the full rules

Inclusion Criteria:

* 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 Criteria:

* EMS personnel providing interfacility transport and/or pediatric specialty transport
* Resident physicians-in-training
* Non-physician providers

Where it's running

• Children's Hospital Los Angeles
  Los Angeles, California, United States Recruiting
• Children's Hospital Colorado, University of Colorado Denver Anschutz Medical Campus
  Aurora, Colorado, United States Recruiting
• BostonMedical Center
  Boston, Massachusetts, United States Recruiting
• University at Buffalo
  Buffalo, New York, United States Recruiting
• Yale University
  New Haven, Connecticut, United States Active not recruiting
• Children's National Medical Center
  Washington D.C., District of Columbia, United States Not yet recruiting

Study contacts

• Principal investigator: Tehnaz Boyle, MD PhD — Bosotn Medical Center, Pediatrics Department
• Study coordinator: Tehnaz Boyle, MD PhD
• Email: tehnaz.boyle@bmc.org
• Phone: 617-414-3682

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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.