About this trial
Investigators hypothesize that in a low-resource setting, linking ambulances that transport acutely ill children to a remote pediatric emergency physician using a simple audio-video device will improve the quality of these children's medical decisions and health outcomes. For this purpose, the investigators will conduct a study in Karachi, Pakistan, where they will collect medical data for ill children at the time of ambulance pickup, hospital drop-off, and during hospital triage. During transport, one group will receive a telemedicine call from a trained physician, while the other group will receive basic paramedic treatment. The investigators will then compare both groups.
Eligibility criteria
Qualifiers
Age 0-14 years
Children transported by an SIEHS ambulance with a transport time of ≥20 minutes
Children presenting to the ChildLife Emergency Department with a parent/ guardian present in the ambulance to consent
Children classified as "Charlie, Delta, Echo" on the Medical Priority Dispatch System
Disqualifiers
None
Trial design
Treatments tested in this trial
- Telemedicine
- Control
Treatment groups
Sponsors and collaborators
Weill Medical College of Cornell University
Lead sponsor
Eunice Kennedy Shriver National Institute of Child Health and Human Development (NICHD)
Collaborator
Aga Khan University
Collaborator