Feasibility and Efficacy of Ambulance-Based m-Health for Pediatric Emergencies (FEAMER) Trial

Trial statusRecruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
Age1-14
SponsorWeill Medical College of Cornell University

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

900 Participants
are divided into 4 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