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

Locations

3
Aga Khan University Hospital74800, KarachiSindh, Pakistan
ChildLife Foundation KarachiSindh, Pakistan
Sindh Integrated Emergency and Health Services (SIEHS) KarachiSindh, Pakistan

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