RecruitingNot ApplicableNCT07027813

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

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

Sponsor

Weill Medical College of Cornell University

Enrollment

900 participants

Start Date

Jun 4, 2025

Study Type

INTERVENTIONAL

Conditions

Critical Illness Emergencies mHealth Child Health

Summary

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

Min Age: 1 MinuteMax Age: 14 Years

Inclusion Criteria7

CHILDREN
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
• EMTs currently employed by the SIEHS EMS service.
• TMPs currently employed by the CLF Telemedicine services.