Quality of analgesia in physician-operated telemedical prehospital emergency care is comparable to physician-based prehospital care - a retrospective longitudinal study

Abstract Acute pain is a common reason for summoning emergency medical services (EMS). Yet in several countries the law restricts opioid-based analgesia administration to physicians. Telemedical support of paramedics is a novel approach to enable timely treatment under the guidance of a physician. I...

Descripción completa

Guardado en:

Detalles Bibliográficos
Autores principales:	Niklas Lenssen, Andreas Krockauer, Stefan K. Beckers, Rolf Rossaint, Frederik Hirsch, Jörg C. Brokmann, Sebastian Bergrath
Formato:	article
Lenguaje:	EN
Publicado:	Nature Portfolio 2017
Materias:	Medicine R Science Q
Acceso en línea:	https://doaj.org/article/248689482ab545e0b84c2f47365566ac
Etiquetas:	Agregar Etiqueta Sin Etiquetas, Sea el primero en etiquetar este registro!

id	oai:doaj.org-article:248689482ab545e0b84c2f47365566ac
record_format	dspace
spelling	oai:doaj.org-article:248689482ab545e0b84c2f47365566ac2021-12-02T12:32:19ZQuality of analgesia in physician-operated telemedical prehospital emergency care is comparable to physician-based prehospital care - a retrospective longitudinal study10.1038/s41598-017-01437-52045-2322https://doaj.org/article/248689482ab545e0b84c2f47365566ac2017-05-01T00:00:00Zhttps://doi.org/10.1038/s41598-017-01437-5https://doaj.org/toc/2045-2322Abstract Acute pain is a common reason for summoning emergency medical services (EMS). Yet in several countries the law restricts opioid-based analgesia administration to physicians. Telemedical support of paramedics is a novel approach to enable timely treatment under the guidance of a physician. In this retrospective observational study, conducted in the EMS of Aachen, Germany, the analgesic quality and occurrence of adverse events were compared between telemedically-supported paramedics (July-December, 2014) and a historical control group (conventional on-scene EMS physicians; January-March, 2014). Inclusion criteria: pain (initial numerical rating scale (NRS) ≥5) and/or performed analgesia. Telemedically-assisted analgesia was performed in 149 patients; conventional analgesia in 199 control cases. Teleconsultation vs. control: Initial NRS scores were 8.0 ± 1.5 and 8.1 ± 1.7. Complete NRS documentation was carried out in 140/149 vs. 130/199 cases, p < 0.0001. NRS scores were reduced by 4.94 ± 2.01 and 4.84 ± 2.28 (p = 0.5379), leading to mean NRS scores at emergency room arrival of 3.1 ± 1.7 vs. 3.3 ± 1.9 (p = 0.5229). No severe adverse events occurred in either group. Clinically relevant pain reduction was achieved in both groups. Thus, the concept of remote physician-based telemedically-delegated analgesia by paramedics is effective compared to analgesia by on-scene EMS physicians and safe.Niklas LenssenAndreas KrockauerStefan K. BeckersRolf RossaintFrederik HirschJörg C. BrokmannSebastian BergrathNature PortfolioarticleMedicineRScienceQENScientific Reports, Vol 7, Iss 1, Pp 1-10 (2017)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine R Science Q
spellingShingle	Medicine R Science Q Niklas Lenssen Andreas Krockauer Stefan K. Beckers Rolf Rossaint Frederik Hirsch Jörg C. Brokmann Sebastian Bergrath Quality of analgesia in physician-operated telemedical prehospital emergency care is comparable to physician-based prehospital care - a retrospective longitudinal study
description	Abstract Acute pain is a common reason for summoning emergency medical services (EMS). Yet in several countries the law restricts opioid-based analgesia administration to physicians. Telemedical support of paramedics is a novel approach to enable timely treatment under the guidance of a physician. In this retrospective observational study, conducted in the EMS of Aachen, Germany, the analgesic quality and occurrence of adverse events were compared between telemedically-supported paramedics (July-December, 2014) and a historical control group (conventional on-scene EMS physicians; January-March, 2014). Inclusion criteria: pain (initial numerical rating scale (NRS) ≥5) and/or performed analgesia. Telemedically-assisted analgesia was performed in 149 patients; conventional analgesia in 199 control cases. Teleconsultation vs. control: Initial NRS scores were 8.0 ± 1.5 and 8.1 ± 1.7. Complete NRS documentation was carried out in 140/149 vs. 130/199 cases, p < 0.0001. NRS scores were reduced by 4.94 ± 2.01 and 4.84 ± 2.28 (p = 0.5379), leading to mean NRS scores at emergency room arrival of 3.1 ± 1.7 vs. 3.3 ± 1.9 (p = 0.5229). No severe adverse events occurred in either group. Clinically relevant pain reduction was achieved in both groups. Thus, the concept of remote physician-based telemedically-delegated analgesia by paramedics is effective compared to analgesia by on-scene EMS physicians and safe.
format	article
author	Niklas Lenssen Andreas Krockauer Stefan K. Beckers Rolf Rossaint Frederik Hirsch Jörg C. Brokmann Sebastian Bergrath
author_facet	Niklas Lenssen Andreas Krockauer Stefan K. Beckers Rolf Rossaint Frederik Hirsch Jörg C. Brokmann Sebastian Bergrath
author_sort	Niklas Lenssen
title	Quality of analgesia in physician-operated telemedical prehospital emergency care is comparable to physician-based prehospital care - a retrospective longitudinal study
title_short	Quality of analgesia in physician-operated telemedical prehospital emergency care is comparable to physician-based prehospital care - a retrospective longitudinal study
title_full	Quality of analgesia in physician-operated telemedical prehospital emergency care is comparable to physician-based prehospital care - a retrospective longitudinal study
title_fullStr	Quality of analgesia in physician-operated telemedical prehospital emergency care is comparable to physician-based prehospital care - a retrospective longitudinal study
title_full_unstemmed	Quality of analgesia in physician-operated telemedical prehospital emergency care is comparable to physician-based prehospital care - a retrospective longitudinal study
title_sort	quality of analgesia in physician-operated telemedical prehospital emergency care is comparable to physician-based prehospital care - a retrospective longitudinal study
publisher	Nature Portfolio
publishDate	2017
url	https://doaj.org/article/248689482ab545e0b84c2f47365566ac
work_keys_str_mv	AT niklaslenssen qualityofanalgesiainphysicianoperatedtelemedicalprehospitalemergencycareiscomparabletophysicianbasedprehospitalcarearetrospectivelongitudinalstudy AT andreaskrockauer qualityofanalgesiainphysicianoperatedtelemedicalprehospitalemergencycareiscomparabletophysicianbasedprehospitalcarearetrospectivelongitudinalstudy AT stefankbeckers qualityofanalgesiainphysicianoperatedtelemedicalprehospitalemergencycareiscomparabletophysicianbasedprehospitalcarearetrospectivelongitudinalstudy AT rolfrossaint qualityofanalgesiainphysicianoperatedtelemedicalprehospitalemergencycareiscomparabletophysicianbasedprehospitalcarearetrospectivelongitudinalstudy AT frederikhirsch qualityofanalgesiainphysicianoperatedtelemedicalprehospitalemergencycareiscomparabletophysicianbasedprehospitalcarearetrospectivelongitudinalstudy AT jorgcbrokmann qualityofanalgesiainphysicianoperatedtelemedicalprehospitalemergencycareiscomparabletophysicianbasedprehospitalcarearetrospectivelongitudinalstudy AT sebastianbergrath qualityofanalgesiainphysicianoperatedtelemedicalprehospitalemergencycareiscomparabletophysicianbasedprehospitalcarearetrospectivelongitudinalstudy
_version_	1718394083477553152

Quality of analgesia in physician-operated telemedical prehospital emergency care is comparable to physician-based prehospital care - a retrospective longitudinal study

Ejemplares similares