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Paediatrics
Paediatric teleconsultation during ambulance transport
Feasibility and acceptability of pediatric expert teleconsultation during critical ambulance transports: a pilot randomized controlled simulation trial
Resuscitation Plus · Added 28 August 2026
Simulated RCT testing teleconsultation for paediatric ambulance transports — paramedics found it acceptable (TUS 5.8/7) and experienced less frustration (p=0.03) with 94% attempting physician contact, though physicians reported higher workload (p=0.01) and 92% connected in ≤2 attempts.
- Study type
- Simulation
- Design
- Pilot randomised controlled simulation trial with mixed methods
- Participants
- 24 paramedic-physician teams (12 per group), 72 simulated paediatric transports
- Main finding
- Paramedic acceptability high (TUS 5.8/7); physician contact attempted in 94% of transports (vs 47% control), 92% connected in ≤2 attempts; paramedic workload similar but less frustration (p=0.03); physician workload higher (p=0.01)
- Caveat
- Simulation setting; outcomes do not reflect real-world patients or technical reliability
- Bottom line
- Hypothesis-generating
Why it matters in Australia (Medium relevance). Operational innovation with potential relevance to regional/remote paediatric retrievals, but requires significant technology infrastructure and physician on-call availability — Australian implementation would need local validation.
Learning goal
Weigh the benefits and workload costs of physician teleconsultation when managing critically unwell paediatric patients during transport.
More
- Topic: Paediatrics
- Daily scan: 28 August 2026
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