Introduction of Telemedicine in a Prehospital Emergency Care Setting: A Pilot Study
Table 4
National Advisory Committee for Aeronautics (NACA) score of all missions involving a prehospital emergency physician (PHP) or a telemedicine with a prehospital emergency physician (tele-PHP).
Results
NACA score
Total
≤3
>3
=9
Missions dispatched
6237
Missions involving a PHP (tele or on site) including at the paramedics’ request
228: 43%
230: 43%
69: 14%
527
(i) On-site PHP dispatched after first evaluation at the paramedics’ request
18
21
5
44
(ii) Tele-PHP dispatched after first evaluation at the paramedics’ request
2
3
0
5
Missions requiring a PHP at dispatch
208: 43%
206: 43%
64: 14%
478
(i) PHP missions with AMPDS codes non-compatible with tele-PHP
146
179
45
370
Potential tele-PHP missions
62: 57%
27: 25%
19: 18%
108
(i) Tele-PHP compatible AMPDS codes but overruled by the dispatcher
9
11
1
21
(ii) The software failed to propose tele-PHP
9
3
0
12
(iii) Tele-PHP missions overruled by PHP
2
2
3
7
Tele-PHP missions dispatched at the same time as paramedics
42: 62%
11: 16%
15: 22%
68
(i) On-site PHP dispatch after starting tele-PHP
0
3
0
3
(ii) Connection issues but no need to dispatch on-site PHP
6
0
0
6
(iii) Mission cancelled by paramedics
0
0
15
15
Tele-PHP missions dispatched at the same time as paramedics and completely performed by tele-PHP
