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Streaming Video to Augment Decision Support for Scottish Ambulance Service Treating COPD and OHCA in Edinburgh

Type: Chest Heart

Grant holder: Dr. Gareth Clegg, University of Edinburgh and Royal Infirmary of Edinburgh

Amount Awarded: £48,090 over 18 months.

Year: 2014 - Ongoing

Scottish Ambulance Service (SAS) frontline paramedics need to be ready to face whatever medical emergencies may arise in the city of Edinburgh in all environments, day or night, and without prior warning. Some of the clinical problems tackled by the SAS are particularly demanding, and frontline ambulance staff may benefit from additional expert help in making difficult decisions involving patients. This extra help may be particularly useful to paramedics dealing with immediately life-threatening emergency situations or when deciding whether patients with worsening or longstanding, disease conditions need to go to hospital or can be treated at home. This project seeks to trial the usefulness of a video link to improve existing telephone support currently available to paramedics in Edinburgh. We wish to test whether paramedics wearing streaming-video cameras on their uniform is acceptable to patients, useful for paramedics and beneficial for patient care. We propose to test the usefulness of this approach by adding live video support to the management of chronic obstructive pulmonary disease (COPD) and out-of-hospital cardiac arrest (OHCA) by paramedics in Edinburgh.