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

Recruiting now · Not applicable

Conditions studied: Emergencies, mHealth, Child Health, Critical Illness

In brief

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.

Key facts

Study ID

NCT07027813

Run by

Weill Medical College of Cornell University

People needed

900

Starts

2025-06-04

Expected to finish

2026-09-30

Last updated by the study team

2026-01-07

Who can join

Age: any, up to 14. Sex: any. Healthy volunteers: accepted.

You may qualify if…

• 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

You may not qualify if…

• Children transported without an adult parent or guardian
• EMERGENCY MEDICAL TECHNICIANS (EMTs)
• Inclusion Criteria:
• EMTs currently employed by the SIEHS EMS service.
• Exclusion Criteria:
• EMTs who refuse to participate or consent to the study.
• TELEMEDICINE PHYSICIANS (TMPs)
• Inclusion Criteria:
• TMPs currently employed by the CLF Telemedicine services.
• Exclusion Criteria:
• TMPs who refuse to participate or consent to the study.

Where it is running

• ChildLife Foundation — Karachi, Sindh, Pakistan (enrolling)
• Sindh Integrated Emergency and Health Services (SIEHS) — Karachi, Sindh, Pakistan (enrolling)
• Aga Khan University Hospital — Karachi, Sindh, Pakistan

Full record on ClinicalTrials.gov

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