Feasibility and Efficacy of Ambulance-Based m-Health for Pediatric Emergencies (FEAMER) Trial (NCT07027813) | Clinical Trial Compass
RecruitingNot Applicable
Feasibility and Efficacy of Ambulance-Based m-Health for Pediatric Emergencies (FEAMER) Trial
Pakistan900 participantsStarted 2025-06-04
Plain-language summary
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.
Who can participate
Age range
1 Minute – 14 Years
Sex
ALL
See this in plain English?
AI-rewrites the medical criteria so a patient or caregiver can understand them. Always confirm with the trial site.
CHILDREN
Inclusion criteria:
* 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
Exclusion Criteria:
• 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.
Questions worth asking your doctor
Bring these to your next appointment. They're a starting point for a shared conversation — not a sign you qualify or a recommendation to enrol.
1Based on my diagnosis and history, is this trial worth exploring for me — or is there a standard treatment we should try first?
2What does this trial's phase tell us about how much is already known about its safety and benefit?
3What would taking part actually involve for me — visits, tests, time, and travel?
4What are the known and possible risks or side effects I should weigh, and how would they be monitored?
5If this trial isn't the right fit, what other options or trials would you suggest I look into?
Generated to help you prepare — always confirm anything about your own eligibility and care with the study team and your doctor.
Questions for the trial coordinator
The trial coordinator is the person who runs the study day to day. These cover the practical side — logistics, costs, and what taking part would actually mean for your life. The study team confirms whether you meet the criteria; these are questions to ask, not a sign you qualify.
1What does taking part actually involve week to week — how many visits, where, and how long does each one take?
2What costs are covered by the study, and what might I have to pay for myself, including travel, parking, or time off work?
3What happens during screening, and what happens if the study team confirms I don't meet the criteria after those tests?
4Who pays for the scans, blood work, and other tests the trial requires — the study, my insurance, or me?
5How will being in the trial affect my regular care, and will my own doctor stay informed and involved?
6Can I leave the trial at any point if I change my mind, and what would happen to my care if I do?
A starting point for the conversation — always confirm anything about your own eligibility, costs, and care with the study team and your doctor.
What they're measuring
1
Change in Pediatric Early Warning Signs (PEWS) Score
Timeframe: At the ambulance pick up and hospital drop off (>20 minutes)
2
Pediatric Early Warning Signs (PEWS) Score at the ambulance drop off
Timeframe: At the ambulance drop off (>20 minutes)
Trial details
NCT IDNCT07027813
SponsorWeill Medical College of Cornell University