Beierle Alexander, Beierle Syrina, Pitsch Mark, Panagiotidis Despina, Larmann Jan, Beckers Stefan K, Felzen Marc, Schröder Hanna
Department of Anesthesiology, Medical Faculty RWTH Aachen University, University Hospital RWTH Aachen, Pauwelsstrasse 30, 52074, Aachen, Germany.
Aachen Institute for Rescue Management & Public Safety, City of Aachen and University Hospital RWTH Aachen, Pauwelsstrasse 30, 52074, Aachen, Germany.
Sci Rep. 2025 May 22;15(1):17740. doi: 10.1038/s41598-025-01850-1.
Respiratory distress is a common reason for emergency medical service (EMS) physicians to be prehospitally involved. While the availability of telemedical EMS systems increases continuously, there is a gap in research regarding respiratory emergencies in the context of prehospital telemedicine. The aim of this study is to evaluate the quality of care provided in prehospital respiratory emergencies, managed through a tele-EMS system with a specialized EMS physician. Tele-EMS physician missions from 01/01/2019 to 12/31/2021 in Aachen, Germany, were analyzed. Adult patients presenting with dyspnea, peripheral oxygen saturation < 94%, respiratory rate > 19/min, or any combination of these factors, were included (n = 2234). Data were derived from mission protocols recorded by the attending tele-EMS physicians. Significant changes (p < 0.001) in vital parameters towards physiological ranges were observed. For the most common diagnoses, a significant improvement in patient condition was achieved with the use of appropriate medications. In 14 cases (0.63%), an onsite-EMS physician was requested. These cases were confirmed to involve unstable patients who required intervention of an onsite-EMS physician. The tele-EMS physician effectively bridged the time until arrival of the physician. Overall, the study demonstrated that respiratory emergencies were effectively managed using the tele-EMS physician system.
呼吸窘迫是紧急医疗服务（EMS）医生在院前参与救治的常见原因。尽管远程医疗EMS系统的可用性不断提高，但在院前远程医疗背景下，关于呼吸紧急情况的研究仍存在空白。本研究的目的是评估通过配备专业EMS医生的远程EMS系统管理的院前呼吸紧急情况的护理质量。对2019年1月1日至2021年12月31日在德国亚琛的远程EMS医生任务进行了分析。纳入了出现呼吸困难、外周血氧饱和度<94%、呼吸频率>19次/分钟或这些因素任意组合的成年患者（n = 2234）。数据来自主治远程EMS医生记录的任务协议。观察到生命体征参数朝着生理范围有显著变化（p < 0.001）。对于最常见的诊断，使用适当药物后患者状况有显著改善。在14例（0.63%）病例中，请求了现场EMS医生。这些病例经确认涉及需要现场EMS医生干预的不稳定患者。远程EMS医生有效地缩短了直到医生到达的时间。总体而言，该研究表明使用远程EMS医生系统可有效管理呼吸紧急情况。
