Randomized Controlled Trial, Telemedicine vs Standard ED
ClinicalTrials.gov Studies
Summary
This randomized controlled trial registered on ClinicalTrials.gov (NCT07546071) will enroll 200 adults at an emergency department to evaluate whether video consultation with a senior emergency physician before entering the ED can improve efficiency and quality of care, compared to standard ED care. The study also examines whether physicians can accurately identify which patients need ED evaluation based on a remote assessment while maintaining patient safety. The intervention group receives a video consultation with a physician prior to standard ED care, while the control group receives standard care only.
“Telemedicine has been increasingly integrated into ED care and has shown feasibility and benefits in various settings.”
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What changed
This document registers a randomized controlled trial on ClinicalTrials.gov evaluating telemedicine-based remote physician assessment prior to emergency department entry. The study will enroll 200 adult participants and compare video consultation with a senior emergency physician plus standard care against standard ED care alone. The trial's conditions include Emergency Care, Telemedicine, and Emergency Department Crowding.
Healthcare providers and clinical researchers monitoring this trial should note that findings could inform future telemedicine protocols in emergency settings if the remote assessment model demonstrates non-inferiority to standard care in identifying patients requiring ED evaluation.
Archived snapshot
Apr 22, 2026GovPing captured this document from the original source. If the source has since changed or been removed, this is the text as it existed at that time.
Telemedicine-Based Emergency Physician Assessment Prior to ED Entry: A Randomized Controlled Trial
N/A NCT07546071 Kind: NA Apr 22, 2026
Abstract
Background:
Emergency department (ED) overcrowding is a growing challenge worldwide and is associated with prolonged length of stay (LOS), reduced patient satisfaction, and increased burden on healthcare systems. New approaches are needed to improve how patients are evaluated and treated.
Telemedicine has been increasingly integrated into ED care and has shown feasibility and benefits in various settings. Existing models have demonstrated improvements in patient flow, reduced length of stay, and high patient satisfaction. However, despite the growing use of telemedicine in emergency medicine, there is a lack of randomized controlled trials evaluating its effectiveness and safety, particularly in models involving early remote physician assessment prior to ED evaluation.
Purpose:
This study aims to evaluate whether a video consultation with a senior emergency physician before entering the ED can improve the efficiency and quality of care. The study also examines whether physicians can accurately identify which patients need ED evaluation based on a remote assessment, while maintaining patient safety.
Methods:
A total of 200 adults who arrived at the ED were assigned to one of two groups. In the study group, participants had a video consultation with a physician before continuing with standard ED care.
In the control group, participants received standard ED care only.
During the video consultation, the physician performed an initial clinical assessment and could order...
Conditions: Emergency Care, Telemedicine, Emergency Department Crowding
Interventions: Telemedicine-Based Remote Physician Assessment
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