Table 2.

Paramedic opinion of (A) potential benefits for interaction with medical control physicians/EMS systems and hospital EDs, and (B) potential risks of pediatric prehospital telemedicine.

(A)	Potential Benefits	Response (n = 25)
		% Yes	95% CI
Medical Control Physician / EMS System	Decision support for field triage	44%	27 – 63
	Video/picture enhancing field report to Medical Control/ED	56%	37 – 73
	Physician-assisted, real-time, critical care support for field provider	68%	48 – 83
	Decision support on transport destination and/or modality	36%	20 – 56
	Decision support/risk mitigation for patient transport refusal	68%	48 – 83
	Paramedic training opportunity (live/post-incident feedback)	80%	60 – 92
	Quality assurance of patient carea	60%	41 – 77
Hospital ED	Increased situational awareness of incoming critical care transports	68%	48 – 83
	Video/picture documentation of patient status pre-treatment	72%	52 – 86
	Decision support for hospital emergency team activation	68%	53 – 89
	Improved patient care from visualization of scene/injury mechanism	76%	59 – 86
	Paramedic training opportunity (live/post-incident feedback)	72%	52 – 86
	Quality assurance of patient care	60%	54 – 82

(B)
Potential Risks	Strongly Disagree/Disagree	Neutral	Agree/Strongly Agree
	n = 25 (%)
Time to use telemedicine equipment	2 (8%)	4 (16%)	19 (76%)
Time for ED/medical control physicians for video consultation	3 (12%)	6 (24%)	16 (64%)
Ability to maintain high-quality broadband connection	2 (8%)	10 (40%)	13 (52%)
Excessive surveillance of field providers	3 (12%)	9 (36%)	13 (52%)
Medicolegal liability concerns	4 (16%)	9 (36%)	12 (48%)
HIPPA/privacy concerns	7 (28%)	7 (28%)	11 (44%)
Cost to purchase/maintain system, train personnel	5 (20%)	6 (24%)	14 (56%)
May not improve medical outcome (current protocols sufficient)	6 (24%)	9 (36%)	10 (40%)

^aMissing 2 responses