Application of Telemedicine for Dermatological Emergency Patients
Application of Telemedicine for Dermatological Emergency Patients
After admission to the emergency room each dermatological patient is routinely assessed to
 Manchester Triage System (MTS) by the nursing staff. Thereby data are collected for anamnesis
 followed by randomization in two equal study groups.

 Patients of group A (control group) wait routinely until the dermatological investigator in
 charge arrives at the emergency room. Once the dermatological investigator is on site, he
 gives a diagnosis and proposes a therapy.

 For Patients of group B (teledermatology) study-related photographs of the skin lesion and
 anamnesis data are uploaded to the hospital information system "medico". Those data can
 directly be processed by the dermatological investigator in charge who enters his diagnosis
 and his therapy proposal.

 Subsequently an internal control is carried out as the same investigator comes personally to
 the emergency room to check its telemedical diagnosis and therapy proposal.

 Finally both time periods patients have to wait in the emergency room for their diagnosis and
 therapy are compared with each other.
After admission to the emergency room each dermatological patient is routinely assessed to
 Manchester Triage System (MTS) by the nursing staff. Thereby data are collected for anamnesis
 (duration of symptoms, allergies, self-medication, medical history) followed by randomization
 in two equal study groups.

 Patients of group A (control group) wait routinely until the dermatological investigator in
 charge arrives at the emergency room. Once the dermatological investigator is on site, he
 gives a diagnosis and proposes a therapy.

 Time is measured from the patients admission to the emergency room up to the personnel
 diagnosis and therapy by the dermatological investigator in charge.

 For Patients of group B (teledermatology) first of all study-related photographs of the skin
 lesions are taken with a tablet. After that the registration of the consult "teledermatology"
 is carried out by the emergency investigator in charge, who uploads the photographs as well
 as the data for anamnesis to the hospital information system "medico". The consult
 "teledermatology" can directly be processed by the dermatological investigator in charge who
 enters his diagnosis and his therapy proposal.

 Time is measured from admission to the emergency room up to the telemedical diagnosis and
 therapy by the dermatological investigator in charge.

 Subsequently an internal control is carried out as the same investigator comes personally to
 the emergency room to check its telemedical diagnosis and therapy proposal.

 Finally both time measurements are compared with each other.
Inclusion Criteria:

 -  Male or female aged ≥ 18 years

 -  Written informed consent prior to study participation

 -  Adults who are contractually capable and mentally able to understand and follow the
 instructions of the study personnel.

 -  Dermatological emergency patient

 Exclusion Criteria:

 -  Male or female aged < 18 years

 -  Missing informed consent prior to study participation

 -  Patient has been committed to an institution by legal or regulatory order

 -  Persons in dependence from the sponsor or working with the sponsor

 -  Participation in another clinical trial within the previous 2 months