Telemedical Versus Conventional Emergency Care of Hypertensive Emergencies

Telemedical Versus Conventional Emergency Care of Hypertensive Emergencies and Urgencies

Comparison of telemedical prehospital emergency care and conventional on-scene physician based care of hypertensive emergencies and urgencies. The adherence to current Guidelines should be researched.

Telemedically guided cases of hypertensive emergencies (april 2014 - March 2015) and urgencies are compared with a historical control group of conventional emergency medical service physician care on-scene for these scenarios. The historical control group is a time period prior to implementation of the telemedicine system and after a research project with a precursor telemedicine system. No telemedical support but only conventional on-scene EMS physician care was available (November 2013 - March 2014).

Inclusion Criteria:

• prehospital diagnosis of hypertensive emergency of hypertensive urgency

Exclusion Criteria:

Prehospital diagnoses of:

• pulmonary edema
• aortic dissection
• acute coronary syndrome
• acute stroke
• acute respiratory insufficiency