The study team aims to test connectivity metrics and follow patient outcomes using a new, innovative synchronous video technology in the prehospital setting in three distinct areas:

1. - 911 Calls
2. - Pediatric Critical Care Transport

Currently, paramedics and pediatric transport teams seek advice from physicians using a telephone. This project replaces the phone with video consultation where the physicians can directly interact with patients, paramedics and transport teams when care advice is needed.

Inclusion Criteria:

• Cardiac Arrest
• Hemodynamically unstable trauma patients requiring resuscitation and airway management
• Trauma patients with altered mentation requiring airway management
• Acute stroke patients
• Medical patients that refuse transport for medical evaluation Pediatric Intensive Care Telemedicine Program
• Complex clinical situations where paramedic teams need immediate management guidance
• Critically ill pediatric patients requiring evaluation/stabilization for interfacility transport
• Pediatric patients requiring intervention for respiratory failure
• Pediatric patients with ongoing seizures and/or neurological abnormalities
• Hemodynamically unstable patients
• Complex clinical situations requiring medical control guidance

Exclusion Criteria:

• All other patients not list above