Recruiting

Observational Study

Sponsor:

Wake Forest University Health Sciences

Code:

NCT07107737

Conditions

Refusal of Transport

Eligibility Criteria

Sex: All

Age: 18+

Healthy Volunteers: Not accepted

Interventions

Physician Consultation

Standard of Care

Study Details

Brief summary:

The primary goal of this study is to find out if patients who speak with an EMS physician over the phone are less likely to refuse care compare to patients who do not speak with an EMS physician.

Conditions

Refusal of Transport

Study ID

NCT07107737

Start date

Apr 12, 2026

Status verified date

Jun, 2026

Completion date

Nov, 2026

Anticipated

Primary completion date

Oct, 2026

Anticipated

Eligibility Criteria

Eligibility Criteria

Sex: All

Age: 18+

Healthy Volunteers: Not accepted

Inclusion Criteria:

• Adult patients ≥18 years old in care of Mecklenburg EMS (MEDIC) on an emergency basis (911 call) who wish to refuse transportation to the hospital in whom MEDIC has, via existing processes and decision-making, engaged online medical control EMS Physicians for further guidance

Exclusion Criteria:

  • Patients <18 years old.
  • Patient refuses to speak with online medical control EMS Physicians. MEDIC or patient requests to have primary care physician.
  • Lack of clinical capacity.
  • Incarcerated population.

Study Design

Enrollment

250 participants

Anticipated

Allocation

Randomized

Intervention Model

Parallel Assignment

Primary purpose

Supportive Care

Interventions and Outcome Measures

Arms

experimental: Physician Consultation

Mecklenburg EMS agency (MEDIC) crew chiefs (EMTs and/or paramedics) may decide, based on patient circumstances, to consult OMC for patients wishing to refuse care.

active comparator: Standard of Care

Refusal-of-care consultation not provided to patient

Interventions

Physician Consultation

Every other month will be randomized to either Physician Consultation or Standard of Care. During the months designated for Physician Consultation, direct communication between the patient and a designated physician by phone will be implemented when a patient refuses transport in cases where the EMS clinician feels that physician consultation is warranted for further guidance. The physician will attempt to address patient concerns and provide additional medical advice.

Standard of Care

Every other month will be randomized to either Physician Consultation or Standard of Care. During the months designated for Standard of Care, physician intervention will not be provided. For safety reasons, if physicians or EMS MEDIC clinicians feel that speaking with the patient is important to provide additional clinical benefit, they may do so without hesitation and can override the designated intervention month.

Primary outcome measure

  • Number of Patients Transported [ Time Frame: Day 1 ]

Central Contacts and Locations

Central contacts

Stephen Tyler Constantine

704-355-3181stephen.constantine@advocatehealth.org

Locations

Atrium Health Carolinas Medical Center

Recruiting

Charlotte, North Carolina, United States, 28203

Contacts

Stephen Tyler Constantine, MD

704-355-3181stephen.constantine@advocatehealth.org

More Information

Sponsor

Wake Forest University Health Sciences

Last update posted

Jul 1, 2026

Last verified

Jun, 2026

Keywords

  • EMS transport
  • emergency treatment
  • EMS protocol

Trial information was received from ClinicalTrials.gov and was last updated on 2026-09-10. This information was provided to ClinicalTrials.gov by Wake Forest University Health Sciences on 2026-07-01.