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Can a paramedic at home replace the ER? new study tests the idea

NCT ID NCT06299774

Knowledge-focused Sponsor: Brigham and Women's Hospital Source: ClinicalTrials.gov ↗

What the study statuses mean

This study's is highlighted.

Recruitment status, easiest to join first

Recruiting now
This trial is taking on new participants right now.
Not yet recruiting
Registered, but not yet taking participants.
By invitation only
Not open to general applications. Only people the study team invites can take part.
Paused
Paused for now. It may or may not start again.
Ongoing
Running, but no longer taking on new participants.
Completed This study
The trial has finished. Results may not be published yet.
Stopped early
Stopped early, before it reached the end. That can be for many reasons, including safety.
Cancelled
Cancelled before anyone took part.

Expanded access (not trials)

Expanded access
Not a trial. This treatment can be requested outside a study, case by case, for people who qualify.
Expanded access (paused)
Not a trial. The treatment can normally be requested outside a study, but is unavailable right now.
Expanded access (ended)
Not a trial. The treatment could once be requested outside a study, but no longer can.
Approved
The treatment has been approved, so it is available normally rather than through this programme.

When the status isn't known

Details not published
The full record has not been published yet, so there is little to show here.
Status unknown
This status has not been confirmed recently, so it may be out of date.

First seen Jun 27, 2026 · Last updated Jun 27, 2026

Summary

This study tested whether getting emergency care at home is as good as going to the emergency room. 229 adults were randomly assigned to receive care at home from a paramedic and remote doctor, or to go to a standard ER. The main goal was to see how many needed an ER visit or hospital stay within 9 days.

What this could mean

Our plain-language read of the trial. This is informational only, not medical advice or a prediction.

Active substance
Emergency care at home delivered by a paramedic and remote physician
What this could lead to
If successful, this could show that home-based emergency care is a safe and faster alternative to the ER for some patients.
What could go wrong
This is a small, completed trial with 229 participants, so results may not apply broadly. Home care may not be suitable for all emergencies.

This is an AI summary of the original study and may miss details. Read our disclaimer.

Study facts

What this study's own registry entry says, in plain language.

Phase

Not a phased trial

Phase numbers describe drug development. The registry uses this when they do not apply, as it does for trials of devices, procedures or behaviour changes, and for observational studies.

Participants

229 people

The number who actually took part.

Started

Feb 2024

Finished

Oct 2024

Lead sponsor

Other sponsor

The registry's catch-all category, for sponsors it does not file as a company, a government agency, or a research network.

Who can take part

This study's own entry requirements. Only the study team can say for certain whether you qualify.

Ages

18 years and older

Sex

Anyone

Healthy volunteers

Not accepted

This study is not open to healthy volunteers. The entry requirements below say who it is open to.

Show the full entry requirements

Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.

Inclusion Criteria: * Age \>= 18 years * Resides within Home Hospital geographic area * Lives in permanent housing (i.e., not in temporary housing such as a shelter) * Patient of a Mass General Brigham primary care provider * Primary care provider attests that their triage recommendation is the emergency department * Emergency care at home nurse triages the participant to the emergency department or urgent care * Patient attests that they intend to go to the emergency department Exclusion Criteria: * Insurance: workers compensation and motor vehicle accident * Lives in a healthcare facility (Skilled Nursing, Rehab, long term acute care) * Patient/caregiver cannot answer phone or door * Active substance use * Acute psychiatric concerns (e.g., suicidal ideation, even if passive) * Home safety concerns (e.g., intimate partner violence) * High-risk features: oHigh Risk Signs, if available: Heart rate \> 120 Systolic blood pressure \< 90 Shock Index (heart rate divided by systolic blood pressure) \> 1 Oxygen \< 93% on ambient air Increase in oxygen requirement new or \> 2 liters Respiratory rate \> 28 Diaphoresis oHigh Risk Symptoms: Active chest pain Severe work of breathing Syncope Hemoptysis Seizure Other concerning symptom per nurse triage * Requires inpatient-level care * Requires specialty consultation * Requires physical, occupational, or speech therapy * Requires blood transfusion * Requires internal physical exam maneuver (e.g. rectal exam, genitourinary exam) * Requires imaging that is not available at home * Requires monitoring that is not available at home * Troubleshooting wound vacs

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As listed by the trial registrant

The condition terms exactly as the trial's registrant entered them.

Emergency department visits Emergency medical services

Contacts and locations

Locations

  • Massachusetts General Hospital

    Boston, Massachusetts, 02114, United States

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