Synchronous Video (Telemedicine) Consulation in the Prehospital Setting

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