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Our station is involved in a study trying to introduce and test the capabilities of Telemedicine in Germany. It's actually a fairly new idea over here since EMS has been pysichian-led for the past 40 years. The data is sent via cellular network only, not digital radio. There are two pysichians available at the dispatch centre, which receive the vitals on our monitor (NiBP, SpO2, live ECG, 12-leads, etCO2), we can send images, they can direct a camera in the back of our ambulance, and of course talk to us via headset. In case the patient is critically ill or severly injured, the ground-based pysician or HEMS would still be dispatched. Now I'm curious on how you work with Telemedicine and if you do at all. By what means would you send the information? What sort of information do you send? Can you send e.g. 12-leads or are you only able to consult with the doctor? What sort of doctor is that , where is he based (ED or somewhere else)? For what sort of emergency or medication would you call in and does that depend on your level of training? Do you have protocols covering most areas or do you have to call in often? Is the equipment reliable, how is the network or radio coverage? What do you do in case the radio breaks down and a patient needs treatment? Just generally, how are your experiences? Would you prefer working in another system without direct medical control? Are there even systems using independent practitioners in the U.S.? I understand that there will be a broad range of answers, just give me an idea on how you work with the technology. I've recently watched the first season of Emergency! so that's basically as much as I know I'll also be happy to answer your questions. Take care