Introduction
insurance-reimbursed
Telemedicine is a continuously evolving and useful healthcare service that improves patient outcomes by increasing equity, quality, cost-effectiveness, and particularly timely access to care [After developing a tele-EMS for all different kinds of emergencies and performing various implementation, feasibility, non-inferiority, and safety trials between 2007 and 2013, a 24/7 health insurance-reimbursed tele-EMS was added complementary to the conventional physician-based EMS in 2014 for the routine care of prehospital emergencies in Aachen, Germany [To date, there has been no randomised controlled trial (RCT) allocating emergency calls either to a tele-EMS or a conventional physician-based EMS [