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Telemedicine uses electronic communications to exchange medical information and provide medical care remotely.[1] Telemedicine has been increasingly incorporated into healthcare systems, but it has only recently begun to be adopted in emergency medical services (EMS) and prehospital care. From its inception, EMS was built around radio communication for medical oversight and electrocardiogram transmission, effectively practicing an early, basic form of telemedicine. Many systems still operate in this framework, although patient information can now be transmitted through voice and video.[2] The expansion of this technology allows for enhanced and expedited delivery of prehospital healthcare. The transmission of information can be either real-time or delayed; the information exchanged can be between an EMS clinician and an expert, such as a physician subspecialist, or between a patient and a clinician[3] Patients now can receive timely, individualized care from a medical command clinician or a consultant subspecialist beginning with the initial 911 call, continuing through the EMS response, treatment on scene or during transport, and extending to follow-up care after hospital discharge. Telemedicine offers a powerful tool to augment EMS care through real-time expert input, improved efficiency, and reduced resource use. One of the primary uses of telemedicine, especially in the prehospital setting, is teleconsultation.[3] Teleconsultation is the interaction between a healthcare professional and a patient. This is sometimes facilitated through an intermediary, such as a paramedic, and can be used to obtain second opinions, consult specialists, determine alternative dispositions from the scene, or initiate earlier hospital-level care for patients in remote areas with extended transport times. Additionally, telecommunication technology can support remote patient monitoring by tracking vital signs and sending medication reminders, an integral approach in community paramedicine and hospital-at-home programs.