•1,101 Interfacility Transfer, 376 Direct Transport •1,078 Pre-hospital ECG, 308 w/o pre-hospital ECG •D2B in DT vs. IT –79 vs. 145 min. •Transfer time in PH ECG vs. No ECG –40 vs. 55 min. •The DT and PH groups had a statistically significant less risk of in-hospital CGS, CHF, cardiac arrest and death. interfacility transportation for patients requiring care in rural and remote settings? 2. What is the comparative cost-effectiveness of remote access technologies versus interfacility transportation for patients requiring care in rural and remote settings? 3. What are the evidence-based guidelines associated with the use of remote access

Peter Antevy, MD, MPH. Peter Antevy, MD, MPH is the EMS medical director for Coral Springs Fire Department, Davie Fire Rescue, Southwest Ranches Fire Rescue and Palm Beach County Fire Rescue in Florida.