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CTRI Number  CTRI/2025/10/095720 [Registered on: 08/10/2025] Trial Registered Prospectively
Last Modified On: 02/10/2025
Post Graduate Thesis  No 
Type of Trial  Interventional 
Type of Study   Other (Specify) [educational intervention]  
Study Design  Other 
Public Title of Study   VENOMS Helpline-A telemedical Helpline for Primary and paramedical workers treating Snakebite and other envenomation in Karnataka. 
Scientific Title of Study   Implementation and evaluation of the VENOMS Helpline by EMS personnel. 
Trial Acronym  NIL 
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Freston Marc Sirur 
Designation  Associate Professor 
Affiliation  Kasturba Medical College, Manipal 
Address  Department of Emergency Medicine, Kasturba Medical College, Manipal
Centre for Wilderness Medicine, Kasturba Medical College, Manipal
Udupi
KARNATAKA
576104
India 
Phone  09604200840  
Fax    
Email  sirur.freston@gmail.com  
 
Details of Contact Person
Scientific Query  
Name  Freston Marc Sirur 
Designation  Associate Professor 
Affiliation  Kasturba Medical College, Manipal 
Address  Department of Emergency Medicine, Kasturba Medical College, Manipal
Centre for Wilderness Medicine, Kasturba Medical College, Manipal

KARNATAKA
576104
India 
Phone  09604200840  
Fax    
Email  sirur.freston@gmail.com  
 
Details of Contact Person
Public Query  
Name  Freston Marc Sirur 
Designation  Associate Professor 
Affiliation  Kasturba Medical College, Manipal 
Address  Department of Emergency Medicine, Kasturba Medical College, Manipal
Centre for Wilderness Medicine, Kasturba Medical College, Manipal

KARNATAKA
576104
India 
Phone  09604200840  
Fax    
Email  sirur.freston@gmail.com  
 
Source of Monetary or Material Support  
Kasturba Hospital, Madhavnagar, Manipal, Udupi, Karnataka, India-576104 
 
Primary Sponsor  
Name  Kasturba Hospital Manipal 
Address  Kasturba Hospital Manipal Madhavnagar Manipal Udupi Karnataka 576104 
Type of Sponsor  Private hospital/clinic 
 
Details of Secondary Sponsor  
Name  Address 
NIL  NIL 
 
Countries of Recruitment     India  
Sites of Study  
No of Sites = 1  
Name of Principal Investigator  Name of Site  Site Address  Phone/Fax/Email 
DrFreston Marc Sirur  Kasturba Hospital Manipal  Department of Emergency Medicine, Kasturba Medical College, Manipal Centre for Wilderness Medicine, Kasturba Medical College, Manipal
Udupi
KARNATAKA 		 09604200840

sirur.freston@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Kasturba Medical College and Kasturba Hospital Institutional Ethics Committee  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Healthy Human Volunteers  Participants are emergency Medical technicians involved in a telemedical system for snakebite and other envenoming that supports primary health and paramedical workers.  
Patients  (1) ICD-10 Condition: T63||Toxic effect of contact with venomous animals and plants,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Intervention  Educational intervention  Snakebite and other Envenoming telemedical training module with medical direction protocols for snakebite, scorpion sting, hymenoptera stings etc training will be repeated for all new staff or EMTs in the telemedical console at least once and will continue till 18 months before the end of the study period or once sample size of 30- 50 is met. 
Comparator Agent  Nil  Nil 
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  99.00 Year(s)
Gender  Both 
Details  All healthcare workers seeking telemedical support for snakebite and other causes of envenoming from private or public hospitals calling the VENOMS Helpline team for support. 
 
ExclusionCriteria 
Details  All cases with no suspicion or confirmation of envenoming by any creature will be excluded in addition to calls from non medical individuals without an ongoing incident requiring telemedical support 
 
Method of Generating Random Sequence   Not Applicable 
Method of Concealment   Not Applicable 
Blinding/Masking   Not Applicable 
Primary Outcome  
Outcome  TimePoints 
1To measure the change in EMS personnel’s knowledge of venomous species clinical signs and evidence based prehospital care before and after the training program
2training program’s impact on EMS personnel’s ability to apply appropriate prehospital interventions
3usability and perceived effectiveness of the VENOMS Helpline based on structured caller feedback and call data analysis.
4Enhanced EMT confidence in delivering pre-hospital care for envenomation incidents. 		 1.after the training and 18 months after.
2.after the simulation modelled telemedical calls.
3.Feedback taken immediately after a case is closed and At the end of the two year data collection window
4.Feedback after operating the VENOMS helpline for 1 year. 
 
Secondary Outcome  
Outcome  TimePoints 
Nil  Nil 
 
Target Sample Size   Total Sample Size="100"
Sample Size from India="100" 
Final Enrollment numbers achieved (Total)= "Applicable only for Completed/Terminated trials"
Final Enrollment numbers achieved (India)="Applicable only for Completed/Terminated trials" 
Phase of Trial   N/A 
Date of First Enrollment (India)   15/10/2025 
Date of Study Completion (India) Applicable only for Completed/Terminated trials 
Date of First Enrollment (Global)  Date Missing 
Date of Study Completion (Global) Applicable only for Completed/Terminated trials 
Estimated Duration of Trial   Years="2"
Months="0"
Days="0" 
Recruitment Status of Trial (Global)   Not Yet Recruiting 
Recruitment Status of Trial (India)  Not Yet Recruiting 
Publication Details   N/A 
Individual Participant Data (IPD) Sharing Statement

Will individual participant data (IPD) be shared publicly (including data dictionaries)?  

Response - NO
Brief Summary  
This study presents a targeted and structured training program designed specifically for Emergency Medical Services (EMS) personnel, with a unique integration of telemedical support. The program addresses a critical gap in prehospital care—particularly in the management of envenomation cases—by equipping EMTs with both clinical knowledge and real-time decision-making support through telemedicine.
Given the persistent shortage of EMTs, especially in remote and high-risk regions, this dual approach aims to optimize the existing workforce. By enabling trained professionals to access expert guidance remotely, telemedicine serves as a force multiplier. It enhances the capability of EMTs on the ground while simultaneously reducing the dependency on physical presence, allowing for quicker mobilization and more efficient use of limited resources.
The training focuses on upskilling EMTs in recognizing and responding to various types of envenomation, including snake bites, scorpion stings, and other venomous exposures. Real-time teleconsultation ensures that even in high-stakes or unfamiliar scenarios, EMTs are never working in isolation. They are supported by a system that not only guides clinical decisions but also reinforces learning through applied practice.
To measure the impact of this initiative, the study employs pre- and post-training assessments that evaluate knowledge gains and confidence levels. These outcomes will help validate the program’s effectiveness and provide insights for scaling similar models in other underserved areas.
Ultimately, this model leverages technology not as a replacement but as an enabler—bridging gaps in availability, improving clinical outcomes, and ensuring that quality care reaches even the most inaccessible regions.
 
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