The development of civilian first responding emergency medical technicians (EMT) during the past several decades has made a very positive impact on the survival of all types of injuries and acute illnesses. The reality is, however, that the interpretation of a victim's clinical problems and therapies instituted are at this time dependent upon the individual caregiver's training, judgment, and experience. It is hypothesized that having a virtual physician present at the scene through the technology of modern telecommunications will have a favorable impact on patient outcome in many instances. Through the application of telecommunication technologies, The University of Texas Health Science Center at Houston (UTHSCH) studied a few cases in an initial deployment hoping to show the feasibility of the technologies onboard.