Do You See What I See? Insights from Using Google Glass for Disaster Telemedicine Triage
| Autor: | Mark X. Cicero, Travis Whitfill, Carl R. Baum, Yauheni Solad, Geno Paesano, David C. Cone, Kristin Kim, Barbara Walsh |
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| Rok vydání: | 2015 |
| Předmět: |
Emergency Medical Services
Telemedicine Video Recording Poison control Disaster Planning Emergency Nursing Efficiency Organizational Occupational safety and health Nursing Task Performance and Analysis medicine Humans Internet business.industry Emergency Medical Service Communication Systems Health Insurance Portability and Accountability Act Significant difference medicine.disease Disaster response Triage Connecticut Emergency Medical Technicians Eyeglasses Accidents Aviation Emergency Medicine Feasibility Studies Medical emergency business Disaster Victims |
| Zdroj: | Prehospital and Disaster Medicine. 30:4-8 |
| ISSN: | 1945-1938 1049-023X |
| DOI: | 10.1017/s1049023x1400140x |
| Popis: | IntroductionDisasters are high-stakes, low-frequency events. Telemedicine may offer a useful adjunct for paramedics performing disaster triage. The objective of this study was to determine the feasibility of telemedicine in disaster triage, and to determine whether telemedicine has an effect on the accuracy of triage or the time needed to perform triage.MethodsThis is a feasibility study in which an intervention team of two paramedics used the mobile device Google Glass (Google Inc; Mountain View, California USA) to communicate with an off-site physician disaster expert. The paramedic team triaged simulated disaster victims at the triennial drill of a commercial airport. The simulated victims had preassigned expected triage levels. The physician had an audio-video interface with the paramedic team and was able to observe the victims remotely. A control team of two paramedics performed disaster triage in the usual fashion. Both teams used the SMART Triage System (TSG Associates LLP; Halifax, England), which assigns patients into Red, Yellow, Green, and Black triage categories. The paramedics were video recorded, and their time required to triage was logged. It was determined whether the intervention team and the control team varied regarding accuracy of triage. Finally, the amount of time the intervention team needed to triage patients when telemedicine was used was compared to when that team did not use telemedicine.ResultsThe two teams triaged the same 20 patients. There was no significant difference between the two groups in overall triage accuracy (85.7% for the intervention group vs 75.9% for the control group;P= .39). Two patients were triaged with telemedicine. For the intervention group, there was a significant difference in time to triage patients with telemedicine versus those without telemedicine (35.5 seconds; 95% CI, 72.5-143.5 vs 18.5 seconds; 95% CI, 13.4-23.6;P= .041).ConclusionThere was no increase in triage accuracy when paramedics evaluating disaster victims used telemedicine, and telemedicine required more time than conventional triage. There are a number of obstacles to available technology that, if overcome, might improve the utility of telemedicine in disaster response.CiceroMX,WalshB,SoladY,WhitfillT,PaesanoG,KimK,BaumCR,ConeDC.Do you see what I see? Insights from using Google Glass for disaster telemedicine triage.Prehosp Disaster Med.2015;30(1):1-5. |
| Databáze: | OpenAIRE |
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