Evidence map›Paper›PMID 30609988›Full record

Trial reportJournal of medical Internet research2019

Technical Support by Smart Glasses During a Mass Casualty Incident: A Randomized Controlled Simulation Trial on Technically Assisted Triage and Telemedical App Use in Disaster Medicine.

Andreas Follmann, Marian Ohligs, Nadine Hochhausen, Stefan K Beckers, Rolf Rossaint, Michael Czaplik

Registry-linked trialOpen access · goldAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Journal of medical Internet research, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07504211 (Augmenting the On-Scene Medic), which is not on this map. Cited by 36 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
36citing papers in PubMed, 2 pooled it
8.2field-weighted citation impact, top 2% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT07504211 naactive not recruitingnot on this mapstarted 2023, after this paper: background citation

Augmenting the On-Scene Medic (ATOM): A Randomized, Controlled, Multicenter Study to Assess the Effectiveness of Augmented Reality Software on Prehospital Pediatric Medication Administration Accuracy

TypeinterventionalSponsorWestern Michigan University School of MedicineRan2023 to 2026Enrolled312ConditionsMedication Errors, Pediatric Medication ErrorArmsAugmented reality software for pediatric drug dosing
3 · Its place in the literature

Who cites it

36 citing papers in PubMed, 2 syntheses or guidelines pooled it, 90 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 1 institution in 1 country.

Andreas FollmannMedical Technology Section, Department of Anaesthesiology, University Hospital RWTH Aachen, Aachen, Germany.ORCID 0000-0001-6817-2472
Marian OhligsMedical Technology Section, Department of Anaesthesiology, University Hospital RWTH Aachen, Aachen, Germany.ORCID 0000-0003-2411-2608
Nadine HochhausenMedical Technology Section, Department of Anaesthesiology, University Hospital RWTH Aachen, Aachen, Germany.ORCID 0000-0003-3368-1992
Stefan K BeckersMedical Technology Section, Department of Anaesthesiology, University Hospital RWTH Aachen, Aachen, Germany.ORCID 0000-0002-2896-7948
Rolf RossaintMedical Technology Section, Department of Anaesthesiology, University Hospital RWTH Aachen, Aachen, Germany.ORCID 0000-0001-7587-1693
Michael CzaplikMedical Technology Section, Department of Anaesthesiology, University Hospital RWTH Aachen, Aachen, Germany.ORCID 0000-0002-7118-7728
RWTH Aachen University · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundTo treat many patients despite lacking personnel resources, triage is important in disaster medicine. Various triage algorithms help but often are used incorrectly or not at all. One potential problem-solving approach is to support triage with Smart Glasses.

objectiveIn this study, augmented reality was used to display a triage algorithm and telemedicine assistance was enabled to compare the duration and quality of triage with a conventional one.

methodsA specific Android app was designed for use with Smart Glasses, which added information in terms of augmented reality with two different methods-through the display of a triage algorithm in data glasses and a telemedical connection to a senior emergency physician realized by the integrated camera. A scenario was created (ie, randomized simulation study) in which 31 paramedics carried out a triage of 12 patients in 3 groups as follows: without technical support (control group), with a triage algorithm display, and with telemedical contact.

resultsA total of 362 assessments were performed. The accuracy in the control group was only 58%, but the assessments were quicker (on average 16.6 seconds). In contrast, an accuracy of 92% (P=.04) was achieved when using technical support by displaying the triage algorithm. This triaging took an average of 37.0 seconds. The triage group wearing data glasses and being telemedically connected achieved 90% accuracy (P=.01) in 35.0 seconds.

conclusionsTriage with data glasses required markedly more time. While only a tally was recorded in the control group, Smart Glasses led to digital capture of the triage results, which have many tactical advantages. We expect a high potential in the application of Smart Glasses in disaster scenarios when using telemedicine and augmented reality features to improve the quality of triage.

Indexed as

Disaster MedicineEmergency Medical ServicesEyeglassesHumansMass Casualty IncidentsTelemedicineTriageaugmented realitydisaster medicineemergency medical service physicianmass casualty incidentSmart Glassestelemedicinetriage

Identifiers

PMID30609988
PMCPMC6682285
OpenAlexW2897076163

What OpenQuestion holds

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LicenceCC BY
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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.