Bovenkerk Sarah, Mueller Anna, Rossaint Rolf, Czaplik Michael, Follmann Andreas
Departement of Anaesthesiology, Faculty of Medicine, RWTH Aachen University, Aachen, Central Europe, Germany.
Docs in Clouds Telecare GmbH, Aachen, Central Europe, Germany.
PLoS One. 2025 May 28;20(5):e0324558. doi: 10.1371/journal.pone.0324558. eCollection 2025.
Telemedicine in the context of chemical, biological, radiological and nuclear threats (CBRN) must adapt to the special features of the CBRN protection suit (hazmat suit). In a simulation, telemedicine with data glasses (smart glasses) was examined for its technical feasibility and the minimum required medical qualification.
The study was designed as an intervention study. A medical scenario was developed in which paramedics with four different medical qualifications were to provide initial care to a contaminated patient. Using data glasses worn in the CBRN protection suit, a telemedicine physician directed the simulation via video streaming. The times and attempts for each measure were examined, as well as the users' evaluation of two different data glasses.
A total of 40 participants were enrolled in the study. There were no significant differences could be found between participants of the next higher qualifications in terms of the duration of the guided measures and the success. Significant differences only occurred when comparing all evaluated qualifications to each other. Both data glasses have difficulties in the CBRN protection suit. The participants were not satisfied with the wearing comfort and the technical limitations of the glasses.
In conclusion, telemedicine is feasible for emergency responders regardless of qualification in CBRN operations, although the data glasses currently appear unsuitable. Alternative hardware should be used and evaluated.
在化学、生物、放射和核威胁(CBRN)背景下的远程医疗必须适应CBRN防护服(危险材料防护服)的特殊特征。在一次模拟中,对使用数据眼镜(智能眼镜)的远程医疗进行了技术可行性和所需最低医学资质的研究。
该研究设计为一项干预性研究。制定了一个医疗场景,其中具有四种不同医学资质的护理人员要对一名受污染患者提供初步护理。通过穿戴在CBRN防护服中的数据眼镜,一名远程医疗医生通过视频流指导模拟过程。检查了每项措施的时间和尝试次数,以及用户对两种不同数据眼镜的评价。
共有40名参与者纳入该研究。在下一个更高资质的参与者之间,在指导措施的持续时间和成功率方面未发现显著差异。只有在将所有评估的资质相互比较时才出现显著差异。两种数据眼镜在CBRN防护服中都存在困难。参与者对眼镜的佩戴舒适度和技术局限性不满意。
总之,尽管目前数据眼镜似乎不合适,但对于应急响应人员来说,无论其在CBRN行动中的资质如何,远程医疗都是可行的。应使用并评估替代硬件。