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The Effect of Communication in Emergency Department Isolation Rooms Using Smart Glasses: A Mixed-Methods Study

2025-12-22T04:40:15Z

Title: The Effect of Communication in Emergency Department Isolation Rooms Using Smart Glasses: A Mixed-Methods Study All Author(s): Soyoung Park; Hyeongsuk Lee Abstract: Aim: To assess the effectiveness of using smart glasses to facilitate communication among nurses inside and outside the emergency department. Design: Complementary mixed-methods study with a one-group pretest-posttest design. Methods: Thirty emergency nurses participated in surveys on demographics, digital literacy, and communication clarity before and after using smart glasses. Qualitative interviews explored user experiences. Results: Smart glasses improved communication clarity. No significant correlation was found between demographics or clinical experience and communication clarity. Qualitative analysis identified five facilitating factors-reduced nursing workload, enhanced patient care, improved efficiency, reliable support, and professional feel-and five barriers-user interface issues, surveillance burden, communication errors, technology-integration limitations, and ethical/patient privacy concerns. Conclusion: Smart glasses improved communication in emergency isolation rooms, potentially enhancing patient safety and reducing treatment delays. Addressing usability and ethical concerns is key for successful integration. Implications for the profession and/or patient care: Smart glasses offer significant potential to enhance communication. To maximise their benefits, it is crucial to address challenges such as the added stress on novice nurses, potential increases in workload, and ethical concerns regarding patient privacy. Providing comprehensive training and refining the technology will help to reduce user burden and ensure robust data security, ultimately improving patient care and supporting nursing staff in high-stress environments. Impact: Smart glasses can improve communication among emergency nurses, especially in isolation rooms, by reducing treatment delays and enhancing collaboration, thus improving patient safety. Reporting method: TREND (Nonrandomised evaluations of behavioural and public health interventions). Patient or public contribution: Emergency nurses' feedback was integral to evaluating the usability and effectiveness of smart glasses.

Optimizing Triage in Chemical Disasters: Validation of Modified IGSA Criteria for Hydrofluoric Acid Exposure

2025-12-15T04:51:01Z

Title: Optimizing Triage in Chemical Disasters: Validation of Modified IGSA Criteria for Hydrofluoric Acid Exposure All Author(s): Heejun Shin; Se Kwang Oh; Han You Lee; Heajin Chung; Ji Eun Moon; Hee Do Kang Abstract: Objective: This study aimed to develop and validate the modified irritant gas syndrome agent (IGSA) criteria, utilizing readily available triage information and epidemiologic data to efficiently segregate patients based on the severity of hydrofluoric acid (HFA) exposure. Methods: A retrospective analysis of 160 patients exposed to HFA was performed to develop the criteria and assess the criteria's efficacy, focusing on age, respiratory rate, and compliance with IGSA standards. The criteria's validity was assessed by comparing clinical outcomes between patients meeting the modified IGSA (mIGSA) criteria and those who did not as external and internal. Results: The mIGSA criteria (or AIR criteria) consisting of the 3 clusters of age greater than 49, IGSA criteria satisfied, and respiratory rate greater than 19 was developed. The area under curve of receiver operating characteristic curve for prediction of the risk of confirmed HFA injury according to AIR criteria was 0.8415 at the external validation. Conclusions: The mIGSA criteria offer a significant improvement in the triage of HFA exposure incidents, facilitating rapid identification and prioritization of patients with potentially severe outcomes. Future research should aim to further validate these criteria across diverse emergency scenarios, reinforcing their utility in global health emergency preparedness.

휴대용 에피네프린 처방률을 포함한 소아 아나필락시스의 연구

2026-10-05T08:12:06Z

Title: 휴대용 에피네프린 처방률을 포함한 소아 아나필락시스의 연구 All Author(s): J. S. Gang; H. S. Kim; H. H. Bang; T. H. Kim; H. J. Lee; Y. Hwangbo; J. S. Park Abstract: Purpose: Anaphylaxis is an acute, life-threatening systemic reaction which should be treated by epinephrine, and patients should be prescribed epinephrine auto-injector after the event. The purpose of this study was to investigate the clinical features of pediatric anaphylaxis, including the rate of using epinephrine at hospital and prescribing epinephrine auto-injector. Methods: We performed a retrospective study of 68 anaphylactic patients at in-hospital, out-hospital, and Emergency Department of Soonchunhyang University Cheonan Hospital, Cheonan, Korea, who were under 15 years of age, from January 2013 through December 2014. We reviewed their clinical features, doctor's treatment methods, rate of follow-up and prescribing epinephrine autoinjectors. Results: Causes of anaphylaxis were food (76.5%), drug (10.3%), and idiopathic (13.2%). The involved organs were the skin (86.8%), respiratory tract (80.9%), cardiovascular system (23.5%), and gastrointestinal tract (17.7%). Patients were treated with systemic steroids (91.2%), antihistamines (88.2%), and epinephrine (75.0%). Fifty-three patients (77.9%) revisited our pediatric allergy clinic and epinephrine auto-injectors were prescribed for 25 patients (36.8%). Conclusion: Physicians should make an effort to use epinephrine as an initial treatment of anaphylaxis, to prescribe epinephrine auto-injectors, and to give proper information about disease.

A Single-center, Prospective, Cross-over Study to Compare the Efficiency of Oxygen Supply between the OxyMaskTM and Non-rebreather Mask in Healthy Adults

2024-08-20T01:37:56Z

Title: A Single-center, Prospective, Cross-over Study to Compare the Efficiency of Oxygen Supply between the OxyMaskTM and Non-rebreather Mask in Healthy Adults All Author(s): H. J. Shin; J. H. Choi; J. W. Lee; H. J. Moon; S. H. Park; D. K. Jeong; D. W. Lee; J. H. Song; B. R. Lee Abstract: Purpose: In this single-center, prospective, randomized, cross-over study, we compared the efficiency of oxygen supply between OxyMask and non-rebreather mask (NRM), depending on the position of the mask. Method: Either OxyMask or NRM was applied to 33 healthy volunteers, in a random manner, on the upper (that 1 cm upper to it), lower (that 1 cm inferior to it) and lateral malposition (that 1 cm lateral to it). After a 3-minute oxygenation, at a flow rate of 15 L/min, we measured the fractional expired oxygen concentration (FEO2), fractional expired carbon dioxide concentration (FECO2), and visual analogue scale (VAS) scores for the degree-of-wearing sensation. Results: OxyMask showed a lower level of FEO2 as compared with NRM in all positions. Moreover, OxyMask showed no significant difference between FEO2 and the position of the mask. However, NRM showed a significantly lower FEO2 in the upper and lateral malposition. FECO2 had no significant difference with the types and position of the mask. The mean VAS scores for the degree-of-wearing sensation were 2.2±1.5 in the OxyMask and 4.3±1.5 in the NRM (p<0.001). Conclusion: OxyMask may offer greater benefit in maintaining the concentration of supplied oxygen and provide greater comfort than NRM in patients with difficulty applying the mask on an adequate location and maintaining the seal.