Telemedicine via data glasses in CBRN protection suit-Evaluation of medical qualification and technical feasibility.

Abstract

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.