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Prehospital Pediatric Emergency Training Using Augmented Reality Simulation: A Prospective, Mixed Methods Study
Nicholas Friedman1, Michelle Zuniga-Hernandez1, Janet Titzler1
1Stanford Chariot Program, Lucile Packard Children's Hospital, Palo Alto, California.
Prehospital Emergency Care
|June 15, 2023
Summary
Augmented reality (AR) simulation shows promise for training emergency medical services (EMS) clinicians in pediatric emergencies. While generally accepted and usable, the technology requires further development for optimal integration into crisis management training.
Area of Science:
- Emergency medicine
- Medical simulation
- Augmented reality technology
Background:
- Pediatric emergencies present unique challenges for emergency medical services (EMS) clinicians due to their infrequent occurrence.
- Innovative training methods are crucial for enhancing EMS preparedness in high-stakes, low-volume pediatric critical care scenarios.
Purpose of the Study:
- To assess the acceptability, usability, and ergonomics of a novel augmented reality (AR) software for pediatric emergency management training.
- To explore the potential of AR simulation as a training tool for prehospital clinicians.
Main Methods:
- A prospective, mixed-methods study involving 22 emergency medical technicians (EMTs) and paramedics.
- Utilized the Chariot Augmented Reality Medical simulation software on ML1 headsets for pediatric crisis scenarios.
- Employed structured focus group interviews and validated scales to evaluate user experience and system performance.
Main Results:
- Participants found the AR simulation realistic and valuable for practicing pediatric algorithms, communication, and stress inoculation.
- Positive feedback on ease of use and hardware comfort, but challenges noted in AR-to-real-world integration and technology learning curve.
- Identified areas for software optimization and the need for technical support.
Conclusions:
- Augmented reality simulation is a positively evaluated, usable, and ergonomic adjunct for pediatric emergency management training.
- Further technological development is needed to address identified limitations and enhance AR's role in prehospital clinician education.

