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Smart Glasses with Augmented Reality Workflow; A Modern Tool for Triage in Mass Casualty Incidents
Korakot Apiratwarakul1, Lap Woon Cheung2,3, Chatkhane Pearkao4
1Department of Emergency Medicine, Faculty of Medicine, Khon Kaen University, Khon Kaen, Thailand.
Introduction:
Smart glasses with an augmented reality workflow have emerged as a new tool for triage in mass casualty incidents (MCIs). This study aimed to investigate the accuracy and time efficiency of smart glasses in MCIs triage.
Methods:
A retrospective field exercise study was conducted in November 2024 at EMS Srinagarind Hospital, Thailand. All participants performed self-assessments and used smart glasses for triage sieve. Data were recorded in terms of accuracy and time required for triage.
Results:
A total of 108 participants were enrolled, with a mean age of 33.4 years, of whom 57.4% were female. The smart glasses group achieved the highest accuracy in triage level 1, with 98.3% compared to 79.3% in the self-assessment group (P < 0.001). The smart glasses group also completed triage significantly faster than the self-assessment group, with a time of 23.5 versus 72.4 seconds for triage level 1 and 31.3 versus 89.1 seconds for level 2.
Conclusion:
The use of smart glasses with an augmented reality workflow for triage sieve in MCIs is beneficial, improving both accuracy and evaluation time for patients in triage levels 1 and 2.

