Reliability of Wearable Technology to Monitor Core Temperature Among Helicopter-Based EMS Crews.

IF 2.3 4区医学 Q1 NURSING Workplace Health & Safety Pub Date : 2024-09-02 DOI:10.1177/21650799241271139

Michael Callihan, Heather Cole, Amanda Callihan, Elizabeth Penn, Lauren Peek, Mahalia Barrow, Claudiu Lungu, Emmanuel Atuahene Odame, Jonghwa Oh, Holly Stokley, Jeffrey Wickliffe, Lee Winchester

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Abstract

Background: Excessive heat stress led to more than 400 deaths in the United States from 2011 to 2021. Common methods for heat injury prevention revolve around measurements of the environment and fail to account for the unique individual response to stressors.

Methods: An observational approach was utilized with nine helicopter-based emergency medical services personnel during emergency flights to compare core temperature readings obtained from an ingestible temperature monitoring pill and the estimated core temperature reading of the Slate Safety Band V2 wearable device. Comparison of data was conducted within Microsoft Excel programming to determine the mean square error (MSE), root mean square error (RMSE), mean absolute error (MAE), mean biased error (MBE), and Bland-Altman plot development.

Findings: A significant bias (t = 17.58, p < .001) toward the Slate Safety device reading higher with an average difference of -0.48°C (-0.86°F) was found, meaning the average temperature reading is 0.48°C (-0.86°F) higher with the Slate Safety device. A significant correlation of .26 (p < .001) was noted between the ingestible pill and the wearable device with a 95% confidence interval of 0.23 to 0.29. Aggregate core temperature data demonstrated an MSE of 0.43, an RMSE of 0.65, an MAE of 0.54, and an MBE of -0.48.

Conclusions/application to practice: The ability to monitor the physiological parameters of a worker remotely adds safety tools relative to the risks of heat stress. The slightly higher reading associated with the Slate Safety wearable device provides an added safety margin to protect our workers.

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监测直升机急救人员核心体温的可穿戴技术的可靠性。

背景：从 2011 年到 2021 年，过度热应激导致美国 400 多人死亡。预防热伤害的常用方法主要是测量环境温度，而没有考虑到个人对压力源的独特反应：方法：采用观察法对九名直升机紧急医疗服务人员在紧急飞行期间的核心体温读数进行比较，这些读数来自可摄入体温监测药片和 Slate Safety Band V2 可穿戴设备的估计核心体温读数。数据比较在 Microsoft Excel 程序中进行，以确定均方误差 (MSE)、均方根误差 (RMSE)、平均绝对误差 (MAE)、平均偏倚误差 (MBE) 和布兰德-阿尔特曼图的绘制：发现石板安全装置的读数明显偏高（t = 17.58，p < .001），平均差为-0.48°C (-0.86°F)，这意味着石板安全装置的平均温度读数要高出 0.48°C（-0.86°F）。可食用药片与可穿戴设备之间的相关性为 0.26（p < 0.001），95% 置信区间为 0.23 至 0.29。综合核心体温数据的 MSE 为 0.43，RMSE 为 0.65，MAE 为 0.54，MBE 为 -0.48：远程监控工人生理参数的能力增加了与热应力风险相关的安全工具。与 Slate Safety 可穿戴设备相关的读数略高，为保护我们的工人提供了额外的安全系数。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Workplace Health & Safety NURSING-

CiteScore

3.70

自引率

3.80%

发文量

审稿时长

6-12 weeks

期刊介绍： Workplace Health & Safety: Promoting Environments Conducive to Well-Being and Productivity is the official publication of the American Association of Occupational Health Nursing, Inc. (AAOHN). It is a scientific peer-reviewed Journal. Its purpose is to support and promote the practice of occupational and environmental health nurses by providing leading edge research findings and evidence-based clinical practices. It publishes articles that span the range of issues facing occupational and environmental health professionals, including emergency and all-hazard preparedness, health promotion, safety, productivity, environmental health, case management, workers'' compensation, business and leadership, compliance and information management.