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      Augmented Reality in Emergency Medicine: A Scoping Review

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          Abstract

          Background

          Augmented reality is increasingly being investigated for its applications to medical specialties as well as in medical training. Currently, there is little information about its applicability to training and care delivery in the context of emergency medicine.

          Objective

          The objective of this article is to review current literature related to augmented reality applicable to emergency medicine and its training.

          Methods

          Through a scoping review utilizing Scopus, MEDLINE, and Embase databases for article searches, we identified articles involving augmented reality that directly involved emergency medicine or was in an area of education or clinical care that could be potentially applied to emergency medicine.

          Results

          A total of 24 articles were reviewed in detail and were categorized into three groups: user-environment interface, telemedicine and prehospital care, and education and training.

          Conclusions

          Through analysis of the current literature across fields, we were able to demonstrate that augmented reality has utility and feasibility in clinical care delivery in patient care settings, in operating rooms and inpatient settings, and in education and training of emergency care providers. Additionally, we found that the use of augmented reality for care delivery over distances is feasible, suggesting a role in telehealth. Our results from the review of the literature in emergency medicine and other specialties reveal that further research into the uses of augmented reality will have a substantial role in changing how emergency medicine as a specialty will deliver care and provide education and training.

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          Most cited references32

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          Point-of-care ultrasonography.

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            Systematic review on the effectiveness of augmented reality applications in medical training

            Background Computer-based applications are increasingly used to support the training of medical professionals. Augmented reality applications (ARAs) render an interactive virtual layer on top of reality. The use of ARAs is of real interest to medical education because they blend digital elements with the physical learning environment. This will result in new educational opportunities. The aim of this systematic review is to investigate to which extent augmented reality applications are currently used to validly support medical professionals training. Methods PubMed, Embase, INSPEC and PsychInfo were searched using predefined inclusion criteria for relevant articles up to August 2015. All study types were considered eligible. Articles concerning AR applications used to train or educate medical professionals were evaluated. Results Twenty-seven studies were found relevant, describing a total of seven augmented reality applications. Applications were assigned to three different categories. The first category is directed toward laparoscopic surgical training, the second category toward mixed reality training of neurosurgical procedures and the third category toward training echocardiography. Statistical pooling of data could not be performed due to heterogeneity of study designs. Face-, construct- and concurrent validity was proven for two applications directed at laparoscopic training, face- and construct validity for neurosurgical procedures and face-, content- and construct validity in echocardiography training. In the literature, none of the ARAs completed a full validation process for the purpose of use. Conclusion Augmented reality applications that support blended learning in medical training have gained public and scientific interest. In order to be of value, applications must be able to transfer information to the user. Although promising, the literature to date is lacking to support such evidence.
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              Free Open Access Medical education (FOAM) for the emergency physician.

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                Author and article information

                Contributors
                Journal
                J Med Internet Res
                J. Med. Internet Res
                JMIR
                Journal of Medical Internet Research
                JMIR Publications (Toronto, Canada )
                1439-4456
                1438-8871
                April 2019
                17 April 2019
                : 21
                : 4
                : e12368
                Affiliations
                [1 ] Department of Emergency Medicine University of Michigan Ann Arbor, MI United States
                [2 ] Medical School University of Michigan Ann Arbor, MI United States
                Author notes
                Corresponding Author: Brendan William Munzer bmunzer@ 123456med.umich.edu
                Author information
                http://orcid.org/0000-0002-9100-1409
                http://orcid.org/0000-0003-0535-3924
                http://orcid.org/0000-0002-3625-0023
                http://orcid.org/0000-0003-4278-3560
                Article
                v21i4e12368
                10.2196/12368
                6492064
                30994463
                044cab56-d3f0-4d4e-9b00-85d9d457e05b
                ©Brendan William Munzer, Mohammad Mairaj Khan, Barbara Shipman, Prashant Mahajan. Originally published in the Journal of Medical Internet Research (http://www.jmir.org), 17.04.2019.

                This is an open-access article distributed under the terms of the Creative Commons Attribution License ( https://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work, first published in the Journal of Medical Internet Research, is properly cited. The complete bibliographic information, a link to the original publication on http://www.jmir.org/.as well as this copyright and license information must be included.

                History
                : 30 September 2018
                : 29 October 2018
                : 31 January 2019
                : 28 February 2019
                Categories
                Review
                Review

                Medicine
                augmented reality,emergency medicine,education,telemedicine
                Medicine
                augmented reality, emergency medicine, education, telemedicine

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