Researchers at the University of Massachusetts Medical School have found that Google Glass — presumably the Enterprise Edition — could effectively extend bedside toxicology consults to distant health care facilities such as community and rural hospitals to diagnose and manage poisoned patients, according to a paper in the Journal of Medical Toxicology.

“In the present era of value-based care, a toxicology service using hands-free devices, such as Google Glass, could conceivably expand its coverage area and enhance patient care, while potentially decreasing overall treatment costs,” said Peter R. Chai, MD, toxicology fellow at UMass Medical School. “Our work shows that the data transmitted by Google Glass can be used to supplement traditional telephone consults, validate bedside physical exams, and diagnose and manage patients.”

Traditional telemedicine devices usually consist of large desktop or laptop computers affixed to a big cart that has to be rolled from exam room to exam room. “Glass is positioned perfectly as an emergency medicine telemedical device. Its small, hands free and portable, so you can bring it right to the bedside and have a real-time specialist with you when you need one,” he said.

In the study, emergency medicine residents at UMass Memorial Medical Center performed 18 toxicology consults with Google Glass. ER physicians wearing Google Glass evaluated the patients at bedside while a secure video feed was sent to the toxicology supervising consultant. The supervising consultant then guided the resident through text messages displayed on the Glass. Consultants also obtained static photos of medication bottles, electrocardiograms (EKG) and other pertinent information at the discretion of the supervisor.

As a result of using Google Glass, consulting toxicologists reported being more confident in diagnosing specific toxidromes. Additional data collected showed that the use of Google Glass also changed management of patient care in more than half of the cases seen. Specifically, six of those patients received antidotes they otherwise would not have. Overall, 89 percent of the cases seen with Glass were considered successful by the consulting toxicologist.

Google currently lists several companies involved in the medical field as Glass At Work partners, such as Advanced Medical Applications, which specializes in “solutions in telemedicine, live-surgery demonstrations, and remote medical training.”

According to 9to5Google sources, the Google Glass Enterprise Edition will feature “a robust hinge mechanism that allows the computer and battery modules to fold down like a regular pair of glasses, and a hinge for folding down the left side of the band as well.” It also “includes a larger prism display for a better viewing experience, an Intel Atom processor that brings better performance, moderately improved battery life, and better heat management.”

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Abstract of The Feasibility and Acceptability of Google Glass for Teletoxicology Consults

Teletoxicology offers the potential for toxicologists to assist in providing medical care at remote locations, via remote, interactive augmented audiovisual technology. This study examined the feasibility of using Google Glass, a head-mounted device that incorporates a webcam, viewing prism, and wireless connectivity, to assess the poisoned patient by a medical toxicology consult staff. Emergency medicine residents (resident toxicology consultants) rotating on the toxicology service wore Glass during bedside evaluation of poisoned patients; Glass transmitted real-time video of patients’ physical examination findings to toxicology fellows and attendings (supervisory consultants), who reviewed these findings. We evaluated the usability (e.g., quality of connectivity and video feeds) of Glass by supervisory consultants, as well as attitudes towards use of Glass. Resident toxicology consultants and supervisory consultants completed 18 consults through Glass. Toxicologists viewing the video stream found the quality of audio and visual transmission usable in 89 % of cases. Toxicologists reported their management of the patient changed after viewing the patient through Glass in 56 % of cases. Based on findings obtained through Glass, toxicologists recommended specific antidotes in six cases. Head-mounted devices like Google Glass may be effective tools for real-time teletoxicology consultation.