Date of Original Version
© 2012 IEEE. Personal use of this material is permitted. Permission from IEEE must be obtained for all other uses, in any current or future media, including reprinting/republishing this material for advertising or promotional purposes, creating new collective works, for resale or redistribution to servers or lists, or reuse of any copyrighted component of this work in other works.
Abstract or Description
Endotracheal intubation (ETI) is a very crucial medical procedure performed on critically ill patients. It involves insertion of a breathing tube into the trachea i.e. the windpipe connecting the larynx and the lungs. Often, this procedure is performed by the paramedics (aka providers) under challenging prehospital settings e.g. roadside, ambulances or helicopters. Successful intubations could be lifesaving, whereas, failed intubation could potentially be fatal. Under prehospital environments, ETI success rates among the paramedics are surprisingly low and this necessitates better training and performance evaluation of ETI skills. Currently, few objective metrics exist to quantify the differences in ETI techniques between providers of various skill levels. In this pilot study, we develop a quantitative framework for discriminating the kinematic characteristics of providers with different experience levels. The system utilizes statistical analysis on spatio-temporal multimodal features extracted from optical motion capture, accelerometers and electromyography (EMG) sensors. Our experiments involved three individuals performing intubations on a dummy, each with different levels of expertise. Quantitative performance analysis on multimodal features revealed distinctive differences among different skill levels. In future work, the feedback from these analysis could potentially be harnessed towards enhancing ETI training.
Proceedings of the IEEE International Conference on Acoustics, Speech, and Signal Processing (ICASSP), 2012, 621-624.