Introduction: The purpose of this research was to develop a smart helmet, including emphasizing the AI integration and the device’s role in enhancing road safety with a mechanism that stimulates the driver to recognize which vehicle is approaching and the speed levels of the vehicle while it is moving, and to assess the satisfaction and feasibility of drivers while using the smart helmet. Methods: This study included 139 participants who were general people in Thailand. The research model consists of four research and development steps: research, design and development, implementation, and evaluation. The questionnaires included general information, satisfaction, and feasibility of using a smart helmet. Results: The study showed that males had a greater number of participants (63.31%), aged between 21 and 40 years (64.03%), higher education (73.38%), and most of the participants were university students (90.64%). Overall, satisfaction with using smart helmets was high (mean = 4.20, SD = 0.83), and the overall possibility of using smart helmets was very high (mean = 4.33, SD = 0.75). Conclusion: The participants’ reflections indicated that smart helmets can be a possibility for further development and are highly feasible practical application devices. Moreover, the smart helmet is beneficial to riders in terms of warning functions to prevent and monitor accidents. Nurses and health care providers may use these results to develop programs or devices that can encourage people to be aware of harm on the road while riding motorcycles.

Trauma has significant impacts on the livelihoods and well-being of patients. Prompt emergency medical and nursing care is the key to reducing mortality rates. Digital platforms have become important for patient care. This research aimed to evaluate patient outcomes after implementing a novel web application operating system in trauma care. A descriptive comparative study was conducted on trauma patients. The patients were divided into two groups: those that used the developed application (n = 70) and those that did not (n = 70). The patient's characteristics, the time of the trauma team's arrival at the emergency department (ED), and the length of stay in the ED, and patients' outcomes were collected from electronic medical records and the application database. A statistical analysis was performed to evaluate this data. Sixty registered nurses who used the application completed the survey on the feasibility of the application. The activated trauma intervals for the non-application-used group and the application -used group were 5.0±1.1 and 3.1±0.4 minutes, respectively (p = .010). The length of stay in the ED for the non-application-used group and the application-used group was 30.1±5.1 and 18.3±6.2 minutes, respectively. A high level of agreement confirms the feasibility of the application. This application improves patient outcomes in terms of length of stay. This mobile application can improve the cooperation and communication and efficacy of the trauma care team.

Background: Chest injuries are a leading cause of death and disability, accounting for 10% of hospital admissions and 25% of injury-related deaths. About two-thirds of patients with thoracic injuries experience complications such as blood or air in the pleural space, causing lung deflation and poor gas exchange. Proper breathing management, using tools like incentive spirometers, improves lung function and recovery. However, there is a gap in mobile-based gaming apps designed for lung exercise, which could benefit both the general population and patients recovering from lung injuries. Objective: This research aimed to develop and evaluate a mobile app game for practicing lung exercises, accompanied by a prototype device called the Pulmo device. Methods: The study involved a sample group of 110 participants from the general public. It followed a research and development methodology comprising 4 steps. The research instruments included a mobile app game, a prototype lung exercise device, and questionnaires to assess users’ satisfaction and the feasibility of both the app and the device. Results: The findings revealed that the participants demonstrated a high level of overall satisfaction with both the mobile app game and the prototype lung exercise device (mean 4.4, SD 0.4). The feasibility for the mobile app game and the prototype lung exercise device connected to the game was evaluated. The results indicated that the sample group perceived the overall feasibility to be at a high level (mean 4.4, SD 0.5). Conclusions: The research results reflected that the sample group believed the mobile app game for practicing lung exercises and the prototype device developed in this project have a high potential for practical application in promoting lung rehabilitation through gameplay. The mobile app game and the Pulmo device prototype received positive user feedback, indicating potential practical use; however, further validation is required among patients in need of pulmonary rehabilitation.

Introduction: Multiple traumatic injuries cause death among traumatized patients. Nurses at the emergency department (ED) must assess, provide nursing care, and record their interventions. Recording all patient information and nursing care procedures, however, is more challenging due to time constraints in emergency care. Methods: The aim of this study was to evaluate the use of a web application for nursing records of multiple trauma patients in an ED and the user’s satisfaction. A web application developed based on the guidelines of Advanced Trauma Life Support was implemented in a resuscitation room of a university hospital in Khon Kaen, Thailand, from January to March 2022. The quality of nursing records through the web application for 40 trauma patients was evaluated. Thirty-seven nurses were surveyed for their satisfaction. The data were analyzed using descriptive statistics. Results: Overall, the comprehensive nursing process record through web application had 80.3% completeness. Some items were not recorded or partially recorded, including vital sign monitoring and patients’ vital signs and symptoms summary records before discharge. Nurses expressed their satisfaction with the web application at a high level, with an average score of 3.99 (standard deviation [SD]: 0.68). They were most satisfied with the components of the nursing process for multiple trauma patients (mean: 4.14 and SD: 0.71). Conclusions: The use of a web application ensures the completeness of nursing records. Nurses are satisfied with implementing the web application in their clinic. A study of its effectiveness in reducing documentation time and improving patient outcomes is needed in the future.

Purpose: To implement smart glasses with augmented reality distance measuring technologies in conventional self-assessment techniques, to improve ambulance location accuracy during simulated emergency scenarios. Patients and Methods: Eighty-two emergency medical services professionals participated in this simulation-based study at Srinagarind Hospital, Thailand. Participants positioned ambulances in simulated chemical, biological, radiological, nuclear, and explosives (CBRNE) and non-CBRNE scenarios using traditional self-assessment methods, followed by positioning using smart glasses technology after a 120-minute training session. Smart glasses equipped with a measurement-augmented reality application were utilized. Positioning accuracy was assessed. Results: The participants had a median age of 36.1 years, with males comprising the majority (63.4%). Emergency nurse practitioners and students constituted the largest group (56.1%). Most participants (51.1%) reported over a decade of EMS experience. Smart glasses technology significantly improved positioning accuracy in both scenario types (p< 0.001). In CBRNE scenarios, accuracy increased from 47.6% with self-assessment to 83.3% with smart glasses. In non-CBRNE scenarios, accuracy improved from 66.7% to 83.8%. Conclusion: Smart glasses technology with augmented reality distance measurement capabilities substantially enhances ambulance positioning accuracy, particularly in complex CBRNE scenarios. The technology’s ability to standardize performance across emergency types, and potentially across responder experience levels, suggests significant value for improving emergency medical service delivery, patient care, and responder safety.

Purpose: This study evaluates the effectiveness of motorcycle ambulances (motorlances) in delivering emergency medical response at the Khon Kaen International Marathon (KKIM), Thailand, over a three-year period (2023– 2025). Patients and Methods: We conducted a retrospective analysis of emergency medical service (EMS) data from three consecutive annual Khon Kaen International Marathons held on January 28– 29, 2023; January 13– 14, 2024; and January 11– 12, 2025. Data including EMS operation intervals, clinical interventions carried out, and patient outcomes were collected from EMS patient care documents, organized by Srinagarind Hospital, Khon Kaen University, Thailand during the marathon events. A comparative analysis was carried out to evaluate year-over-year operational improvements utilizing IBM SPSS version 27.0, with continuous data expressed as means ± standard deviations, categorical data as frequencies and percentages, chi-square tests employed for associations among categorical variables, and p< 0.05 considered statistically significant. Results: Among 20,681 marathon participants, 132 cases (6.38%) required emergency intervention with motorlance support. The use of motorlances significantly increased from 25 cases in 2023 to 65 in 2025 (p=0.011), with consistently rapid mean response times (5.3– 5.6 minutes each year). Clinical capabilities improved over the study period, evidenced by a rise in advanced interventions such as intravenous glucose administration and pain management (from 0% to 23.1%, p=0.010). Scene time increased in parallel with this expanded clinical scope (from 8.2 to 18.6 minutes, p< 0.001). Importantly, over 90% of patients treated by motorlance were able to continue the race following on-scene care. Conclusion: Motorcycle ambulances significantly enhance the efficiency of emergency medical responses during large marathon events. Notable results indicate a constant increase in motorlance utilization, consistently rapid response times, and enhanced clinical competencies with advanced interventions. Extended scene duration indicated enhanced on-site treatment delivery. Significantly, over 90% of patients treated by motorlance resumed to racing after treatment, indicating the efficacy of prehospital intervention.