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    188宝金博页面版: Wearable Devices and Biosensing： Future Frontiers

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    内容提示： EDITORIALWearable Devices and Biosensing: Future FrontiersPeter R. Chai 1Received: 13 June 2016 /Accepted: 17 June 2016 /Published online: 28 June 2016# American College of Medical Toxicology 2016Keywords Biosensors . Telemedicine . Wearabledevices .Technology . BodysensorsSince the 1950s, toxicologists have utilized novel technolo-gies to advance our understanding of poisonings while im-proving our availability to physicians and patients [1]. Fromrolodexes and telephones to head mounted computers, ad-vanc...

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    EDITORIALWearable Devices and Biosensing: Future FrontiersPeter R. Chai 1Received: 13 June 2016 /Accepted: 17 June 2016 /Published online: 28 June 2016# American College of Medical Toxicology 2016Keywords Biosensors . Telemedicine . Wearabledevices .Technology . BodysensorsSince the 1950s, toxicologists have utilized novel technolo-gies to advance our understanding of poisonings while im-proving our availability to physicians and patients [1]. Fromrolodexes and telephones to head mounted computers, ad-vanced biosensing, and ingestible sensors, toxicologists havealways been pioneers leveraging advanced technologies tosolve problems [1, 2]. As smartphones, fitness monitors, andconnected devices become ubiquitous, toxicologists are natu-rally equipped with advanced tools that augment our bedsideexam of poisoned patients.A new generation of toxicologists continually pushes theboundaries of technology in an effort to facilitate improvedpatient care and access to our expertise [1–5]. Head-mountedwearable computers can provide a toxicologist with a first-person view of a poisoned patient, while a wrist-mountedsensor can stream key biometric data (e.g., heart rate, respira-tory rate, skin temperature, and electrodermal activity).Ingestible biosensors can provide historical records of medi-cation ingestion, and linked webcams can stream toxicologylectures to centers seeking expertise on the poisoned patient[2–4, 6].In an era of integrated care and bundled payments, toxicol-ogists and fellows in training have a unique opportunity todevelop novel technology-based methods that respond to aneedinourspecialty. Creatingnovel applicationsusingevery-day technology requires a contemporary approach—integra-tion of patients, physicians, engineers, and software devel-opers into a multidisciplinary research team.Integrating Biosensor Data with PatientsWearable biosensors, like Fitbits, noninvasively collect real-time biometric data. Each wearable device or biosensor pro-videsanadditionalstreamofdataonourpatients.Aswearablebiosensors become accepted and commonplace in patients—95 % of emergency department patients interact daily withsmartphones—they can be leveraged to gather important datacorrelated with various disease processes [7]. Integration of asuite of devices can provide a comprehensive profile of thepoisoned patient which, when evaluated remotely, providesincreased precision and effectiveness of toxicologists [8].Changes in heart rate using a wearable biosensor in a patientat a critical access hospital may signal worsening calciumchannel blocker toxicity; a wearable camera may help a toxi-cologist guide the bedside clinician in the administration ofphysostigmine for the anticholinergic patient, and the virtualassessment of an altered patient can change a toxicologist’srecommendation to triage a patient to an inpatient bed oremergency department observation period [3].Much like endocrinologists use insulin pump data in dia-betics, toxicologists who practice substance abuse treatmentcan use biosensor data to discover episodes of relapse andtolerance [4, 9]. Advanced algorithmsand improving technol-ogy can provide a noninvasive, yet accurate understanding ofreal-time substance abuse and relapse. This knowledge mayhelp toxicologists tailor substance abuse counseling, by un-derstandingreal-time triggers oftolerance, addiction,sobriety,and relapse [9].* Peter R. Chaipeter.chai@umassmemorial.org1Division of Medical Toxicology, Department of EmergencyMedicine,UniversityofMassachusettsMedicalSchool,55LakeAveNorth, Worcester, MA 01655, USAJ. Med. Toxicol. (2016) 12:332–334DOI 10.1007/s13181-016-0569-1

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