Відео

Tone deaf nurses: _ok_

In ICU, if nothing happens, devices by default must stay silent. I have 4 monitors per room and, you know, sometimes I have a conversation with people. Non-intubated patients need to sleep. Why would I need monitor rock band screaming "all fine" all over the hallway? Alarms should be neutral to not agitate patients with ASYSTOLY when just some wire dropped from hairy sweaty chest. Monitor must have 120 sec "i-know-what-im-doing-so-shut-up" button. ASYSTOLYASYSTOLYASYSTOLY, oh sorry, that old delirious man pulled out SpO2 clip again. In OR surgeon usually can do nothing about patient condition (except, may be, not leaning his elbow on patient's chest), so low vitals may be too stressing him out, distracting from main task. Surely I'll tell non-anesthesiologic personell, if any attention is required, but generally I may not want that.

super interesting!

I got here from the New York Times article at www.nytimes.com/2019/07/09/science/alarm-fatigue-hospitals.html . This is a very interesting project I understand that Yoko K Sen is involved with, who also has some very nice electronica music at aphrodizia.bandcamp.com/ . I think the idea here is great. A couple of observations: since the monitoring is tied to the sounds of the instruments, it should be possible to change the melody every so often (maybe three minutes or so) in simple ways, like 3 bass notes instead of 2. This would keep the sound from getting too monotonous, especially if the patient is stuck listening to it for long periods. Also, what the video identifies as "out of tune" for when a stat reaches a dangerous level is also (and more notably) a timbral change. I worry about the biofeedback aspects of the patient hearing their own stats go out-of-whack, so I don't think that the danger levels should sound "wrong" to someone untrained in the function of the device. It seems to me that timbral changes could be used exclusively, and not out-of-tuneness, to effect this.

I also heard on the website that there is a horn instrument as a replacement for emergency monitor alarms. Can you make a demo video showing the alarms?

I really hope this project gets enough awareness for it to be a real monitor! Cool concept!