Atmospheric Projection in the Emergency Department

University of Lausanne Hospitals62 enrolled

Overview

The goal of this clinical trial is to learn about the reduction of pain and anxiety during a minor procedure in the emergency department on adult patients through the visualisation of atmospheric projection as a distraction mean. The main question it aims to answer is : Can the atmospheric projection of a video reduce pain and anxiety in adult patients receiving painful procedures in the emergency department ? Participants will look at an atmospheric projection (projection of a media on the walls and roof around the patient) while receiving their planned care procedures. Researchers will compare an active group watching a video with a control group watching a simple colored light to see if the visualisation of an atmospheric projected video reduces pain and anxiety more than the visualisation of a colored light does.

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

TREATMENT

Masking

SINGLE

Enrollment

Conditions

Pain, Acute Anxiety Acute

Interventions

Eligibility

Sex: ALLMin age: 18 Years

Medical Language ↔ Plain English

Inclusion Criteria: * Aged ≥18 ; * Patient requiring one of the following treatment procedures : suturing, plaster cast placement and/or repositioning, fracture or dislocation reduction, ascites puncture, pleural puncture, lumbar puncture. Exclusion Criteria: * Patient clinically unstable; * Patient incapable of discernment or consent ; * Altered mental status (cognitive disorders, mental retardation, acute state of confusion, acute psychosis); * Alcoholic patient with University of California, San Diego Brief Assessment of Capacity to Consent (UBACC) score of 10/10 ; * Patient hard of hearing ; * Patient with visual impairments preventing him/her from perceiving his/her environment ; * Patient unable to understand the use of visual analog scales (VAS); * Impaired sensitivity of the part of the body where the medical intervention is to take place; * Planned use of analgesia/sedation with a dissociative agent (midazolam, ketamine, propofol); * Incarcerated patient ; * Patient transferred from another hospital ; * Patient having already participated in this study during a previous consultation in the emergency department of the Centre Hospitalier Universitaire Vaudois.

Outcomes

Primary Outcomes

Procedural Pain

Maximal pain intensity experienced by the patient during the medical procedure, assessed using a Visual Analogic Scale from 0mm to 100mm anchored with "No pain/Worst pain imaginable"