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Eye-tracking shows how experience guides ambulance care

Visual behavior of flight nurses during initial prehospital care inside an ambulance: A cross-sectional observational study using wearable eye-tracking technology
International Journal of Nursing Studies · 2026-10-19 · Added 25 October 2026

Wearable eye-tracking on nine Japanese flight nurses across 60 real ambulance cases found gaze behaviour during initial prehospital care differed significantly by experience level, with distinct fixation patterns between novice, intermediate and expert groups.

Study type
Cross-sectional
Design
Cross-sectional observational study, wearable eye-tracking in real ambulance transfers
Participants
9 flight nurses across 60 cases
Main finding
Four principal components of gaze behaviour (fixation count, visit count, fixation duration) were significantly associated with experience group after adjustment for multiple comparisons; novices showed distinctly different fixation patterns from experts
Caveat
Nine nurses from one Japanese HEMS base, small groups (2–4 per experience level), limited to initial care after rendezvous with the ground crew
Bottom line
Context only

Why it matters in Australia (Medium relevance). Flight nurses in a physician-staffed helicopter service are not our crew model, but how novices versus experts visually scan a moving ambulance is a real question for anyone supervising clinicians learning the back of a truck.

Learning goal

Build my ability to interpret how visual attention patterns during patient assessment differ between novice and expert clinicians.

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