Atmospheric Projection in the Emergency Department

AtmosphEric pRojection for paIn and Anxiety reLated to Minor Medical Procedures in the Emergency Department: a Monocentric, Parallel, Randomized, Controlled Study

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.

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.