journal article·2026-03-02Open access

Highly robust ECG electrodes constructed from semi-liquid metal fibers for reliable emergency rescue monitoring

Xiaotong Liu, Hui Xu, Linglong Chen, Xin Lyu, Xiaoshuai Wang, Yanqing Liu, Haojun Fan, Rui Guo

npj Flexible Electronics· Volume 10· Issue 1

Abstract

Global disasters are occurring with increasing frequency, and the stable acquisition of physiological electrical signals from injured individuals is crucial in emergency rescue operations. Conventional patch electrodes are susceptible to signal distortion due to skin contamination and body movement, and their poor breathability often causes discomfort, making them inadequate for rescue scenarios. This study proposes a highly robust surface electrode based on semi-liquid metal (SLM) fibers. The electrode employs pre-stretched elastic fibers as the substrate, coated with SLM to achieve high electrical conductivity, and utilizes wrapping-induced constriction force to enhance fixation. The SLM fiber electrode is not affected by skin contaminants and can be tightly wrapped around multiple limb parts. The wrapped structure of the fiber electrode provides high breathability, preventing skin irritation, and allows rapid and efficient deployment. In practical applications, this SLM fiber electrode facilitates the reliable acquisition of electrocardiogram (ECG) signals, enabling the monitoring in emergency situations as well as continuous and comfortable ECG monitoring after surgery, and provides an innovative solution for emergency medical monitoring.
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Research context

OpenAlex topics: Advanced Sensor and Energy Harvesting Materials · Non-Invasive Vital Sign Monitoring · Electrospun Nanofibers in Biomedical Applications

SciVX discovery tags are terminology-based. OpenAlex topics are source-provided classifications.

References (40)

Show source-provided references
1. Chen, K., Lu, X., Chen, R. & Liu, J. Wireless wearable biosensor smart physiological monitoring system for risk avoidance and rescue. Math. Biosci. Eng. 19, 1496–1514 (2022).10.3934/mbe.2022069 ↗
2. Tian, Q. et al. Hairy-skin-adaptive viscoelastic dry electrodes for long-term electrophysiological monitoring. Adv. Mater. 35, e2211236 (2023).10.1002/adma.202211236 ↗
3. Zhang, B. et al. A three-dimensional liquid diode for soft, integrated permeable electronics. Nature 628, 84–92 (2024).10.1038/s41586-024-07161-1 ↗
4. Jinkins, K. R. et al. Thermally switchable, crystallizable oil and silicone composite adhesives for skin-interfaced wearable devices. Sci. Adv. 8, eabo0537 (2022).10.1126/sciadv.abo0537 ↗
5. Michard, F., Bellomo, R. & Taenzer, A. The rise of ward monitoring: opportunities and challenges for critical care specialists. Intensive Care Med 45, 671–673 (2019).10.1007/s00134-018-5384-5 ↗
6. Li, J. et al. High-performance flexible microneedle array as a low-impedance surface biopotential dry electrode for wearable electrophysiological recording and polysomnography. Nano Micro Lett. 14, 132 (2022).10.1007/s40820-022-00870-0 ↗
7. Wang, C. et al. Flexible patch with printable and antibacterial conductive hydrogel electrodes for accelerated wound healing. Biomaterials 285, 121479 (2022).10.1016/j.biomaterials.2022.121479 ↗
8. Song, D. et al. An all-in-one, bioderived, air-permeable, and sweat-stable MXene epidermal electrode for muscle theranostics. ACS Nano 16, 17168–17178 (2022).10.1021/acsnano.2c07646 ↗
9. Zhuang, Q. et al. An ICU-grade breathable cardiac electronic skin for health, diagnostics, and intraoperative and postoperative monitoring. Sci. Adv. 11, eadu3146 (2025).10.1126/sciadv.adu3146 ↗
10. Li, L. et al. Paintable, fast gelation, highly adhesive hydrogels for high-fidelity electrophysiological monitoring wirelessly. Small 21, e2407996 (2025).10.1002/smll.202407996 ↗
11. Bae, W. G. et al. Enhanced skin adhesive patch with modulus-tunable composite micropillars. Adv. Healthc. Mater. 2, 109–113 (2013).10.1002/adhm.201200098 ↗
12. Wu, Z. et al. Stable and dynamic multiparameter monitoring on chests using flexible skin patches with self-adhesive electrodes and a synchronous correlation peak extraction algorithm. Adv. Healthc. Mater. 12, e2202629 (2023).10.1002/adhm.202202629 ↗
13. Wang, W. et al. Imperceptible augmentation of living systems with organic bioelectronic fibres. Nat. Electron. 7, 586–597 (2024).10.1038/s41928-024-01174-4 ↗
14. Yang, Y., Liu, Y. & Yin, R. Fiber/yarn and textile-based piezoresistive pressure sensors. Adv. Fiber Mater. 7, 34–71 (2024).10.1007/s42765-024-00479-5 ↗
15. Tang, C. et al. All-metal flexible fiber by continuously assembling nanowires for high electrical conductivity. Small 20, e2405000 (2024).10.1002/smll.202405000 ↗
16. Ryu, K.-H. et al. Boost up the mechanical and electrical property of CNT fibers by governing lyotropic liquid crystalline mesophases with aramid polymers for robust lightweight wiring applications. Adv. Fiber Mater. 5, 514–526 (2022).10.1007/s42765-022-00246-4 ↗
17. Shen, Y. et al. PVF composite conductive nanofibers-based organic electrochemical transistors for lactate detection in human sweat. Chem. Eng. J. 475, 146008 (2023).10.1016/j.cej.2023.146008 ↗
18. Ma, Z. et al. Stretchable and conductive fibers fabricated by a continuous method for wearable devices. Cell Rep. Phys. Sci. 4, 101300 (2023).10.1016/j.xcrp.2023.101300 ↗
19. Cao, J. et al. Ultra-robust stretchable electrode for e-skin: In situ assembly using a nanofiber scaffold and liquid metal to mimic water-to-net interaction. InfoMat 4, e12302 (2022).10.1002/inf2.12302 ↗
20. Zhuang, Q. et al. Liquid-metal-superlyophilic and conductivity-strain-enhancing scaffold for permeable superelastic conductors. Adv. Funct. Mater. 31, 2105587 (2021).10.1002/adfm.202105587 ↗
21. Ma, Z. et al. Permeable superelastic liquid-metal fibre mat enables biocompatible and monolithic stretchable electronics. Nat. Mater. 20, 859–868 (2021).10.1038/s41563-020-00902-3 ↗
22. Wang, M. et al. Stencil printing of liquid metal upon electrospun nanofibers enables high-performance flexible electronics. ACS Nano 15, 19364–19376 (2021).10.1021/acsnano.1c05762 ↗
23. Shan, X., Feng, W., Guo, M., Wang, X. & Liu, J. Pan-media liquid metal 3D printing. Innovation 6, 100813 (2025).
24. Guo, R. et al. Smart semiliquid metal fibers with designed mechanical properties for room temperature stimulus response and liquid welding. Appl. Mater. Today 20, 100738 (2020).10.1016/j.apmt.2020.100738 ↗
25. Wang, C. et al. Liquid metal: a new approach to diagnosis and treatment of cardiovascular diseases. Adv. Mater. 37, e2505540 (2025).10.1002/adma.202505540 ↗
26. Yang, S. et al. Highly adhesive and stretchable epidermal electrode for bimodal recording patch. ACS Appl. Mater. Interfaces 16, 43880–43891 (2024).10.1021/acsami.4c05705 ↗
27. Li, N. et al. Fingertip-inspired spatially anisotropic inductive liquid metal sensors with ultra-wide range, high linearity and exceptional stability. Adv. Mater. 37, e2419524 (2025).10.1002/adma.202419524 ↗
28. Peng, Y. et al. Permeable, wet-adhesive, and EMI-resistant liquid metal electronic skin for high-fidelity electrophysiological monitoring in sweaty and electromagnetic environments. Adv. Mater. 37, e08041 (2025).10.1002/adma.202508041 ↗
29. Zheng, L. et al. Conductance-stable liquid metal sheath-core microfibers for stretchy smart fabrics and self-powered sensing. Sci. Adv. 7, eabg4041 (2021).10.1126/sciadv.abg4041 ↗
30. Yu, X. et al. A one-step fabricated sheath-core stretchable fiber based on liquid metal with superior electric conductivity for wearable sensors and heaters. Adv. Mater. Technol. 7, 2101618 (2022).10.1002/admt.202101618 ↗
31. Lin, R. et al. Digitally-embroidered liquid metal electronic textiles for wearable wireless systems. Nat. Commun. 13, 2190 (2022).10.1038/s41467-022-29859-4 ↗
32. Lee, G. H. et al. Meter-scale heterostructure printing for high-toughness fiber electrodes in intelligent digital apparel. Nat. Commun. 16, 4320 (2025).10.1038/s41467-025-59703-4 ↗
33. Wang, H. et al. Liquid metal fibers. Adv. Fiber Mater. 4, 987–1004 (2022).10.1007/s42765-022-00173-4 ↗
34. Chen, J., Zhu, G., Wang, J., Chang, X. & Zhu, Y. Multifunctional iontronic sensor based on liquid metal-filled hollow ionogel fibers in detecting pressure, temperature, and proximity. ACS Appl. Mater. Interfaces 15, 7485–7495 (2023).10.1021/acsami.2c22835 ↗
35. Guo, R., Zhen, Y., Huang, X. & Liu, J. Spatially selective adhesion enabled transfer printing of liquid metal for 3D electronic circuits. Appl. Mater. Today 25, 101236 (2021).10.1016/j.apmt.2021.101236 ↗
36. Guo, R. et al. One-step liquid metal transfer printing: toward fabrication of flexible electronics on wide range of substrates. Adv. Mater. Technol. 3, 1800265 (2018).10.1002/admt.201800265 ↗
37. Tang, J. et al. Gallium-based liquid metal amalgams: transitional-state metallic mixtures (TransM2ixes) with enhanced and tunable electrical, thermal, and mechanical properties. ACS Appl. Mater. Interfaces 9, 35977–35987 (2017).10.1021/acsami.7b10256 ↗
38. Xing, Z. et al. Reactive wetting induced instantaneous nanoparticles internalization in gallium-based liquid metal. Surf. Interfaces 72, 107098 (2025).10.1016/j.surfin.2025.107098 ↗
39. Rupani, M., Cleland, L. D. & Saal, H. P. Local postural changes elicit extensive and diverse skin stretch around joints, on the trunk and the face. J. R. Soc. Interface 22, 20240794 (2025).10.1098/rsif.2024.0794 ↗
40. Li, W. J. et al. Electrospun nanofibrous structure: a novel scaffold for tissue engineering. J. Biomed. Mater. Res. 60, 613–621 (2002).10.1002/jbm.10167 ↗