I mainly scalp the ES, and sometimes looking at the Dome can give me an extra tic. I do have patterns that I watch for on the Dome, but often times they happen within one second and disappear, I will get a bias that price will go in my direction for 15 seconds or so, but for the average retail trader, trading the futures, I would suspect one tic shouldn't be an issue watching this for any length of time. But it can be helpful if you are trying to get out at a target and price is bouncing on your price and can't seem to get filled, I often watch to see if volume is going to change the other way so I don't lose more than a tic since I can't get filled on my target.
I study price levels of volume and not total volume for five levels. When I see all five price levels on bid/ask go under 1000 orders, "big boys" are not playing the game, you can see this especially just before a report comes out or high volitilty, but if during the day and three of the closest levels on say ask side are under a 1000, and bid is just obe level under a 1000, my bias is price is headed lower. If I see during the day volume strink up, I reduce my volume asap.
I sometimes see a "rotation" where I can judge price will go most likely go one direction for 4 tics. I see ask/bid bouncing at same price for 30 seconds, ask side might be 300 and bid side 900, then ask side increases whereas bid side stays same at 900, then bid side starts reducing faster, most like I will sell quickly before price goes down a level.
I have watched a couple acquitances just trade off the Dome and no charts, but they have a knack and can't seem to be able to explain cause volume is constantly changing. I need charts, and the strain is huge by just watching numbers. But whatever floats your boat.