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https://www.readbyqxmd.com/read/28697056/effect-of-emergency-department-mattress-compressibility-on-chest-compression-depth-using-a-standardized-cardiopulmonary-resuscitation-board-a-slider-transfer-board-and-a-flat-spine-board-a-simulation-based-study
#1
Adam Cheng, Claudia Belanger, Brandi Wan, Jennifer Davidson, Yiqun Lin
INTRODUCTION: Cardiopulmonary resuscitation (CPR) performed on a mattress decreases effective chest compression depth. Using a CPR board partially attenuates mattress compressibility. We aimed to determine the effect of a CPR board, a slider transfer board, a CPR board with a slider transfer board, and a flat spine board on chest compression depth with a mannequin placed on an emergency department mattress. METHODS: The study used a cross-over study design. The CPR-certified healthcare providers performed 2 minutes of compressions on a mannequin in five conditions, an emergency department mattress with: (a) no hard surface, (b) a CPR board, (c) a slider transfer board, (d) a CPR board and slider transfer board, and (e) a flat spine board...
July 10, 2017: Simulation in Healthcare: Journal of the Society for Simulation in Healthcare
https://www.readbyqxmd.com/read/28693654/cut-and-rip-and-cut-alone-techniques-versus-usual-practice-in-the-removal-of-trauma-patient-clothing
#2
Aaron K Sibley, Trevor N Jain, Brent Nicholson, Paul Atkinson
Introduction Rapid exposure of a trauma patient is an essential component of the primary survey. No gold standard exists regarding the best technique to remove clothing from a trauma patient. The purpose of this study is to compare two techniques of clothing removal versus usual practice using standard trauma shears. METHODS: Advanced Care Paramedic (ACP) students were randomized to either the Cut and Rip (CAR) or Cut Alone (CAL) techniques to remove clothing from a standardized trauma mannequin...
July 11, 2017: CJEM
https://www.readbyqxmd.com/read/28671903/simulation-based-assessment-of-the-management-of-critical-events-by-board-certified-anesthesiologists
#3
Matthew B Weinger, Arna Banerjee, Amanda R Burden, William R McIvor, John Boulet, Jeffrey B Cooper, Randolph Steadman, Matthew S Shotwell, Jason M Slagle, Samuel DeMaria, Laurence Torsher, Elizabeth Sinz, Adam I Levine, John Rask, Fred Davis, Christine Park, David M Gaba
BACKGROUND: We sought to determine whether mannequin-based simulation can reliably characterize how board-certified anesthesiologists manage simulated medical emergencies. Our primary focus was to identify gaps in performance and to establish psychometric properties of the assessment methods. METHODS: A total of 263 consenting board-certified anesthesiologists participating in existing simulation-based maintenance of certification courses at one of eight simulation centers were video recorded performing simulated emergency scenarios...
July 3, 2017: Anesthesiology
https://www.readbyqxmd.com/read/28670027/learning-curve-of-radiology-residents-during-training-in-fluoroscopy-guided-facet-joint-injections
#4
Tiago Rocha Dias, João de Deus da Costa Alves Junior, Nitamar Abdala
OBJECTIVE: To develop a simulator for training in fluoroscopy-guided facet joint injections and to evaluate the learning curve for this procedure among radiology residents. MATERIALS AND METHODS: Using a human lumbar spine as a model, we manufactured five lumbar vertebrae made of methacrylate and plaster. These vertebrae were assembled in order to create an anatomical model of the lumbar spine. We used a silicon casing to simulate the paravertebral muscles. The model was placed into the trunk of a plastic mannequin...
May 2017: Radiologia Brasileira
https://www.readbyqxmd.com/read/28657696/evaluation-of-high-fidelity-simulation-as-a-training-tool-in-transoral-robotic-surgery
#5
Andrés M Bur, Ernest D Gomez, Jason G Newman, Gregory S Weinstein, Bert W O'Malley, Christopher H Rassekh, Katherine J Kuchenbecker
OBJECTIVES/HYPOTHESIS: To develop and evaluate a high-fidelity training simulator for transoral robotic posterior hemiglossectomy. STUDY DESIGN: Prospective observational study. METHODS: We constructed a transoral robotic surgery (TORS) simulator using porcine tongue in a modified airway mannequin. Twenty-nine surgeons performed transoral robotic posterior hemiglossectomy on the simulator. The 20 resident subjects completed six trials each, and the five fellows and four attending surgeons completed two trials each...
June 28, 2017: Laryngoscope
https://www.readbyqxmd.com/read/28645452/thrust-magnitudes-rates-and-3-dimensional-directions-delivered-in-simulated-lumbar-spine-high-velocity-low-amplitude-manipulation
#6
Edward F Owens, Ronald S Hosek, Linda Mullin, Lydia Dever, Stephanie G B Sullivan, Brent S Russell
OBJECTIVES: The purpose of this study was to measure faculty performance of simulated spinal manipulation on a mannequin to help identify teaching standards. METHODS: We measured 3-dimensional transmitted loads using a force plate mounted in the table. Thrusts were delivered through a compliant, jointed mannequin by faculty members along predefined "listings" as taught in lumbopelvic technique courses. RESULTS: Eleven chiropractic faculty members participated, delivering 9 thrusts at 3 loads (light, moderate, and heavy) along 9 different prone and side-posture listings, totaling 81 thrusts per participant...
June 20, 2017: Journal of Manipulative and Physiological Therapeutics
https://www.readbyqxmd.com/read/28643910/evaluation-of-the-3dmdface-system-as-a-tool-for-soft-tissue-analysis
#7
C Hong, K Choi, Y Kachroo, T Kwon, A Nguyen, R McComb, W Moon
OBJECTIVES: To evaluate the accuracy of three-dimensional stereophotogrammetry by comparing values obtained from direct anthropometry and the 3dMDface system. To achieve a more comprehensive evaluation of the reliability of 3dMD, both linear and surface measurements were examined. SETTING AND SAMPLE POPULATION: UCLA Section of Orthodontics. Mannequin head as model for anthropometric measurements. MATERIAL AND METHODS: Image acquisition and analysis were carried out on a mannequin head using 16 anthropometric landmarks and 21 measured parameters for linear and surface distances...
June 2017: Orthodontics & Craniofacial Research
https://www.readbyqxmd.com/read/28643518/mini-c-arm-fluoroscopy-does-its-configuration-matter-for-radiation-exposure-to-the-surgeon
#8
Talia Chapman, Dennis P Martin, Christopher Williamson, Brian Tinsley, Mark L Wang, Asif M Ilyas
BACKGROUND: The risk of occupational radiation exposure to the surgeon associated with the use of a mini C-arm has yet to reach a wide consensus. Using a distal radius fracture surgery model, we tested the hypothesis that radiation exposure to the surgeon's critical body parts is independent of mini C-arm configuration. METHODS: An anthropomorphic mannequin (representing the upper body of a 60" male surgeon) was seated at a hand table as if operating on a volar-plated wrist Sawbone model...
June 1, 2017: Hand: Official Journal of the American Association for Hand Surgery
https://www.readbyqxmd.com/read/28623922/use-of-simulation-based-medical-training-in-swiss-pediatric-hospitals-a-national-survey
#9
Martin Stocker, Kathryn Laine, Francis Ulmer
BACKGROUND: Simulation-based medical training (SBMT) is a powerful tool for continuing medical education. In contrast to the Anglo-Saxon medical education community, up until recently, SBMT was scarce in continental Europe's pediatric health care education: In 2009, only 3 Swiss pediatric health care institutions used SBMT. The Swiss catalogue of objectives in Pediatrics does not acknowledge SBMT. The aim of this survey is to describe and analyze the current state of SBMT in Swiss pediatric hospitals and health care departments...
June 17, 2017: BMC Medical Education
https://www.readbyqxmd.com/read/28609315/the-role-of-extracorporeal-membrane-oxygenation-simulation-training-at-extracorporeal-life-support-organization-centers-in-the-united-states
#10
Mark F Weems, Philippe S Friedlich, Lara P Nelson, Alyssa J Rake, Laura Klee, James E Stein, Theodora A Stavroudis
INTRODUCTION: Extracorporeal membrane oxygenation (ECMO) requires a multidisciplinary healthcare team. The Extracorporeal Life Support Organization publishes training guidelines but leaves specific requirements up to each institution. Simulation training has shown promise, but it is unclear how many institutions have incorporated simulation techniques into ECMO training to date. METHODS: We sent an electronic survey to ECMO coordinators at Extracorporeal Life Support Organization sites in the United States...
June 12, 2017: Simulation in Healthcare: Journal of the Society for Simulation in Healthcare
https://www.readbyqxmd.com/read/28580083/implementation-of-clinical-practice-changes-by-experienced-anesthesiologists-after-simulation-based-ultrasound-guided-regional-anesthesia-training
#11
T Edward Kim, Toni Ganaway, T Kyle Harrison, Steven K Howard, Cynthia Shum, Alex Kuo, Edward R Mariano
BACKGROUND: Anesthesiologists who have finished formal training and want to learn ultrasound-guided regional anesthesia (UGRA) commonly attend 1 day workshops. However, it is unclear whether participation actually changes clinical practice. We assessed change implementation after completion of a 1 day simulation-based UGRA workshop. METHODS: Practicing anesthesiologists who participated in a 1 day UGRA course from January 2012 through May 2014 were surveyed. The course consisted of clinical observation of UGRA procedures, didactic lectures, ultrasound scanning, hands-on perineural catheter placement, and mannequin simulation...
June 2017: Korean Journal of Anesthesiology
https://www.readbyqxmd.com/read/28576322/accuracy-in-precordial-ecg-lead-placement-improving-performance-through-a-peer-led-educational-intervention
#12
Samar A Medani, Mark Hensey, Norma Caples, Patrick Owens
BACKGROUND AND OBJECTIVES: Inaccurate electrocardiography (ECG) lead placement may lead to erroneous diagnoses, such as poor R wave progression. We sought to assess the accuracy of precordial ECG lead placement amongst hospital staff members, and to re-evaluate performance after an educational intervention. METHODS AND RESULTS: 100 randomly selected eligible staff members placed sticker dots on a mannequin, their positions were recorded on a radar plot and compared to the correct precordial lead positions...
May 16, 2017: Journal of Electrocardiology
https://www.readbyqxmd.com/read/28570311/the-importance-of-a-3d-based-approach-with-personalized-models-for-accurately-assessing-tbsa
#13
Adrien Desbois, Svetlana Matei, Florian Beguet, Isabelle Perreault, Sylvie Gervais, Jacques De Guise
In this article, the relevance of a new 3D computer-based framework with personalized 3D models for accurately assessing the TBSA is demonstrated through preliminary results and validation studies. First, a 3D rendering interface was developed for representation and calculation of TBSA. The personalized 3D models were built from anthropometric measurements using MakeHuman software. Fifteen paired models were randomly built with an equal BSA but a different morphology. The difference of local BSA, TBSA burned, and Parkland fluids between each paired models were observed to highlight the impact of morphology's variation on the TBSA...
May 19, 2017: Journal of Burn Care & Research: Official Publication of the American Burn Association
https://www.readbyqxmd.com/read/28549421/comparison-of-vividtrac%C3%A2-airtraq%C3%A2-king-vision%C3%A2-macintosh-laryngoscope-and-a-custom-made-videolaryngoscope-for-difficult-and-normal-airways-in-mannequins-by-novices
#14
Szilárd Rendeki, Dóra Keresztes, Gábor Woth, Ákos Mérei, Martin Rozanovic, Mátyás Rendeki, József Farkas, Diána Mühl, Bálint Nagy
BACKGROUND: Direct laryngoscopy remains the gold standard for endotracheal intubation and is preferred by experienced operators. However, an increasing number of reports currently support videolaryngoscopy, particularly for novice users. The widespread use of videolaryngoscopy may be limited due to financial limitations, especially in low-income countries. Therefore, affordable single-use scopes are now becoming increasingly popular. We sought to compare these new scopes with direct laryngoscopes and the previously tested videolaryngoscopes in mannequins by novices...
May 26, 2017: BMC Anesthesiology
https://www.readbyqxmd.com/read/28538983/assocation-of-a-surgical-task-during-training-with-team-skill-acquisition-among-surgical-residents-the-missing-piece-in-multidisciplinary-team-training
#15
Jessica L Sparks, Dustin L Crouch, Kathryn Sobba, Douglas Evans, Jing Zhang, James E Johnson, Ian Saunders, John Thomas, Sarah Bodin, Ashley Tonidandel, Jeff Carter, Carl Westcott, R Shayn Martin, Amy Hildreth
Importance: The human patient simulators that are currently used in multidisciplinary operating room team training scenarios cannot simulate surgical tasks because they lack a realistic surgical anatomy. Thus, they eliminate the surgeon's primary task in the operating room. The surgical trainee is presented with a significant barrier when he or she attempts to suspend disbelief and engage in the scenario. Objective: To develop and test a simulation-based operating room team training strategy that challenges the communication abilities and teamwork competencies of surgeons while they are engaged in realistic operative maneuvers...
May 24, 2017: JAMA Surgery
https://www.readbyqxmd.com/read/28537779/simulation-model-for-laparoscopic-foregut-surgery-the-university-of-north-carolina-foregut-model
#16
Francisco Schlottmann, Neal S Murty, Marco G Patti
BACKGROUND: A significant gap presently exists between box-lap and virtual-reality simulators and live surgery. Live animal and cadaver use has significant downsides. We have developed a high fidelity, real tissue simulator that allows training in laparoscopic foregut operations. METHODS: Our foregut surgery model is based on porcine tissue blocks that include lungs, heart, aorta, esophagus, diaphragm, stomach, duodenum, liver, and spleen. The tissue block is mounted in a human mannequin and perfused with artificial blood...
July 2017: Journal of Laparoendoscopic & Advanced Surgical Techniques. Part A
https://www.readbyqxmd.com/read/28518132/mind-the-gap-can-videolaryngoscopy-bridge-the-competency-gap-in-neonatal-endotracheal-intubation-among-pediatric-trainees-a-randomized-controlled-study
#17
S Parmekar, J L Arnold, C Anselmo, M Pammi, J Hagan, C J Fernandes, K Lingappan
BACKGROUND: To study the impact of videolaryngoscopy (VL) on intubation success among pediatric trainees compared with direct laryngoscopy (DL). METHODS: One hundred pediatric residents were enrolled in a randomized, crossover, simulation study comparing VL to DL. Following a didactic session on neonatal intubation, residents intubated a standard neonatal mannequin. Three Neonatal Resuscitation Program (NRP) scenarios were then conducted, followed by a mannequin intubation with the alternate device...
May 18, 2017: Journal of Perinatology: Official Journal of the California Perinatal Association
https://www.readbyqxmd.com/read/28514042/effect-of-crystallization-firing-on-marginal-gap-of-cad-cam-fabricated-lithium-disilicate-crowns
#18
Steven A Gold, Jack L Ferracane, Juliana da Costa
PURPOSE: To evaluate the marginal gaps of CAD/CAM (CEREC 3) produced crowns made from leucite-reinforced glass-ceramic (IPS Empress CAD) blocks (LG), and lithium-disilicate (IPS e.max CAD) blocks before (LD-B), and after (LD-A) crystallization firing. MATERIALS AND METHODS: A human molar tooth (#19) was mounted with adjacent teeth on a typodont and prepared for a full-coverage ceramic crown. The typodont was assembled in the mannequin head to simulate clinical conditions...
May 17, 2017: Journal of Prosthodontics: Official Journal of the American College of Prosthodontists
https://www.readbyqxmd.com/read/28508027/violent-actions-against-children
#19
Muhammad Alhammami, Chee-Pun Ooi, Wooi-Haw Tan
We present in this paper a novel dataset (MMU VAAC) for violent actions against children recognition. This original dataset has been recorded using Microsoft Kinect with the usage of a child mannequin. MMU VAAC dataset contains skeleton joints, depth, and RGB modalities.
June 2017: Data in Brief
https://www.readbyqxmd.com/read/28506007/validation-study-of-a-kinect-based-body-imaging-system
#20
Sara Bragança, Pedro Arezes, Miguel Carvalho, Susan P Ashdown, Bugao Xu, Ignacio Castellucci
BACKGROUND: Understanding the reliability and precision of the data obtained using three-dimensional body scanners is very important if it is intended to replace the traditional data collection methods. If the collection of anthropometric data with three-dimensional body scanners is a fast and reliable process that produces precise data at a low price, it could be used for numerous applications worldwide. Many studies have addressed data collected by white light and laser based scanners...
2017: Work: a Journal of Prevention, Assessment, and Rehabilitation
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