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trauma simulation

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https://www.readbyqxmd.com/read/29903716/exercise-serpent-anatomy-cadaveric-trauma-simulation-training-to-improve-the-resilience-of-reservist-combat-medical-technicians
#1
Charles Timothy West, C Brassett
No abstract text is available yet for this article.
June 14, 2018: Journal of the Royal Army Medical Corps
https://www.readbyqxmd.com/read/29903429/simulation-based-research-to-improve-infant-health-outcomes-using-the-infant-simulator-to-prevent-infant-shaking
#2
Kirsten Bechtel
Simulation is a technique that creates a situation or environment to allow persons to experience a representation of a real event for the purpose of practice, learning, evaluation, testing, or to gain understanding of systems or human actions. We will first provide an introduction to simulation in healthcare and describe the two types of simulation-based research (SBR) in the pediatric population. We will then provide an overview of the use of SBR to improve health outcomes for infants in health care settings and to improve parent-child interactions using the infant simulator...
June 11, 2018: Infant Behavior & Development
https://www.readbyqxmd.com/read/29898615/large-eddy-simulation-in-a-rotary-blood-pump-viscous-shear-stress-computation-and-comparison-with-unsteady-reynolds-averaged-navier-stokes-simulation
#3
Benjamin Torner, Lucas Konnigk, Sebastian Hallier, Jitendra Kumar, Matthias Witte, Frank-Hendrik Wurm
PURPOSE: Numerical flow analysis (computational fluid dynamics) in combination with the prediction of blood damage is an important procedure to investigate the hemocompatibility of a blood pump, since blood trauma due to shear stresses remains a problem in these devices. Today, the numerical damage prediction is conducted using unsteady Reynolds-averaged Navier-Stokes simulations. Investigations with large eddy simulations are rarely being performed for blood pumps. Hence, the aim of the study is to examine the viscous shear stresses of a large eddy simulation in a blood pump and compare the results with an unsteady Reynolds-averaged Navier-Stokes simulation...
June 1, 2018: International Journal of Artificial Organs
https://www.readbyqxmd.com/read/29889958/surgery-at-sea-the-effect-of-simulated-high-sea-states-on-surgical-performance
#4
Eric Pierce, Renato Rapada, Penelope Anne Herder, Anthony J LaPorta, Tuan N Hoang, Mathew Pena, Jeff Blankenship, Jeff Kiser, Sarah Ashley Catlin
BACKGROUND: The US Navy initiated design concepts for a Medical Mission Module Support Container (M3SC), a mobile operating room capable of rapid installation aboard maneuverable ships within proximity of active combat units. The M3SC provides an alternative echelon of care in the current trauma system by decreasing the time between point of injury, arrival, and surgical intervention. The mobile ships used as M3SC platforms, however, are more susceptible to oceanic conditions that can induce detrimental physiologic motion sickness in medical personnel and patients aboard the vessels...
2018: Journal of Special Operations Medicine: a Peer Reviewed Journal for SOF Medical Professionals
https://www.readbyqxmd.com/read/29889823/glove-perforation-in-orthopaedics-probability-of-tearing-gloves-during-high-risk-events-in-trauma-surgery
#5
Nikita Lakomkin, Aristides I Cruz, Peter D Fabricant, Andrew Georgiadis, J Todd R Lawrence
OBJECTIVE: To assess the risk of glove perforation during common maneuvers or events in trauma-related orthopedic surgical procedures. METHODS: Four investigators executed six high-risk maneuvers in a simulated laboratory setting. Alternative techniques were also performed for most maneuvers. Glove integrity was examined by two standard methods of fluid leak testing. The rates of perforation were compared between techniques using Chi-squared and Fisher's exact tests...
May 28, 2018: Journal of Orthopaedic Trauma
https://www.readbyqxmd.com/read/29889745/simulation-in-obstetrics
#6
Andrew J Satin
Simulation in obstetrics is a widely accepted and valuable tool that benefits all levels of learners from medical students to maternal-fetal medicine subspecialists. What began as an adjunct to medical education now has a rapidly expanding role in acquisition of new and innovative procedures, team and unit training, and safety and quality initiatives. The number of obstetric simulation peer-reviewed reports has increased exponentially in recent years, yet only a small percentage of reports primarily addresses clinical outcomes...
June 6, 2018: Obstetrics and Gynecology
https://www.readbyqxmd.com/read/29888114/mechanical-evaluation-of-retinal-damage-associated-with-blunt-craniomaxillofacial-trauma-a-simulation-analysis
#7
Xiaoqi Geng, Xiaoyu Liu, Wei Wei, Yawei Wang, Lizhen Wang, Kinon Chen, Hongqiang Huo, Yuanjie Zhu, Yubo Fan
Purpose: To evaluate retinal damage as the result of craniomaxillofacial trauma and explain its pathogenic mechanism using finite element (FE) simulation. Methods: Computed tomography (CT) images of an adult man were obtained to construct a FE skull model. A FE skin model was built to cover the outer surface of the skull model. A previously validated FE right eye model was symmetrically copied to create a FE left eye model, and both eye models were assembled to the skull model...
May 2018: Translational Vision Science & Technology
https://www.readbyqxmd.com/read/29881840/antibiotic-functionalised-polymers-reduce-bacterial-biofilm-and-bioburden-in-a-simulated-infection-of-the-cornea
#8
Natalya Doroshenko, Stephen Rimmer, Richard Hoskins, Prashant Garg, Thomas Swift, Hannah L M Spencer, Rianne M Lord, Maria Katsikogianni, David Pownall, Sheila MacNeil, C W Ian Douglas, Joanna Shepherd
Microbial keratitis can arise from penetrating injuries to the cornea. Corneal trauma promotes bacterial attachment and biofilm growth, which decrease the effectiveness of antimicrobials against microbial keratitis. Improved therapeutic efficacy can be achieved by reducing microbial burden prior to antimicrobial therapy. This paper assesses a highly-branched poly(N-isopropyl acrylamide) with vancomycin end groups (HB-PNIPAM-van), for reducing bacterial attachment and biofilm formation. The polymer lacked antimicrobial activity against Staphylococcus aureus, but significantly inhibited biofilm formation (p = 0...
June 8, 2018: Biomaterials Science
https://www.readbyqxmd.com/read/29879979/regular-in-situ-team-based-training-in-trauma-resuscitation-with-video-debriefing-enhances-confidence-and-clinical-efficiency
#9
Alexander Knobel, Daniel Overheu, Matthias Gruessing, Ingke Juergensen, Johannes Struewer
BACKGROUND: To assess the clinical impact of a regular, multidisciplinary, video debriefed training intervention for trauma team members on real trauma resuscitations. In addition, attending personnel evaluated the training program via questionnaire. METHODS: The training intervention is a regular (monthly), video debriefed, team-based trauma simulation. Training takes place in the fully functional resuscitation bay (in-situ) of the Department of Traumatology at the Klinikum Oldenburg (Level 1, primary teaching hospital for the Carl von Ossietzky University Oldenburg) involving a complete trauma team...
June 7, 2018: BMC Medical Education
https://www.readbyqxmd.com/read/29879729/development-of-an-otitis-media-strategy-in-the-pacific-key-informant-perspectivesthe-matthew-effect-in-new-zealand-rural-hospital-trauma-and-emergency-care-why-rural-simulation-based-education-matters
#10
Marc Gutenstein, Sampsa Kiuru
We describe a phenomenon of self-reinforcing inequality between New Zealand rural hospitals and urban trauma centres. Rural doctors work in remote geographical locations, with rare exposure to managing critical injuries, and with little direct support when they do. Paradoxically, but for the same reasons, they also have little access to the intensive training resources and specialist oversight of their university hospital colleagues. In keeping with international experience, we propose that using simulation-based education for rural hospital trauma and emergency team training will mitigate this effect...
June 8, 2018: New Zealand Medical Journal
https://www.readbyqxmd.com/read/29872592/alice-s-delirium-a-theatre-based-simulation-scenario-for-nursing
#11
Jennifer Dale-Tam, Glenn D Posner
As an educational methodology, simulation has been used by nursing education at the academic level for numerous years and has started to gain traction in the onboarding education and professional development of practicing nurses. Simulation allows the learner to apply knowledge and skills in a safe environment where mistakes and learning can happen without an impact on patient safety. The development of a simulation scenario to demonstrate the benefits of simulation education methodologies to a large group of nurse educators was requested by nursing education leadership at The Ottawa Hospital (TOH)...
April 2, 2018: Curēus
https://www.readbyqxmd.com/read/29862715/-design-and-implementation-of-the-glasses-free-three-dimensional-laparoscopy-system
#12
Dongxing Gu, Juanjuan Jiang, Jianjun Li, Zhuangzhi Yan
Minimally invasive surgery (MIS) has the advantages of small trauma, quick recovery and lower risk of the surgery. Compared with the traditional two-dimension laparoscopic technique, three-dimension laparoscopic system uses the double beam imaging system as well as the three-dimensional imaging display device so as to compensate for the lack of depth information in two-dimension laparoscopic imaging technique, reduce the surgeon's difficulty in using surgical instruments and enhance the accuracy of the surgery...
September 30, 2017: Zhongguo Yi Liao Qi Xie za Zhi, Chinese Journal of Medical Instrumentation
https://www.readbyqxmd.com/read/29850251/ambulance-nurses-competence-and-perception-of-competence-in-prehospital-trauma-care
#13
Anna Abelsson, Lillemor Lindwall, Björn-Ove Suserud, Ingrid Rystedt
Introduction: We focus on trauma care conducted in the context of a simulated traumatic event. This is in this study defined as a four-meter fall onto a hard surface, resulting in severe injuries to extremities in the form of bilateral open femur fractures, an open tibia fracture, and a closed pelvic fracture, all fractures bleeding extensively. Methods: The simulated trauma care competence of 63 ambulance nurses in prehospital emergency care was quantitatively evaluated along with their perception of their sufficiency...
2018: Emergency Medicine International
https://www.readbyqxmd.com/read/29806357/-development-and-biomechanical-study-of-anatomical-locking-plate-of-sternoclavicular-joint
#14
Kun Yang, Yunkang Yang, Jianhua Ge, Gen Li, Tianhao Wu, Rui Bai, Feifan Xiang, Yuanlin Sun
Objective: To develop an anatomical locking plate in accordance with the anatomical characteristics of the sternoclavicular joint, which is reliable fixation and easy to operate, so as to provide an ideal internal fixation device for the treatment of sternoclavicular joint dislocation or peripheral fractures. Methods: Gross measurement and CT measurement were performed on the 8 adult antiseptic and moist cadaver specimens (16 sides) to measure the parameters of surrounding bone structure of the sternoclavicular joint...
January 1, 2018: Chinese Journal of Reparative and Reconstructive Surgery
https://www.readbyqxmd.com/read/29798584/-application-of-three-dimensional-printing-technology-for-closed-reduction-and-percutaneous-cannulated-screws-fixation-of-displaced-intraarticular-calcaneus-fractures
#15
Min Wu, Jianzhong Guan, Yuzhou Xiao, Zhaodong Wang, Xiaotian Chen, Zhi Zhao, Kuankuan Zhang, Jun Zhu
Objective: To evaluate the effectiveness of three-dimensional (3-D) printing assisting minimally invasive for intraarticular calcaneal fractures with percutaneous poking reduction and cannulate screw fixation. Methods: A retrospective analysis was performed of the 19 patients (19 feet) with intraarticular calcaneal fracture who had been treated between March 2015 and May 2016. There were 13 males and 6 females with an average age of 38.2 years (range, 24-73 years)...
November 1, 2017: Chinese Journal of Reparative and Reconstructive Surgery
https://www.readbyqxmd.com/read/29794172/experimental-platforms-to-study-blast-injury
#16
Thuy-Tien Nguyen, A P Pearce, D Carpanen, D Sory, G Grigoriadis, N Newell, J Clasper, A Bull, W G Proud, S D Masouros
Injuries sustained due to attacks from explosive weapons are multiple in number, complex in nature, and not well characterised. Blast may cause damage to the human body by the direct effect of overpressure, penetration by highly energised fragments, and blunt trauma by violent displacements of the body. The ability to reproduce the injuries of such insults in a well-controlled fashion is essential in order to understand fully the unique mechanism by which they occur, and design better treatment and protection strategies to alleviate the resulting poor long-term outcomes...
May 24, 2018: Journal of the Royal Army Medical Corps
https://www.readbyqxmd.com/read/29786021/developing-and-implementing-a-global-emergency-medicine-course-lessons-learned-from-rwanda
#17
Sojung Yi, Olivier Félix Umuhire, Doris Uwamahoro, Mindi Guptill, Giles N Cattermole
Background: There is a growing demand by medical trainees for meaningful, short-term global emergency medicine (EM) experiences. EM programs in high-income countries (HICs) have forged opportunities for their trainees to access this experience in low-and middle-income countries (LMICs). However, few programs in LMICs have created and managed such courses. As more LMICs establish EM programs, these settings are ideal for developing courses beneficial for all participants. We describe our experience of creating and implementing a short-term global EM course in Rwanda...
September 2017: Education for Health: Change in Training & Practice
https://www.readbyqxmd.com/read/29782960/the-acute-and-residual-effects-of-escalating-analgesic-range-doses-of-ketamine-on-driving-performance-a-simulator-study
#18
Amie C Hayley, Maja Green, Luke A Downey, Con K K Stough, Michael Keane, Brook Shiferaw, Panagiota Kostakis, Yahya Shehabi
Ketamine hydrochloride elicits potent psychotomimetic and neurobehavioural effects which make it incompatible with driving; however, the direct effect on driving performance is yet to be assessed. Using an open label, within-subjects protocol, 15 males and 5 females (mean age = 30.8 years) were administered three fixed, stepwise increasing sub-anaesthetic doses of intravenous (IV) ketamine solution [(i) 8 mg/h IV infusion plus 30 mg bolus, (ii) 12 mg/h IV infusion and (iii) 20 mg/h infusion]. Whole blood ketamine and norketamine concentrations were determined at each treatment step and at 2 h post-infusion...
May 18, 2018: Progress in Neuro-psychopharmacology & Biological Psychiatry
https://www.readbyqxmd.com/read/29781968/infusing-social-justice-in-undergraduate-nursing-education-fostering-praxis-through-simulation
#19
Robyn Caldwell, Courtney Cochran
SCOPE OF THE PROBLEM: Forensic clinical experiences are often inconsistent in undergraduate nursing education. Nursing students are not included in the process of forensic evidence collection, often because of the sensitive nature of the situation. Unfortunately, nursing students are forced to rely on theoretical knowledge provided by the nurse educator to understand the complexities of forensic nursing care. Nursing students must be able to identify and provide appropriate nursing care for individuals in all forensic situations...
April 2018: Journal of Forensic Nursing
https://www.readbyqxmd.com/read/29780731/the-resident-s-point-of-view-in-the-learning-curve-of-thymic-mis-why-should-i-learn-it
#20
REVIEW
Anna E Frick, Hans Van Veer, Herbert Decaluwé, Willy Coosemans, Dirk Van Raemdonck
Minimally invasive surgery (MIS) in thoracic surgery became quite popular during the last years. The aim of introducing and performing more MIS is to reduce surgical trauma, pain and complications in patients. Training in MIS increases operative time and thus cost in theatre but thus improves with experience. For a resident, the cases should be well selected with experienced supervision in a suitable setting with supporting staff and optimal instruments. Understanding the anatomy of the lung, using simulators, and attending workshops makes the learning curve shorter...
2018: Journal of Visualized Surgery
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