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"High Fidelity Simulation"

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https://www.readbyqxmd.com/read/29749910/a-novel-low-cost-reusable-high-fidelity-neurosurgical-training-simulator-for-cerebrovascular-bypass-surgery
#1
Ulas Cikla, Balkan Sahin, Sahin Hanalioglu, Azam S Ahmed, David Niemann, Mustafa K Baskaya
OBJECTIVE Cerebrovascular bypass surgery is a challenging yet important neurosurgical procedure that is performed to restore circulation in the treatment of carotid occlusive diseases, giant/complex aneurysms, and skull base tumors. It requires advanced microsurgical skills and dedicated training in microsurgical techniques. Most available training tools, however, either lack the realism of the actual bypass surgery (e.g., artificial vessel, chicken wing models) or require special facilities and regulations (e...
May 11, 2018: Journal of Neurosurgery
https://www.readbyqxmd.com/read/29735263/an-anisotropic-constitutive-model-for-immersogeometric-fluid-structure-interaction-analysis-of-bioprosthetic-heart-valves
#2
Michael C H Wu, Rana Zakerzadeh, David Kamensky, Josef Kiendl, Michael S Sacks, Ming-Chen Hsu
This paper considers an anisotropic hyperelastic soft tissue model, originally proposed for native valve tissue and referred to herein as the Lee-Sacks model, in an isogeometric thin shell analysis framework that can be readily combined with immersogeometric fluid-structure interaction (FSI) analysis for high-fidelity simulations of bioprosthetic heart valves (BHVs) interacting with blood flow. We find that the Lee-Sacks model is well-suited to reproduce the anisotropic stress-strain behavior of the cross-linked bovine pericardial tissues that are commonly used in BHVs...
April 12, 2018: Journal of Biomechanics
https://www.readbyqxmd.com/read/29704128/prompting-with-electronic-checklist-improves-clinician-performance-in-medical-emergencies-a-high-fidelity-simulation-study
#3
Ronaldo Sevilla-Berrios, John C O'Horo, Christopher N Schmickl, Aysen Erdogan, Xiaomei Chen, Lisbeth Y Garcia Arguello, Yue Dong, Oguz Kilickaya, Brain Pickering, Rahul Kashyap, Ognjen Gajic
BACKGROUND: Inefficient processes of care delivery during acute resuscitation can compromise the "Golden Hour," the time when quick interventions can rapidly determine the course of the patient's outcome. Checklists have been shown to be an effective tool for standardizing care models. We developed a novel electronic tool, the Checklist for Early Recognition and Treatment of Acute Illness (CERTAIN) to facilitate standardized evaluation and treatment approach for acutely decompensating patients...
April 27, 2018: International Journal of Emergency Medicine
https://www.readbyqxmd.com/read/29701615/simulated-driving-performance-self-reported-driving-behaviors-and-mental-health-symptoms-in-adolescent-novice-drivers
#4
Catherine C McDonald, Marilyn S Sommers, Jamison D Fargo, Thomas Seacrist, Thomas Power
BACKGROUND: Risky driving behaviors contribute to adolescent injury, disability, and death, yet little is known about how mental health factors are associated with adolescent driving behaviors. OBJECTIVES: The purpose of the research was to determine the association of risky driving behaviors and mental health symptoms in novice adolescent drivers. METHODS: We recruited a convenience sample (n = 60) of adolescents to complete an assessment of driving performance errors in a high-fidelity simulator (Simulated Driving Assessment [SDA] Error Score) and a self-report measure of risky driving (Behavior of Young Novice Drivers Survey [BYNDS])...
May 2018: Nursing Research
https://www.readbyqxmd.com/read/29680811/does-the-age-of-acute-care-physicians-impact-their-1-crisis-management-performance-and-2-learning-after-simulation-based-education-a-protocol-for-a-multicentre-prospective-cohort-study-in-toronto-and-ottawa-canada
#5
Fahad Alam, Vicki R LeBlanc, Alan Baxter, Jordan Tarshis, Dominique Piquette, Yuqi Gu, Caroline Filipkowska, Ashley Krywenky, Nicole Kester-Greene, Pierre Cardinal, Shelly Au, Sandy Lam, Sylvain Boet, Perioperative Anesthesia Clinical Trials Group
INTRODUCTION: The proportion of older acute care physicians (ACPs) has been steadily increasing. Ageing is associated with physiological changes and prospective research investigating how such age-related physiological changes affect clinical performance, including crisis resource management (CRM) skills, is lacking. There is a gap in the literature on whether physician's age influences baseline CRM performance and also learning from simulation. We aim to investigate whether ageing is associated with baseline CRM skills of ACPs (emergency, critical care and anaesthesia) using simulated crisis scenarios and to assess whether ageing influences learning from simulation-based education...
April 21, 2018: BMJ Open
https://www.readbyqxmd.com/read/29661039/high-fidelity-simulation-of-pediatric-emergency-care-an-eye-opening-experience-for-baccalaureate-nursing-students
#6
Sandra P Small, Peggy A Colbourne, Cynthia L Murray
Background Little attention has been given to in-depth examination of what high-fidelity simulation is like for nursing students within the context of a pediatric emergency, such as a cardiopulmonary arrest. It is possible that such high-fidelity simulation could provoke in nursing students intense psychological reactions. Purpose The purpose of this study was to learn about baccalaureate nursing students' lived experience of high-fidelity simulation of pediatric cardiopulmonary arrest. Method Phenomenological methods were used...
January 1, 2018: Canadian Journal of Nursing Research, Revue Canadienne de Recherche en Sciences Infirmières
https://www.readbyqxmd.com/read/29628333/multidisciplinary-difficult-airway-course-an-essential-educational-component-of-a-hospital-wide-difficult-airway-response-program
#7
W Robert Leeper, Elliott R Haut, Vinciya Pandian, Sajan Nakka, Jeffrey Dodd-O, Nasir Bhatti, Elizabeth A Hunt, Mustapha Saheed, Nicholas Dalesio, Adam Schiavi, Christina Miller, Thomas D Kirsch, Lauren Berkow
OBJECTIVE: A hospital-wide difficult airway response team was developed in 2008 at The Johns Hopkins Hospital with three central pillars: operations, safety monitoring, and education. The objective of this study was to assess the outcomes of the educational pillar of the difficult airway response team program, known as the multidisciplinary difficult airway course (MDAC). DESIGN: The comprehensive, full-day MDAC involves trainees and staff from all provider groups who participate in airway management...
April 5, 2018: Journal of Surgical Education
https://www.readbyqxmd.com/read/29616172/pork-belly-a-simulation-training-model-for-intramuscular-perforator-dissection
#8
Georgios Pafitanis, Damjan Veljanoski, Ali M Ghanem, Simon Myers
Background: Free tissue transfer has evolved from muscle flaps to fasciocutaneous flaps. Dissection of the intramuscular course of feeding vessels is technically challenging. Simulation-based microsurgery skills acquisition is moving toward nonliving training models. Living porcine model or human cadavers are currently cost-ineffective methods for the early learning curve in teaching intramuscular dissection. The aim of this study was to validate an inexpensive ex vivo porcine model simulating harvest of the deep inferior epigastric artery perforator (DIEAP) flap, specifically including perforator intramuscular dissection...
February 2018: Plastic and Reconstructive Surgery. Global Open
https://www.readbyqxmd.com/read/29602586/analysis-of-the-effects-of-high-fidelity-simulation-on-nursing-students-perceptions-of-their-preparedness-for-disasters
#9
Vesile Unver, Tulay Basak, Sevinc Tastan, Gulsah Kok, Gulten Guvenc, Ayla Demirtas, Hatice Ayhan, Gulsah Köse, Emine Iyigun, Nuran Tosune
INTRODUCTION: As disasters may occur any time, health care staff and institutions should be prepared to manage these events. The aim of study is to analyze the effects of high-fidelity simulation on the perceptions of senior nursing students regarding their preparedness for disasters. METHODS: This study used a pretest-posttest design and was conducted as a quasi-experimental investigation. RESULTS: Slightly less than the half of the students (42...
March 27, 2018: International Emergency Nursing
https://www.readbyqxmd.com/read/29581634/adaptive-learning-in-medical-education-the-final-piece-of-technology-enhanced-learning
#10
Neel Sharma, Iain Doherty, Chaoyan Dong
Technology enhanced learning (TEL) is now common practice in the field of medical education. One of the primary examples of its use is that of high fidelity simulation and computerised mannequins. Further examples include online learning modules, electronic portfolios, virtual patient interactions, massive open online courses and the flipped classroom movement. The rise of TEL has occurred primarily due to the ease of internet access enabling the retrieval and sharing of information in an instant. Furthermore, the compact nature of internet ready devices such as smartphones and laptops has meant that access to information can occur anytime and anywhere...
September 2017: Ulster Medical Journal
https://www.readbyqxmd.com/read/29579823/impact-of-clinical-simulation-training-in-transplantation
#11
N Marogna, R Bernardi, M Monti, G Costa, M Aguirre Mandau, J L de Echave
INTRODUCTION: The Hospital El Cruce is a high complexity center that performs transplants, both the procurement and the implant of organs and tissues. To deal with the low availability of organs and tissues from cadaveric donors it has been implemented the training through clinical simulation. OBJECTIVE: To assess if continuous training through procurement clinical simulation workshops modifies the production and quality indicators of organ and tissue procurement for transplantation in the hospital...
March 2018: Transplantation Proceedings
https://www.readbyqxmd.com/read/29559262/integration-of-simulation-components-enhances-team-training-in-cardiac-surgery
#12
David L Joyce, Brian D Lahr, Simon Maltais, Sameh M Said, John M Stulak, Gregory A Nuttall, Lyle D Joyce
OBJECTIVES: Simulation in resident medical education has traditionally focused on isolated components of a surgical procedure. We hypothesized that incorporating an interdisciplinary team into a high-fidelity simulation laboratory would enhance the modeling of real-world challenges during cardiac surgery. METHODS: Simulation exercises were performed with staffing by surgeons, anesthesiologists, perfusionists, surgical assistants, and operating room technicians. Twelve accredited cardiothoracic surgical residents were divided into 3 teams...
February 13, 2018: Journal of Thoracic and Cardiovascular Surgery
https://www.readbyqxmd.com/read/29538653/simulating-the-ideal-geometrical-and-biomechanical-parameters-of-the-pulmonary-autograft-to-prevent-failure-in-the-ross-operation
#13
Francesco Nappi, Antonio Nenna, Domenico Larobina, Angelo Rosario Carotenuto, Mohamed Jarraya, Cristiano Spadaccio, Massimiliano Fraldi, Massimo Chello, Christophe Acar, Thierry Carrel
OBJECTIVES: Reinforcements for the pulmonary autograft (PA) in the Ross operation have been introduced to avoid the drawback of conduit expansion and failure. With the aid of an in silico simulation, the biomechanical boundaries applied to a healthy PA during the operation were studied to tailor the best implant technique to prevent reoperation. METHODS: Follow-up echocardiograms of 66 Ross procedures were reviewed. Changes in the dimensions and geometry of reinforced and non-reinforced PAs were evaluated...
March 12, 2018: Interactive Cardiovascular and Thoracic Surgery
https://www.readbyqxmd.com/read/29534055/evaluation-of-a-sensor-system-for-detecting-humans-trapped-under-rubble-a-pilot-study
#14
Di Zhang, Salvatore Sessa, Ritaro Kasai, Sarah Cosentino, Cimarelli Giacomo, Yasuaki Mochida, Hiroya Yamada, Michele Guarnieri, Atsuo Takanishi
Rapid localization of injured survivors by rescue teams to prevent death is a major issue. In this paper, a sensor system for human rescue including three different types of sensors, a CO₂ sensor, a thermal camera, and a microphone, is proposed. The performance of this system in detecting living victims under the rubble has been tested in a high-fidelity simulated disaster area. Results show that the CO₂ sensor is useful to effectively reduce the possible concerned area, while the thermal camera can confirm the correct position of the victim...
March 13, 2018: Sensors
https://www.readbyqxmd.com/read/29533354/a-multiinstitutional-simulation-boot-camp-for-pediatric-cardiac-critical-care-nurse-practitioners
#15
Kristen M Brown, Shawna S Mudd, Elizabeth A Hunt, Julianne S Perretta, Nicole A Shilkofski, J Wesley Diddle, Gregory Yurasek, Melania Bembea, Jordan Duval-Arnould, Kristen Nelson McMillan
OBJECTIVES: Assess the effect of a simulation "boot camp" on the ability of pediatric nurse practitioners to identify and treat a low cardiac output state in postoperative patients with congenital heart disease. Additionally, assess the pediatric nurse practitioners' confidence and satisfaction with simulation training. DESIGN: Prospective pre/post interventional pilot study. SETTING: University simulation center. SUBJECTS: Thirty acute care pediatric nurse practitioners from 13 academic medical centers in North America...
March 10, 2018: Pediatric Critical Care Medicine
https://www.readbyqxmd.com/read/29525212/the-effect-of-high-fidelity-simulators-on-knowledge-retention-and-skill-self-efficacy-in-pediatric-advanced-life-support-courses-in-a-rural-state
#16
Stacy M Stellflug, Nancy K Lowe
PURPOSE: Rural health care providers (HCPs) care for millions of Americans despite challenges. Pediatric Advanced Life Support (PALS) provides rural HCPs training in assessment and interventions for critically ill/injured pediatric patients (American Heart Association, 2015). The purpose of this study was to determine the effects of integration of high fidelity simulators into PALS courses in a rural setting. DESIGN AND METHODS: Participants were randomized by course to control or experimental PALS conditions where the control group received PALS with low fidelity static manikins (LFM) and the experimental group received PALS with high-fidelity simulators (HFS)...
March 2018: Journal of Pediatric Nursing
https://www.readbyqxmd.com/read/29514625/palliative-care-in-the-emergency-department-an-educational-investigation-and-intervention
#17
Jessica M Goldonowicz, Michael S Runyon, Mark J Bullard
BACKGROUND: To investigate the value of a novel simulation-based palliative care educational intervention within an emergency medicine (EM) residency curriculum. METHODS: A palliative care scenario was designed and implemented in the simulation program at an urban academic emergency department (ED) with a 3-year EM residency program. EM residents attended one of eight high-fidelity simulation sessions, in groups of 5-6. A standardized participant portrayed the patient's family member...
March 7, 2018: BMC Palliative Care
https://www.readbyqxmd.com/read/29510491/crisis-resource-management-in-the-delivery-room-development-of-behavioral-markers-for-team-performance-in-emergency-simulation
#18
Fabrizio Bracco, Gabriele de Tonetti, Michele Masini, Marcello Passarelli, Francesca Geretto, Danilo Celleno
Human factors are the most relevant issues contributing to adverse events in obstetrics. Specific training of Crisis Resource Management (CRM) skills (i.e., problem solving and team management, resource allocation, awareness of environment, and dynamic decision-making) is now widespread and is often based on High Fidelity Simulation. In order to be used as a guideline in simulated scenarios, CRM skills need to be mapped to specific and observable behavioral markers. For this purpose, we developed a set of observable behaviors related to the main elements of CRM in the delivery room...
March 3, 2018: International Journal of Environmental Research and Public Health
https://www.readbyqxmd.com/read/29498396/beyond-high-fidelity-simulation-emerging-technologies-in-leadership-development
#19
Michael R Bleich, Christina Jackson, Stacy H Werner, Diana Hines, Nancy Stuart, Alison Nelson
Technology offers educators active learning and new teaching strategies. Five lower cost and scalable technology applications are presented as alternative or complement to high-fidelity simulation. Professional nurse educators should adopt technology when teaching and interact with vendors to generate real-world applications that advance development. J Contin Educ Nurs. 2018;49(3):105-108.
March 1, 2018: Journal of Continuing Education in Nursing
https://www.readbyqxmd.com/read/29496361/high-fidelity-emergency-department-thoracotomy-simulator-with-beating-heart-technology-and-osats-tool-improves-trainee-confidence-and-distinguishes-level-of-skill
#20
Jordan D Bohnen, Leah Demetri, Eva Fuentes, Kathryn Butler, Reza Askari, Rahul J Anand, Emil Petrusa, Haytham M A Kaafarani, D Dante Yeh, Noelle Saillant, David King, Susan Briggs, George C Velmahos, Marc de Moya
OBJECTIVE: Resuscitative Thoracotomy or Emergency Department Thoracotomy (EDT) is a time-sensitive and potentially life-saving procedure. Yet, trainee experience with this procedure is often limited in both clinical and simulation settings. We sought to develop a high-fidelity EDT simulation module and assessment tool to facilitate trainee education. DESIGN: Using the Kern model for curricular development, a group of expert trauma surgeons identified EDT as a high-stakes, low-frequency procedure...
February 26, 2018: Journal of Surgical Education
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