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"Medical Simulation"

Veerapong Vattanavanit, Jarernporn Kawla-Ied, Rungsun Bhurayanontachai
BACKGROUND: Septic shock resuscitation bundles have poor compliance worldwide partly due to a lack of knowledge and clinical skills. High-fidelity simulation-based training is a new teaching technology in our faculty which may improve the performance of medical students in the resuscitation process. However, since the efficacy of this training method in our institute is limited, we organized an extra class for this evaluation. PURPOSE: The aim was to evaluate the effect on medical students' knowledge and confidence levels after the high-fidelity medical simulation training in septic shock management...
2017: Open Access Emergency Medicine: OAEM
Laila Kristoffersen, Ragnhild Støen, Hilde Rygh, Margunn Sognnæs, Turid Follestad, Hilde S Mohn, Ingrid Nissen, Håkon Bergseng
BACKGROUND: Skin-to-skin care immediately following delivery is a common practice for term infants and has been shown to improve cardiorespiratory stability, facilitate early bonding, and promote breastfeeding. Since 2007, the use of skin-to-skin care has been practiced for preterm infants from 32 weeks of gestation in the delivery room at St. Olav's University Hospital. In the present study we aim to investigate whether skin-to-skin care following delivery is safe, and how it affects early and late outcomes compared to standard care for very preterm infants...
December 12, 2016: Trials
Aarti Sarwal, Jeffrey Carter, Allison Brashear, John Wilson, Shayn Martin, James Johnson
No abstract text is available yet for this article.
December 2016: Critical Care Medicine
Lixin Li, John Lopes, Joseph Yi Zhou, Biao Xu
PURPOSE: Medical simulation has recently been used in medical education, and evidence indicates that it is a valuable tool for teaching and evaluation. Very few studies have evaluated the integration of medical simulation in medical physiology education, particularly in PA programs. This study was designed to assess the value of integrating medical simulation into the PA physiology curriculum. METHODS: Seventy-five students from the PA program at Central Michigan University participated in this study...
December 2016: Journal of Physician Assistant Education
Xiao Chi Tony Zhang, Scott Pasichow, Melissa Bowler, David Lindquist
No abstract text is available yet for this article.
November 1, 2016: Rhode Island Medical Journal
Tae Nyoung Chung, Sun Wook Kim, Je Sung You, Hyun Soo Chung
OBJECTIVE: Tube thoracostomy (TT) is a commonly performed intensive care procedure. Simulator training may be a good alternative method for TT training, compared with conventional methods such as apprenticeship and animal skills laboratory. However, there is insufficient evidence supporting use of a simulator. The aim of this study is to determine whether training with medical simulator is associated with faster TT process, compared to conventional training without simulator. METHODS: This is a simulation study...
March 2016: Clinical and Experimental Emergency Medicine
Lisa M Grisham, Valerie Vickers, David E Biffar, Hannes Prescher, Norma J Battaglia, John E Jarred, Sirandon A H Reid, Allan J Hamilton
Limited clinical site availability and an increased need for clinical training experiences often make it difficult for prehospital health care providers to complete new and annual training requirements. Medical simulation provides an alternative learning environment that provides trainees the opportunity to acquire and perfect new clinical skills without compromising patient care. The following is a detailed description of an air medical transport simulation of a neonate with hypoxic ischemic encephalopathy requiring transport to a higher level of care...
September 2016: Air Medical Journal
Katherine Bootsma, Martha M Fitzgerald, Brandon Free, Elizabeth Dimbath, Joe Conjerti, Greg Reese, Dominik Konkolewicz, Jason A Berberich, Jessica L Sparks
Interpenetrating network (IPN) hydrogel materials are recognized for their unique mechanical properties. While IPN elasticity and toughness properties have been explored in previous studies, the factors that impact the time-dependent stress relaxation behavior of IPN materials are not well understood. Time-dependent (i.e. viscoelastic) mechanical behavior is a critical design parameter in the development of materials for a variety of applications, such as medical simulation devices, flexible substrate materials, cellular mechanobiology substrates, or regenerative medicine applications...
July 22, 2016: Journal of the Mechanical Behavior of Biomedical Materials
Antoine Gouin, Cédric Damm, Grégory Wood, Sébastien Cartier, Marie Borel, Karen Villette-Baron, Sylvain Boet, Vincent Compère, Bertrand Dureuil
BACKGROUND AND OBJECTIVE: High-fidelity medical simulation is a source of stress for participants. The aim of this study was to assess if repeated simulated courses decrease perceived stress and/or physiological stress level and increase performance in anaesthesiology registrars. METHOD: Fourteen anaesthesiology specialty registrars participated individually in three successive sessions of crisis simulation in the operating room. Participants' perceived stress levels were measured by self-assessment (simple numerical scale from 0 to 10 [0=no stress, 10=maximum stress]) and physiological stress was estimated via the maximal heart rate measured by a Holter system)...
June 23, 2016: Anaesthesia, Critical Care & Pain Medicine
Sébastien Richard, Gioia Mione, Claude Varoqui, Arnaud Vezain, Arielle Brunner, Serge Bracard, Marc Debouverie, Marc Braun
Telemedicine contributes to initiating early intravenous recombinant tissue plasminogen activator (rt-PA) treatment for patients with acute cerebral infarction in areas without a stroke unit. However, the experience and skills of the emergency teams in the spokes to prepare patients and administer rt-PA treatment are ill-defined. Improving these skills could vastly improve management of acute stroke by telemedicine. We developed a medical simulation training model for emergency teams to perform intravenous rt-PA treatment in a telestroke system...
June 2016: Medicine (Baltimore)
Richard R McNeer, Roman Dudaryk, Nicholas B Nedeff, Christopher L Bennett
Introduction. Medical simulators are used for assessing clinical skills and increasingly for testing hypotheses. We developed and tested an approach for assessing performance in anesthesia residents using screen-based simulation that ensures expert raters remain blinded to subject identity and experimental condition. Methods. Twenty anesthesia residents managed emergencies in an operating room simulator by logging actions through a custom graphical user interface. Two expert raters rated performance based on these entries using custom Global Rating Scale (GRS) and Crisis Management Checklist (CMC) instruments...
2016: Anesthesiology Research and Practice
E Hoerner, K Schebesta, M Hüpfl, O Kimberger, B Roessler
No abstract text is available yet for this article.
December 2015: Intensive Care Medicine Experimental
Michael S Eldred
It is the intent of this article to define the strategy by which Combat Medics have been employed in contemporary stability operations and counterinsurgency conflicts. This article describes the advances in training based on Tactical Combat Casualty Care and how training evolved into an evidence-based model. Training platforms evolved with shifts in mission requirements, new technology, improved medical techniques, and changing protocols. The last portion of this article details recommendations in doctrine, materiel, and training that could enable optimal sustainment standards while retaining operational capability across a wide variety of combat and peace operations...
April 2016: U.S. Army Medical Department Journal
Pierre Pasquier, Stéphane Mérat, Brice Malgras, Ludovic Petit, Xavier Queran, Christian Bay, Mathieu Boutonnet, Patrick Jault, Sylvain Ausset, Yves Auroy, Jean Paul Perez, Antoine Tesnière, François Pons, Alexandre Mignon
BACKGROUND: The French Military Health Service has standardized its military prehospital care policy in a ''Sauvetage au Combat'' (SC) program (Forward Combat Casualty Care). A major part of the SC training program relies on simulations, which are challenging and costly when dealing with more than 80,000 soldiers. In 2014, the French Military Health Service decided to develop and deploy 3D-SC1, a serious game (SG) intended to train and assess soldiers managing the early steps of SC. OBJECTIVES: The purpose of this paper is to describe the creation and production of 3D-SC1 and to present its deployment...
2016: JMIR Serious Games
Rami A Ahmed, Jennifer Frey, Aimee K Gardner, James A Gordon, Rachel Yudkowsky, Ara Tekian
Background In the past few years, there has been rapid growth in the number of simulation fellowships for physicians in the United States and Canada, with the objective of producing faculty with expertise and leadership training in medical simulation. Relatively little is known about the collective content and structure of these new fellowship opportunities. Objective We sought to identify a common set of core curricular elements among existing simulation fellowships and to obtain demographic background information on participants and leadership...
May 2016: Journal of Graduate Medical Education
Ofir Ben-Assuli, Amitai Ziv, Doron Sagi, Avinoah Ironi, Moshe Leshno
Health care organizations have installed electronic systems to increase efficiency in health care. Empirically assessing the cost-effectiveness of technologies to the health care system is a challenging and complex task. This study examined cost-effectiveness of additional clinical information supplied via an EHR system by simulating a case of abdominal aortic aneurysm devised and acted professionally by the Israel Center of Medical Simulation. We conducted a simulation-based study on physicians who were asked to treat a simulated patient for the prevalent medical scenario of hip and leg pain that actually corresponded to an abdominal aortic aneurysm...
June 2016: Journal of Medical Systems
Simon Watmough, Helen Box, Nick Bennett, Alison Stewart, Michael Farrell
BACKGROUND: Preparing medical students with the skills necessary to deal with emergency situations as junior doctors can be challenging due to the complexities of creating authentic 'real life' experiences in artificial environments. The following paper is an evaluation of the UMUST (Unexpected Medical Undergraduate Simulation Training) project; a high-fidelity simulation based training programme designed to emulate the experience of dealing with medical emergencies for final year medical students preparing for practice as Foundation Year trainees...
April 14, 2016: BMC Medical Education
Lana Kim, Barbara Couden Hernandez, Adrian Lavery, T Kent Denmark
Medical simulation has long been used as a way to immerse trainees in realistic practice scenarios to help them consolidate their formal medical knowledge and develop teamwork, communication, and technical skills. Debriefing is regarded as a critical aspect of simulation training. With a skilled debriefing facilitator, trainees are able to go beyond a rote review of the skills and steps taken to explore their internal process and self-reflect on how their experience during the simulation shaped their decision making and behavior...
June 2016: Families, Systems & Health: the Journal of Collaborative Family Healthcare
N Schoch, F Kißler, M Stoll, S Engelhardt, R de Simone, I Wolf, R Bendl, V Heuveline
PURPOSE: Patient-specific biomechanical simulations of the behavior of soft tissue gain importance in current surgery assistance systems as they can provide surgeons with valuable ancillary information for diagnosis and therapy. In this work, we aim at supporting minimally invasive mitral valve reconstruction (MVR) surgery by providing scenario setups for FEM-based soft tissue simulations, which simulate the behavior of the patient-individual mitral valve subject to natural forces during the cardiac cycle after an MVR...
June 2016: International Journal of Computer Assisted Radiology and Surgery
Yunhe Shen, Fan Wu, Kuo-Shih Tseng, Ding Ye, John Raymond, Badrinath Konety, Robert Sweet
Here we introduce a motion tracking or navigation module for medical simulation systems. Our main contribution is a sensor fusion method for proximity or distance sensors integrated with inertial measurement unit (IMU). Since IMU rotation tracking has been widely studied, we focus on the position or trajectory tracking of the instrument moving freely within a given boundary. In our experiments, we have found that this module reliably tracks instrument motion.
2016: Studies in Health Technology and Informatics
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