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"Medical Simulation"

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https://www.readbyqxmd.com/read/28262203/development-and-evaluation-of-a-trauma-decision-making-simulator-in-oculus-virtual-reality
#1
Cuan M Harrington, Dara O Kavanagh, John F Quinlan, Donncha Ryan, Patrick Dicker, Dara O'Keeffe, Oscar Traynor, Sean Tierney
BACKGROUND: Consumer-available virtual-reality technology was launched in 2016 with strong foundations in the entertainment-industry. We developed an innovative medical-training simulator on the Oculus™ Gear-VR platform. This novel application was developed utilising internationally recognised Advanced Trauma Life Support (ATLS) principles, requiring decision-making skills for critically-injured virtual-patients. METHODS: Participants were recruited in June, 2016 at a single-centre trauma-course (ATLS, Leinster, Ireland) and trialled the platform...
February 10, 2017: American Journal of Surgery
https://www.readbyqxmd.com/read/28176931/confident-but-not-theoretically-grounded-experienced-simulation-educators-perceptions-of-their-own-professional-development
#2
Renée Allvin, Magnus Berndtzon, Liisa Carlzon, Samuel Edelbring, Håkan Hult, Magnus Hultin, Klas Karlgren, Italo Masiello, Marie-Louise Södersved Källestedt, Éva Tamás
BACKGROUND: Medical simulation enables the design of learning activities for competency areas (eg, communication and leadership) identified as crucial for future health care professionals. Simulation educators and medical teachers follow different career paths, and their education backgrounds and teaching contexts may be very different in a simulation setting. Although they have a key role in facilitating learning, information on the continuing professional development (pedagogical development) of simulation educators is not available in the literature...
2017: Advances in Medical Education and Practice
https://www.readbyqxmd.com/read/28168128/three-dimensional-printing-of-a-hemorrhagic-cervical-cancer-model-for-postgraduate-gynecological-training
#3
Michael Bartellas, Stephen Ryan, Gregory Doucet, Deanna Murphy, Jacqueline Turner
INTRODUCTION: A realistic hemorrhagic cervical cancer model was three-dimensionally (3D) printed and used in a postgraduate medical simulation training session. MATERIALS AND METHODS: Computer-assisted design (CAD) software was the platform of choice to create and refine the cervical model. Once the prototype was finalized, another software allowed for the addition of a neoplastic mass, which included openings for bleeding from the neoplasm and cervical os. 3D printing was done using two desktop printers and three different materials...
January 1, 2017: Curēus
https://www.readbyqxmd.com/read/28146451/training-effectiveness-of-a-wide-area-virtual-environment-in-medical-simulation
#4
Grady S Wier, Rebekah Tree, Rasha Nusr
INTRODUCTION: The success of war fighters and medical personnel handling traumatic injuries largely depends on the quality of training they receive before deployment. The purpose of this study was to gauge the utility of a Wide Area Virtual Environment (WAVE) as a training adjunct by comparing and evaluating student performance, measuring sense of realism, and assessing the impact on student satisfaction with their training exposure in an immersive versus a field environment. METHODS: This comparative prospective cohort study examined the utility of a three-screen WAVE where subjects were immersed in the training environment with medical simulators...
February 2017: Simulation in Healthcare: Journal of the Society for Simulation in Healthcare
https://www.readbyqxmd.com/read/28053558/high-fidelity-medical-simulation-training-improves-medical-students-knowledge-and-confidence-levels-in-septic-shock-resuscitation
#5
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
https://www.readbyqxmd.com/read/27955652/early-skin-to-skin-contact-or-incubator-for-very-preterm-infants-study-protocol-for-a-randomized-controlled-trial
#6
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
https://www.readbyqxmd.com/read/27850873/1237-use-of-medical-simulation-to-test-new-patient-care-environment-in-a-critical-care-setting
#7
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
https://www.readbyqxmd.com/read/27820784/integrating-medical-simulation-into-the-physician-assistant-physiology-curriculum
#8
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
https://www.readbyqxmd.com/read/27801913/top-15-tips-on-becoming-an-effective-medical-simulation-performer-writer-director
#9
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
https://www.readbyqxmd.com/read/27752610/tube-thoracostomy-training-with-a-medical-simulator-is-associated-with-faster-more-successful-performance-of-the-procedure
#10
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
https://www.readbyqxmd.com/read/27637443/feasibility-of-air-transport-simulation-training-a-case-series
#11
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
https://www.readbyqxmd.com/read/27492734/3d-printing-of-an-interpenetrating-network-hydrogel-material-with-tunable-viscoelastic-properties
#12
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
https://www.readbyqxmd.com/read/27338521/evolution-of-stress-in-anaesthesia-registrars-with-repeated-simulated-courses-an-observational-study
#13
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)...
February 2017: Anaesthesia, Critical Care & Pain Medicine
https://www.readbyqxmd.com/read/27311003/simulation-training-for-emergency-teams-to-manage-acute-ischemic-stroke-by-telemedicine
#14
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)
https://www.readbyqxmd.com/read/27293430/development-and-testing-of-screen-based-and-psychometric-instruments-for-assessing-resident-performance-in-an-operating-room-simulator
#15
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
https://www.readbyqxmd.com/read/27290329/impact-of-cardiorespiratory-monitoring-on-the-initiation-of-cardiopulmonary-resuscitation-in-children-friend-or-foe
#16
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
https://www.readbyqxmd.com/read/27215893/lessons-learned-employment-and-tactical-use-of-the-combat-medic-during-stability-support-operations
#17
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
https://www.readbyqxmd.com/read/27194369/a-serious-game-for-massive-training-and-assessment-of-french-soldiers-involved-in-forward-combat-casualty-care-3d-sc1-development-and-deployment
#18
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
https://www.readbyqxmd.com/read/27168898/characteristics-and-core-curricular-elements-of-medical-simulation-fellowships-in-north-america
#19
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
https://www.readbyqxmd.com/read/27114352/cost-effectiveness-evaluation-of-ehr-simulation-of-an-abdominal-aortic-aneurysm-in-the-emergency-department
#20
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
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