EMSWorld Interviews Moulage Concepts Founder Bobbie Merica About Simulation Realism Through Makeup

EMSWorld recently interviewed Moulage expert Bobbie Merica of MoulageConcepts.com to learn how moulage makeup can improve the educational outcomes of simulation by increasing the realism for learners. Here are a couple of excerpts from the EMSWorld article entitled The Importance of Accuracy in Moulage Trainingby Valeria Amato:

What advice would you give people who are looking to implement more realistic and effective moulage into training regimens?

It’s like anything else: You need to plan and prepare. When you develop your case scenarios, decide what the takeaway is going to be. Is it triage-specific? If so, then your wounds should accurately represent wounds related to triage. A lot of the time, people will throw in the moulage piece at the end without giving it any thought. They won’t collectively decide what the full-thickness burn is going to look like, what the pediatric patient will look like and how they’re going to present it. Locate an accurate picture on the Internet of an actual case. Practice creating moulage so that everyone in your training knows what these wounds will look like.

Mostly it’s about the planning. You’d never run your training scenarios without a great deal of planning. When you’re building those scenarios, start building in those moulage components. Understand what story you want to tell. Understand what the training outcome is. Is intubation with a full-thickness burn the outcome, or is it identifying the smoke inhalation? If the training outcome is smoke inhalation, then you don’t need a full-thickness burn. It’s not difficult to clarify that a full-thickness burn in the upper airway in the chest and neck has smoke inhalation. If you really want to know if someone has smoke inhalation, bring it back and test it in multiple areas. Create that eye-reddening, some tears coming down, the reddening in the back of the throat. That little bit of hoarseness. Break it out into multiple training avenues, unless intubating the patient with a full-thickness burn is the skill set.


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That makes sense, especially going back to what you said about using moulage in less of a theatrical capacity and for mass-casualty incidents.

If it’s a mass-casualty incident, you’re going to have some people who look like those first-line-of-response people, but often a lot of those people look the same. Certainly you should assess the woman screaming and covered in blood, but you might also want to look at that person quietly dying right next to her. It’s about creating all those aspects and using this as a tool to define where those strengths are and, more important, where those weaknesses are so you know how to align future training dollars.

I think every person, every entity and every training site should have access to this level of training. Moulage doesn’t have to be expensive and time-consuming. You can have amazing moulage that tells the whole story, allowing you to spend the next six weeks accurately training your participants to meet outcomes, that will cost you pennies.

Do you have a copy of Bobbie’s Best Selling Moulage Recipe Book? Check out our review here!


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A Sim Tech Shares Why You Should Come to SimGHOSTS 2017 USA

simghosts sim training

Simulation Operator Rachel Bailey  recently shared with the simulation community why she suggests attending SimGHOSTS.


There is still time to register for the 2017 USA Event
Next month at WakeMed in Raleigh, NC August 1st-4th

From Rachel: SimGHOSTS is a community of hard working technicians that adapt to any environment given to them.    As technicians we work over 8 hours a day, and when we are not working, we are thinking about what we can do better in the simulation community.  We volunteer for projects, we come in early and stay late.  You have to love the job in order to stay in the field.  The hours we work and the constant struggle to ensure things operate well, can weigh heavily.  Sometimes we are in a no- win situation but it never prevents us from thinking of how to improve simulations for educators and learners.


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Being a sim tech is not the easiest job, nor the most rewarding, we do the job because we love it.  The demand of the job can leave us discouraged and burnt out, but when August comes around, we get to meet with people that are just like us and experience the same highs and lows of simulation operations.  I have attended several SimGHOSTS conferences, I get the pleasure of meeting new technicians, hearing their ideas, and seeing there fabrications.  The passion of this community is something to experience.  It is not about where you went to college, it is not about who you know, this conference is strictly about the job that we all love.

A fellow sim tech stated her experience at SimGHOSTS, as her “date night” with her job.  I couldn’t agree with her more.  This conference is more than educational, it is empowering.  When I thought I could not take one more reminder of what didn’t work , or how much time I spend at my job, that a select few really understand, I go to SimGHOSTS as a reminder that I really love what I do, and I love the community I am involved in.  I have attended SimGHOSTS as a presenter and a participant, and the community is the most inquisitive, intelligent, and involved in simulation technology that I have ever experienced.  People are proud and willing to share ideas and projects.  Every time I attend I am empowered to do my job for another year.

Whether you are tech, educator, coordinator, or director, the education you receive at SimGHOSTS is as unique as the people sharing what they have learned.  If you haven’t been to a conference, I urge you to try to persuade your leadership to invest in your education and your professional development.  See you in Carolina!

Learn more about joining Rachel at SimGHOSTS 2017 USA this Aug. 1-4!

Modern Healthcare Covers Growth of Healthcare Simulation Field

modern healthcare simulation

In the most recent addition of Modern Healthcare, the publisher covered the growing field of healthcare simulation with key interviews to help outsiders better understand the benefits of the emerging methodologies and technologies. This is a GREAT article to introduce others to the field of healthcare simulation, so be sure to share this link!

Simulation can save lives and limit patient harm by ensuring physicians young and old alike follow protocols and complete all the necessary steps in order to safely perform a procedure. In a study of 44 final-year medical students in Frankfurt, Germany, students who participated in a three-day simulation-based training course were found to have more thoroughly followed protocols for CPR and a trauma enactment in comparison to students who shadowed emergency physicians for three days. Students trained on simulators scored an average of 90% on their ability to complete steps required on a standard CPR checklist, while the other students scored 62%.

It’s not just students. Another study found that anesthesiologists who engaged in simulation-based training on how to properly wean patients from cardiopulmonary bypass performed better in real-life procedures than those who received traditional interactive seminars. Simulation-trained physicians scored over five percentage points higher when assessed two weeks later by senior staff on their ability to adequately complete necessary steps on a technical checklist. Similar results were shown five weeks after training. Researchers seeking to understand whether simulation could help improve training for ultrasound-guided central venous catheter cannulation found that 51% of simulation-trained residents were successful on the first try of cannulating a patient, as compared with the traditionally trained group’s success rate of 37%, according to a study published in the journal of the Association of American Medical Colleges.


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Medical malpractice payouts have begun climbing upward since 2012, reaching $3.9 billion in 2016. Connecticut’s payout rate per capita is among the highest in the nation. In hopes of reversing this trend and reducing risk, Connecticut-based Hartford HealthCare sought to improve simulation-based training for obstetricians, who are at a particularly high risk for malpractice suits. The health system’s Center for Education, Simulation and Innovation (CESI) developed a simulation-based training program that evaluates physician effectiveness in preventing shoulder dystocia, a high-risk labor complication in which labor is obstructed by the infant’s shoulder. The project utilized technology that measures the amount of force being applied to a simulated baby, eliminating the subjectivity of a doctor-to-doctor evaluation. “Verdicts in the state of Connecticut have been steadily increasing, with some exceeding $20 million,” said CESI Director Stephen Donahue. The device has given physicians more confidence in their abilities, and protected them from preventable risk that can result in lawsuits.

Read the full Modern Healthcare Simulation Article here!


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Simulaids Unveils Industry’s First Patient Communication Simulator ALEX

alex patient communication simulator simulaids

Recently we covered the innovative ‘Next Gen Geri’ as seen at IMSH 2017 — but even more recently Simulaids unveiled the industries first “Patient Communication Simulator (PCS)”! Newly launched, ALEX recognizes questions and responds with scripted answers related to his condition allowing simulation educators to use speech synthesis or your own voice for responses. Alex is also the first patient simulator with an HD camera streaming live, low latency video from his right eye. Debrief with a patient point-of-view experience! Check out this video below to see more:


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  • Develop critical thinking, decision making and priority setting skills
  • Conduct initial patient assessments and clinical interviews
  • Acquire foundational nursing skills
  • Meet high-level simulation goals
  • Evaluate Nursing competencies in procedures such as injections, IV administration, and wound care
Core Features of Alex:
  • Breathing: Moving chest in sync with set respiratory rate. Set various respiratory profiles with varying depth of breath.
  • Airway: Oral, digital, and nasal intubation, as well as all other standard airway procedures.
  • BVM Ventilation: Rising chest measures and records airflow over time when done during CPR.
  • Circulation: Pulses (carotid x 2, brachial x 2, radial x 2 and pedal x 2): sensing touch and providing pulse sensation in sync with set heart rate and blood pressure.
  • CPR: CPR abilities with metrics of chest compression force/depth and timing. Automatic detection and logging of CPR procedures.
  • IV Injection Arm: Practice intravenous injections and positioning a butterfly catheter. Puncture veins and dorsal venous network of hand.
  • Patient Monitor: Direct control of HR, RR, SpO2 and TEMP to set target value and transition length.
  • Waveforms: Normal and abnormal simulated cardio, respiratory and SpO2 waveforms in virtual patient monitor.
  • Blood Pressure: Measure blood pressure with any sphygmomanometer attached to the included SmartCuff™, equipped with wireless pressure sensor.
  • IRISCAM: An HD camera built into the eye of ALEX, providing digital video for live streaming and recorded review. (patent pending)
  • SPEECH: Advanced speech recognition and speech synthesis to support fully automated medical interviewing exercises. (patent pending)
  • SOUNDS: Listen to normal or various abnormal lung/heart/bowel sounds and Korotkoff sounds using any stethoscope when attached to the included SmartScope™ accessory.

Simulaids began producing trauma moulage products in the town of Woodstock in 1963 and now operates out of an 83,000-square-foot facility in Saugerties New York.

Learn more about Simulaids Innovative Products on their website today!

Global Network for Simulation Healthcare Annual Summit Meeting Brings Together Industry Leadership in Munich

GNSH logo

This week in Munich, Germany over 50 individuals representing more than 30 international organizations and 12 global corporate vendors came together for an annual summit to discuss and strategize for the improvement of the healthcare simulation industry. Member organizations included leading groups such as INACSL, SSH, IPSS, ASPiH, NPSF, NLN, SESAM, and ASPE who joined together with corporate members like Simulab, Laerdal, B-Line Medical, 3D Systems, CAE Healthcare, TellYes, and Simulaids to name a few. Halldale media (Medical Training Magazine) and HealthySimulation.com industry news reporting groups were also in attendance. This collaborative is designed to provide a dedicated space and time for these leading groups to sit down and focus not on their individual events but the global industry as a whole.

The organization presented a prototype of a healthcare simulation toolkit website, designed to help provide a how-to-guide for helping to make the business case for simulation with a searchable database of cases to help provide the evidence and resources necessary to be effective. The membership was enthusiastic about the prototype system and requested the continued developed with the hope for funded support from the commercial groups, with marketing and content creation support from the academic organizations.

Also delivered was a new branding, website, and marketing content by Lance Baily of SimGHOSTS.org & HealthySimulation.com with creative production support from Lynn Welch and Larry Boggs from EMS SimulationIQ as advised by Andy Smith from Halldale Media. This new website will launch next week so stay tuned.


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Strategic industry messaging, collaborative partnerships with patient safety and other performance improvement organizations, as well as continued toolkit development content and development plans were the focus of the two and a half day event.

Stay tuned for the new GNSH website!


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Summary of Product Demo Video Interviews from IMSH 2017 Trade Show Floor

imsh 2017

Hey Simulation Champions! Today we are sharing a comprehensive review of all the product demonstration interviews HealthySimulation produced exclusively from the International Meeting for Simulation in Healthcare 2017 Orlando Tradeshow floor! These videos will help you to catch up with the latest news and information about innovative new products and services entering the field of healthcare simulation, so be sure to watch them all!


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Exclusive IMSH 2017 Exhibit Hall Video Interviews:

Finally, here is the HealthySim staff writeup about our favorite products from IMSH 2017!

OEI Announces RealMom Birthing Simulator Will Debut at INACSL, Creating Paradigm Shift in Labor and Delivery Training

oei realmom birthing simulator

In anticipation of record attendance at this years International Nursing Association for Clinical Simulation & Learning Operative Experience (INACSL) in Washington D.C., Operative Experience Inc. (OEI), a leading developer of high-fidelity human patient simulators, announced the launch of RealMom, a “breakthrough, full-body childbirth simulator designed to revolutionize the way clinicians and practitioners develop proficiency in labor and delivery procedures.”

Representatives suggested that RealMom leapfrogs today’s hard-plastic birthing manikins, by providing the most natural and realistic childbirth simulator ever created, featuring incredibly lifelike soft tissue, accurate internal anatomy and an active birth canal with human-like dilation and effacement. RealMom provides learners with a high-adrenaline, “true-to-life” delivery room experience and a full spectrum of clinical scenarios from normal fetal delivery to more complicated procedures, such as breech, shoulder dystocia, nuchal cord, cord prolapse, and assisted delivery with forceps and vacuum devices.

RealMom Features:

  • Lifelike Mother and Baby: Full-body female simulator and full-term baby with unsurpassed realism and lifelike appearance. Features realistic, soft tissue and accurate internal anatomy.Available in Caucasian and African American skin tones.
  • Natural Delivery: First-in-the-world, natural delivery with active, soft tissue birth canal. Provides human-like dilation and effacement with massageable fundus and amniotic reservoir. Includes a fully-realistic uterus, placenta and umbilical cord.
  • Fully Operable: Provides normal delivery, breech, shoulder dystocia, nuchal cord, cord prolapse, transverse and placenta previa, compound delivery, and assisted delivery with forceps or vacuum devices.
  • Postpartum Hemorrhage: Realistic postpartum hemorrhage control with appropriate flow control and the ability to effectively stop hemorrhage with a Bakri or Ebb balloon.
  • Tablet Control: Instructor control of dilation and delivery progression. Physiological presentation and control of maternal and fetal heart rate, fetal heart tones and contractions, pulses, blood pressure and SPO2. Supports iOS, Android and computer browsers.
  • Simple and Affordable: More affordable than other competitive birthing simulators and with no complicated programming or set-ups there’s no simulator downtime.

“RealMom is simply the most exciting development in labor and delivery training to date,” said Jane O’Reilly, Global VP of Sales for OEI. “RealMom looks real and feels real and provides learners with the most realistic and lifelike simulated birthing experience out there. It’s really one of a kind.”

RealMom can be operated wirelessly using an iOS or Android tablet device and provides precise control of dilation and delivery progression as well as heart rate and tones, contractions, pulses, blood pressure and SPO2 levels. As well as being incredibly realistic and lifelike, RealMom is exceptionally reliable with no complicated set-up or programming required of instructors and subsequently no simulator downtime.


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“Operative Experience is already recognized for its groundbreaking line of soft tissue, open surgery simulators for emergency obstetric procedures,” said Mick Navin, President and CEO of OEI. “RealMom is a natural extension of this technology and provides learners and educators with the first ever complete and fully-integrated solution for labor and delivery skills training. We deliver the entire continuum of care, from vaginal delivery through an active birth canal to emergency skin-to-skin C-section, postpartum hemorrhage control enabling practice including uterine artery repair, compression sutures and the Bakri balloon, and c-hyst when hemorrhage cannot be contained.”

OEI will introduce RealMom this week at the annual INACSL conference so be sure to stop by their booth to see this innovative new product!

About Operative Experience, Inc.

Operative Experience, Inc. is on a mission to revolutionize surgical and pre-hospital training. Using medical simulators with unprecedented anatomical and surgical fidelity within a rigorous experiential instructional paradigm, OEI reduces training costs while increasing training effectiveness and retention. OEI is dedicated to applying this technology to reduce combat and civilian surgical mortality and to provide humanitarian support to developing countries with limited medical resources.

Learn more about RealMom at the OEI website today!


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SimGHOSTS President Dr. Scott Crawford Closes 23rd Annual SESAM 2017 Conference In Paris

simghosts sesam

Today in Paris France, Dr. Scott Crawford, Volunteer President of SimGHOSTS (The Gathering of Healthcare Simulation Technology Specialists) provided the closing keynote address for the 23rd annual SESAM Event. For the first time, The Society in Europe for Simulation Applied to Medicine partnered with SimGHOSTS this year to provide healthcare simulation technology specialist operations tracks.

Scott reminded the audience that simulation education requires a triangle of operations with three key categories: management, coordination, and technology. Dr. Crawford went into detail explaining the key areas for the successful operation of a healthcare simulation program including operations (policies and procedures), space and resources, and systems integration. The operations/technology specialist covers:

  • Logistics supervision
  • Cost containment
  • Data collection
  • Personnel coordination
  • Modality selection
  • Innovation
  • Integration

Scott reminded the audience about the need to consider the “Technology Adoption Model” and the “Perceived Ease of Usefulness”, key requirements that enable healthcare professionals to consider, adopt, and expand the use of simulated, or other advanced, learning technologies. He then covered important considerations for key emerging technologies such as 3D printing, Virtual Reality, Augmented Reality, equirectangular video recording, moulage staging, advanced scenario development, innovative simulated task trainer development, and support of emerging technologies such as eye tracking systems.


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Scott had the audience consider that it was only in 2007 that the first smart phone device was released with the iphone, and in only under 10 years, internet traffic has shifted from desktop to primarily mobile. Furthermore, only 1% of Doctors interviewing in 2016 had ever worn of VR headset. Scott asked that if technology allows for advanced specialized training to be recorded and transmitted around the world instantly — why are we not utilizing those opportunities more frequently?

Scott closed by suggesting that these technologies can be integrated over time, but to more forward without addressing a plan for their integration would be to become lost in the evolution of the medicine.

Learn more by visiting the SESAM and SimGHOSTS websites!

23rd Annual SESAM Simulation Meeting Opens in Paris

simulation paris 2017

Yesterday in Paris at the Centre Universitaire des Saints-Pères, the 23rd annual Society in Europe for Simulation Applied to Medicine (SESAM), opened its exhibit floor and sessions to Europe’s medical simulation community. Tonight, attendees will be treated to a candlelight gala dinner on the top of the Eiffel Tower!

Today, François Taddei provided the opening address covering the history and state of education in healthcare. François Taddei is the Director of the CRI (Center for Research and Interdisciplinarity) in Paris, which offers dedicated facilities hosting visiting professors, a wide choice of courses and several student discussion clubs. CRI’s main role is to promote new pedagogies to help creative students take initiatives and develop their research projects, with the help of mentors, research institutions, private companies and foundations, such as the Bettencourt Foundation, which has supported many student-created activities. These activities range from the first French synthetic biology team (for the MIT-sponsored iGEM Competition) to the Paris-Montagne science festival and the Science Académie, an outreach program that allows high school students from deprived neighborhoods to discover the creativity of science.


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SimGHOSTS, SoFraSimS and IPSS leadership helped provide additional session content, including a plenary session by Dr. Scott Crawford about the future of technology in healthcare.

Exhibit show highlights include SimCharacters Preterm Simulator Paul, SimforHealth’s VR learning platform MedicActiV, high-fidelity ventilation management with Laerdal’s SimMan 3G, new infant simulators from LifeCast Body, and SAM III from Cardionics.

The event continues through Friday afternoon with full days of keynotes, presentations and exhibit hall news — all of which you can follow along with the hashtag #SESAM2017.

SimforHealth Introduces MedicActiV: Innovative Platform to Create & Share Virtual Clinical Cases, at SESAM 2017 Paris

medicactiv

During the opening of SESAM 2017 in Paris this week, SimforHealth is unveiling MedicActiV, an innovative new platform to consult, create & share virtual clinical cases. Learn how for a LIMITED TIME you can gain free access to this new global resource by reading more below…

We all know there is a gap between theoretical clinical training and physicians’ real-life experience. Students and health professionals must be given the opportunity to work on as many real-life cases as possible, before facing a real patient. Current classical training methods do not fit the rapid growth of medical knowledge. And clearly, medical education needs more realistic and immersive instructional technologies to prepare tomorrow’s clinicians.

SimforHealth, a leading provider of virtual solutions for medical education has created a new way to enhance medical education: The MedicActiV Platform.

MedicActiV is a digital simulation platform, like an international library of virtual clinical cases in any discipline. Healthcare education institutions or healthcare professionals can consult them, and also have the opportunity to create their own virtual clinical case with MedicActiV authoring tool. Once created, they can share it on the platform.


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The best way to understand how a virtual clinical case looks like on that platform is to watch a video of a vascular medicine case created with the cooperation of Doctor Aalami, Clinical Associate Professor and Vascular Surgeon at the prestigious University of Stanford Medicine. This video is a great way to understand the potential of MedicActiV’s and its compatibility with virtual reality using HTC Vive.

With this launch of the new version of the MedicActiV platform, SimforHealth calls healthcare professionals and institutions to participate in the project, by creating virtual clinical cases and sharing them with the healthcare community. Such a global resource can quickly increase the volume and quality of international medical knowledge.

Those attending SESAM 2017 Paris should stop by SimforHealth Booth EX31 to demo MedicActiV.

Gain FREE access to the system and its already strong library of resources until September!

Learn more on the MedicActiV.com website today!