Pocket Nurse Shares Strategies for Running a Mass Casualty Incident Simulation Scenario

how to create a mass casualty simulation training

Pocket Nurse recently supported a mass casualty incident (MCI) at the Des Moines Area Community College (DMACC). At the event, the Pocket Nurse team got the opportunity to see the DMACC nursing, paramedic, and criminal justice students in action in a simulated multiple vehicle accident involving around 20 victims. They shared a blog post on the great educational lessons they saw from the mass casualty simulation training exercise, a few of which were:

Make a lot of blood. In general, a convincing MCI scenario needs a lot of materials. Stock up on moulage kits, bandages and gauze, manikins, and stabilization tools. Enough standardized patients (SPs) need to be recruited; both SPs and manikins should be strategically deployed.

Choose a spacious location. An MCI scenario requires space for several scenes, environmental hazards, and the healthcare students themselves. Account for a triage area, emergency vehicles, and press and community members.


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Don’t make it easy. A true MCI is chaotic, so a simulation should integrate real-world challenges. In addition to belligerent standardized patients, a simulation should have lots of noise, for instance, a car horn honking continuously or sirens from rescue vehicles. Develop difficult subtasks within the usual triage challenges. In a recent simulation, one patient with a possible neck injury was found in the bed of a pickup truck. Students had to get creative in order to transfer the patient out of the truck and over to the distant triage area.

Running an EMS program and looking for more knowledge on how to setup and run in-situ simulation training experiences in the yard? Check out the HealthySim 2-part special focusing on EMS Simulation programs sponsored by CAE Healthcare.

Learn the rest of the mass casualty simulation training secrets on the SimTalk Blog!


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Canadian First: Mobile Air Ambulance Simulator from Alberta Health Services

air ambulance simulator

“Alberta’s new air ambulance simulator is a Canadian first”,
says Rob Csernyik of the Edmonton Journal!

Have you ever seen anything like this? A mobile, motion air ambulance simulator to help medics train under realistic air conditions! Sadly we can’t embed the video so be sure to visit the website through the link below to see it in

On Thursday, Alberta Health Services unveiled a Canadian first — a mobile air ambulance simulator that will be used for training medics. The 12-metre simulation trailer, developed in-house by Alberta Health Services and partners, allows hands-on medical simulations to be run in the fuselage of a King Air 200 aircraft.


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Because the fuselage, donated by Lakeland College, is on hydraulics, takeoffs and landings are simulated for medics. Before, they could only experience arrivals and departures in the air. Brent Thorkelson said the biggest challenge for AHS was that it was unchartered territory. “I’ve designed and built three ground simulators,” said the Emergency Medical Services staff development officer and project lead. “I’ve done nothing like this.”

The $739,000 mobile simulator went from conception to reality in approximately 13 months and was funded by a Government of Alberta grant. Health Minister Sarah Hoffman said the government is proud to support the innovative new approach to training. “This new EMS flight simulator will give air ambulance paramedics critical hands-on experience in providing emergency patient care in an aircraft,” she said. “Because this simulator is designed to travel, this true-to-life training experience will be available to paramedics right across the province.”

Approximately 225 Emergency Medical Services air ambulance paramedics at the 10 air ambulance bases across the province will be trained using the mobile simulator.

Check out the video of the new Air Ambulance Simulator on the Edmonton Journal website!

Healthcare Simulation Dictionary – Free SSH Resource to Answer ‘What’s It All Mean’?

medical simulation dictionary

Today we have crossed the 1st birthday of the Healthcare Simulation Dictionary — a free resource from the Society for Simulation in Healthcare (SSH).


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The Healthcare Simulation Dictionary features a collection of definitions showing how various terms—and their meanings— are being used in the profession today. Inside you’ll find straightforward definitions of 127 words and terms. Download your free copy today! The Healthcare Simulation Dictionary is designed to enhance communication and clarity for healthcare simulationists in teaching, education, assessment, research, and systems integration activities. Thank you to the contributors and healthcare simulation societies, who over three years dedicated time and expertise to developing and producing the dictionary.

Download the Healthcare Simulation Dictionary for Free!


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Final Countdown for Early-Bird Rate Begins for SimGHOSTS 2017 USA – Aug. 1-4 at WakeMed Raleigh

sim tech training in healthcare

Sim Champs — its the “Final Countdown” for big savings to SimGHOSTS 2017 USA at WakeMed Center for Innovative Learning in Raleigh North Carolina this August 1st-4th with early-bird registration!

Join hundreds of Simulation Champions from around the world at our 7th annual hands-on training event!  SimGHOSTS is working with Simulation Champion Dr. Amar Patel to bring the 2017 USA event to the WakeMed Center for Innovative Learning in Raleigh, North Carolina! We cannot wait to showcase this amazing facility, team, and program to the world’s leading simulation technology specialists.  Save the date so you can join us there in August!

Pre-Con Workshops: August 1st, 2017
Main Symposium: August 2nd-4th, 2017
Host: WakeMed Center for Innovative Learning
Location: Raleigh, North Carolina

Brochure here

REGISTER HERE

Early-Bird ENDS JULY 1st! $473
Standard (July 2nd – August 2nd): $597

Who Should Attend SimGHOSTS Events?

Anyone responsible for the technical operation of a medical simulation lab including full-time or part-time Sim Techs, or clinical educators tasked with operating the day-to-day of simulation spaces. As well, anyone evaluating medical-simulation based technology should strongly consider attending as most major industry vendors are encouraged to attend.

Other meetings are better suited for clinical educators specifically looking to learn how to teach with medical simulation.


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*New Thought* Administrators of simulation programs should also consider sending their institution’s AV and IT related staff members who are responsible for supporting the simulation program. In our most recent events, staff from AV and IT departments outside of the healthcare simulation program found immense benefit from participating in SimGHOSTS to better understand the needs of their institution’s simulation program!

SimGHOSTS events provide hands-on training workshops, special pre-symposium courses and podium presentations in:

  • Manikin Programming & Hardware Repair
  • A/V System Design, Integration and Consolidation
  • IT Networking & Debugging
  • Trauma & Suturing Moulage Makeup
  • Video Production & Editing Techniques
  • Team Communication & Leadership
  • Medical Pharmacology for Scenarios
  • Career Development & Staff Management
  • Much much more!

simalliance

Platinum Sponsor – simAlliance

Once again, Level 3 Healthcare through simAlliance is sponsoring this year’s Keynote Address and Opening Reception!

The Keynote address will be given by Brian Gillett, MD CEO & Founder of SimCore.  Dr. Gillett’s presentation will explore new simulation technologies, how effective and sustainable healthcare interventions must be developed in a genuine partnership with those who will ultimately utilize the systems, and lessons for the successful development, growth, and support of staff who operate simulation programs from his numerous administrative roles.

The Opening Reception Comedy Show & Networking Event will be held at Raleigh’s premiere comedy club “Goodnight’s”! This world famous venue for stand-up comedians has been putting on a show since 1983, with dinner & drink specials from its bar & grill. Bus transportation, taco bar dinner and drinks are on us thanks to simAlliance!

Laerdal, CAE Healthcare, EMS SimulationIQ will also be returning as Gold Sponsors to the event, providing hands-on technical workshops throughout the event!

Unable to join us in US this August? Join SimGHOSTS this month at SESAM with a special track or Singapore this November!

Learn more and Register for SimGHOSTS 2017 USA here!

Gaumard Unveils New Higher Fidelity Eyes for Victoria

gaumard patient simulation eyes

Gaumard is following a new industry trend to increase the fidelity of patient simulator eyes with the new Interactive Eye Movement and Tracking Features for their Victoria S2200 product. Watch the video below to see them in action!


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Gaumard shares that “Victoria’s new eye movement and automatic tracking features can illustrate signs of stress, stroke, head trauma, drug use, nerve impairment, and many other diseases and conditions.”

New Eye Features:

  • Accommodation test: automatic horizontal tracking and manual vertical tracking
  • Strabismus: exotropia, esotropia, and crossed-eyes
  • Nystagmus: eyeball twitching
  • Blepharospasm: eyelid twitching
  • Ptosis: eyelid droop
  • Realistic idle eye movement
  • Independent pupillary light reflex
  • Mydriasis: blown pupil
  • Anisocoria: unequal pupil sizes
  • Programmable blinking rate
  • Consensual pupillary light reflex
  • Real-time eye movement control via software joystick

Learn more at Gaumard’s Victoria page!


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Operative Experience Expands Portfolio of Realistic Surgical and Team Training Simulators | IMSH 2017 Video Interview with CEO

realistic skin surgical simulator

At IMSH 2017, HealthySimulation.com had the opportunity to interview Mick Navin, CEO of Operative Experience Inc (OEI) about their expanded range of hyper-realistic surgical simulators with engaging anatomy, as well as to learn about the recent investments and support by Lou Oberndorf — who lead the growth of METI which was acquired by CAE Healthcare. Mick shared that OEI is on a mission to revolutionize surgical and medical team training using medical simulators with unprecedented anatomical and surgical fidelity within a rigorous experiential instructional paradigm. HealthySim provided a video interview about OEI during the 2012 IMSH event, suggesting it would only be a matter of time before the technology was expanded by investment support — and we are glad to see it was by one of our industries commercial pioneers!


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OEI provides a range of simulation-based systems for surgery and pre-hospital training:

  • Fetal Extraction Simulator
  • Postpartum Hemorrhage Control Trainer
  • Emergency Hysterectomy Trainer
  • Emergency C-Section Delivery Simulator
  • C-Section Skills Trainer
  • Emergency Thoracotomy
  • Craniotomy
  • Fasciotomy
  • Disaster Legs
  • Surgical Legs
  • Various Tactical Casualty Care Simulator

HealthySim also spent some time learning from Mick about how the company has grown since our 2012 interview, following years of prototype development and testing, collaboration with materials expert Jeffrey Ellis led to the creation of the world’s first physical simulators upon which major surgical hands-in-the-body operations could be performed using standard surgical instruments. A series of SBIR grants from the U.S. Army Medical Research and Material Command capitalized the company and enabled Operative Experience Inc. to advance its product development.  OEI products offer a different type of simulator, providing unique surgical experiences that mimic combat or other trauma based emergencies with realistic anatomical feeling.

Learn more at the OEI website!

DiaMedical USA Partners with SimUSuit to Offer Bariatric Patient Simulation | IMSH Video Interview

obesity healthcare simulation suit

During IMSH 2017 HealthySim.com was on hand to learn more about the Bariatric trainers created by Sim-U-Suit and distributed by DiaMedical.

The Adult Full Body Sim-U-Suit was created to enhance simulations for the future generation of doctors and nurses to properly prepare for the bariatric patient! The Full Body Sim U Suit is the ONLY full body obesity suit that including both arms and legs in one piece! This revolutionary simulation product can fit almost any manikin or can be worn by a standardized patient! Multiple access holes are implanted throughout the suit for simple IV, peri care, enema and catheterization simulations. With the growing bariatric patient population in the US, the Sim U Suit is an absolute necessity for every simulation lab.


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SIM-U-SUIT obesity suits let your program simulate true-to-life size, look, and weight of bariatric patients. Their suits can be worn by real people, or used on manikins and human patient simulators. You can make the suit as heavy or light as your scenario dictates. The Sim-U-Suit products enable your simulation program to teach safe/proper care for the growing number of overweight patients in the healthcare system today.

Obesity training systems are also available as:

  • Adult Edema Simulation Leg Sleeves
  • Adult Edema Simulation Arm Sleeves
  • Pediatric Obesity Suit

Learn more about the Obesity Suit on the DiaMedical Website today!

Swiss-Based VirtaMed Continues to Provide Cutting Edge Surgical Simulators | IMSH 2017 Video Interview with Company Founder

virtamed simulator

At IMSH 2017 HealthySim was lucky to catch VirtaMed Founder and Co-CEO Stefan Tuchschmid, PhD to get a hands on demonstration of their hybrid surgical simulators and experimental VR technologies! I had a chance to try out their HTC Vive VR demonstration and found myself inside a knee to see the anatomy up close! We look forward to seeing what VirtaMed will continue to do with VR as a means to provide the most innovative simulation training possible. Certainly, their blended hybrid approach with haptics and on-screen displays certainly provides a unique training system in the market. The company will also work with you to create custom simulators for those programs looking for specific training requirements!


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VirtaMed is a multinational Swiss-based company that develops & produces highly realistic surgical simulators for medical training by surgeons who use original instruments to train in a safe environment before performing on real patients. The origins of VirtaMed date back to 2001 when a hysteroscopy simulator project in the frame of the NCCR CO-ME of the Swiss National Science Foundation involving 16 PhD students was started. At the end of the project in 2007, one student, Stefan Tuchschmid, saw a business potential and decided to found VirtaMed with his colleagues Denis Steinemann and Daniel Bachofen.

10 Reasons Why Your Program Should Consider a VirtaMed Simulator:

  1. Only one platform for multiple simulators and surgical fields: On just one platform, multiple simulators, disciplines, and specializations can be trained. For example, arthroscopy training for knee and shoulder happens on the same simulator as urology or gynecology training. The simulation platform is also expandable for other procedures in the future, for example hip, ankle, elbow, or spine.
  2. Just like the real thing: Photorealistic high-fidelity simulation in HD: Highly realistic graphics, bleeding, and fluid behavior combine to create complete virtual patient cases. Anatomic models provide the best tactile feedback possible, since the models can be manipulated like in real-life, responding to every touch.
  3. Original instruments ease transfer of skills to the OR: Adapted original instruments provide a complete simulation experience and familiarization with real surgical tools. Resectoscopes, cameras, morcellators, shavers, graspers, or punches can be used for diagnostic and operative procedures. Using original instruments for training eases the transfer of skills to the operating room.
  4. Guided training saves instruction and OR time: A special feature of VirtaMed simulators is the SimProctor. Outside views, colored hints, and ghost tools show trainees how to perform various tasks, including how to hold instruments and how to complete individual procedure steps. The SimProctor integrates the best practices with clinical knowledge from key worldwide opinion leaders into the simulation, thereby reducing instruction time led by your key personnel as well as valuable OR time.
  5. Reduced costs for surgical training: Simulators reduce your costs for disposable material during physician training. It doesn’t matter whether a physician needs 2, 20, or 200 procedures to reach proficiency, there are no additional costs involved. Also, equipment breakage costs can be reduced significantly.
  6. Fast progress on the learning curve through an endless variety of pathologies: Virtual reality simulators offer an endless variety of pathologies and anatomies based on MRI/CT data of real patients. VirtaMed simulators have been designed to cover 95% of the variability of cases in real life, which would take years of practice without simulation. Individual training courses can also be created with specific training for beginners right up to experienced physicians.
  7. Complication training in a risk-free environment: The surgeon is confronted with the same complications as in the operating room and learns how to react to challenging pathologies or intense bleeding and bad viewing conditions. Complication training on the simulator prepares for challenges on the real patient without putting anyone at risk.
  8. Objective performance feedback with helpful metrics: Objective feedback is the basis for learning. After each completed procedure, the trainee receives a feedback report with target values, including time taken, movements with the instruments, landmarks visualized, pathologies resected, and much more. The trainee can also take screenshots at any time, and a movie of the procedure is saved together with the feedback report. This allows to track improvements and to debrief procedures later on.
  9. Better quality of care and patient safety: Using the best surgical education available enhances patient safety and quality of care in general. Surgeons are much better prepared for their first time in the operating room, and have already learned how to react to complications and have a realistic understanding of the procedure before they perform on a live patient for the first time. These first time cases go better, smoother, and quicker, which makes it a better patient and physician experience.
  10. A competitive edge – boost your reputation! Virtual reality simulators for surgical training give you a competitive advantage and boost your image. Residents love to be offered state-of-the-art technology for their best possible training. If you want to be at the forefront of innovative surgical training, VirtaMed simulators are a great choice – they are the best virtual reality simulators available on the market!

Learn more on the VirtaMed website today!

‘Next Gen Geri’ Geriatric Simulator From Simulaids Gets National Media Attention | IMSH 2017 Interview

next gen geri simulaids grandma patient simulator

HealthySimulation.com interviewed Simulaids at IMSH 2017 and learned about the national firestorm that was their Next Gen Geri! A Simulaids employee had left Geri in a car and returned from a quick trip into a store to see the local authorities had smashed his window to get Geri out of the car — not realizing she wasn’t a geriatric patient simulator! Yes — the realism is that good! Check out of video below to see Geri up close:


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There aren’t too many details available yet about Geri, but HealthySim has been told by Simulaids reps that they will be releasing details on order, delivery, pricing and features in June for INACSL and AWHONN. The Next Gen Geri mark the new direction that NASCO Healthcare with their flagship brands of Simulaids and Lifeform are going, with the objective to deliver not only new trainers but a new form factor allowing for a new dimension in simulation and training medical and emergency service staff. .

Bookmark the Simulaids website now for upcoming announcements regarding Geri!

 

WISER Develops Ebola Clinical Response Team Training & Receiving Centers Through Simulation

wiser ebola simulation

Our friends at the WISER Simulation Center at UPMC has been actively developing and supporting a variety of educational programs focusing on Clinical Response Team (CRT) Training for response to highly communicable diseases.

From the initial onboarding of the CRT, to skills training, competency assessments and maintenance of knowledge, WISER has been collaborating with Emergency Preparedness to provide high quality training and assessment of the team. Due to their integral role, WISER helped to coordinate and participate in a PA Department of Health (DOH) evaluation exercise as part of the process to become an Ebola Assessment/Treatment Facility for the Commonwealth of Pennsylvania.


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As a result of over 100 people working together, UPMC has been officially approved and is now recognized as an Ebola Receiving Facility. UPMC has the privilege of being part of the Ebola treatment network which includes both Front Line Facilities and seven Regional Treatment centers. WISER Director Dr. Paul Phrampus commented they are “proud to be part of such an amazing team!”.

Learn more about the WISER Simulation Center and Training Programs