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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University of Nebraska Medical Center Gains New ‘Simulation in Motion’ Truck

Norfolk to be home of new ‘Simulation in Motion’ truck

Norfolk Daily News recently shared a news story highlighting how the University of Nebraska Medical Center unveiled four “Simulation in Motion” trucks at a special ceremony last Wednesday in Omaha. Looking for resources on how to build your own mobile simulation truck? Check out the numerous recorded courses on SimGHOSTS.org!

The 44-foot long, dual-axle customized trucks soon will be deployed and stationed in Norfolk, Lincoln, Kearney and Scottsbluff. The UNMC College of Nursing has divisions in those cities. The customized trucks, funded by a $5.5 million grant from the Leona M. and Harry B. Helmsley Charitable Trust, feature a mobile simulation, real-life training experience designed to increase life-saving training opportunities through high-tech simulation. The training is free and targeted to rural emergency medical service agencies and rural critical access hospitals.


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“We are excited to partner with UNMC to bring state-of-the-art simulation training to rural communities,” said Walter Panzirer, a trustee of the Helmsley Charitable Trust. Gail Suhr, an emergency medical technician with Bloomfield Ambulance Service, is excited about the prospects of the training. “After 34 years in the emergency medical services, this is one of the best things to happen, and I hope everyone takes advantage of it. There’s so much we can learn through these trucks,” Suhr said.

The trucks feature dual slide-out room extensions, a simulated emergency room and an ambulance, as well as computerized mannequins that talk, breathe, have heartbeats, and can react to medications and other actions of the learners. They can die and be revived over and over again. Each mobile unit is outfitted with supplies to recreate a realistic environment for learners that includes: pre-programmed computerized medical and trauma scenarios; monitors that display vital signs of patient simulators; and audio and video recording/playback capabilities.

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!


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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!

Singapore Simulation Symposium “S3” Has Extended Abstract Deadline to June 30th!

singapore healthcare simulation conference

This October 31st – November 3rd, SESAM, SimGHOSTS and SingHealth are combining powers to create the S3 Simulation Conference event in Singapore, the World’s first multi-organizational simulation event! And great news — the abstract submission deadline has been extended until the end of this month — so there is still a bit more time left to submit and join us this November!

About the S3 Event

Bringing the World of Medical Simulation Together​ The S3 Conference brings together thought​ leaders and cutting-edge ideas from three renowned simulation centers to one place – Academia, located in Singapore General Hospital Campus, Singapore.

Hosted by the SingHealth Duke-NUS Institute of Medical Simulation (SIMS), the S3 Conference 2017 is jointly organized by SIMS, Society in Europe for Simulation Applied to Medicine (SESAM) and The Gathering Of Healthcare Simulation Technology Specialists (SimGHOSTS).


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This international tripartite part​nership will provide participating healthcare simulation teams with the best learning and networking opportunities with leading experts worldwide. The S3 Conference aims to be at the pulse of Asia’s simulation industry and to lead the transformation of simulation in the region and beyond.

The theme for the S3 Conference​ this year is, “At the Crossroad of Simulation; Bringing the World together”. ​​​​

Expect transformative sessions with international guest speakers, experience the latest in simulation technology, take in new ideas, share simulation best practices across borders, present ground-breaking simulation studies to fellow industry insiders, receive hands-on training in advanced simulation procedures, and more.​

Learn more and submit your abstract today on the S3 website!


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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!

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!

Featured Job Listing: Medical Simulation Operator

Engenium Staffing are currently seeking a Simulation Operator to assist with medical simulation training for the United States Military. Simulation Operators are responsible for maintaining and operating part-task trainers, mannequin-based simulators, and surgical simulators, along with associated supplies and equipment.

Responsibilities

  • Operates and maintains task trainers, mannequin-based, and surgical simulators, as well as other computerized simulators
  • Operates virtual reality procedural trainers, and associated supplies and equipment
  • Operates simulation equipment with the ability to follow medical aspects of training scenarios and make appropriate adjustments based on participant actions
  • Operates audio-video recording systems
  • Set up simulation lab with supplies and equipment to meet assigned training site objectives
  • Provides feedback and recommendations to Course Director and Medical Facility staff on training equipment needs to effectively carry out training objectives
  • Oversees all simulation encounters to include after action reports (AAR) of simulation training
  • Provides weekly activitiy reports to the Central Program Office and other reports as required
  • Works with a broad array of stakeholders to contribute to the development of educationally sound simulation curriculum (e.g., scenarios) as needed

Skills, Experience and Education


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Required

  • Associates degree or technical certification in a computer technology field (e.g. hardware, networking, helpdesk, etc.), or 5+ years of professional clinical experience
  • 3+ years of experience in the civilian or military medical field
  • 3+ years of experience with the operation of human patient simulation equipment

Preferred

  • Paramedic equivalent medical knowledge
  • Military experience, particularly military medical experience
  • Working knowledge of the organizational functions and training requirements of Air Force Medical Treatment Facilities
  • Experience as any technical course instructor/teacher

Professional Skills

  • Excellent written and oral communications skills, attention to detail, strong organizational skills, computer proficiency, and the ability to work under strict deadlines in a fast-paced environment
  • Knowledge of course development and education methodology for working with adult learners in a military environment
  • Strong analytical, problem-solving and decision-making capabilities
  • Proficiency in MS Office applications (Word, PowerPoint, Outlook, Excel)

Interested applicants should directly contact Jason Irving at Engenium