CAE Healthcare ‘Vivo’ Android Software App Allows for Intuitive Manikin Control & Debriefing

cae healthcare replay

At SimGHOSTS 2015 USA I had a moment to connect with Pamela Azevedo, Patient Simulation Product Manager for CAE Healthcare, who showcased the new Vivo tablet software which now enables CAE Healthcare customers to better manipulate and control their simulation equipment and debriefing processes. With colorful intuitive buttons it was easy to start controlling the nearby METIman and setup ongoing timeframes for patient vital sign changes. I was thrilled to see how simple it could be and fun to operate! Below is some more information about the Vivo which is now available as an upgrade for all current METIman users, and will ship standard with tablet for all new METIman purchases. The software is currently android only but I imagine it will be ported over to iOS in the future.

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With Vïvo, you are in full control of the simulation. Create an evidence-based scenario or operate the simulator on the fly. Vïvo places you in the center of the simulation environment and connects you with your learner.

  • Your Patient, Your Way – Invent the patient you need to prepare learners. With a touch, change one patient parameter, or design a pathway.
  • Assess in Real Time – Quickly capture learner-patient interactions within Vïvo’s integrated checklists and with instructor notations.
  • Get Started in Minutes – Vïvo’s intuitive, inviting interface allows you to feel your way with little need for training or technical support.
  • Designed for Tablet – Launch a simulation anytime and anywhere. Write scenarios on the tablet or design new scenarios.

You can sign up for a webinar or learn more now at CAE Healthcare Vivo Website today!

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Lessons from Last Week’s Scuba Diving Tragedy That Can Be Incorporated into Simulation

lessons from dr garman

As a PADI DiveMaster I have spent hundreds of hours training above and below water to further develop my skills and experience the thrills of deep water diving. Yet my 200+ dives are nothing compared to those professionals out there some with 10,000+ dives in their log book! You may remember a previous article entitled “What Can Medical Simulation Learn From Scuba Diving?” where I compared the classroom, pool lessons, shallow dive, and deep dive experiences of the scuba training to the higher and higher levels of medical simulation fidelity. As a trained fire fighter and a rescue diver I can attest that there are a lot of similarities between the utilization of simulation, yet I would say the standardization of PADI regulations did provide a more structured education. But sometimes even that structured education and community support can fail. Last week on August 15th Dr. Guy “Deep Doc” Garman died during a record breaking attempt as the World’s Deepest Diver.

Excerpt from About the Incident:

Early reports from the St. Croix Source indicate that Dr. Guy Garman, known as “Doc Deep” to the technical diving community, died on Saturday while attempting to break the world record for deepest scuba dive. Garman’s plan was to descend to a depth of 1,200 feet off the coast of St. Croix on Saturday, August 15th, exceeding the current record of 1,090-feet set by Ahmed Gabr in 2014. A social media post reported that everything was going to plan as he and his support team (along with his son) reached the 200-foot mark, where he continued descending solo. Thirty eight minutes later, he was expected to have reached the bottom of his dive and ascend to the 360-foot mark, where a separate support team was waiting for him, but he never arrived. Read the full article here.

At first glance we might expect tragedy with a world record breaking attempt at becoming the deepest scuba diver ever. With a team of 24 behind Dr. Garman and two years of preparation for this dive, it seems as if the due diligence and training was adequate. But as I learned more I was seriously convinced otherwise.

On his website Consultant Technical Diving Instructor Andy Davis provides 9 key psychological areas that lead to this tragedy which I think as healthcare professionals and medical simulationists we can all learn from. I am going to only focus on two for this article but you can read Andy’s full article here.

Andy starts by reminding us “Now, I would like to consider some psychological factors that seem pertinent to the failed, and fatal, world depth record attempt. I am not seeking to attribute blame, nor to define a cause for the tragedy. I am writing purely for educational purposes in the hopes that the information shared may help prevent future accidents.” 

1) Dr. Garman, known amongst his friends as ‘Doc Deep’, had only been diving for 4 years and accumulated less than 600 dives. Only 200 of those dives being below 200 ft, and a mere 35 dives below 450 ft. (Note: Recreational dive limits are 130 feet.) To many, in the technical diving community (or professional recreational diving industry, for that matter) this experience total would be considered woefully small; his profession extremely fast and without pause for consolidation. Speaking only for myself; my humble diving experience is more than 10x that of Dr. Garman. I’ve been diving more than 25 years; 10 years in technical diving as full-time, professional instructor and diver. Yet, I wouldn’t currently consider myself ready to attempt breaking a world depth record. Far from it.

2) Competency needs to be proven at one level, before progression to subsequent levels and challenges. Proving that competency can only occur through accumulated experience. A technical diver must have had the chance to encounter and overcome a full breadth of real (NOT SIMULATED) foreseeable and unforeseeable problems… and must prove to themselves their ability to deal with these issues.

3) Normalization of Deviance describes a dangerous facet of human nature. It goes something like this: We do something that does not follow the accepted (and acceptable) rules or guidelines – for example we skip certain steps in a “standard” procedure because it saves time. The trouble stems from the unfortunate fact that we get away with taking the shortcut. Then, believing it’s safe to make the same safety shortcut next time around, we do the same thing.. we ignore safe and established practice.

Other key areas that Andy covers in his article:

  • The issue of giving unrealistic positive feedback
  • The issue of groupthink
  • The issue of destructive goal pursuit
  • The issue of support team mindset
  • The issue of normalization of deviance
  • The issue of ego and over-confidence
  • The issue of glorifying deep diving
  • The issue of experience

I think these points can speak well to our community. At SimGHOSTS 2015 Australia Dr. Kenneth Gilpin Shared Why Sometimes We Can Do More Harm Than Good Through Medical Simulation. Direct experience is the best teacher, and that even with simulation as a tool on our belt for education, training, and certification — we still need to find ways to tip our hats to the experience of hands-on time.

When it comes to healthcare education and medical simulation, Andy’s key points about the Dr. Garman Tragedy should have us asking:

  • Are healthcare team-members of my institution professionally challenging one another when there are possible mistakes being made?
  • What prevents our healthcare culture from evolving past 440,000 patient deaths a year?
  • How are we glorifying individuals or processes in our institution that are risky?
  • What kind of simulation experience can prepare learners and professionals to better speak up when errors are being made?
  • Has my simulation scenario been reviewed by other educators?
  • Should there be a role assigned to quality assurance in the simulation space?
  • How can we use simulation to demonstrate competency accurately enough to progress the learner to advanced skillsets?

Do you have a simulation scenario that doesn’t require many skills demonstrations by the primary learner, but rather to simply call out when an error is being made? Share on the HealthySimulation Linkedin group about some of the ways your simulation and educational programs deal with such psychological factors.  This is a very powerful read and I suggest you make time for it!

Read Andy’s full article on

SIMED Simulation Education Resource Portal Launches at Simulation Australia

simed australia

This week in Adelaide Australia Simulation Australasia is taking place which is a collaborative event between SimHealth and SimTech which combines multiple simulation disciplines into one giant international meeting! I just heard from Australian Sim Champ Kirrian Steer that a new Simulation Education Resource Portal ‘SIMED’ launched at the event! This looks to be a fantastic new online and simulation center resource for our expanding global community so be sure to check it out!

SimEd aims to provide high-quality resources for Clinicians, Educators, Students, Technicians and Simulated Patients who are engaged in simulation-based education and training. Supporting a community of practice in regional Victoria and beyond, SimEd provides a platform for sharing ideas, knowledge and experience of all current and future practitioners. SimEd provides a hub for discussion around the technical and educational aspects of simulation in healthcare education and for students, supports just-in-time learning and the development of work-ready skills. SimEd has been created and developed by La Trobe University, as part of a broader commonwealth funded simulation project. This project received funding from the Australian Government

Educator resources

Find resources on how to plan and deliver successful simulation sessions. Latest articles:

  • Scenarios Confidentiality/Media Consent forms
  • Scenario development templates
  • Case studies
  • The role of narrative in debriefing

Student resources

Find simulation scenarios, articles, testimonials and helpful hints on what simulation is and how you can use it throughout your education and future career in health. Latest articles:

  • What equipment might I use in simulation?
  • What happens in a debrief?
  • How to get the most out of simulation
  • Student testimonials
  • Benefits of feedback

Simulated patient resources

Learn about the SP profession and how to give back to health professionals. Latest articles:

  • Interview with a simulated patient
  • Simulated patient testimonials
  • Simulated patient testimonial video
  • Simulated patient session evaluation form
  • How to leave it behind you after the session

Technician resources

Find tips for moulage, equipment, reviews and maintenance and how you can apply it in your career as a simulation technician. Latest articles:

  • Maintenance Resources available
  • SimMan3G maintenance checklist
  • Simulation apps
  • Blood clots

Learn more about Simulation Australasia here and then
Visit the SIMED website today for all these great resources and more!

SynDaver Labs Provides FREE EKG Simulator Software App for Android Devices

android ekg app

The SynDaver EKG simulator can be run along with any medical training manikin to add another layer of realism to your simulations. The app offers a standalone mode where variables can be set by an intuitive slider based interface.

Visit Google Play to Download the App for Free today!

Variables that are currently able to be set include beats per minute, systolic pressure, diastolic pressure, respiration rate, SPO2, and temperature. These values are displayed both numerically and by color coordinated dynamic waveform with mutable audio indicators for the heart rate.

It also offers Bluetooth control, when the same app is installed on two paired android devices, allowing an instructor to update the display remotely in real time in response to student interactions or to modify the training scenario on the fly. The app currently offers three preset states with more planned in the future. Plans for other future additions include changing variables over time and preset creation.

Additional instructions for usage can be found on Syndaver’s Website!


Ultrasound Simulator from Schallware

ultrasound simulator from schallware

Today while exploring medical simulation vendors I came across Schallware’s Ultrasound Simulator. Schallware was founded in Berlin in 2001 and came out of the Medical High School of Hannover. I have not had the opportunity to see this device in person – have you? If so please visit medical simulation product ratings and review website KeyIn to share your thoughts!

“The Schallware Ultrasound Simulator allows your doctors to practice ultrasound diagnostics just as under real conditions. Moving one of the four dummy transducers over the dummy torsos produces the exact B-scans of the selected case. Our exclusive lossless multi-volume re-slicing algorithm computes these B-scans in real-time from the actual patient scan data. The scan data are organized into thematic modules ranging from beginner to advanced difficulty. With two dummy torsos and four dummy transducers available, our system covers ultrasound diagnosis scenarios in the internal medicine, emergency, cardiology and gynaecology departments. The Core System includes one dummy torso, three modules and corresponding transducers. Various add-on modules are available from our continuously growing library produced by our affiliated clinics. Each module is served with a tutorial including documented patient cases.”

Simulator Features:

  • Real ultrasound data simulator, high resolution by free hand technology
  • Multivolumes to scan whole abdomen and sides
  • Focus on pathology database with over 200 cases
  • Any multivolume patient is acquired with own data
  • Continuum ultrasound volume with 3D segmentation objects
  • Loading of huge 3D original ultrasound data, multivolumes > 4GB
  • Fusion data window (MRI,CT), synchronized to ultrasound window -scan data is organized into thematic modules ranging from beginner to advanced difficulty
  • Tracking of probe movement and real time calculating of reslice B-image, M-Mode
  • Realistic non impression function for probe color doppler volumes, color doppler cineloops, spectral doppler images
  • Documentation: all cases are documented with patient history, remarks what to find in case for ultrasound diagnostic
  • Regions of interest with autonavigation (bubble in space), separated in anatomy and pathology -objects of interest, make visible segmented 3D objects
  • Easy submodule creation
  • Print function for findings report, as well pdf export
  • 2 years of guarantee
  • Yearly update of content 2 years on-site training of department members

Learn more at!

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Reader Submitted Video Intro Orientations to Laerdal Simman Classic, Essential, and 3G

medical simulator orientation

Looking for great orientation video introductions to your Laerdal SimMan products? Check out these awesome video breakdowns free to watch anytime through youtube!

SimMan Classic

SimMan Essential

SimMan 3G

Learn how to make your own video orientations through our Production Tutorial!

Virtual Empathy Simulator from Curtin University

empathy simulator

Press play, and meet “Jim”. Jim is a virtual reality creation, designed to simulate patients for healthcare sector trainees. With the alternatives of professional placement in real-life clinical situations or the use of actors proving too costly or impractical, this is a high-tech solution that really looks ahead. This project was winner of the Innovation in Education Prize, supported by Teaching and Learning, Curtin University.

“Initially, the avatar is controlled by a trainer who chooses its responses based on the student’s verbal and non-verbal behaviours. This interaction between the student and ‘Jim’ is recorded for reflection and feedback so that the student is supported and educated with increasing levels of independent responsibility in their management of medically challenging communications,” Dr Beilby said.

“This provides standard experiences for all students with the opportunity for repeated practice in a safe environment.

“The aim is for the student to achieve competence before having real-life interactions with the general public.”

Learn more at the Curtin University Website!

A Collection of 11 Medical Simulation “How To’s”

how to for healthcare simulation

Today we are highlighting a series of articles we have put together over the past several years covering the “How To” of medical simulation. Check out these awesome resources in a variety of domains:

These are must read articles to help your healthcare simulation program grow! Subscribe to our free monthly newsletter for more great “How To” content!

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CSDS Simulation Technology and Research Magazine (STaR) 3rd Edition Released

healthcare simulation magazine

The awesome team from Australia-based Queenland Health’s Clinical Skills Development Service have released the 3rd edition of their fantastic Simulation Technology and Research (STaR) Magazine. Featured articles in this edition:

  • Keeping the ANZAC spirit alive through simulation
  • SimGHOSTS Australia 2015 International Conference
  • Lance Baily interview: Founder and Development Director of SimGHOSTS
  • SimGHOSTS Australia 2015
  • The Lady Cilento Children’s Hospital (LCCH) simulation audiovisual installation
  • Visiting Professor Workshop: Visiting Professor’s work brings simulation to the masses
  • Pocket Centre profile Mackay Pocket Centre
  • The battle against Ebola
  • Pocket Centres: Your local simulation hub
  • Training for speech pathologists managing tracheostomy patients
  • Clinical trial examination
  • Honorary Fellow interview Caroline Heggie
  • Logistics support for SToRK
  • Simon says: I’m back with a new batch of questions… keep them coming!
  • Accreditation

Read the full STaR Magazine here!

4DHealth Offers Simulation Services to Barcelona and Spain

4d health

Today HealthySim shares about a relatively new Simulation Center 4D Health in Spain.  4D Health is the result of an individual initiative. The surgeon Dr. Enric Macarulla from Igualada started to incorporate simulation in training health professionals in the 1990s, specifically in the area of laparoscopic surgery in Igualada Hospital and later as a university teacher in different health science studies (medicine and nursing) at Barcelona Autonomous University and at the Bages University Foundation.

What are we? 4D Health is a pioneering simulated hospital near Barcelona that recreates the whole health environment. Is intended to increase safety and reduce the errors in health.

For Who? There is a wide variety of players participating in the centre as health professionals, institutions, universities, industries, laboratories, enterprises and patients.

“I Train”: Training enables professionals to prevent human error and become better. Sportspeople, castellers, pilots… and health professionals.

“At the service of people”

The centre is a place conceived for patients and people as a whole. The patients, the associations of patients and their relatives are given information, training, support and accompaniment in order to deal with their illnesses. Special attention will be given to this group. The health professionals will be given advice and personal supervision to be able to improve their practice with patients. The training offer is directed at scientific societies, professional colleges, hospitals and all professionals of different specialities (medicine, nursing, pharmacy, etc) who wish to strengthen their skills in a certain field.

The universities, health schools, innovation and research centres and the Administration have a virtually real work camp in 4D Health for learning and designing new plans, processes and applications. The use of the staff and the facilities will be studied case-by-case in order to achieve the expected results. The business sector, albeit public or private, finds in 4D Health an open and flexible place adapted to their needs. The industries and the manufacturers of health materials and pharmaceutical laboratories will have somewhere new to test their products. They can do this in situations very close to reality and will receive returns on their product from health professionals without it having any impact on real patients.

Learn more in English and Spanish at today!