Military Simulates for TeamSTEPPS: Communication Practice is Key

Communication is key for Army Reserve medical professionals

News worthy report today from “defense video imagery distribution systems” on how simulation is being utilized by the 807th Medical Command’s 228th Combat Support Hospital based out of San Antonio, Texas attend a three-day training exercise on 2-4 Jun. at the the Mayo Clinic Multidisciplinary Simulation Center located in Rochester, Minnesota.

ROCHESTER, MN — The medical facility is bustling. Patients are being received and then whisked away from the emergency room to the intensive care unit or operating room or treated and prepared for movement to other facilities. The loud sounds of a helicopter overhead are an audible sign that the medical teams need to prepare for new patients, even as they manage the patients currently in front of them.

Though this chaotic scenario sounds like something from a movie, this is a very realistic environment for military personnel serving overseas with Combat Support Hospitals and Forward Surgical Teams. This is an environment recreated at the Mayo Clinic Multi-disciplinary Simulation Center to provide Army Reserve medical units and healthcare providers the opportunity to work together in a realistic, theater-specific setting that replicates typical injuries and focuses on teaching and incorporating TeamSTEPPS into Army Reserve processes in an exercise environment.

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TeamSTEPPS is the Department of the Army’s patient safety framework adopted by the Army Medical Command to enhance healthcare team performance and improve patient safety. The training audience for this particular exercise is the Soldiers from the 807th Medical Command’s 228th Combat Support Hospital based out of San Antonio, Texas. The exercise held 2-4 Jun. provides a crawl, walk, run format for the Soldiers. Col. Elizabeth Anderson, Medical Readiness and Training Command’s exercise director for the simulation center’s TeamSTEPPS exercise, explains why this training is so important.

“My favorite part of being an OC/T is making the experience interactive between the medical personnel and the patient. These are manikins, so we create noises and response to make it more realistic for Soldiers, to make them consider this as a real patient so that their stress level starts to go up, and then we can start to see the reactions we are looking to fine tune,’ said Elliott. The end-state is trained and ready Soldiers equipped with the knowledge and experience to utilize TeamSTEPPs during the delivery of care. “We are looking for the participating unit to apply the teamSTEPPS principles in a variety of combat casualty scenarios. One of the things we did at MRTC is we used some of the information in the joint trauma registry – patients that had actually been cared for and had been uploaded into the registry, and we used those to create scenarios that could be implemented here in the simulation center. We’ve got twenty of those scenarios with all the information that we need to treat the patients and move them through the hospital,” said Anderson.

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Examples of How the U.S. Military Trains with Medical Simulation

military medical simulation

Today, two news stories on how the US military is utilizing simulation to train for and improve patient care in combat and hospital scenarios: Above, Hospital Corpsman Cameron Carter works on a life-like mannequin during a combat scenario Thursday during Tactical Combat Casualty Care Course at Naval Hospital Pensacola. The training is designed to prepare corpsman for dealing with trauma in the battlefield. (Photo: Ben Twingley). Watch a video recap of this Pensacola News Journal article at “$67K life-like mannequins provide medical training”  by Staff Writer Marketta A. Davis.

Click to watch the video here.Below, Robert DiBiase Jr., Simulation Curriculum Program Coordinator/Center for the Sustainment of Trauma and Readiness Skills (CSTARS) has posted on his LinkedIn wall this reflection by Staff Sgt. Jennifer Gray, an independent duty medical technician, as she discusses the intense training she received at the CSTARS program at the R. Adams Cowley Shock Trauma Center in Baltimore. The C-STARS program helps the Air Force train and maintain the highest caliber of trauma medics for expeditionary duties. (Produced by Andrew Breese and Tech Sgt. Bennie Davis):

Learn more by reading the PTJ news article or by visiting the C-STARS University of Maryland School of Medicine website.

CAE Healthcare Connects U.S. Navy to High-Fid Combat Simulator CAEsar

This exciting press release about the large distribution of Combat Simulator’s CAEsar was forwarded to me by CAE Healthcare. Learn more about the CAEsar from my video review, re-embedded below.

ceasar combat simulator

CAE Healthcare sells record 44 Caesar Trauma Patient Simulators to United States Navy Expeditionary Combat Command (NECC)

Montreal, Canada, December 11, 2013 –– CAE Healthcare announced today the record sale of 44 Caesar trauma patient simulators to the United States Navy Expeditionary Combat Command (NECC) for tactical medical care field training in sites throughout the U.S., Guam and Spain. In addition to the simulators, CAE Healthcare will provide NECC training and multi-year maintenance services.  The total contract is valued at more than $3 million.

“We believe the use of Caesar trauma patient simulators to train non-traditional medical units within the Navy Expeditionary Combat Command demonstrates a heightened awareness of the value of high-fidelity medical simulation, and how it provides a more efficient and standardized means of training for high-stakes environments,” said Michael Bernstein, president of CAE Healthcare. “CAE continues to extend its reach into the defence and security markets with simulation solutions that include not only mission training but also medical training. The U.S. NECC joins many military and disaster response organizations that have chosen CAE Healthcare’s Caesar for best-in-class training, including the NATO Centre of Excellence for Military Medicine in Budapest, Hungary and the U.S. Center for Domestic Preparedness in Anniston, Alabama.”

The Caesar trauma patient simulators will allow NECC to provide standardized core skills training across expeditionary forces. Navy Expeditionary Combat Command serves as the single functional command for the Navy’s expeditionary forces and as central management for the readiness, resources, manning, training and equipping of those forces. Expeditionary forces are organized to accomplish specific objectives in other countries including anti-terrorism, force protection, theater security cooperation and engagement, and humanitarian assistance/disaster relief contingencies.

Developed for combat casualty care training in harsh environments, CAE Healthcare’s Caesar trauma patient simulator is rugged and resistant to extreme temperatures, rain, dirt, dust, sand and body impact. With profuse bleeding, Caesar is ideal for training non-medical responders to assess and stabilize an injured patient for transport, control hemorrhaging and practice airway management to restore breathing. The simulator also captures information about each trainee’s performance for review and assessment.

About CAE Healthcare

CAE Healthcare offers cutting-edge learning tools to healthcare students and professionals, allowing them to develop practical experience through risk-free simulation training before treating real patients. CAE Healthcare’s full spectrum of simulation solutions includes surgical and imaging simulation, curriculum, the LearningSpace audiovisual and center management platform and highly realistic adult, pediatric and baby patient simulators. Today, approximately 8,000 CAE Healthcare simulators are in use worldwide by medical schools, nursing schools, hospitals, defense forces and other entities.

Learn more about the CAEsar from my video review.

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HumanSim Provides Advanced Virtual Healthcare Training


One day we will all be video game characters walking around virtual jobs making real decisions and real money! Getting us one step closer to this not-too-far-off future is HumanSim, a company which facilitates self-paced learning and instructor facilitated team training via our browser based GO platform and mobile devices. Watch this environmental training program demonstration to consider HumanSim further:

HumanSim provides “enhanced initial, refresher, and sustainable medical education and training. Virtual Heroes is creating HumanSim by taking the most advanced digital game technology available and integrating it with a high-fidelity physiologic-pharmacologic model and dynamic virtual human technology (DVHT) for unprecedented experiential learning. HumanSim emphasizes “learning-by-doing” and provides training-to-proficiency in rare, complicated, or otherwise error-prone tasks and processes. HumanSim enables health care professionals to sharpen their assessment and decision-making skills without risk to patients in realistic, challenging, immersive environments. HumanSim features learning content developed in collaboration with experienced medical professionals affiliated with premier medical institutions and provides content derived from leading clinical references. It is a powerful system for web-based educational content delivery and assessment and evaluation. HumanSim learning modules provide an effective solution for quickly and easily integrating human patient simulation into specific curricula.”

Here’s a local news channel report about HumanSim online training platforms:

HumanSim offers a range of products, including Combat Medic, Sedation & Airway, Team Training, Anesthesia and more! You can even license their software engine to build your own training program.

To learn more about HumanSim, visit their website at