May 30, 2019By Lance Baily

Latest Medical Simulation News From Around the World – May 2019

Every quarter we take a good look at medical simulation news from around the world to share with you the progress of the industry. Here today are some of the key updates from healthcare simulation programs, companies, and research publications around the globe. From new Simulation Center launches, to free pediatric simulation scenario apps, and from connecting nursing simulation to patient safety and local news coverage of successful interprofessional sim events around the world — here’s the latest and greatest! Have a news story to share? Submit an article to us or simply email us! (Photo Credit: Brianna Paciorka of News Sentinel).

Medical Magnet High School Students Get Simulated Surgery Experience at Cedars-Sinai: For 40 students from Orthopaedic Hospital Medical Magnet High School who want to go into the medical field, they’re learning just how challenging their dreams of surgery can be. “I noticed how quickly my arm started to feel a little sore because I was so outstretched, and it felt kind of different than I thought it would be,” said 11th-grader, Nadia Castillo. Nadia and senior Jasmine Diaz both have their future sights set on the operating room. “I want to be a neurosurgeon,” said Jasmine. “I want to be a cardio-thoracic surgeon,” said Nadia. So today’s one-of-a-kind trip to the Cedars-Sinai Women’s Guild Simulation Center for Advanced Clinical Skills is teaching them, along with their classmates, about healthcare career paths. Not only did they get to take part in a simulated surgery in a fully equipped operating room, they’re learning about using virtual surgical instruments, CPR, and even intubation. “It’s really nice to be a part of all of these simulations and see what it would be like to do actual procedures,” said Nadia. Orthopaedic Hospital Medical Magnet provides its students with exposure to the medical and biotechnical fields.

Practice for practitioners: UTMC sim lab teaches essential skills to residents, nursing grads: Though the 6,500-square-foot simulation center — which features laparoscopic and endoscopic simulators, a virtual reality surgery robot and life-size responsive medical manikins, among other devices — is open for training 24 hours a day, the new residents and incoming groups of nursing school graduates make June a particularly busy time there. Because UT Medical Center draws new nurses from schools around the region, and even from different states, what they’ve learned and how they’ve learned to do it varies widely, said clinical nurse specialist David Price. That’s why new nurses get a 12-hour day in the simulation lab every week for their first 12 weeks, to learn standard processes specific to the hospital. Watch a video by WVLT CBS8 here.

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‘Simulation-based healthcare education aims at patient safety’: An estimated 70 per cent of medical errors happen because of lack of non-technical skills such as situational awareness, decision making or proper communication, S. C. Parija, Vice-Chancellor of Sri Balaji Vidyapeeth (SBV) said. Addressing a recent three-day faculty development programme ahead of an upcoming initiative hosted by the Mahatma Gandhi Medical College and Research Institute (MGMCRI), a constituent college of Sri Balaji Vidyapeeth (SBV), in coordination with the Society for Simulation in Healthcare, Singapore (SSHS), Prof. Parija said simulation-based healthcare education (SBHE) is a relatively newer modality of training which was developed primarily for patient safety and could address some of these issues. “Simulation-based healthcare education is a newer modality of training which was developed primarily for patient safety. Using simulation, students and trainees can practice their skills on realistic models so that by the time they use them on patients, they would have already developed a certain level of expertise,” he said.

PerSim: A Breakthrough in Medical Simulation for the Battlefield: MedCognition, a Medtech startup has been contracted to develop military medical training modules for the United States Army using its PerSim augmented reality (AR) patient simulator system. MedCognition will utilize its PerSim AR system to create military-specific trauma training modules for supporting tactical combat casualty care, as well as to emulate battlefield and mass casualty incident injuries, for training purposes, under a new $750,000 development contract. PerSim leverages Microsoft HoloLens mixed reality to project life-like patient simulations into your actual real-time work environment. With PerSim, you can provide pre-hospital medical training in the settings where first responders actually provide life-saving care: at the incident site, in the back of an ambulance, on a gurney in transit.

iMedicalApps: STAR, the Simulation Tools and Resources App: STAR app collates numerous high-quality simulation scenarios on a wide variety of topics from across the U.K. Many of the scenarios include the national guidelines/protocols for specific scenarios (newborn resuscitation for example) used in the U.K. or other NHS materials. Other scenarios list specific references (some are included as supporting materials in PDFs). Certainly, the main concern with any app like this would be the need for scenario authors to periodically update their simulation scenarios based on new evidence/guidelines, etc.

Trends in Simulation: Using Technology to Enhance Medical Care: At Children’s Minnesota, the simulation program serves the entire health system with the goal of making patient care safer. Our simulation program is equipped to utilize simulation as a strategy to improve processes, promote research, and educate health care professionals on best practices to care for all children, from 26-week-old babies to young adults. Although the cost of simulation technology can be perceived as a barrier, the return on investment is high. Combining the use of advanced technology and the art of simulation techniques saves lives. There is already significant literature to indicate that simulation is an optimal way to learn, and recent simulation research has focused on translational outcomes. To understand the return on investment with the use of this technology, we must understand how the learning translates to the bedside. When healthcare professionals have the opportunity to practice and learn on a high-fidelity manikin or with a standardized participant, actor, they are ultimately better prepared to provide safe care to all their patients. Therefore, in simulation, re-creating the realism is very important. This is made possible by the newest manikins allowing for participants to not only listen to the heart and lungs but also talk to the manikin and perform various procedures.

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Fort Hood joint emergency medicine exercise begins: The Navy and the Air Force joined Army medical units on Tuesday for a joint exercise at the Fort Hood Medical Simulation Training Center (MSTC). The purpose of the exercise is to train emergency medicine students in combat casualty care and will include aeromedical care and Forward Resuscitation Surgical Team (FRST) care in various scenarios. Navy and Air Force medical teams will be joining Army medical units May 28-31 during a Joint Emergency Medicine Exercise, hosted by Carl R. Darnall Army Medical Center. The students also will participate in Tactical Combat Casualty Care (TCCC) concepts on simulated casualties at the Fort Hood Medical Simulation Training Center (MSTC). Participating units include the Navy Medical Center of San Diego, the Medical College of Georgia, the University of Nebraska, and an Air Force Air Medical Evacuation team.

Weill Cornell Medicine-Qatar (WCM-Q) Boosts Local Expertise in Medical Simulation-Based Learning: Two leading experts in simulation-based learning visited Weill Cornell Medicine-Qatar (WCM-Q) to provide training in the latest methodologies and techniques in the discipline. Course directors Dr. Stefan Gisin, Director of Simulation at University Hospital Basel in Switzerland and Dr. Ralf Krage, Director of the Amsterdam Simulation Centre (ADAM) at VU University Medical Center Amsterdam delivered the three-day EuSim Level 1 Simulation Instructor Course at WCM-Q’s Clinical Skills and Simulation Lab (CSSL). The course imparted a wealth of specialist knowledge and skills to the participants, such as how to create safe learning environments, how to give instructive debriefing feedback after simulated learning exercises, using video to inform debriefing sessions and how to steer simulated scenarios to maximize learning outcomes, among other competencies. Simulation-based learning is increasingly used in medical schools to give students the chance to gain a variety of essential skills by practicing them in recreated real-world scenarios. Instructors utilize a range of techniques and tools to create these scenarios, ranging from low-tech methods like role-play with standardized patients (actors trained to play patients) to state-of-the-art medical manikins that can be programmed to exhibit a wide variety of symptoms.

U.S. Military Employs AI, AR to Boost Medical Modeling, Simulation: The U.S. military is turning to artificial intelligence (AI) and augmented reality (AR) to improve its medical modeling and simulation (MMS) programs, which train doctors, nurses, and first respondents in how to handle real-world situations. The MMS technology helps military medical professionals to face various medical scenarios in the field, whether in a military treatment facility or on the battlefield. To further that effort, the Defense Health Agency’s Medical Modernization and Simulation Division recently held its first MMS vendor expo day. “This is our first, and what I hope to be annual medical modeling and simulation expo to showcase our capabilities across the MHS,” said Air Force Col. Christine Kress, deputy assistant director of the DHA Training and Education Directorate. “Our success relies on the partnerships we have with the industry in creating what we need to meet the training requirements of the warfighter.” Army Master Sgt. Erik McConnell, DHA’s senior enlisted adviser to the Medical Modernization and Simulation Division, explained that the division is “responsible for identifying and implementing the latest medical technology, data, research, procedures, and equipment utilized in the civilian sector or across our services.”

After-School Medical Program Molding Doctors, Nurses Of The Future: Students received a hands-on lesson about medicine. There are two different programs, one hoping to inspire future doctors and nurses, the other focused on health reporting, and both had children in high-tech sim labs. Fifth-graders from Logan Elementary stopped by Einstein’s Simulation Center to get hands-on experience working with life-like 3D robotic mannequins. The medical simulation technology creates various patient scenarios, which are used as teaching tools. The students also got some experience learning CPR. “They get an inside look at what medical practice is all about,” Marian Uhlman, with Healthy News Works, said. “Every little kid has said, ‘I want to be a doctor or nurse.’ This is filling that void in the STEM enrichment after-school program,” Marion Beck, of Little Medical School, said.

Robotic simulations help to train medical professionals: Robotic simulators are one of the many tools helping to train medical professional in the Carolinas. Dr. Christyn Magill cares for sick children at Atrium Health in Charlotte. She utilizes Carolinas Simulation Center to teach other how to do the same. “When you have the abilitty to practice in simulation center with equipment this high tech, when you walk into the room with a real patient, you know exactly what to do,” she said. “How do I make sure I’m an excellent team member on whatever team I’m on,” said Dawn Swiderski, Director of the Carolinas Simulation Center. “Just like professional teams in sports practice, we practice in that safe environment.”

New virtual reality training tech takes cops directly into the minds of the mentally distressed: Only in the aftermath does it emerge that the cop was not dealing with a violent criminal but someone having a psychiatric emergency: a schizophrenic episode, a problem with their medications, drug-induced psychosis, or a person with autism who is lost and cannot find the way to where they were going. Police in America confront these situations all the time but they are too often untrained and incapable of effectively de-escalating the incidents towards a peaceful conclusion, experts say. Already this year, at least 53 people diagnosed with mental illness have been shot and killed by U.S. police officers, according to a Washington Post database, which experts on police use of force described as among the most comprehensive of its kind. “If you look at fatal police encounters, a high percentage of these — some years as much as 25%: in 2017 it was close to 25% of all fatal shootings involving a police officers — were dealing with somebody with a diagnosed mental health issue,” said ABC News contributor John Cohen, a former street cop and senior official at the Department of Homeland Security, who studies police responses to violent encounters as a professor at Rutgers University in New Jersey.

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