The Experts below are selected from a list of 55974 Experts worldwide ranked by ideXlab platform
William D. Freeman - One of the best experts on this subject based on the ideXlab platform.
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development of a lumbar drain simulator for instructional technique and skill assessment
Neurocritical Care, 2020Co-Authors: William Clifton, Aaron Damon, William D. FreemanAbstract:Medical Simulation for the teaching of procedural skills to health-care providers is an effective method of instruction to improve safety, quality, and procedural efficiency. There are several commercially available simulators for lumbar puncture training; however, there is currently no model available for lumbar drain intrathecal catheter placement. A modular lumbar drain simulator was assembled with the use of a spine model, ballstical gel, and Penrose drain tubing to recreate the procedural steps and tactile feedback of a live lumbar drain insertion. The assembled simulator demonstrated the ability to provide users with manual feeback of a “pop” sensation when intrathecal puncture was achieved with a 14 gauge Touhy needle, as well as spontaneous CSF flow. A silastic catheter was able to be inserted into the simulated subarachnoid space in the same manner as a live procedure. A high-fidelity lumbar drain simulator can be constructed in a cost-effective manner. We have detailed the materials and assembly of our successful design in order to provide a novel educational tool for procedural instruction and practice.
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Development of a Lumbar Drain Simulator for Instructional Technique and Skill Assessment
Neurocritical Care, 2019Co-Authors: William E. Clifton, Aaron C. Damon, William D. FreemanAbstract:Background Medical Simulation for the teaching of procedural skills to health-care providers is an effective method of instruction to improve safety, quality, and procedural efficiency. There are several commercially available simulators for lumbar puncture training; however, there is currently no model available for lumbar drain intrathecal catheter placement. Methods A modular lumbar drain simulator was assembled with the use of a spine model, ballstical gel, and Penrose drain tubing to recreate the procedural steps and tactile feedback of a live lumbar drain insertion. Results The assembled simulator demonstrated the ability to provide users with manual feeback of a “pop” sensation when intrathecal puncture was achieved with a 14 gauge Touhy needle, as well as spontaneous CSF flow. A silastic catheter was able to be inserted into the simulated subarachnoid space in the same manner as a live procedure. Conclusions A high-fidelity lumbar drain simulator can be constructed in a cost-effective manner. We have detailed the materials and assembly of our successful design in order to provide a novel educational tool for procedural instruction and practice.
Denise Leblancduchin - One of the best experts on this subject based on the ideXlab platform.
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can Medical learners achieve point of care ultrasound competency using a high fidelity ultrasound simulator a pilot study
Critical Ultrasound Journal, 2013Co-Authors: Adam R Parks, Paul Atkinson, Glenn Verheul, Denise LeblancduchinAbstract:Point-of-care ultrasound (PoCUS) is currently not a universal component of curricula for Medical undergraduate and postgraduate training. We designed and assessed a Simulation-based PoCUS training program for Medical learners, incorporating image acquisition and image interpretation for simulated emergency Medical pathologies. We wished to see if learners could achieve competency in simulated ultrasound following focused training in a PoCUS protocol. Twelve learners (clerks and residents) received standardized training consisting of online preparation materials, didactic teaching, and an interactive hands-on workshop using a high-fidelity ultrasound simulator (CAE Vimedix). We used the Abdominal and Cardiothoracic Evaluation by Sonography (ACES) protocol as the curriculum for PoCUS training. Participants were assessed during 72 simulated emergency cardiorespiratory scenarios. Their ability to complete an ACES scan independently was assessed. Data was analyzed using R software. Participants independently generated 574 (99.7%) of the 576 expected ultrasound windows during the 72 simulated scenarios and correctly interpreted 67 (93%) of the 72 goal-directed PoCUS scans. Following a focused training process using Medical Simulation, Medical learners demonstrated an ability to achieve a degree of competency to both acquire and correctly interpret cardiorespiratory PoCUS findings using a high-fidelity ultrasound simulator.
David W Roberson - One of the best experts on this subject based on the ideXlab platform.
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teaching emergency airway management using Medical Simulation a pilot program
Laryngoscope, 2005Co-Authors: Molly Zirkle, Richard H Blum, Daniel B Raemer, Gerald B Healy, David W RobersonAbstract:Objective: Simulation is a tool that has been used successfully in many high performance fields to permit training in rare and hazardous events. Our goal was to develop and evaluate a program to teach airway crisis management to otolaryngology trainees using Medical Simulation. Methods: A full-day curriculum in the management of airway emergencies was developed. The program consists of three airway emergency scenarios, developed in collaboration between attending otolaryngologists and faculty from the Center for Medical Simulation. Following each scenario, the participants are led in a structured, video-assisted debriefing by a trained debriefer. Didactic material on team leadership and crisis management is built into the debriefings. Pediatric otolaryngology fellows, residents, and Medical students have participated in the four courses that have been held to date. Participants evaluated the program on a five-point Likert scale. Results: A total of 17 trainees participated in four pilot training courses. The survey data are as follows: overall program, 5.0 (SD, 0.00); course goals, 4.79 (SD, 0.43); realism, 4.36 (SD, 0.63); value of lecture, 4.71 (SD, 0.47); and quality of debriefings, 4.92 (SD, 0.28). Sample comments include: “This is a valuable tool for students and residents since true emergencies in ORL are often life-threatening and infrequent,” and “This is a great course—really all physicians should experience it.” Overall evaluation was extremely positive and both residents and fellows described the course as filling an important void in their education. Conclusion: Medical Simulation can be an extremely effective method for teaching airway crisis management and teamwork skills to otolaryngology trainees at all levels.
Gary S Setnik - One of the best experts on this subject based on the ideXlab platform.
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demonstration of high fidelity Simulation team training for emergency medicine
Academic Emergency Medicine, 1999Co-Authors: Stephen D Small, Robert Simon, Richard Wuerz, Nathan I Shapiro, Alasdair K T Conn, Gary S SetnikAbstract:Emergency medicine (EM) presents many cognitive, social, and systems challenges to practitioners. Coordination and communication under stress between and among individuals and teams representing a number of disciplines are critical for optimal care of the patient. The specialty is characterized by uncertainty, complexity, rapidly shifting priorities, a dependence on teamwork, and elements common to other risky domains such as perioperative medicine and aviation. High-fidelity simulators have had a long tradition in aviation, and in the past few years have begun to have a significant impact in anesthesiology. A national, multicenter research program to document the costs of teamwork failures in EM and provide a remedy in the form of an Emergency Team Coordination Course has developed to the point that high-fidelity Medical simulators will be added to the hands-on training portion of the course. This paper describes an evolving collaborative effort by members of the Center for Medical Simulation, the Harvard Emergency Medicine Division, and the MedTeams program to design, demonstrate, and refine a high-fidelity EM Simulation course to improve EM clinician performance, increase patient safety, and decrease liability. The main objectives of the paper are: 1) to present detailed specifications of tools and techniques for high-fidelity Medical Simulation; 2) to share the results of a proof-of-concept EM Simulation workshop introducing multiple mannequin/ three-patient scenarios; and 3) to focus on teamwork applications. The authors hope to engage the EM community in a wide-ranging discussion and handson exploration of these methods.
R. Satava - One of the best experts on this subject based on the ideXlab platform.
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keynote speaker virtual reality current uses in Medical Simulation and future opportunities Medical technologies that vr can exploit in education and training
IEEE Virtual Reality Conference, 2013Co-Authors: R. SatavaAbstract:Summary form only given. Virtual reality has gone from research to educational tool to indispensible clinical application in patient care. A brief review of the current status of the use of VR in medicine will provide the springboard for the current gaps that provide future opportunities in Simulation as well as an introduction to new advanced technologies that are revolutionizing medicine and which will require VR for educational and training support and clinical applications. Some topics for discussion are virtual patients, cadavers and autopsies, surgical rehearsal, robotic surgery, suspended animation, regeneration and tissue engineering. The challenge: how creatively can VR support these incredible new technologies? The grand challengen how will 3-D stereolithography revolutionize the practice of medicine? Have you bought your Maker bot yet?
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Keynote Speaker: Virtual Reality: Current Uses in Medical Simulation and Future
IEEE Transactions on Visualization and Computer Graphics, 2013Co-Authors: R. SatavaAbstract:Virtual reality has gone from research to educational tool to indispensible clinical application in patient care. A brief review of the current status of the use of VR in medicine will provide the springboard for the current gaps that provide future opportunities in Simulation as well as an introduction to new advanced technologies that are revolutionizing medicine and which will require VR for educational and training support and clinical applications. Some topics for discussion are virtual patients, cadavers and autopsies, surgical rehearsal, robotic surgery, suspended animation, regeneration and tissue engineering. The challenge: how creatively can VR support these incredible new technologies? The grand challenge n how will 3-D stereolithography revolutionize the practice of medicine? Have you bought your Makerbot yet?