AN INTRODUCTION TO:HUMAN PATIENTSIMULATION                      Prepared and Presented By:                            Davi...
Images and photos are for presentation purposes only and do not represent endorsement of the products shown.
Images and photos are for presentation purposes only and do not represent endorsement of the products shown.
Images and photos are for presentation purposes only and do not represent endorsement of the products shown.
WHAT IS                   HUMAN PATIENT SIMULATION?    The use of manikins to reproduce clinical scenarios for       the p...
SIMULATION TECHNOLOGY                       HISTORY AND PRECEDENTSImages and photos are for presentation purposes only and...
Images and photos are for presentation purposes only and do not represent endorsement of the products shown.
http://www.youtube.com/watch?v=ICqPGkto3YoImages and photos are for presentation purposes only and do not represent endors...
Medical schools and residencies are currently facing a shift intheir teaching paradigm. The increasing amount of medicalin...
Images and photos are for presentation purposes only and do not represent endorsement of the products shown.
LOTS OF OPTIONS                                                  WHAT ARE THEY?Images and photos are for presentation purp...
Images and photos are for presentation purposes only and do not represent endorsement of the products shown.
COMPLIANCE AND COMPETENCY:                    WHAT IS THE DIFFERENCE?Images and photos are for presentation purposes only ...
SKILL / TASK TRAINERS             Useful for introducing or practicing psychomotor skills.                                ...
MICRO-SIMULATION Use of software to simulate a subject or situation on a computer screen.                     Varied level...
MANIKIN-BASED SIMULATION                         Manikin Task Trainers                     Resusci-Anne ™ / VitalSim ™  ...
HIGH FIDELITY                     HUMAN PATIENT SIMULATORSImages and photos are for presentation purposes only and do not ...
HIGH FIDELITY HUMAN PATIENT                         SIMULATORS                     RESPONSE FIDELITY Patient speaks to th...
Images and photos are for presentation purposes only and do not represent endorsement of the products shown.
FULL-SCALE                      HUMAN PATIENT SIMULATION Images and photos are for presentation purposes only and do not r...
COMPUTER CONTROL AREAImages and photos are for presentation purposes only and do not represent endorsement of the products...
USES OF                     FULL-SCALE SIMULATION?                     Crisis Management -Team Training                   ...
DEBRIEFING  Most powerful use of simulation includes a    debriefing session immediately after the                simulate...
Images and photos are for presentation purposes only and do not represent endorsement of the products shown.
WHAT DO YOU KNOW ABOUT DEBRIEFING?Images and photos are for presentation purposes only and do not represent endorsement of...
DISCUSS: VIDEO TAPINGImages and photos are for presentation purposes only and do not represent endorsement of the products...
SHOULD ACLS AND PALS BE CONDUCTED IN                THE SIM LAB?Images and photos are for presentation purposes only and d...
WHAT IS A CPR FRACTION?Images and photos are for presentation purposes only and do not represent endorsement of the produc...
Images and photos are for presentation purposes only and do not represent endorsement of the products shown.  “Enthusiasm ...
DOES THIS FIT ANYWHERE?Images and photos are for presentation purposes only and do not represent endorsement of the produc...
Images and photos are for presentation purposes only and do not represent endorsement of the products shown.
N S?                                     TIO                                 U ES                                QImages a...
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Introduction to Human Patient Simulation

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Medical schools and residencies are currently facing a shift in their teaching paradigm. The increasing amount of medical information and research makes it difficult for medical education to stay current in its curriculum. As patients become increasingly concerned that students and residents are ‘‘practicing’’ on them, clinical medicine is becoming focused more on patient safety and quality than on bed-side teaching and education. Educators have faced these challenges by restructuring curricula, developing small-group sessions, and increasing self-directed learning and independent research. Nevertheless, a disconnect still exists between the classroom and the clinical environment. Many students feel that they are inadequately trained in history taking, physical examination, diagnosis, and management. Medical simulation has been proposed as a technique to bridge this educational gap.

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  • Synopsis of the patient situation and then asked to perform based up their observations. Mannequin talks to them and there can be cohorts in the room to help suspend disbelief. After the scenario is completed, the group then enters into a debriefing session where their performance is discussed. This can be used for evaluations or reflective learning opportunities .
  • Introduction to Human Patient Simulation

    1. 1. AN INTRODUCTION TO:HUMAN PATIENTSIMULATION Prepared and Presented By: David Hiltz, NREMT-P and Rod Kimble, EMT-P LEADERSHIP AND LEARNING ARE INDISPENSIBLE TO EACH OTHER JOHN FITZGERALD KENNEDY
    2. 2. Images and photos are for presentation purposes only and do not represent endorsement of the products shown.
    3. 3. Images and photos are for presentation purposes only and do not represent endorsement of the products shown.
    4. 4. Images and photos are for presentation purposes only and do not represent endorsement of the products shown.
    5. 5. WHAT IS HUMAN PATIENT SIMULATION? The use of manikins to reproduce clinical scenarios for the purpose of education, evaluation, or research.Images and photos are for presentation purposes only and do not represent endorsement of the products shown.
    6. 6. SIMULATION TECHNOLOGY HISTORY AND PRECEDENTSImages and photos are for presentation purposes only and do not represent endorsement of the products shown.
    7. 7. Images and photos are for presentation purposes only and do not represent endorsement of the products shown.
    8. 8. http://www.youtube.com/watch?v=ICqPGkto3YoImages and photos are for presentation purposes only and do not represent endorsement of the products shown.
    9. 9. Medical schools and residencies are currently facing a shift intheir teaching paradigm. The increasing amount of medicalinformation and research makes it difficult for medicaleducation to stay current in its curriculum. As patients becomeincreasingly concerned that students and residents are‘‘practicing’’ on them, clinical medicine is becoming focusedmore on patient safety and quality than on bed-side teachingand education. Educators have faced these challenges byrestructuring curricula, developing small-group sessions, andincreasing self-directed learning and independent research.Nevertheless, a disconnect still exists between the classroomand the clinical environment. Many students feel that they areinadequately trained in history taking, physical examination,diagnosis, and management. Medical simulation has been proposedas a technique to bridge this educational gap. The utility of simulation in medical education: what is the evidence? Mt Sinai J Med. 2009 Aug;76(4):330-43. doi: 10.1002/msj.20127. Images and photos are for presentation purposes only and do not represent endorsement of the products shown.
    10. 10. Images and photos are for presentation purposes only and do not represent endorsement of the products shown.
    11. 11. LOTS OF OPTIONS WHAT ARE THEY?Images and photos are for presentation purposes only and do not represent endorsement of the products shown.
    12. 12. Images and photos are for presentation purposes only and do not represent endorsement of the products shown.
    13. 13. COMPLIANCE AND COMPETENCY: WHAT IS THE DIFFERENCE?Images and photos are for presentation purposes only and do not represent endorsement of the products shown.
    14. 14. SKILL / TASK TRAINERS Useful for introducing or practicing psychomotor skills. Lack situational context. Varied levels of sophistication.Images and photos are for presentation purposes only and do not represent endorsement of the products shown.
    15. 15. MICRO-SIMULATION Use of software to simulate a subject or situation on a computer screen. Varied levels of sophistication. Evidence-based. Includes a debriefing analysis and a review of their actions. Universal access.Images and photos are for presentation purposes only and do not represent endorsement of the products shown.
    16. 16. MANIKIN-BASED SIMULATION  Manikin Task Trainers  Resusci-Anne ™ / VitalSim ™  High-fidelity, computerized manikins with human functions.Images and photos are for presentation purposes only and do not represent endorsement of the products shown.
    17. 17. HIGH FIDELITY HUMAN PATIENT SIMULATORSImages and photos are for presentation purposes only and do not represent endorsement of the products shown. Outward appearance of reality.  May be enhanced by simulation specialists with props and make-up.  Cosmetic fidelity Respond realistically to interventions.  Controlled by computer software programs individualized by simulation specialists.  Response fidelity
    18. 18. HIGH FIDELITY HUMAN PATIENT SIMULATORS RESPONSE FIDELITY Patient speaks to the participant. Able to perform interventions with realistic response.  IV insertion with blood return.  Chest tube insertion.  Endotracheal Intubation. Physiologic responses.  Patient’s chest rises.  Patient has pulses, breath sounds, bowel sounds.  Hemodynamic parameters display on typical monitor screens.Images and photos are for presentation purposes only and do not represent endorsement of the products shown.
    19. 19. Images and photos are for presentation purposes only and do not represent endorsement of the products shown.
    20. 20. FULL-SCALE HUMAN PATIENT SIMULATION Images and photos are for presentation purposes only and do not represent endorsement of the products shown.Manikin functions and hemodynamic monitor displays are controlled by the manikin’s computer software. Requires electrical power. Requires compressed air to initiate manikin responses. e.g. pulses, chest rise, breath sounds.
    21. 21. COMPUTER CONTROL AREAImages and photos are for presentation purposes only and do not represent endorsement of the products shown. Control area should be hidden from participants.  Sight  Soundproof Can be accomplished from the bathroom of a typical hospital room.Formal simulation suites have a control room with a one way mirror.
    22. 22. USES OF FULL-SCALE SIMULATION? Crisis Management -Team Training Interdisciplinary Training Risk Management - Error Analysis and Avoidance Basic Patient CareImages and photos are for presentation purposes only and do not represent endorsement of the products shown.
    23. 23. DEBRIEFING Most powerful use of simulation includes a debriefing session immediately after the simulated event.Facilitated by trained simulation specialists. Participants self-assess and provide peer assessment.Provides opportunity for reflective learning.May include observers as well as participants.Images and photos are for presentation purposes only and do not represent endorsement of the products shown.
    24. 24. Images and photos are for presentation purposes only and do not represent endorsement of the products shown.
    25. 25. WHAT DO YOU KNOW ABOUT DEBRIEFING?Images and photos are for presentation purposes only and do not represent endorsement of the products shown.
    26. 26. DISCUSS: VIDEO TAPINGImages and photos are for presentation purposes only and do not represent endorsement of the products shown.
    27. 27. SHOULD ACLS AND PALS BE CONDUCTED IN THE SIM LAB?Images and photos are for presentation purposes only and do not represent endorsement of the products shown.
    28. 28. WHAT IS A CPR FRACTION?Images and photos are for presentation purposes only and do not represent endorsement of the products shown.
    29. 29. Images and photos are for presentation purposes only and do not represent endorsement of the products shown. “Enthusiasm is one of the most powerful engines of success. When you do a thing, do it with all your might. Put your whole soul into it. Stamp it with your own personality. Be active, be energetic, be enthusiastic and faithful, and you will accomplish your object. Nothing great was ever achieved without enthusiasm.”
    30. 30. DOES THIS FIT ANYWHERE?Images and photos are for presentation purposes only and do not represent endorsement of the products shown.
    31. 31. Images and photos are for presentation purposes only and do not represent endorsement of the products shown.
    32. 32. N S? TIO U ES QImages and photos are for presentation purposes only and do not represent endorsement of the products shown.

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