thesimtech.com newsletter - september 17, 2019

Hello fellow techs - it’s been awhile since I’ve had the opportunity to update this section… I’ve been working on an exciting new project that I should be able to share with you all soon.
Anyway, on to some new items that I have found useful.


Found this great pediatric scenario resource: https://dontforgetthebubbles.com/practice-made-perfect/

OPTIMUS BONUS is an ongoing project driven by Children’s Health Queensland involving the creation of simulation education packages on topics in paediatric resuscitation.  Each package contains;

  • An introduction by an expert explaining why the topic is important.

  • A simulation scenario with clear learning objectives, instructions and hints for debriefing.

  • Pre-reading resources for participants. These are fun and easy to read resources including podcasts, videos, guidelines and apps.

  • An info graphic summarizing the topic. QR codes on the posters link to Just In Time Training resources including videos and guidelines.

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The ‘Awesome Ultrasound Simulator’ App - https://ultrasoundsimulator.com

The official homepage of Awesome Ultrasound Simulator, an iOS app for simulation point-of-care ultrasound in standard medical simulations. Use it together with your standard mannequin and you've instantly increased the fidelity of the simulation beyond what you thought possible. This is both thew cheapest and best thing you can bring to simulation, try it out!


Level 3 Healthcare has a blog - “A place where the healthcare simulation experts express the facts.”
Feel free to check it out here: https://www.level3healthcare.com/blog/


Check out this great video “Meet Dummy Ralph” from the folks at Cedars-Sinai.


This company is new to me… Simulare Medical
I haven’t used their product, but they look pretty cool.
They offer Cleft Lip, Cleft Palate and Rhinoplasty task trainers

Here is a video on their Rhinoplasty Simulator


thesimtech.com newsletter - march 28, 2019

Ive added a few entries to the links and resources pages…


Level 3 Healthcare just wrapped up their first annual Simulation Operations Bootcamp that I was happy to attend. It was an all inclusive, intimate three days held at their headquarters in Mesa, AZ.

The Level 3 team, including Scott Atkinson, David Escobar, Lenny Convis and Brandon Phillips, did a great job delivering courses that include:

  • Engineering & Design

  • AV Simulation System Installations

  • Simulation Operation

  • Setting Up Simulation Systems

  • RFP and Purchasing Process

  • Simulation Center Design

  • The Educational Matrix Standard

  • Advancing the Operation Specialist Role

  • Leadership

  • Role Discovery

  • Job Skill Requirements

  • AV9000 Introduction

  • Simulation Center Training

Level 3 Healthcare first annual Bootcamp squad

Level 3 Healthcare first annual Bootcamp squad

As you can see on their website, it was a great success and they will be hosting another Bootcamp next year from April 14 - 16, 2020.


Speaking of Level 3, on May 8th they are hosting a video webinar. The topic is "Cheap & Simple Moulage Hacks for the Everyday SimTech". You can signup via their invite here.


Over on NLNTEQ they have a 7 part series on simulation operations you might be interested in reading:
You can start with part one here: Are You Ready for Simulation? Part 1 of the 7-Part Series Dissecting the Sim Ops Standard


A little off topic - but thought some of you might want to share these instructional ACLS videos with learners. ACLS.net offers educational videos, quizzes & algorithms to help students prepare for their certifications .


Matthew Jubelius shared this little article written from the viewpoint of a Canadian company collaborating with a US company. A success story on how collaboration across borders is helping the simulation community.

Amoveo Training, Inc., a Canadian firm with national healthcare simulation training expertise, designs and manufactures customized simulation-based education products from skills trainers to wearable moulage. American company, B & G Educational Innovations, LLC (BGEI), is globally recognized for high physical fidelity and high-quality realism in their ReaLifeSim and VetReaLifeSim medical and veterinary clinical simulation training product lines. In the summer of 2018, the two companies began collaborating to develop a new subdermal layer insert to improve the realism of simulated IV training in ReaLifeSim and VetReaLifeSim wearable hybrid IV training simulation products.

Over the next six months, “subdermal layer” prototypes were created, lab tested, and subsequently field tested for durability, realism, and ease of positioning the layer within the IV trainers among the healthcare, veterinarian and aerospace communities. Amoveo Training released the final version of the subdermal layer for purchase in January 2019, as the exclusive manufacturer and distributor.

To learn more about Amoveo Training Inc. and B & G Educational Innovations, LLC, explore the links below:

https://amoveotraining.ca/

https://www.bgei-educational.com/






thesimtech.com newsletter - february 09, 2019

SIM-one ( * disclaimer - I’m on the board in a voluntary unpaid position) will soon change its name to Simulation Canada (awaiting government approval)

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If your involved in simulation in Canada, you might want to consider joining this organization.

Some benefits include:

Leadership and Governance
Membership in the national network symbolizes, on an international level, organizations’ leadership in and
commitment to high-quality simulation to improve healthcare education, patient safety, and care quality.
Members will influence the strategic directions of the national network by exercising their vote on
important decisions made at Annual General Meetings and through active participation on various sub-
committees of the Board, operational committees and special working groups.

Nation-Wide Connections
Canada is a global leader in simulation, with tremendous expertise in simulation program development,
implementation, research and innovation. Connect with this community for expert advice, leading-edge
ideas, and impactful collaborations. SIM-one/CNSH becomes your single point of contact to identify and
connect with expertise nation-wide.

Simulation Resources
Through our website, you can access information and resources to help advance your simulation program – including peer-reviewed scenarios, expert tips, news, simulation vendors and product lists, directories, and more.

Faculty Development & Certification
We have already established 10 unique courses to enhance the skills of simulationists, from foundational
elements such as scenario writing and debriefing, to advanced topics like simulation research,
interprofessional simulation, and working with standardized patients. Some of these courses are available
online, and we continue to work on ways to provide distributed and accessible training. We have also
established two nationally recognized simulation specialist certificate programs. Member organizations
receive discounts to all training, can host courses at their site, and can nominate one of their staff/faculty
to be recognized as a Master Facilitator, enabling you to run your own official SIM-one/CNSH courses.

Research & Grant Supports
We can directly provide advice on your grant applications, act as a research or knowledge translation
partner on your grants, and connect you to others in the community for special expertise or for multi-site
studies.

National & Regional Events
Members get discounted registration to our two established national events, the SIM Expo (Canada’s
premier simulation conference) and the National Forum on Simulation for Quality and Safety. We also aim
to support and promote regional events, recognizing the importance they have in fostering local/regional
communities.

Operational Efficiencies & Sustainability
As a network, we can help members sustain their programs by reducing costs, improving efficiencies and
demonstrating return on investments. We can provide advice on purchasing decisions, bring organizations
together for bulk purchasing and discounts, enable the selling and buying of gently used equipment, and
facilitate sharing of insights into efficient operational processes and equipment maintenance.

Advocacy and Investments in Simulation
As an advocate, this network will bring a united voice to regional and national funders and stakeholders.
We will ensure government and other influential agencies understand the role simulation can play to
advance their healthcare improvement agendas, and see simulation as a valuable investment.
For example, we have recently worked with and continue to advocate to: The Canadian Patient Safety
Institute; provincial health quality & safety councils; HIROC; Accreditation Canada; HealthCareCAN; and
many others.

If this interests you, check out more here:
http://www.sim-one.ca/join/organization-member
http://www.sim-one.ca/join/individual-SIMadvocate


B-Line Medical has Signed a Long-term Partnership with Laerdal

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I received an email from B-Line announcing their long-term collaborative partnership with Laerdal Medical to “integrate existing and new product lines to significantly improve the quality, consistency, and ease of administering healthcare simulation education and training”.
Read more about it here: https://medium.com/@blinemedical/b-line-medical-has-signed-a-long-term-partnership-with-laerdal-a1ba7816d682


CAE announce Luna infant simulator at IMSH.

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I heard about this, and I’m excited to see it, but when I went to their website it looks like its not quite ready…?

Lightweight, tetherless and wireless, CAE Luna is a baby simulator built on a scalable platform to meet all your critical education objectives. From basic newborn assessment to neonatal resuscitation, newborn CPR, advanced life support, and intensive care experiences, CAE Luna provides the widest range of training available in baby simulation.

You can sign up for updates here: https://caehealthcare.com/patient-simulation/luna/


Zoriana let me know about MeLiSA. Independent simulator support

MeLiSA stands for Master Level Service Agreement. We understand how valuable your time is, and understand that running medical simulators can be complex. We demystify medical simulators, and provide immediate support any time, anywhere! - Check out https://melisasupport.com for more info.


we designed and built a hybrid simulation centre (the sim bay) - december 02, 2018

We have almost completed the build of our new Simulation Centre - The Sim Bay.
The Sim Bay is one of three simulation areas operated by the QEII Simulation Program, part of the Nova Scotia Health Authority.
It was built as a hybrid model that combines a high fidelity simulation (dry) lab and a cadaveric (wet) lab.

Below are some pictures and brief descriptions of the facility, including design ideas used in hoping to optimize the relatively small space and making it as functional as possible. Not seen below is our storage area, which is found beside the centre. You always hear about how you need more storage, and we fortunately have been given ample space, giving us the ability to keep our new facility clear of clutter.

There were many people involved with this project that all deserve recognition, but a few standouts are:
- The Sim Bay Coordinator and Sim Champion, Donna Warren.
She has worked tremendously hard this past year to make this project happen and be the success it has been.
- The QEII Foundation. Without their donor supported funding this project never would have come to fruition.
- Stantec design firm, for getting our ideas on paper
- Lindsay Contruction, for turning our paper plans into a beautiful space
- Carmelle d’Entremont, Dr. Brock Vair, Marilyn Girouard and the rest of the QEII Simulation Program family.

Don’t want to read the notes? Take the virtual tour here


The Entrance

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Overview:
The front entrance of the Sim Bay is located from inside the hospital. Learners entering here are greeted by a calming backlit Avonite wall with shelving to drop their bags and a coat rack to hang their jackets. From there they enter into the Debrief Room.

Design:
- large door giving us the space to move beds and equipment in and out
- brushed glass film on door except for branding to increase privacy
- closet for storage (not seen)
- dimmable lights


The Debrief Room

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Overview:
The Debrief Room is where instructors prebrief and debrief simulations or presentations are given.

Design:
- large conference table (including power, network and TV HDMI ports) and chairs to accommodate 14 people
- magnetic glass whiteboard wall for notes
- window wall between the debrief and simulation room with a one-way film so learners can watch simulations they are not participating in, but cant been seen or distract simulation participants.
- ceiling speakers controlled to play either audio from the TV (presentations/debriefing video) or the simulation room (live feed)
- water bottle fill station
- 90 inch TV and laptop for presentations and live streaming/playback of simulations
- two credenza built-in refrigerators for food/drinks
- large door giving us the space to move beds and equipment in and out
- lots of electrical plugs
- dimmable lights


The Simulation Lab

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Overview:
The Simulation Room is where learners preform simulations with our advanced patient simulator (SimMan 3G).
The room will be set up to have all the equipment they need for their simulation to be successful.

Design:
- working head-wall with gases and suction
- two monitors, one for vital signs and the other for various images (xray, ultrasound, labs, etc.)
- three overhead cameras and ceiling mic to stream/record simulations (B-Line Medical)
- telephone to call (the control room) for assistance
- designated fluids/drug area
- sealed off room to assist with noise control
- sink
- door to outside used for deliveries / staff (brushed glass film on door except for branding to increase privacy)
- stairs to the elevated control room
- lots of electrical plugs
- dimmable lights


The Control Room

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Overview:
The Control Room is where the technician and educators go to run and observe a simulation.

Design:
- built two feet above ground for better viewing of the simulation lab
- three overhead TV’s that live feed the three cameras in the simulation lab
- desk space for multiple computers - vital signs / camera recording / patient simulator operations / images (xray, ultrasound, labs, etc)
- bench seating with storage
- telephone to receive or call into simulation lab
- joystick to control camera views
- wall mounted speakers to hear simulation lab
- controllable microphone to speak into the simulation lab overhead speakers (voice of god) or to earpieces on planted actors (Listen Technologies)
- microphone to speak into wireless speaker under the bed (patient voice)
- blackout blinds for outside windows
- one-way glass to see into simulation lab but cant been seen or distract simulation participants
- dimmable lights


The Cadaver Lab

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Overview:
The Cadaveric Lab is where the educators can teach surgical skills in a simulated operating room. We are lucky enough to have access to Dalhousie Universitie’s Clinical Cadaver Program.

Design:
- stainless steel walls
- overhead OR lights
- two body cadaver fridge (Mortech Manufacturing)
- surgical instrument washer/disinfector (Steris Healthcare)
- scrub sink
- two working head-walls with gases and suction
- closet with mop sink / storage (not shown)
- lots of electrical plugs
- dimmable lights

If you didn’t check out the virtual tour earlier - go have a look


thesimtech.com quick update - august 30, 2018

A fellow QEII Simulation Program staff member shared this with me (thanks Donna W).
Check out 7-SIGMA's airway trainer.
I love these new products with increased realism!


Job Posting!

Jason Irving (j.irving@engeniumstaffing.com) reached out to see if I could help spread the word about some interesting roles they have:

"We are looking for BLS AND ACLS Instructors who can travel for overseas assignments. These would be 1 - 2 week assignments in new Simulation Centers so candidates must be familiar with the use of High Fidelity manikins.
Link to job is here:
https://engeniumstaffinginc.applytojob.com/apply/nzJQlBt0UI/AHA-BLS-ACLS-Lead-Instructors"

Recently trucorp launched the TruMonitor app, an adjustable patient monitoring device for practicing realistic scenarios. You can download a free 21 day iOs trial if it’s something you’re interested in, simply download by clicking this link: https://itunes.apple.com/gb/app/trumonitor/id1282064170?mt=8.
They will be launching an Android version soon.


MedicFX looks like they are making some really cool products... I really like the SimMan 3G face covers you can easily slide on to your simulator...

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thesimtech.com newsletter - august 14, 2018

Job Posting!
Ernesto at Cedars Sinai let me know that they are looking for a Simulation Specialist - if you're interested, check it out and apply below:
https://jobs.cedars-sinai.edu/job/los-angeles/simulation-specialist/252/8917591?utm_campaign=google_jobs_apply&utm_source=google_jobs_apply&utm_medium=organic


Chris from Fundamental Surgery reached out to let me know they are releasing low cost VR simulations on a subscription model, trying to democratise the kind of simulation that normally costs 100’s of thousands of dollars.  

Seems like a great approach... and I'm hoping to test it out in the next few months. Check out their intro below.


The great Jackie Langford reached out to let me know I was hosting an old version of her 'Art of Moulage' recipes book.
I have updated my version in the moulage section - or you can just grab it here now.

Thanks Jackie!


Great news for simulation  - CAE poised to revolutionize pilot, aircrew and healthcare professional training by investing C$1 billion over five years in innovation

CAE today announced that it will be investing C$1 billion over the next five years in innovation to stay at the forefront of the training industry. One of the main objectives of the investment is to fund Project Digital Intelligence, a digital transformation project to develop the next generation training solutions for aviation, defence & security and healthcare. In partnership with the Government of Canada and the Government of Québec, the project will allow CAE to continue to play a key role in making air travel safer, defence forces mission ready, and helping medical personnel save lives. Other benefits include reducing aviation’s environmental footprint and addressing the worldwide demand for aircrews. The Government of Canada and the Government of Québec will provide a combined investment of close to C$200 million over the next five years (C$150 million for Canada and C$47.5 million for Québec).    
Executives and employees of CAE were joined by Canadian Prime Minister Justin Trudeau and Premier of Québec Philippe Couillard for the announcement which signals one of the most significant investments in innovation in the aviation training industry globally.
“As a powerhouse of innovation, CAE has been at the forefront of the training industry, including digital technology, for years. This strategic investment will take our company to the next level,” said Marc Parent, President and Chief Executive Officer of CAE. “By seizing new technologies such as artificial intelligence, big data, or augmented reality, as well as many others, and applying them to the science of learning, we will revolutionize the training experience of pilots, aircrews and healthcare professionals, as well as improve safety. We are committed to investing C$1 billion over the next five years to help position CAE, Québec and Canada as leaders in digital technology.”
Project Digital Intelligence will transform CAE’s products and services to leverage digital technologies, ranging from big data to artificial intelligence, cloud-computing, cybersecurity and augmented/virtual reality. CAE will develop its next-generation training technologies for aviation, defence & security, and healthcare, while making use of its extensive training network and data ecosystem. The project includes three major activity areas: advanced digital technology development, digital transformation of the training and user experience, as well as CAE innovation and collaboration facilities.
CAE will carry out Project Digital Intelligence in Canada, utilizing its R&D laboratories, as well as its test and integration facilities. As part of the project, CAE will develop an innovation campus in its Montréal site by transforming its workspaces, laboratories and processes to allow for greater innovation and collaboration. Throughout Project Digital Intelligence, CAE will collaborate and codevelop technology solutions with small and medium companies from across Canada and will qualify more than 150 new innovative suppliers across the country. CAE will also work with over 50 post-secondary institutions and research centres. The project is expected to create and maintain thousands of highly skilled jobs at CAE in Canada and in CAE’s Canadian-based supply chain. CAE employs approximately 4,000 people in 18 locations across Canada and more than 5,000 in the rest of the world.

Saw this great introduction to simulation video posted on LinkedIn... check it out.


Operative Experience birthing simulator just got an upgrade. Check out RealMom 2.0 here: https://operativeexperience.com/realmom/

realmom2

thesimtech.com newsletter - june 18, 2018

Cleaned up the site a bit - removed some dead links, added some new links, added the audio files to a google drive folder... let me know if you come across any issues.


A quick plug for my local internal medicine team that has put together this great site of scenarios - https://internalmedicinesimulation.wordpress.com/

Dalhousie Internal Medicine Simulation was created with the intent of making high and low fidelity simulation cases easily accessible to internal medicine trainees within our program. Wherever possible, the cases have been mapped to existing Royal College objectives. Cases can be searched by topic, or by Royal College objective. We have included cases from other open-access sources, and encourage new contributions.

Podcasts...
I recently started to listen to DJ Simulationistas… Sup?
It's the flagship podcast of the Center for Medical Simulation in Boston, Massachusetts.
Janice Palaganas and Dan Raemer (below), CMS faculty and thought leaders in the field of healthcare simulation, discuss the pressing issues in the field, interview expert guests, tell jokes, and dissemble on a variety of topics. Check them out here: https://soundcloud.com/medicalsimulation

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Gary Taylor, Business Development Director at TWME8 Limited, reached out and shared this information and video with me:

iRIS is a unique, collaborative, web-based platform to help you design high quality scenarios / cases that offer the best learning experience possible, as well as helping you get the best value from the investments you have made in simulation resources.

Over 1,000 simulation professionals globally author using the iRIS Health Simulation Authoring Platform. Whether you are building simulation using task trainers, high fidelity manikins, or standardized patients, iRIS will support you in developing the highest quality scenario / case.
iRIS will support you in:
• ensuring your scenarios are developed in a standardized, high quality manner
• creating significant efficiencies in terms of the time required for designing scenarios and collating simulation resources
• reducing the time and effort required to train colleagues in the design and authoring of scenarios
• building engagement with a wider range of clinicians to harness their expertise in developing new scenarios
• driving interprofessional collaboration and sharing of content with other simulation professionals

If this interests you, check out more here: http://irissimulationauthoring.com/


I'm not well versed on screen based training, but SimSTAT from CAE and ASA looks pretty neat. I'm excited to see what the future holds for this modality - and VR/AR...
More here: http://www.asahq.org/education/simulation-education/anesthesia-simstat



Matthew let me know his company Amoveo was recently featured on HealthySimulation.com with a Canadian focus on customized task trainers - you can check it out here: https://bit.ly/2xEmGzM


equipment we use - vol 3 - control and debrief rooms setup and tech

For my third installment of 'equipment we use' I thought I would review how we setup our control, simulation and debrief rooms tech.

By no means do I say these setups or product seen here are the best or that they are the right solution for you - they are just things that have worked for us, and might assist in your search to find solutions for yourself.
Please note that I have no affiliation and no financial gain with any company.

Lets start with our Control Room. As you can see below we have (left to right):
1. Dedicated telephone line. When simulation participants want to call for assistance (from a phone we have in the sim room) they call this line and an educator can answer and reply appropriately.
2. All-in-one vital sign computer. We keep this in the control room and just splice the feed to the simulation room. We like not having this mounted in the sim room as this way gives the technician more control, and the ability to quickly unplug it and take it to insitu simulations.
3. AV Recording laptop. This lets us control the starting and stopping of recording a simulation so it can be used for debriefing / reviewed at a later date.
4. Desktop speakers. These let us hear what is happening in the simulation room, and the volume control is within arms length of the technician.
5. Patient Simulator laptop. This controls the simulator. Also easy for us to unplug to take to an insitu simulation when required.
6. Desk light. We have a dimmer switch on the rooms light switch, but if the tech needs some more light this can be used.
7. Camera joystick. This enables us to move any of the 3 ceiling mounted cameras easily and quickly if a view is obstructed. I highly suggest joysticks over touchscreen camera controls.
8. Overhead TV's (x3). These give us a view of what each camera is live streaming/recording, and can be watched if the two-way mirror gets obstructed.
9. Overhead / implanted actors microphone. We can switch the mic to be used for the simulation rooms overhead speakers, or to talk privately with actors (confederates) in-ear headphones.
10. Patient Simulators voice microphone. We run this mic separately from the overhead / implanted actors mic, as since its totally wireless, we can easily take it to insitu simulations.
11. A/V laptop. We use this to load images (ECG's / Xrays / etc.) that the educator supplies to show participants in the sim room.

We have seating for the technician and two educators in front of the two-way mirror.
We opted for cushion covered file cabinets for storage / extra seating along the back wall. These are used by extra educators, or small groups of participants instead of watching a live-stream in the debrief room. They can sit and watch the three ceiling mounted TVs.
We probably would have designed the room to be located behind the head-wall, but this room was built long ago and the gases/suction head-wall was placed on the outside wall - limiting our option to a side view.

In the Simulation Room (below), we have:
1. Overhead cameras (x3) and microphones (x2). These are for our live-streaming/debriefing system and the three TVs in the control room (split feed).
2. Dedicated telephone line. Used for participants to call for assistance (they call into the control room).
3. Vital signs TV (x2). We have the option to display either on the TV above the gas/suction wall (most users) or to change it to the monitor on top of the Anesthesia machine. Anything to keep anesthesia happy ; )
4. A/V TV. We use this to show images (ECG's / Xrays / etc.) that the participants might need/ask for.

Lastly, our sweet and simple Debrief Room (below). 
Just a big conference table to seat 14, a laptop and TV for presentations, live-streaming and/or debriefing.

If you've liked this edition of equipment we use, please feel free to check out my first two:

Vol 1 - communication with confederates / patient simulator voice

Vol 2 - online booking calendar