DVIDS – News – Advanced simulation technology helps students and residents prepare for the unexpected

FORT BLISS, Texas – On February 9, doctors, anesthesiologists, surgeons and general surgeons of William Beaumont Army Medical Center participated in an exercise involving the most advanced health modeling technology at the Department of Defense.

Medical professionals conducted interdisciplinary simulations using a patient simulator, including a complex situation that quickly escalated into an emergency. The team had to sort out the emergency, make an appropriate diagnosis and carry out treatment.

The patient simulator was programmed for an elderly person who came for an orthopedic procedure. As staff prepared for surgery, the patient had a nerve blockage that affected one of the lungs, resulting in the patient developing respiratory disease.

“Help, I can’t breathe,” said the mannequin on the operating bed. “I’m having trouble breathing.”

Captain Eric Van, an anesthesiologist nurse, leaned over to listen to the simulated patient and assured him that everything would be fine and would try to stay calm.

“I can’t breathe, I have trouble breathing,” the patient continued. Wang turned out to be in charge of the emergency and told staff in the operating room that action needed to be taken. OR decided to intubate him.

After intubation, the patient’s blood pressure dropped, and readings showed that something was wrong. The team suggested that the patient had pneumothorax because he had a history of severe COPD. The team treated pneumothorax by successfully completing the script.

The team spoke about the emergency and discussed what action could be taken in an emergency like the one they had just experienced.

Captain Susan Schultz, chief resident of general surgery, said that such a simulation was a great opportunity to train skills, work in a team and communicate to adjust their practice.

“We are becoming stronger not only as suppliers, but also as leaders and able to take responsibility for the room and act in emergencies,” Schultz said.

Mitchell Pushet, an anesthesiologist, was not directly involved, but watched the team through windows that separated the simulation operating room and the classroom.

“I thought everyone did very well,” Pushet said. “You’re never perfect and always want to get better, but I haven’t seen any obvious flaws.”
Wang, who became the leader in the situation, felt that the simulation made him feel different.

“I’m almost used to being a lone wolf. I function on my own, ”Wang said. “(Simulation) was like a second set of hands or a different brain, so to speak. Just someone who can help and come and think of other differentials or something else that may be wrong or wrong. It’s like a collegial environment where someone comes and shares responsibilities. ”

“Exercise in the simulation environment combined with challenges, but the team worked very well,” said Major Daniel Commerce, anesthesiologist and medical director of the WBAMC simulation program. “They had a great connection and responded appropriately. They have shown excellent teamwork. ”

Comerci states that the simulation provides an excellent opportunity for anesthesiologists, anesthesiology nurses and anesthesiology student anesthesiologists to become acquainted with rare and very serious clinical situations.

“Many of these situations we do not often see in the operating room,” said Comerchi. “When we see them, they can be very dangerous, so we have to respond appropriately and very quickly to prevent harm to patients and even the death of the patient.”

According to Comerchi, having an environment where health professionals can learn and practice safely really helps providers grow and become better doctors and nurses, care for the military and beneficiaries.

Simulation also enhances preparedness by allowing professionals to perform critical tasks such as arterial lines and chest tubes in critical emergencies.

“The simulation can be repeated for our employees,” said Comerchi.

Comerchi said the goal of the program is to eventually run a full simulation once a month to ensure regular exposure. This frequency level will meet the standards of maintenance certification in anesthesia (MOCA) and will allow the WBAMC simulation program to obtain MOCA certification.

The WBAMC Simulation Center is accredited in the Teaching and Education Society by the Health Modeling Society (SSH). Accreditation distinguishes WBAMC from other modeling centers because the hospital has demonstrated learning opportunities that meet the highest academic standards in medical education and modeling in the country.

SSH accreditation also demonstrates that WBAMC successfully integrates rich technology environments to meet patient education and training needs and readiness.

“Having such a high-precision coach definitely helps to see (an emergency) before it happens,” Wang said. “I consider myself a young provider. That new vendors will see it first hand before it happens definitely helps. ”

“The human patient simulator we have now is the most advanced simulation capability in the Ministry of Defense,” Camerchi said. “Becoming a certified MOCA center will allow anesthesiologists to receive credit that will be applied to their certification.”

The WBAMC Simulation Center will one day integrate augmented reality. According to Comerchi, the exercises have become a step into the future in creating a very active simulation center.









Date taken: 09/02/2022
Publication date: 23.02.2022 14:41
History ID: 415139
Location: Fort Bliss, Texas, USA
Hometown: El Paso, Texas, USA
Hometown: Fort Bliss, Texas, USA





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