matador – medical advanced training in an artificial distributed environment ragnhild halvorsrud,...
TRANSCRIPT
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MATADOR – Medical Advanced Training in an Artificial Distributed Environment
Ragnhild Halvorsrud,
Applied Media Technology
Telenor Research and Development
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Contents:
• Multitrauma accidents• Emergency care in
Nordic countries - the BEST project
• Why use simulators?• Existing simulators• The DOVRE platform
• MATADOR • Goal/outline/time plan• Medical content• Current status• Comparison• MATADOR partners• Conclusion
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Multitrauma accidents• strikes many young,
healthy, and ablebodied persons
• take many lifes
• Age < 35 years: the most frequent cause of death
• can often be effectively treated
• Most errors occur in the initial assessment phase.
http://www.trauma.org
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In the emergency room• many groups of medical personnel
• time pressure
• rapid technological changes
• high staff turnover
• chaotic learning situation
No room for learning by doing !!
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Hospitals in Nordic countries
• countries with long distances
• harsh weather conditions
• sparse population• many small hospitals• no national standard
for trauma care
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The BEST projectThe BEST team visits rural hospitals.
1. Theory based on actual cases. 2. Training session are videorecorded. 3. Observation, review and feedback.
Success factors:
• Courses at each hospital
• Immediate feedback, focus on team performance
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Why use simulators in medicine?
• Limited access to real training situations.• Simulation provides a way to gain
competence in emergency situations that seldom occur.
• Reduce the cost of training surgeons.• Reducing the risk to patients.
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Existing simulators
http://www.trauma.org
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http://www.mdchoice.com/
MDchoice.com – the ultimate medical information finder
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http://www.rti.org/vr/w/vmetsum.cfm
Research Triangle Institute, NC, USA
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DOVRE
• A tool for distributing 3D-graphics, sound and video
• Developed from scratch using C++• Multi-platform: win32 & Unix
(Linux/IRIX)• API for creating distributed virtual
worlds
(Distributed Object-oriented Virtual Reality Environment)
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The EduAction project• using VR to enhance collaborative learning
• developed for pupils in the secondary school
• pupils take the role of interplanetary explorers, looking for planets suitable for new colonies
”Corpus Callosum”, the disaster-ridden planet
http://amt.fou.telenor.no/EduAction/
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The DISCOVER projectDistributed training environment for the
offshore and maritime sectors
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Haptic devices
• Haptic – related to the sense of touch
• Haptic displays - electromechanical device that deliver force sensation
• PHANToM premium 1.5 - to be integrated in the MATADOR prototype
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MATADOR
• The goal is to develop and evaluate a simulation environment for managing acutely traumatized patients.
• Target group: both students and physicians.
• Proposal was presented to Nordunet2.
• 2.6 mill. NOK from Nordunet2.
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MATADOR outline
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Project tasks
0
5
10
15
20
25
% of resources
System des.
Content des.
User req.
System develop.
Content creation
System eval.
Field trial
Evaluation
Usability
Exploitation
Project manag.
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Project plan• Project period: July 2000 – June 2002• Total # manhours: 10200
0200400600800
100012001400160018002000
2000 2001 2002
Content description
System development
Content creation
Evaluation
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Scenario walk-through
Description of accident, organ injuries, etc.
wronganswer
Time-out to study procedure
CT/MR/Xray
Decision-making
Feedback
Scenario ii = [1,3]
CT/MR/Xray
Decision-making
Time-out to study procedure
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Pilot scenario
7 year old girl on bicycle, hit by car
Unconcious when primary physician arrives, no immediate signs of external injuries
10 min: patient becomes concious, but weak
40 min: unstable vital signs, helicopter arrives
60 min: during transportation, patient develop spasms
65 min: respiration and circulation stop as helicopter arrives at hospital. Attempting heart/lung rescue. Conditions interpreted as head injury. Further treatment stopped.
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Current status
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Fly-through of a virtual OR
Design and animation:
Ivar Kjellmo
Applied Media Technology
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MATADOR versus other simulators
• A multiuser system – training as a team• Advanced 3D-technology
MATADOR session manager
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MATADOR partners:• Faculty of Medicine, University of Umeå• Multimedic AS• The Norwegian Medical Association• InterMedia, University of Oslo• Medical Faculty, University of Oslo• Boxer Technologies AS• Telenor R&D
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Concluding remarks
• Nordic countries: similarities in culture, language, and health care systems
• A joint Nordic effort would be of substantial benefit
• Towards a Nordic standard?• URL http://amt.fou.telenor.no/MATADOR/