By Stephen Poole Christopher Madison. The STRATUS Center for Medical Simulation

ByStephen PooleChristopher Madison

The STRATUS Center for Medical Simulation

The simulation Suite

• Located at Hartford Hospital in Hartford, CT

• 20,000sqft facility• 5 Patient Simulation rooms

• Labor and Delivery• Resuscitation• ICU• ED/Trauma• OR

• Skills Lab• Surgical Simulation• Airway Task Training• Ultrasound Task Training

• Robotics Lab• DaVinci Robot Simulation

Description

Operations within a simulation center are trending to more technology use. Learn how to make technology work for you with simple

easy principles for set up and troubleshooting.

Learning Objectives

1.Define basic audio visual technology and terminology

1.Identify basic cabling diagrams for Simulators and Audio Visual products

Remove Technology as a Barrier

Creating a superior LEARNING experience

Set the stage for success

The Simulation Specialist will set the stage and remove technology as a barrier. They will:

Provide the right course equipment Troubleshoot the readiness of appropriate equipmentManage all A/V controlsOperate and program the patient simulatorStart and stop video capture for debriefing

Focus on teaching

The curriculum expert is focused on teaching and learning and not troubleshooting technical difficulties: Benefits include:

Simplicity & Ease of use No setup or breakdown for instructorsConsistent and reliable simulation casesMore appropriate usage of their timeGaining confidence in simulation as a teaching tool

• Manikin Control• Instructor can control manikin functions

• Instructor Microphone• Instructor can talk to students

• Audio & Video Capture• Instructor can hear and see students

• Classroom Observation/Playback• Observers can see and hear classmates

Audio / Video Sources

Manikin

Patient Monitor

Instructor

Monitor

Video Monito

r

Speakers

Microphone

Observers

Network

Manikin

Patient Monitor

Instructor

Monitor

Speakers

Microphone

Audio / Video Sources

Video Monito

r

Audio / Video Sources

Observers

Network

Typical Simulation layout

The HPS Room Overhead video camera SimMan Video Camera Simulation laptop computer Patient Monitor Audio Cable SVGA Cable 9 Pin Serial Cable Microphone Link Box Manikan Cable

Control Room

• Switching Hub• Desktop Computer• Audio Cable• Coax Cables

Observation Client

• Video Client Computer

Extending your classroom Using the AVS you can live stream your recording’s anywhere

on your LAN

This gives you the ability to broadcast your HPS room to any pc or LCD projector in your facility via the network.

Larger audiences, expand a small space to any or multiple locations.

Broadcast in-situ mock codes from anywhere

• VGA• Analog Video

• DVI• Digital & Analog Video

• HDMI• Digital Video & Audio

• DisplayPort• Digital Video, Locking Connector

• Component• Analog Video

• Composite• Analog HD Video

• SVideo• Analog Video

• HDMI• Digital HD Video & Audio

• Ethernet (IP Cameras)• Digital HD Video Network

Common Cables

Cables And Signals Unscrambled

• Ultrasound video

• Camera video• Composite w/ Audio

30 Frames per second progressive is the standard for camera speed

Upto 4 cameras may be connected to these inputs

Attach Video instruments into additional VID Inputs

The cables and connections for US

• Connect your male S-Video cable output

• Into the back of the US machine

• And connect the female connector of the BNC adapter to any VID input on your AVS A/V adapter

CASE

Ultrasound guided right IJ Central Line Placement

HPS Camera 1

HPS Tripod Mounted Camera 2

HPS Camera 3

S-Video Output

Debrief viewer with Ultra Sound

Quality Audio is Important

• Mixing board to control multiple inputs and outputs

• Merge multiple microphones for large rooms

• Control volume levels and control feedback issues

• Audio processor for consistency and simplicity

• Echo cancelling and feedback eliminated

• No buttons or knobs• No unsightly wire and plugs• Rack mountable and network

accessible

Better Communication Audio

Lapel mic’s to participants and key players & event leaders

Distribute Walkie Talkie’s and headsets so confederates tocommunicate freely without detection

• Benefits• High Reliability• Low Cost• High Quality Signal

• Challenges• Low Flexibility• Maximum Length Limitations

• Recommended Environments• In-Situ/Mobile Simulation• Simulation Rooms with no Control Room

A

B

• Benefits• High Flexibility• Long Range• Fairly Reliable• Multi-Connector Consolidation• Utilizes Existing Network Ports

• Challenges• Medium Video Quality• Strict Labeling Requirements

• Recommended Environment• Stationary Simulation Room with

dedicated Control Room

A

B

Extender

Extender

Extending the range and placement of your Elo patient Monitor

Solution: Extend the signal of your patient monitor up to 150ft.

USB CAT5 Extender

VGA & DVI over Ethernet

Extend up to 330ft over CAT5 Ethernet cabling for flexible installations

&

• Benefits• High Flexibility• Unlimited Range• Multiple Receivers Possible• Multi-Connector Consolidation• Utilizes Existing Network Ports

• Challenges• Varying Video Quality• High Network Load• Reliability: Susceptible to Network

Outages

• Recommended Environment• Stationary Simulation Rooms with

centralized Control Room

A Exte

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B Exte

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C Exte

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Netw

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Getting the most out of your budget

Mobile Simulation Carts

Mobile simulation continued

1. Sony wide angle remote controlled color PTZ camera (main video

capture source)

2. Patient vitals as 2nd video capture source (side by side with main

camera PIP)

3. Shotgun microphone capturing verbal communications of scenario

4. Attached forward facing speakers for playback for debrief video

5. 26" LCD display for display of patient vitals during the scenario and

debrief for playback for review and teaching purposes

Mobile simulation continued

6. Dedicated client PC (laptop) with applications for simulators: 3G, SimMan,

NewBie & SimBaby

7. Area for holding one gas tank and associated gas regulator for mannequin

ventilations (SimMan), SimBaby, Newbie

8. UPS upto 2 hours of power to the system

9. AVS Advanced Video Server for up to 4 video streams of time event

stamped event logging. With one audio capture and broadcast and archive

capabilities

10. A 19” LCD Monitor for AVS capture verification during recording

Global Learning

how?

Videoconferencing • USB web cameras $30 - $100 (HD

resolution)• SKYPE, GoTo meeting (free or low

cost)• Archive your sessions• Recordable HDD with DVD burn

capabilities• Share your simulations anywhere

in the world• Beyond your LAN infrastructure• Collaborate internationally with

point to point VTC simulations • Host simulations,courses and

instruction via teleconferencing

Video conferencing continued

• Polls and surveys• Audience response system• Before ,during and after session “tests or quizzes”• Reminder emails-ticklers and follow-ups• Invitation and registration features• Online course catalogs & course descriptions• Charge for training now available • Scalable to manage 0 to 1,000 participants

SimMan 3G Wifi

Increase both the distance and reliability of your SimMan 3G by adding a WiFi range Extender in between the 2 connecting devices simman laptop and manikin

+ +

• Microsoft Visual Studio• Free Versions Available• Easiest IDE to Learn• Extremely Versatile• Supports Many Languages• C#• VB• C++

• Well Documented Resources

• Endless Software Possibilities

• Capture attendance and survey data

• Quick and easy animated process

• RFID Badge Reader Capable

• Integrated scheduling database

• Centrally located schedule display

• Online schedule viewing www.cesihh.org

• Arduino• Cheap ($32)• Easy to Learn• Scales Easily• Many Different Extenders• Ethernet• WiFi• GPS• Accelerometers• And Many More

• Endless Hardware Possibilities

• Compact CPR feedback module

• Compression depth & rate

• Ventilation volume & rate

• Evaluates and grades performance

• Imports data into SimPad log

• Work in progress

• Small wireless module that interfaces with SimMan 3G power button

• Doesn’t require changing batteries

• Can be synced to scheduling database

• Could also start SimMan software on schedule

• One step closer to fabled “One-Touch” system