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THE MEDIC OF THE FUTURE. Challenge 1: “SimTraining“

PROPOSAL: TRAUMA SIMULATION OF MASSIVE LOWER

LIMB/PELVIC INJURY

Ian Pallister

Director Trauma Simulation Ltd

Professor of Trauma & Orthopaedics

College of Medicine

Swansea

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Goal: Simulation of massive lower limb/pelvic injury

- blunt, penetrating or blast injury Real-time scenarios

-from point of wounding to damage control resuscitation (DCR) & surgery

Dynamic simulation of circulation -junctional haemorrhage control -physiological parameters change with intervention

Complex wound patterns -fascial compartments, bones, nerves and vessels -exploration and surgical management

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Prior Developments:

MSc Trauma Surgery 2005-present day

Military & Civilian Pathways

Simulation central to the acquisition & assessment of skills

Integration of Scenario & Surgical Skills

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Surgical skill education focussed correct use of devices

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CT Derived data

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Digital model creation (segmentation from CT scan)

Master components 3-D printing

Mould designs

Vascular system

prototyping

Archetypal injury

scenario development

Master component &

mould modification

Casting & Fabrication

Simulation trialling & Feedback from clinicians

Project Begins

Completion of un-injured & archetypal injury models - multiple copies

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Special thanks to:

Prof Mark Midwinter Surgeon Captain Christopher Streets Royal Navy Lt Col Doug Bowley Col Paul Parker Defence Medical Services Mark Waters Dom Eggbeer Alan Bocca Emily Bilbie Isabel Sanchez Roberts MBI (Wales) Ltd PDR Cardiff Metropolitan University