WEBVTT 00:02.340 --> 00:03.340 Yeah . 00:12.240 --> 00:14.351 Sometimes that our military treatment 00:14.351 --> 00:16.573 facilities , we act more like community 00:16.573 --> 00:19.150 hospitals . We see cold sniffles and 00:19.150 --> 00:21.261 occasionally a severe illness . So we 00:21.261 --> 00:23.750 don't see the sort of injuries That a 00:23.760 --> 00:25.760 level one Trauma Center would see . 00:25.760 --> 00:27.982 That would replicate what we'd see down 00:27.982 --> 00:30.850 ranged . Yeah . The first time you're 00:30.850 --> 00:33.510 exposed to a disaster scenario , we 00:33.510 --> 00:35.470 don't know what you may do . Some 00:35.470 --> 00:37.581 people may panic , some people may do 00:37.581 --> 00:39.748 the wrong thing . In the old days we'd 00:39.748 --> 00:41.980 watch , we'd see and then we do and 00:41.980 --> 00:44.202 then you're on your own and that is not 00:44.202 --> 00:46.520 the best way to ensure that we're doing 00:46.520 --> 00:48.650 the best for our patients . 00:52.940 --> 00:54.884 So , before someone is placed in a 00:54.884 --> 00:56.996 scenario where they have to take care 00:56.996 --> 00:59.107 of a patient with these life altering 00:59.107 --> 01:01.329 injuries , let's implant folks who have 01:01.329 --> 01:02.940 medical background , but not 01:02.940 --> 01:04.718 necessarily the trauma training 01:04.718 --> 01:06.773 background that we need and get them 01:06.773 --> 01:08.384 spun up on those scenarios . 01:13.640 --> 01:15.696 Simulation offers the opportunity to 01:15.696 --> 01:17.640 get hands on training and tactical 01:17.640 --> 01:19.862 training where you're actually applying 01:19.862 --> 01:21.973 the knowledge that , you know , in an 01:21.973 --> 01:24.196 environment that's very similar to what 01:24.196 --> 01:26.307 you would encounter in the hospital . 01:26.307 --> 01:29.100 Okay , everybody knows CPR training 01:29.100 --> 01:32.590 where a mannequin , maybe an anti or 01:32.600 --> 01:34.950 chris or something like that . And you 01:34.950 --> 01:37.117 know , you're doing chest compressions 01:37.117 --> 01:39.283 and breathing into this relatively low 01:39.283 --> 01:41.561 fidelity . Not very lifelike mannequin . 01:41.740 --> 01:44.520 Mhm . It's human nature for for us to 01:44.520 --> 01:46.576 come in and you see something that's 01:46.576 --> 01:48.798 plastic or rubber and you automatically 01:48.798 --> 01:51.680 assume it's not real . And then you see 01:51.680 --> 01:53.800 them breathe and then just feel the 01:53.800 --> 01:56.100 pulses and then you see him blank and 01:56.100 --> 01:58.211 then you see him bleed . And then now 01:58.211 --> 02:00.630 you're saying , whoa , The highest 02:00.630 --> 02:03.360 fidelity mannequins have animatronics , 02:03.370 --> 02:05.620 um physiologic engines . Meaning if I 02:05.620 --> 02:07.740 give this mannequin a medication , it 02:07.740 --> 02:09.910 will respond as though I've given it 02:09.920 --> 02:12.087 the right medication . It can actually 02:12.087 --> 02:14.309 detect what I've given it . I can put a 02:14.309 --> 02:16.420 blood pressure cuff on this mannequin 02:16.420 --> 02:18.587 and it gives me a pressure high or low 02:18.587 --> 02:20.860 in a physiologic range , the pulse , I 02:20.860 --> 02:22.971 can feel it in real time . I can have 02:22.971 --> 02:25.360 them sweat , I can have them turn blue . 02:25.840 --> 02:28.170 We have a simulator that bleeds 02:28.180 --> 02:31.550 profusely from multiple sites and it 02:31.560 --> 02:34.150 also moves so the legs will move up and 02:34.150 --> 02:36.430 down and it also has audio so we can 02:36.430 --> 02:38.580 speak through the simulator and do 02:38.580 --> 02:40.720 things like groaning or screaming or 02:40.720 --> 02:42.887 calling out for help . And for some of 02:42.887 --> 02:45.109 our first time students , when they see 02:45.109 --> 02:47.220 that in a training environment , they 02:47.220 --> 02:49.220 really get excited about it or they 02:49.220 --> 02:52.310 freak out one or the other . There are 02:52.310 --> 02:54.366 a variety of levels of training from 02:54.366 --> 02:56.254 the very simple , I need to put a 02:56.254 --> 02:58.366 tourniquet on this bleeding wound and 02:58.366 --> 03:00.532 just learn how to tighten it down to . 03:00.532 --> 03:02.699 I need to be able to perform a lateral 03:02.699 --> 03:04.810 can talk to me if someone has a crush 03:04.810 --> 03:06.977 injury to their I I need to find a way 03:06.977 --> 03:09.254 to relieve pressure to save their site . 03:09.254 --> 03:11.366 So that's a very wide range of skills 03:11.366 --> 03:13.588 that we're trying to teach . Simulation 03:13.588 --> 03:15.588 training has been demonstrated with 03:15.588 --> 03:18.630 scientific rigor to reduce hospital 03:18.630 --> 03:21.270 based errors . Which in turn saves 03:21.270 --> 03:24.470 lives were program that takes care of 03:24.480 --> 03:26.702 medical modeling and simulation for the 03:26.702 --> 03:28.758 air force . We have 52 contracts and 03:28.758 --> 03:30.647 those are located at 30 different 03:30.647 --> 03:32.670 locations . And we also support 90 03:32.670 --> 03:34.781 medical treatment facility programs . 03:34.781 --> 03:37.370 And so with that we have 170 courses 03:37.380 --> 03:39.380 for the Air Force and some we share 03:39.380 --> 03:41.213 with the army which we have Army 03:41.213 --> 03:43.269 students and navy students as well . 03:43.269 --> 03:45.324 For medical simulation you have half 03:45.324 --> 03:47.547 mass and mass . The army CSC . You have 03:47.547 --> 03:49.602 the DMSO office with the D . H . A . 03:49.602 --> 03:51.658 But simulations , you know , started 03:51.658 --> 03:53.769 with aviation . So the aviation world 03:53.769 --> 03:55.824 is huge in simulation . I think that 03:55.824 --> 03:58.230 the collaboration that the Air Force 03:58.230 --> 04:00.500 and the Navy have had in the half mast 04:00.500 --> 04:02.640 and the N mask goes a long way and is 04:02.640 --> 04:04.696 maybe even a model for reducing that 04:04.696 --> 04:07.120 duplication in the ways that it can . 04:07.130 --> 04:08.940 But in addition to providing 04:08.940 --> 04:11.040 programmatic support , we also help 04:11.040 --> 04:13.151 with curriculum development . We have 04:13.151 --> 04:15.262 to curriculum development specialists 04:15.262 --> 04:17.429 on our staff . In addition , we've got 04:17.429 --> 04:19.700 a computer program that we developed to 04:19.700 --> 04:21.422 help people select their right 04:21.422 --> 04:24.800 equipment in medical modeling and 04:24.800 --> 04:27.380 simulation management that we do it and 04:27.380 --> 04:29.491 mast and say at the Air Force medical 04:29.491 --> 04:31.324 modeling and simulation training 04:31.324 --> 04:33.158 program are not designed to just 04:33.158 --> 04:34.936 incorporate the newest , latest 04:34.936 --> 04:36.991 greatest expensive technology . It's 04:36.991 --> 04:39.370 actually to teach better to teach 04:39.370 --> 04:42.750 faster to teach in a more durable way . 04:42.940 --> 04:45.710 It's very hard for us to mimic a combat 04:45.720 --> 04:48.570 environment outside . It's a real 04:48.570 --> 04:50.848 production , you'll have to have small , 04:50.848 --> 04:53.090 you have to mimic the bad guys and all 04:53.090 --> 04:55.257 these other extra things that you need 04:55.257 --> 04:57.423 to put in there to make them feel like 04:57.423 --> 05:00.180 they're in a combat situation . Wave 05:00.180 --> 05:01.890 stands for wide area virtual 05:01.890 --> 05:04.000 environments and it's essentially a 05:04.000 --> 05:06.870 panel of tv screens that give you a 05:06.870 --> 05:10.580 more immersive environment . It's 05:10.580 --> 05:13.580 difficult sometimes to replicate what 05:13.580 --> 05:15.636 it's like being shot at and in a war 05:15.636 --> 05:17.802 zone and things are on fire and things 05:17.802 --> 05:19.858 are falling apart , but it's easy to 05:19.858 --> 05:23.290 projected onto a screen . 05:23.300 --> 05:26.350 You send out insurgents , you send out 05:26.360 --> 05:28.750 grenades , you throw Rpgs very easy . 05:28.760 --> 05:30.970 It's very hard to mimic that in real 05:30.970 --> 05:31.660 time . 05:32.000 --> 05:35.410 So these 05:35.410 --> 05:37.900 screens , combined with pyrotechnics 05:37.900 --> 05:39.622 and lighting , give you a more 05:39.622 --> 05:41.789 realistic example of what it's like to 05:41.789 --> 05:43.900 be in a combat zone without having to 05:43.900 --> 05:45.140 burn something down . 05:45.150 --> 05:48.980 It allows us to 05:48.990 --> 05:51.400 desensitize them a little bit . It's 05:51.400 --> 05:53.400 still going to be terrifying . It's 05:53.400 --> 05:55.344 still going to be intense , but at 05:55.344 --> 05:57.344 least they can stay in their mind . 05:57.344 --> 05:59.622 I've done this before , I've seen this , 05:59.622 --> 06:01.789 but I know I need to focus not on this 06:01.789 --> 06:04.011 outward stuff . Put on our patients and 06:04.011 --> 06:06.067 our mission . The more realistic you 06:06.067 --> 06:08.289 can make your training , the better the 06:08.289 --> 06:10.511 learning is going to be , the more they 06:10.511 --> 06:13.590 remember out of it . Mhm . There's 06:13.590 --> 06:15.646 technology that's being tested right 06:15.646 --> 06:17.646 now in the mixed reality room where 06:17.646 --> 06:19.646 they could dawn some headset , very 06:19.646 --> 06:22.310 lightweight headset . Uh And that feed 06:22.310 --> 06:24.366 goes back to a physician back in the 06:24.366 --> 06:26.588 States or wherever the closest fob is , 06:26.588 --> 06:28.699 and they can walk them through . This 06:28.699 --> 06:30.810 is how you put in a chest tube . This 06:30.810 --> 06:33.050 is how you open their abdomen with an 06:33.050 --> 06:35.530 overlay of what the anatomy is . And a 06:35.530 --> 06:37.950 surgeon back at home saying cut on the 06:37.960 --> 06:40.540 dotted line . Put your finger here , 06:40.550 --> 06:42.772 take this needle and thread here and so 06:42.772 --> 06:45.820 there . Thank you . So if I can give 06:45.820 --> 06:48.042 you training through virtual reality or 06:48.042 --> 06:50.153 through serious medical gaming , that 06:50.153 --> 06:52.209 means that you don't have to be in a 06:52.209 --> 06:54.209 facility that has a classroom . You 06:54.209 --> 06:56.431 don't have to be somewhere with a train 06:56.431 --> 06:58.598 simulation operator . You can pull out 06:58.598 --> 07:00.431 your phone or you can get on the 07:00.431 --> 07:02.431 computer and you can have access to 07:02.431 --> 07:04.598 this training anywhere in the world at 07:04.598 --> 07:06.709 any time . We're finding that many of 07:06.709 --> 07:08.653 these newer technologies keep them 07:08.653 --> 07:11.080 engaged for longer um , and actually 07:11.090 --> 07:13.360 have the promise of helping them retain 07:13.360 --> 07:15.760 information for longer . 07:19.640 --> 07:21.862 The distractions can happen in the real 07:21.862 --> 07:23.862 world . The things that happened in 07:23.862 --> 07:26.190 front of a patient care team can 07:26.190 --> 07:28.079 distract you from doing the right 07:28.079 --> 07:30.190 things and losing your focus . But if 07:30.190 --> 07:32.357 you practice over and over in front of 07:32.357 --> 07:34.357 a mannequin with scenarios that are 07:34.357 --> 07:36.468 real world based on real world things 07:36.468 --> 07:38.690 that have happened , we can come to the 07:38.690 --> 07:40.912 point of protecting the patient doing a 07:40.912 --> 07:42.912 better job . So absolutely focusing 07:42.912 --> 07:45.079 sharpening up on your skills . Medical 07:45.079 --> 07:47.301 simulation is the way of the future and 07:47.301 --> 07:49.301 it's incumbent upon us to make sure 07:49.301 --> 07:51.523 that we keep up with that technology to 07:51.523 --> 07:53.690 give the best quality training for our 07:53.690 --> 07:55.746 students regardless of where you get 07:55.746 --> 07:57.857 trained , um , and who the instructor 07:57.857 --> 08:00.023 is on the day you happen to be there , 08:00.023 --> 08:02.190 that you get the same training so that 08:02.190 --> 08:05.150 when you go to some overseas location 08:05.150 --> 08:06.983 and need to make a difference in 08:06.983 --> 08:09.094 somebody's life on the first day that 08:09.094 --> 08:10.983 you've hit the ground that you've 08:10.983 --> 08:14.150 received training that can save lives . 08:18.040 --> 08:20.760 Right ? Good .