8/5/11 (Item 6 from file: 155)

10261858 20091420

Virtual reality, robotics, and other wizardry in 21st century trauma

care.

Maniscalco‑Theberge ME; Elliott DC

General Surgery Service, Walter Reed Army Medical Center, Washington,

DC, USA.

Surg Clin North Am ( UNITED STATES ) Dec 1999 , 79 (6) p1241‑8 ,

ISSN 0039‑6109 Journal Code: VAN

Languages: ENGLISH

Document type: JOURNAL ARTICLE

Journal Announcement: 0004

Subfile: AIM; INDEX MEDICUS

The former Special Assistant to the Director on Biomedical Technology,

Defense Advanced Research Projects Agency (DARPA), COL RM Satava, notes

"Predicting the future trends in any profession jeopardizes the

credibility of the author." Thus, we have attempted to outline current

systems and prototype models in testing phases. Technologic advances will

enable enhanced care of trauma patients. In the acute care setting, they

also will affect the educational system in theory and practice.

Tags: Human

Descriptors: *Emergency Medical Services‑‑Trends‑‑TD;

*Robotics‑‑Trends‑‑TD; *User‑Computer Interface; *Wounds and

Injuries‑‑Surgery‑‑SU ; Computer Simulation; Forecasting; Information

Systems; Internet; Microcomputers; Monitoring,

Physiologic‑‑Instrumentation‑‑IS; Technology, Medical‑‑Trends‑‑TD;

Telemedicine; Traumatology‑‑Education‑‑ED; Traumatology‑‑Trends‑‑TD

MEDLINE(R) (Dialog« File 155): (c) format only 2000 Dialog Corporation. All

rights reserved.

‑‑‑‑‑‑‑‑‑‑‑‑‑‑‑‑‑‑‑‑‑‑‑‑‑‑‑‑‑‑‑&# 8209;‑‑‑‑‑‑‑‑‑‑‑‑‑‑‑‑‑‑‑‑‑‑‑‑‑‑‑‑‑‑‑‑‑‑‑̴ 9;‑

8/5/17 (Item 12 from file: 155)

10219467 20061326

Practicing procedures on the recently dead.

Denny CJ; Kollek D

McMaster University Medical School, Hamilton, Ontario, Canada.

J Emerg Med ( UNITED STATES ) Nov‑Dec 1999 , 17 (6) p949‑52 , ISSN

0736‑4679 Journal Code: IBO

Languages: ENGLISH

Document type: JOURNAL ARTICLE

Journal Announcement: 0003

Subfile: INDEX MEDICUS

We sought to measure the prevalence of practicing procedures on the

recently dead in emergency departments. Surveys were mailed to all

medical students, interns, residents in Emergency Medicine, emergency

physicians, and trauma team leaders working in the teaching hospitals of

a city with a population of 600,000. Of 447 distributed surveys, 222

(49%) were returned. Participants were divided into learners and

teachers. Of the learners (n = 162), 6 (4%) had practiced intubation and

4 (3%) had practiced pericardiocentesis on a recently dead patient. Of

the teachers (n = 30), 8 (27%) had had learners practice intubation and 4

(13%) had had learners practice pericardiocentesis on a recently dead

patient. Of the students and teachers who practiced procedures on

recently dead patients, none had obtained consent. The prevalence of

practicing procedures on recently dead patients appears to be less than

has been reported previously. Intubation is the most commonly practiced

procedure on recently dead patients. None of the participants obtained

consent before practicing a procedure.

Tags: Human; Support, Non‑U.S. Gov't

Descriptors: *Cadaver; *Emergency Medicine‑‑Education‑‑ED; *Emergency

Service, Hospital; *Ethics, Medical ; Informed Consent; Intubation,

Intratracheal; Ontario; Pericardiocentesis ‑‑Education‑‑ED; Personnel,

Hospital; Prevalence; Questionnaires

MEDLINE(R) (Dialog« File 155): (c) format only 2000 Dialog Corporation. All

rights reserved.

8/5/38 (Item 33 from file: 155)

09947519 99258353

Paediatric resuscitation manikins.

Jevon P

Nurs Times ( ENGLAND ) Feb 17‑23 1999 , 95 (7) p55‑7 , ISSN

0954‑7762 Journal Code: O9U

Languages: ENGLISH

Document type: JOURNAL ARTICLE

Journal Announcement: 9907

Subfile: NURSING

Tags: Female; Human

Descriptors: *Education, Nursing‑‑Methods‑‑MT; *Life Support Care;

*Manikins; *Obstetrical Nursing‑‑Education‑‑ED; *Pediatric

Nursing‑‑Education‑‑ED ; Airway Obstruction‑‑Nursing‑‑NU; Child;

Delivery‑‑Methods‑‑MT; Infant, Newborn; Pregnancy

MEDLINE(R) (Dialog« File 155): (c) format only 2000 Dialog Corporation. All

rights reserved.

8/5/208 (Item 203 from file: 155)

06390231 90240613

Animal cadaveric models for advanced trauma life support training.

Eaton BD; Messent DO; Haywood IR

Animal Care Unit, Royal College of Surgeons of England, Downe, Kent.

Ann R Coll Surg Engl ( ENGLAND ) Mar 1990 , 72 (2) p135‑9 , ISSN

0035‑8843 Journal Code: 5VV

Languages: ENGLISH

Document type: JOURNAL ARTICLE

Journal Announcement: 9008

Subfile: INDEX MEDICUS

'Hands on' practical workshop teaching is a fundamental part of

advanced trauma life support training which has now been introduced into

the United Kingdom. The use of live large animals, which is standard for

the original courses developed in the United States of America, is

prohibited in the United Kingdom and, therefore, models for upper airway

bypass procedures and thoracic drainage have been developed. Their

preparation and use is described, and contrasted with alternatives.

Tags: Animal

Descriptors: *Cadaver; *Life Support Care‑‑Methods‑‑MT; *Manikins;

*Models, Anatomic; *Traumatology‑‑Education‑‑ED ; Education, Medical,

Undergraduate; Great Britain; Sheep

MEDLINE(R) (Dialog« File 155): (c) format only 2000 Dialog Corporation. All

rights reserved.

8/5/277 (Item 5 from file: 73)

10549884 EMBASE No: 2000014937

'Full scale' simulation in practical emergency medicine conception as

represented by the Wurzburg anaesthesia and emergency medicine simulator

'FULL‑SCALE'‑SIMULATION IN DER PRAKLINISCHEN NOTFALLMEDIZIN KONZEPTION

DES WURZBURGER ANASTHESIE‑ UND NOTFALLSIMULATORS

Kuhnigk H.; Kuhnigk R.; Sefrin P.; Roewer N.

Dr. H. Kuhnigk, Klin. Anasthesiol. Univ. Wurzburg,

Josef‑Schneider‑Strasse 2, D‑97080 Wurzburg Germany

Author Email: hkuhnigk@anaesthesie‑uni‑wuerzburg.de

Notarzt ( NOTARZT ) ( Germany ) 1999 , 15/6 (129‑133)

CODEN: NTRTE ISSN: 0177‑2309

Document Type: Journal ; Article

Language: GERMAN Summary Language: ENGLISH; GERMAN

Number Of References: 12

Simulation is growing more and more prominent in medicine, since it

represents the closest possible approximation to reality, inspired by

similar approaches which are quite common in several branches of

technology such as in aeronautics. 'Full Scale' simulators developed for

training and research in physiology and imitating a real patient in

respect of physiological and anatomical properties, enable further

development of and training in diagnostic and therapeutic progress

without endangering the patient. If they are placed in a realistic

environment they also enable individual training in the management of

emergency situations and rare complications or of special kinds of

anaesthesia or of teamwork. Several German university hospitals are

already using such a simulator for the training of anaesthesiologists.

Integration of these concepts and their adaptation to emergency

requirements is one of the focal points of the Wurzburg simulation

centre. Training in mastering complex preclinical tasks in a real

environment makes great demands even on an experienced emergency

physician; thus, young colleagues are now being offered an opportunity to

gather experience in close approximation to actual practice. Structured

subsequent discussions based on video recordings support the efficiency

of such target‑oriented training. In addition, this procedure enables not

only simulation in research activities and developments but also to fit

them into the patterns of emergency medicine. The future ranking of

simulation has not yet been sufficiently assessed especially for

emergency medicine with particular regard to it novelty in that

discipline. However, experiences from other branches of technology show

that the systematic introduction of simulation techniques has triggered

optimation processes in many structuries of application and organisation.

In view of the high costs involved in simulation technology it will be

necessary to discuss new modalitis of financing, possibly with the

participation of statutory insurance bodies and increased crosslinking

with university and non‑ university institutions in training and

continued education, thus enabling a wider use of simulation techniques.

reserved.

8/5/396 (Item 3 from file: 5)

11682597 Biosis No.: 199800464328

MEDSIMM: Computer‑simulated training for pediatric advanced life support

(a work in progress).

Author: San Juan Ronald; Lichenstein Richard; Hisley K Calvin

Author Address: Dep. Pediatr., Univ. Md. Med. Systems, Baltimore, MD, USA

Journal: Pediatrics 102 ( 3 PART 2 ): p 688 Sept., 1998

Conference/Meeting: Annual Meeting of the American Academy of Pediatrics

San Francisco, California, USA October 16‑21, 1998

Sponsor: American Academy of Pediatrics

ISSN: 0031‑4005

Record Type: Citation

Language: English

8/9/441 (Item 16 from file: 6) 2090995 NTIS Accession Number:

ADA349567/XAB

Medical Simulation for Trauma Management

( Final rept. 30 Sep 94‑31 Mar 98 )

Merril, G. L.

HT Medical, Inc., Rockville, MD.

Corporate Source Codes: 113289000; 432378

Oct 97 32p

Language: English

Journal Announcement: GRAI9822

Product reproduced from digital image. Order this product from NTIS by:

phone at 1‑800‑553‑NTIS (U.S. customers); (703)605‑6000 (other

countries); fax at (703)605‑6900; and email at orders@ntis.fedworld.gov.

NTIS is located at 5285 Port Royal Road, Springfield, VA, 22161, USA.

NTIS Prices: PC A04/MF A01

Country of Publication: United States

Contract Number: DAMD17‑94‑J‑4470

This project involves the development of surgical simulation technology

for training military and civilian personnel in management of the

abdominal wound. In this context, a virtual reality simulation is being

produced using new innovations in computer graphics, physics‑based

modeling, medical visualization, and tactile feedback robotics. The

objective of this effort is develop technology which enables a degree of

training not possible using existing technologies in trauma surgery in

the battlefield and emergency room. This effort has produced significant

results in several areas. We have continued to advance the computer

modeling technology necessary for medical simulation. We have

demonstrated interactive models representing both flexible and rigid

structures. We have developed techniques for interactive volume rendering

of patient specific data. Patient specific visualization technologies

will have a significant impact on medicine in the near future. As greater

levels of realism are achieved in simulation the computational

requirements of the system have expanded. We have developed an expandable

architecture that allows for the assignment of multiple processors to

each computational task of the simulation system.

Descriptors: *Computerized simulation; *Battlefields; *Military medicine;

*Medical services; *Surgery; *Virtual reality; *Trauma; *Medical computer

applications; Simulation; Military personnel; Robotics; Computations;

Emergencies; Computer graphics; Allocations; Multiprocessors; Military

training; Civilian personnel; Patients; Flexible structures

Identifiers: Surgical simulation; Trauma training; Educational

technology; Medical visualization; NTISDODXA

Section Headings: 57E (Medicine and Biology‑‑Clinical Medicine); 62GE

(Computers, Control, and Information Theory‑‑General); 74G (Military

Sciences‑‑Military Operations, Strategy, and Tactics)

rights reserved.

8/5/598 (Item 1 from file: 144)

14385853 PASCAL No.: 00‑0039606

Enhanced training using the Life Support for Trauma and

Transport (LSTAT)

Battlefield biomedical technologies : Orlando FL, 6 April 1999

HANSON M E; TOTH L S; WHITE W H

PIEN Homer H, ed

Northrop Grumman Corporation, Pico Rivera, CA 90660, United States

International Society for Optical Engineering, Bellingham WA, United

States.

Battlefield biomedical technologies. Conference (Orlando FL USA)

1999‑04‑06

Journal: SPIE proceedings series, 1999, 3712 94‑98

ISBN: 0‑8194‑3186‑9 ISSN: 1017‑2653 Availability: INIST‑21760;

354000084595970110

Document Type: P (Serial); C (Conference Proceedings) ; A (Analytic)

Country of Publication: United States

Language: English

The Life Support for Trauma and Transport (LSTAT) is an intensive care

unit (ICU) in a "stretcher<right single quotation mark> only 5 inches

thick. LSTAT is a portable intensive care system which integrates

state‑of‑the‑art, commercial‑off‑the‑shelf, hospital grade ICU devices into

a single patient resuscitation, stabilization, evacuation, and surgical

platform. LSTAT's current and evolving attributes include compact volume,

low weight, integrated devices and subsystems, ergonomic patient‑caregiver

interface. patient and system information system, near‑universal power

interface, patient‑caregiver hazardous environment isolation, and extensive

evacuation vehicle interface compatibility. Although the LSTAT system

architecture was established primarily to support diagnosis, monitoring and

telemedicine consulting, the information architecture and communications

suite can also support hosting training experiences and scenarios. The

training scenario capabilities and features include: 1) moving training out

to the field, 2) facilitating distributed training, 3) off‑setting training

with remote experts (or potentially embedded expert systems), and 4)

facilitating training‑by‑simulation. Equipping the caregiver via such

enhanced equipment and training should ultimately translate into better

care for the patient.

English Descriptors: Intensive care unit; Decision making; Telemedicine;

Educational software program; Monitoring; Simulation; Portable equipment;

System architecture; Diagnosis

Broad Descriptors: Resuscitation; Reanimation; Reanimacion

French Descriptors: Unite soin intensif; Prise decision; Telemedecine;

Didacticiel; Monitorage; Simulation; Appareil portatif; Architecture

systeme; Diagnostic

Classification Codes: 002B27B15

‑‑‑‑‑‑‑‑‑‑‑‑‑‑‑‑‑‑‑‑‑‑‑‑‑̴ 9;‑‑‑‑‑‑‑‑‑‑‑‑‑‑‑‑‑‑‑‑‑‑‑‑‑‑‑‑‑‑‑‑‑‑‑‑& #8209;‑‑‑‑‑‑

8/5/513 (Item 11 from file: 2)

5944858 INSPEC Abstract Number: C9807‑7330‑312

Title: Simulation and modeling of penetrating wounds from small arms

Author Eisler, R.D.; Chatterjee, A.K.; Burghart, G.H.

Author Affiliation: Mission Res. Corp., Fountain Valley, CA, USA

Conference Title: Medicine Meets Virtual Reality. Health Care in the

Information Age. Proceedings of Medicine Meets Virtual Reality 4 p.

511‑22

Editor Weghorst, S.J.; Sieburg, H.B.; Morgan, K.S.

Publisher: IOS Press , Amsterdam, Netherlands

Publication Date: 1996 Country of Publication: Netherlands xvi+734 pp.

ISBN: 90 5199 250 5 Material Identity Number: XX96‑00632

Conference Title: Proceedings of Medicine Meets Virtual Reality IV:

Healthcare in the Information Age ‑ Feature Tools for Transforming

Medicine

Conference Date: 17‑20 Jan. 1996 Conference Location: San Diego, CA,

USA

Language: English Document Type: Conference Paper (PA)

Treatment: Practical (P)

Abstract: The overwhelming source of morbidity on the battlefield is

penetrating injuries to the musculoskeletal system. We are providing an

integrated software package, applicable to the extremities, that: (1)

simulates tissue damage from small arms projectiles and fragments

penetrating the musculoskeletal system, (2) performs a detailed

biomechanical assessment of residual physical capability, and (3)

provides a high‑resolution graphical interface for medical simulation and

training. The program consists of five tasks. Task 1 develops models

describing soft tissue damage from a penetrating wound. Task 2 describes

the interaction of bone tissue with the missile, including the mode of

fracture produced. Task 3 consists of three subtasks: (a) models to

describe coupling between the ballistic response of the bone and the

surrounding soft tissue; (b) an interface allowing visualization of the

wound; and (c) casualty selection from an autopsy database for simulating

specific wounds. Task 4 integrates biomechanical software which describes

the moment‑generating capability of joints, given the initial and

deformed geometry of the bones, muscles and tendons resulting from the

projectile interaction. Task 5 is an administrative task related to

preparation of deliverables. The models from this effort will eventually

be imported into a lower extremity battlefield trauma simulator under

development by Musculographics Inc. for ARPA. The simulator will be used

to train combat medics in the management of lower extremity trauma. This

paper describes progress during the first year which focuses on the first

two tasks. ( 4 Refs)