Simulation Today - Spring 2021
Simulation Today - Spring 2021
Simulation Today - Spring 2021
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Volume 3 No. 1<br />
<strong>Spring</strong> <strong>2021</strong><br />
<strong>Simulation</strong> <strong>Today</strong><br />
A resource for all involved in the teaching and practice of simulation<br />
– YOUR SIM CENTER IN A BAG<br />
Providing educational solutions for emergency training<br />
See reverse for Resuscitation <strong>Today</strong>
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Visit caehealthcare.com/patient-simulation/iris/ to find out more<br />
or contact shani.botha@cae.com to arrange a virtual demo.<br />
Your worldwide<br />
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CONTENTS<br />
CONTENTS<br />
<strong>Simulation</strong> <strong>Today</strong><br />
4 EDITORS COMMENT<br />
7 FEATURE Building a 22 week Extremely Low Birth Weight<br />
Manikin<br />
8 FEATURE Britain’s Special Forces training with world’s first<br />
Advanced Water Rescue manikin with ‘lungs’<br />
10 FEATURE Is your simulation a bloody mess?<br />
11 NEWS<br />
This issue edited by:<br />
David Halliwell<br />
MSc Paramedic<br />
c/o Media Publishing Company<br />
Greenoaks<br />
Lockhill<br />
Upper Sapey, Worcester, WR6 6XR<br />
ADVERTISING & CIRCULATION:<br />
Media Publishing Company<br />
Greenoaks, Lockhill<br />
Upper Sapey, Worcester, WR6 6XR<br />
Tel: 01886 853715<br />
E: info@mediapublishingcompany.com<br />
www.MediaPublishingCompany.com<br />
PUBLISHED:<br />
<strong>Spring</strong>, Summer and Autumn<br />
COVER STORY<br />
Advancing Clinical <strong>Simulation</strong><br />
For decades, 3B Scientific’s experience of working with institutions and<br />
medical educators globally has helped us gain new, innovative insights to<br />
advancing the delivery of healthcare education. Our group of companies,<br />
including iSimulate and Cardionics, boasts an expanded product portfolio<br />
with reliable solutions for simulation and skills training tailored to the evolving<br />
requirements of the healthcare industry.<br />
iSimulate plays a pivotal role in the mission to advance the delivery of<br />
healthcare education, by providing affordable, innovative solutions for<br />
emergency and intensive care training. Utilizing the REALITi360 platform,<br />
healthcare educators are able to customize their simulations to teach lifesaving<br />
interventions, utilizing the exact monitor and screen simulations they<br />
also encounter in real life. Instructors receive a wide range of simulation<br />
solutions to meet their exact training needs.<br />
The REALITi360 ecosystem is a modular platform that enables educators to<br />
add exactly and only what they need, to take their training to the next level of<br />
realism and further enhance the interactive experience. With the addition of the<br />
Remote Control Module, educators are able to control the student’s monitor<br />
over the internet and conduct simulation exercises safely from anywhere in the<br />
world.<br />
To find out more about 3B Scientific skill trainers and iSimulate products,<br />
visit 3bscientific.com. Our teams are happy to schedule a digital product<br />
demonstration with you.<br />
COPYRIGHT:<br />
Media Publishing Company<br />
Greenoaks<br />
Lockhill<br />
Upper Sapey, Worcester, WR6 6XR<br />
PUBLISHERS STATEMENT:<br />
The views and opinions expressed in<br />
this issue are not necessarily those of<br />
the Publisher, the Editors or Media<br />
Publishing Company.<br />
Next Issue Summer <strong>2021</strong><br />
Subscription Information – <strong>Spring</strong> <strong>2021</strong><br />
<strong>Simulation</strong> <strong>Today</strong> is a tri-annual publication<br />
published in the months of March, June and<br />
September. The subscription rates are as<br />
follows:-<br />
UK:<br />
Individuals - £12.00 inc. postage<br />
Commercial Organisations - £30.00 inc. postage<br />
Rest of the World:<br />
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Designed in the UK by me&you creative<br />
SIMULATION TODAY - SPRING <strong>2021</strong><br />
3
EDITORS COMMENT<br />
EDITORS COMMENT<br />
iSimulate – The cover of this journal with iSimulate reminds me of the need to<br />
emphasise the novel approaches being taken by so many with regard to Remote<br />
<strong>Simulation</strong>. The Latest iSimulate development allows a user with an iPad in the<br />
UK to control the iSimulate unit in Australia – this tool is perfect for those who<br />
ask students to drive hundreds of miles to undertake an ALS assessment or<br />
recertification. Considering the Costs of Travel, the Risks of Accidents en-route to<br />
an assessment centre, and the sheer time away from the workplace then thinking<br />
about remote assessment becomes a no brainer!<br />
SIMULATION TODAY - SPRING <strong>2021</strong><br />
“Considering<br />
the Costs<br />
of Travel,<br />
the Risks of<br />
Accidents enroute<br />
to an<br />
assessment<br />
centre, and<br />
the sheer time<br />
away from<br />
the workplace<br />
then thinking<br />
about remote<br />
assessment<br />
becomes a no<br />
brainer!”<br />
This Journal focusses on New Products – The team at Ruth Lee have developed a drowning ALS<br />
MANIKIN – Their new Advanced Water Rescue Manikin has a patent pending valve system which<br />
allows the manikin to have pulmonary Oedema, and Foaming… weighing up to 70kg this tool is a<br />
game changer for the Technical Rescue simulation community.<br />
The article from Rob Clark addresses the way he approached the design of a 22/23 week<br />
gestation pre-term (Extremely Low Birth Weight manikin – 500gm) – I was privileged to watch a<br />
lot of this unfold from the side-lines, but the effort involved in building such a tiny resuscitation<br />
manikin was incredible.<br />
We showcase the development of Manniskins by a team in Australia – designed to transform<br />
the Look and Feel of traditional plastic manikins. This project transforms the useability of the<br />
traditional plastic manikin, allowing educators to talk about “breast tissue and CPR”, we can have<br />
deeper discussions about why less women survive Cardiac Arrest than men.<br />
For those of us involved in moulage – Paul Savage has shared his latest solutions – Silicone Vomit<br />
and Blood pools which can be laid out next to a manikin to transform realism, Pauls Training<br />
courses are also featured with a review from an ex-student.<br />
Dates for Diary<br />
IMSH – VIRTUAL EVENT – Running from January to March <strong>2021</strong><br />
SESAM – Virtual Event – 14-16 April <strong>2021</strong><br />
CALSIM – 9/10 April <strong>2021</strong> – Cedars Sinai Hospital – California<br />
IPSSW – St Petersberg Florida . 23-25 October <strong>2021</strong><br />
Aspih – 8/9/ 10 November <strong>2021</strong> – Venue TBA<br />
David Halliwell<br />
MSc Paramedic<br />
4
MEDIA ANNOUNCEMENT<br />
FREE EDUCATIONAL PODCASTS<br />
Visit www.resustoday.com<br />
In the knowledge that conferences and exhibitions are currently on hold we are delighted to offer you<br />
the opportunity to hear the following podcasts listed on www.resustoday.com further podcasts being<br />
added on a regular basis (average Podcast time is 30 minutes):<br />
Management of Traumatic Cardiac Arrest - Richard Lyons<br />
Check Card Medicine - Paul Savage<br />
Resuscitative Endovascular Baloon - Paul Rees<br />
Hypothermia and ECMO - Ian Scott<br />
Paediatric Cardiac Arrest - Jon McCormack<br />
Post Resuscitation Care - Paul Rees<br />
Picking up the Pieces - Dr John Chatterjee & Steve Jones<br />
This unique section on our web site also gives you the opportunity to see the following products being<br />
demonstrated:<br />
• I-view(tm) video laryyngoscope<br />
• Water Rescue toddler<br />
• EOlife Ventillation Monitor<br />
• Quantum Life Warmer<br />
We are also seeking further presentation/podcasts to add to this exciting new educational concept<br />
therefore if you have anything to submit that would interest those working in Pre Hospital Care,<br />
Resuscitation and <strong>Simulation</strong> please forward it to info@mediapublishingcompany.com<br />
IT’S FREE - IT’S EDUCATIONAL - IT’S REWARDING<br />
WWW.RESUSTODAY.COM<br />
Volume 35 No. 5<br />
DEDICATED TO THE AMBULANCE SERVICE AND ITS SUPPLIERS<br />
October 2020<br />
Volume 30 No. 4<br />
Winter 2020<br />
Gastroenterology <strong>Today</strong><br />
Volume 7 No. 2<br />
Autumn 2020<br />
Resuscitation <strong>Today</strong><br />
A Resource for all involved in the Teaching and Practice of Resuscitation<br />
Volume 2 No. 2<br />
Autumn 2020<br />
<strong>Simulation</strong><strong>Today</strong><br />
A resource for all involved in the teaching and practice of simulation<br />
Discover the Quantum<br />
DIFFERENCE<br />
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One of the impacts of Covid-19 is<br />
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encouraging new ways of working.<br />
But is this true in endoscopy?<br />
In this edition, we look at insourcing<br />
with 18 Week Support as a solution,<br />
the actual experience of our nurses<br />
and clinicians working on these<br />
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the differences in working life with<br />
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day to day jobs in their home trusts.<br />
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FEATURE<br />
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SIMULATION TODAY - SPRING <strong>2021</strong><br />
HOSPITAL<br />
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6<br />
UK 3B Scientific Limited • 9 Regent Street • TA8 1AX Burnham-on-Sea • Somerset<br />
Phone: 01934 425333 • E-mail: uk3bs@3bscientific.com • 3bscientific.com
FEATURE<br />
BUILDING A 22 WEEK EXTREMELY<br />
LOW BIRTH WEIGHT MANIKIN<br />
Rob Clark MSc<br />
Rob is a Director at Lifecast Body <strong>Simulation</strong>, Based<br />
at Elstree Movie studios, London. An experienced<br />
prehospital educator Rob explains the background<br />
behind the build of a 22/23-week gestation Pre-Term<br />
baby.<br />
The Call for Help - “We often get asked to make new manikins for<br />
people, indeed, at the time of writing this article we are building new<br />
bodies for Hospitals in the UK, and surgical development projects for<br />
clients building new surgical tools in the USA.”<br />
A phone call from a senior Consultant Midwifery Educator the NHS<br />
asked us if we could consider building a 22/23-week gestation manikin<br />
for Paramedic Education, the caller explained the background “due<br />
to COVID 19 there had been a substantial increase in the number of<br />
Extremely Low Birth Weight Pre-Term babies, and it appeared that the<br />
tools on which to train Ambulance staff to Ventilate / Resuscitate these<br />
tiny babies simply did not exist.”<br />
There had been Equipment, Training and even a few Legal and Ethical<br />
issues associated with many of the cases of preterm baby birth in the<br />
community which it was hoped a manikin-based education solution may<br />
help to address.<br />
Normally, at Lifecast Body Sim we would use the techniques of either<br />
3d scanning or Lifecasting as our way of copying a person’s body, but<br />
in this case we felt that the ethics of copying the body of such a tiny<br />
baby could be extremely complicated, so we had to think a bit differently<br />
about the build of this body.<br />
We had previously made 9 week<br />
and 16-week gestation models<br />
for miscarriage education where<br />
we had needed to use the skills<br />
of the sculpting team at Lifecast.<br />
These models didn’t include any<br />
internal anatomy, and didn’t need<br />
to be intubated / ventilated, but<br />
were at least life-size replicas. We<br />
had supported NHS miscarriage<br />
support teams and so we felt<br />
the leap to making a 500gm Advanced Lifesize manikin would be an<br />
achievable project.<br />
About the Sculptors - We have some amazing sculptors at Elstree who<br />
have made models for Madame Tussauds as well as mainstream movies,<br />
so when we asked our sculptor Andrew to make us a 22 / 23-week baby<br />
he relished the opportunity. Andrew had designed Newborn babies for our<br />
team previously, and so at the start of 2020 we began the build.<br />
The challenges of the 22/23-week Anatomy – it may seem obvious<br />
to most people, but trying to build a 500gm ALS manikin which can be<br />
Intubated, Ventilated, and receive Chest Compression and which has<br />
Umbilical Cord Access for Fluid / Drugs and Cord Monitoring is challenging,<br />
building such tiny pieces of anatomy, ensuring they are technically and<br />
anatomically millimeter perfect is difficult. But so is making them move in<br />
the way that would feal reasonably accurate to a Neonatologist.<br />
We work with a few amazing Neonatologists – especially dr Alok Sharma<br />
from Southampton Hospital, who agreed to work with Andrew the<br />
sculptor, and over the course of a few meetings the basics of the new<br />
manikin were formed.<br />
Designing tiny Tidal Respiratory<br />
Volumes (to 3mls), and building<br />
airways to 2mm Diameter is<br />
tough, but added to that we<br />
had to consider the shape of<br />
the epiglottis, and the immature<br />
growth areas for ears, genitals<br />
etc… We had to find new<br />
polymers which gave us appropriate lung compliance, and chest<br />
compression recoil. Andrew and Dr Alok worked for almost 3 months on<br />
the sculpting phase.<br />
Adding greater complexity – once the sculpt was complete we<br />
started to focus on using the new polymers to promote the realism of<br />
movement and physiology. When building a realistic training tool, it<br />
is vital for us to add functionality which ensures that the manikin gets<br />
maximum use.<br />
During one meeting – Dr. Alok asked…<br />
“Rob, can you add nasogastric tube placement, and if possible, chest drain?”<br />
Over the course of a couple of weeks we added into this tiny manikin<br />
an Oesophagus, a stomach and new ribcage, we redesigned the chest<br />
compliance and tidal volumes, we tested the ventilation using the<br />
Monivent system - ensuring our pressures and volumes matched those<br />
of real human beings…<br />
We had a great deal of Trial and Error at this stage, as we needed to fit<br />
the new ribcage into the skin and sculpt.<br />
Finally, once all the bits were in place we gave the body back to Dr Alok<br />
and the MPROVE network, before finally delivering to NHS Clients in<br />
London Ambulance and the South East Coast Ambulance Service for<br />
their Paramedic Education Programmes.<br />
For more information – please contact – sales@lifecastbodysim.com<br />
SIMULATION TODAY - SPRING <strong>2021</strong><br />
7
FEATURE<br />
BRITAIN’S SPECIAL FORCES<br />
TRAINING WITH WORLD’S FIRST<br />
ADVANCED WATER RESCUE<br />
MANIKIN WITH ‘LUNGS’<br />
SIMULATION TODAY - SPRING <strong>2021</strong><br />
Britain’s elite Military Medical teams (Special Forces) have helped<br />
to design a revolutionary lifelike manikin as part of intensive training<br />
to save lives at sea.<br />
The Special Forces Team, which is part of the Royal Navy and which<br />
traces its origins back to the Second World War, has been training with<br />
the world’s first Advanced Water Rescue manikin, which is so realistic<br />
that it even has ‘bubbling lungs’ (Pulmonary Oedema).<br />
The RNLI, Bristow Search and Rescue, the UK’s search and rescue<br />
helicopter service, several Ambulance Hazardous Area Response<br />
Paramedic teams and also the Maritime Skills Academy, have all<br />
supported the development of the manikin with rigorous testing and trials.<br />
Europe’s leading manufacturer of rescue training manikins, Ruth Lee<br />
Ltd, teamed up with Lifecast Body <strong>Simulation</strong> to create the world’s first<br />
Advanced Water Rescue manikin.<br />
Highly accurate and lifelike, the £25,000 manikin is a step change in<br />
realism for the rescue training industry. Manikins which have similar<br />
advanced medical simulation capabilities frequently cost in excess of<br />
£75k, but you certainly couldn’t risk them in open water!<br />
The Advanced Water Rescue manikin is designed to mimic a drowned<br />
person in water and delivers realistic medical simulation training which<br />
prepares rescuers for the real world. No other rescue manikin provides<br />
this level of fidelity (Realism), with opportunities to practise rescue skills,<br />
coupled with continuation of care to the Hospital and Intensive Care.<br />
The Advanced Water Rescue manikin floats like an unconscious person<br />
but can also be weighted to partially or fully sink to increase the realism<br />
of rescue. Pockets to add extra weight have been built into the manikin<br />
allowing the weight to increase to 70Kg+<br />
When in water, the hydrostatic squeeze (pressure of the water) closes<br />
a valve within the lung mechanics. Once rescued from water, the<br />
mechanism releases, creating movement of the lungs and chest.<br />
Submerging the manikin creates an amount of water in the oropharynx,<br />
the middle part of the throat behind the mouth, which can be removed<br />
using manual or mechanical suction methods.<br />
The drowning mechanism even allows for the manikin to create “foam”<br />
to replicate the noises and foaming commonly seen in drowning people.<br />
Foaming occurs when water enters the lung and mixes with surfactant<br />
(a substance found in the lungs)- this creates a bubbling phenomenon<br />
which can be very off-putting to rescuers.<br />
When people drown they can inhale about 30 mls of water into the<br />
Lungs, and the manikin is able to replicate this phenomenon, as well as<br />
allow for dry lung drownings.<br />
The manikin, which is patent pending, has taken two years of research<br />
and development to perfect.<br />
Paul McDonnell, Managing Director of Ruth Lee, which is based in Corwen,<br />
North Wales, said: “Special Forces teams asked us to create a world first<br />
drowning manikin for them to allow both rescue and critical care training.”<br />
“Our innovative product, made in collaboration with Lifecast Body<br />
<strong>Simulation</strong> – Based in Elstree Movie Studios - London, is the first to<br />
allow teams to provide true continuation of care.<br />
8
FEATURE<br />
“It has been specially designed to be rescued from water and allows for<br />
lifesaving intervention with the realism of noises and respiratory issues<br />
encountered in the real world. It means rescue teams can be trained for<br />
the skills they will need in the real world.”<br />
Liz Baugh, who worked as a medic for the Royal Navy and is now lead<br />
medical consultant at Red Square Medical, which provides medical services<br />
for the maritime sector, said: “I’ve never seen anything like this before.”<br />
“Usually we simulate resuscitation on normal manikins in a classroom<br />
environment and simulate man overboard rescues with a manikin in the<br />
water, and there’s no link up between the two.”<br />
“This manikin enhances our training dramatically not just from the<br />
perspective of how it feels to lift a real weight out of the water, but what’s<br />
it’s like to resuscitate a realistically feeling body. Because he is so<br />
realistic, it adds an additional layer of emotional reaction on top.”<br />
“Bringing this level of realism to my crew is going to enhance their<br />
reactions and their responses.”<br />
Adam Khan, a critical care paramedic with Wiltshire Air Ambulance,<br />
said: “Traditionally, training has been quite disjointed. We would have a<br />
rescue phase, a resuscitation phase and then the onward care phase.<br />
This manikin allows us to use the same piece of equipment throughout<br />
the phases..<br />
“There’s no other manikin that offers the same level of fidelity, realism<br />
and authenticity as well as being a lifeline in terms of its anatomy and<br />
physiology.”<br />
With over 25 years’ experience, Ruth Lee supplies all of the UK’s Fire &<br />
Rescue Services, plus countless other customers including the Police,<br />
Military, RNLI, and the NHS.<br />
Ruth Lee have provided manikins to some of the biggest industry<br />
names including Airbus, BMW, Exon Mobil, Glaxo Smith Kline, Ford, Star<br />
Cruises, Tata Steel and the United Nations.<br />
The ultimate aim of the business is to help professionals who save lives.<br />
www.ruthlee.co.uk<br />
About Lifecast Body <strong>Simulation</strong><br />
Introducing a step change in realism for the medical and rescue training<br />
industry, Lifecast Body <strong>Simulation</strong> has developed a range of highly accurate<br />
and lifelike medical manikins which are transforming the way that medical<br />
simulation and education are delivered and absorbed. Manufactured in the<br />
UK and USA the Lifecast manikins are used in Universities and throughout<br />
the UK NHS – but have distribution partners worldwide.<br />
With 30 years of clinical experience and 30 years of designing manikins<br />
for TV & films they bring realism to the world of medical simulation.<br />
Lifecasting is a technique originally pioneered by John Schoonraad in<br />
Elstree for the movie industry. John has supervised on films including:<br />
Gladiator, Saving Private Ryan, Black Hawk Down, The Wolfman and<br />
Troy. The London based company creates high quality and realistic<br />
prosthetics, make-up and practical effects.<br />
Lifecast Body <strong>Simulation</strong> – www.lifecastbodysim.com<br />
John Schoonraad, creative director of Lifecast Body <strong>Simulation</strong>, has a<br />
background in the movie industry and has worked on films including<br />
Saving Private Ryan and Black Hawk Down. He said: “Building a<br />
torso to fit within the Ruth Lee body was an exciting project, especially<br />
because it can transform lifesaving and technical rescue.<br />
“We are proud to see members of the military and special rescue teams<br />
training with this device and we hope it will save many lives. We have a<br />
special interest in prevention of drowning as a family, as we have spent<br />
many years using the water as the basis for our recreation.”<br />
About the Advanced Water Rescue manikin<br />
He’s 5ft 9in tall, weighs 52kg, has immaculate teeth and has even got<br />
‘lungs’. He even comes with soft feet and wellington boots and can be<br />
dressed according to requirements.<br />
The manikin is a lifecast of a man called Carl who works as a draper in<br />
the Lifecast studios. Carl allowed the team to copy his body using the<br />
Lifecasting technique. There are more than 500 copies of his body in<br />
use in medical and nursing establishments around the world.<br />
Dave Halliwell, Head of Clinical Design at Lifecast Body <strong>Simulation</strong> said:<br />
“Working in paramedic care for the last 30 years I’ve been lucky to have<br />
been involved with projects that are at the Forefront of Clinical Care,<br />
in this case, we have utilised the science of drowning, the physiology<br />
of the human body, and our joint knowledge of water rescue to design<br />
a new type of manikin. We had the support of some of the greatest<br />
medics in the world in our testing and we are excited to see how this<br />
product will help to transform drowning training around the world.”<br />
In the UK, drowning is one of the leading causes of accidental death<br />
in children and every year in the UK and Ireland more than 700 people<br />
drown. Hundreds more have near-drowning experiences, sometimes<br />
suffering life-changing injuries.<br />
SIMULATION TODAY - SPRING <strong>2021</strong><br />
About Ruth Lee<br />
Ruth Lee Ltd are Europe’s leading manufacturer of rescue training manikins.<br />
9
FEATURE<br />
IS YOUR SIMULATION A BLOODY<br />
MESS?<br />
Paul Savage OBE – Saviour Medical Ltd<br />
I was recently faced with the task of assisting with an exercise<br />
which involved multiple casualties all with significant bleeds. This<br />
is nothing out of the ordinary, so no reason for any undue concern I<br />
thought. I was wrong.<br />
The exercise was in a shopping centre, (overnight whilst it was closed<br />
I might add), which it transpired had beautifully polished white ceramic<br />
floor tiles with white grout. It also had a mildly aggressive and stressed<br />
head-cleaner, whose blood pressure went up significantly when he saw<br />
the litres of lovely red stuff I had brought with me to throw around with<br />
total abandon. After all, the brief was to make this mock terror event real,<br />
and I had dreamt up ways of making my fake blood not only look good,<br />
but be slippery like real blood, and see how many responders took<br />
skating lessons as part of the exercise!<br />
However, there was no way that my insurance policy was going to<br />
cover re-grouting the entire floor area of a shopping centre, so at that<br />
point improvisation was called for with people bleeding on inco-pads<br />
and water-proof tarps. But, whilst the insurance no-claims bonus<br />
stayed in place, the whole effect was lost and realism took a large step<br />
backwards.<br />
That got me thinking; how can realistic spilled-fluids effects be created<br />
that allow for engaging simulation without damaging the surface that<br />
they are being held on. Effects that allow for rapid clean up and zero<br />
chance of staining or spoiling floors, carpets etc.<br />
The outcome of that thought process and many hours perfecting<br />
mixtures in the Saviour Medical prosthetic workshop is “Sim-Sick” and<br />
“Sim-Pools”. These are hyper-realistic, reusable artificial fluid puddles,<br />
that can be any shape or size required and laid with confidence on any<br />
surface without issue. They allow for the simple recreation of bleeding<br />
or vomit, or should it be required, any other bodily fluid. Placed next<br />
to an actor or manikin they significantly enhance the realism of the<br />
simulation being undertaken.<br />
Future iterations planned include emesis bowls with “Sim-Sick” for<br />
in-hospital sim, in addition to the pre-hospital pavement pizza already<br />
in production! Always open to explore custom options or specific<br />
requirements too.<br />
If you require any details please contact paul@saviourmedical.com<br />
Commercially Available worldwide as part of the #simology range from<br />
www.mdtglobalsolutions.com<br />
SIMULATION TODAY - SPRING <strong>2021</strong><br />
10
NEWS<br />
BSMS simulation<br />
PGCert goes virtual.<br />
Dr Nick Tovel and Joanna<br />
Lawrence from Brighton<br />
and Sussex Medical School<br />
used challenges of the covid<br />
pandemic to transform their<br />
Post Graduate Certificate in<br />
Medical <strong>Simulation</strong> module<br />
into a virtual delivery model.<br />
The module which normally runs<br />
once or twice a year in Brighton<br />
was transformed this year to be<br />
delivered in a Microsoft teams<br />
format, sessions were redesigned<br />
and endurance was made to the<br />
new disability legislation ensuring<br />
all of the slides were accessible.<br />
The module was rated incredibly<br />
well by students, and the feedback<br />
from the tutoring team was that<br />
the delivery of on line learning for<br />
a simulation based module which<br />
would normally have involved a<br />
great deal of practical activity was<br />
possible, but exhausting.<br />
If you are interested in a PG Cert in<br />
Medical <strong>Simulation</strong> please contact<br />
A.Collins@bsms.ac.uk<br />
Manniskins from OZ<br />
Transform your Boring<br />
Manikin with a Manniskin<br />
We are always on the look out for<br />
something new for the <strong>Simulation</strong><br />
Journal and we came across the<br />
Manniskin.<br />
An Australian team of simulators<br />
have been building skin overlays<br />
for Little Annie Manikins and<br />
Brayden manikins.<br />
The Silicone skins lay on top of<br />
your CPR manikin to add layers<br />
and context to a simulation –<br />
such as Realistic Breast Tissue.<br />
The manikins have wigs and<br />
the nipples can be pierced, the<br />
skins can have pacemaker boxes<br />
inserted under the skin, and truly<br />
liven up a CPR and AED training<br />
session.<br />
The aim of the Skins was to<br />
attempt to address areas of<br />
gender inequality in CPR – we<br />
know that less ladies survive<br />
cardiac arrest than men, we know<br />
that many people are scared to<br />
release Bras for defibrillation, and<br />
Create realism and diversity<br />
in your training today with<br />
The Manniskin<br />
A low-cost and immediate high-impact skin to<br />
upgrade your current “Little Anne” CPR manikin.<br />
Introducing a new and easy<br />
to use product that will enable<br />
you to completely change your<br />
training delivery with a quick,<br />
budget friendly solution;<br />
Available for old version Little Anne<br />
plus newer version with plastic hair<br />
these basic skills do not receive<br />
the attention deserving of our<br />
The Manniskin<br />
+ =<br />
BASIC<br />
- manniskin<br />
- eyelashes<br />
- minimal face detail<br />
- no wig<br />
A TraumaSim product proudly distributed<br />
by MDT Global Solutions Ltd<br />
• easy care, clean & storage<br />
• no maintenance<br />
• simple application / setup<br />
• multiple skin colour options<br />
• plus further customisations<br />
ADVANCED<br />
manniskin -<br />
eyelashes -<br />
advanced face detail -<br />
with wig -<br />
wives, mothers and 52% of the<br />
population.<br />
Available for old version Little Anne<br />
plus newer version with plastic hair<br />
WHY NOT WRITE FOR US?<br />
<strong>Simulation</strong> <strong>Today</strong> welcomes the submission of clinical<br />
papers, case reports and articles that you<br />
feel will be of interest to your colleagues.<br />
The publication is mailed to all resuscitation, A&E and anaesthetic departments<br />
plus all intensive care, critical care, coronary care and cardiology units plus<br />
Universities and Schools of Midwifery that teach <strong>Simulation</strong>.<br />
All submissions should be forwarded to info@mediapublishingcompany.com<br />
If you have any queries please contact the publisher Terry Gardner via:<br />
info@mediapublishingcompany.com<br />
SIMULATION TODAY - SPRING <strong>2021</strong><br />
11
NEWS<br />
Medical <strong>Simulation</strong> Training<br />
– a learners perspective.<br />
PC Ben Hood, Warwickshire Police.<br />
Having been in Policing for almost<br />
16 years, over a decade of this as an<br />
Authorised Firearms Officer, I have<br />
been no stranger to the sight of horrific<br />
scenes and injuries, whether these are<br />
as a result of shootings, stabbings or<br />
road traffic collisions.<br />
I have been trained in what is commonly<br />
known within the Firearms world as D13<br />
allowing me to provide an advanced level<br />
of care in high risk environments, where it<br />
may not be safe for our Ambulance service<br />
colleagues to operate. I have gone on to<br />
become an accredited instructor for the<br />
Police, providing training to my colleagues.<br />
My own interest in this area has continued<br />
to grow, and from my own experiences as a<br />
student and those as an operational medic<br />
and an instructor, this left me continually<br />
thinking about our practices and how we<br />
could improve them particularly in the training<br />
environment. For many Police Officers the<br />
first time they see anything resembling<br />
these types of traumatic injuries is in an<br />
operational setting. Their training would often<br />
be undertaken with the use of a manikin, or<br />
even a description of what injury we would<br />
be seeing from one of the instructional staff<br />
without a visual aid.<br />
It is well documented that in any area, training<br />
should as closely reflect the operational<br />
reality of what we may experience as is<br />
possible. I have been keen to enhance our<br />
own capabilities with our training scenarios. I<br />
had been aware of the use of Special Effects<br />
– Moulage – (SFX) previously but had never<br />
had much of an experience of its use or its<br />
application, as someone without an artistic<br />
bone in my body it was a new challenge.<br />
I’d come across Saviour Medical on Instagram<br />
(@saviourmedical if you want to look it up<br />
yourself) and after viewing the photos and<br />
explanations provided I was hugely impressed<br />
and subsequently contacted Paul Savage<br />
who was extremely helpful. Having spoken<br />
to another Police Force that were operating<br />
with previous training from Paul with great<br />
success, I booked onto the 3 day “Zero to<br />
Hero” course.<br />
These courses are held in Paul’s bespoke<br />
prosthetic workshop next to his house, so<br />
you have the professional facilities and the<br />
comforts of home! He has also invested in<br />
training heads to allow significant proportions<br />
of the course to be easily taught at full social<br />
distancing without the need for constant PPE.<br />
Any close contact work is also 100% Covid<br />
mitigated as best as it can be.<br />
Me starting as a complete novice was no<br />
issue for Paul, whose knowledge and passion<br />
for this subject was immediately apparent.<br />
By the end of the first day I was confidently<br />
creating 2D effects with crèmes and alcohol<br />
pallets including bruising, varying types of<br />
burns, blood and environmental effects. Not<br />
only was I creating these effects, but also<br />
learning more about the injuries as I went<br />
along.<br />
The course continued with sculpting directly<br />
onto the skin to create a number of different
NEWS<br />
wound types, the level of detailing to create<br />
something that reflected a real wound from<br />
scratch after 2 days was fantastic and using<br />
what we had already learned from the first day<br />
we were really able to elevate the appearance.<br />
The final day moved onto creating pieces<br />
from the huge range of flat moulds and the<br />
additional benefits of being able to create<br />
these #simology pieces in advance and<br />
quite literally stick them onto any role player<br />
as part of any scenario we wanted to create,<br />
the pieces ranged from all sorts of cuts,<br />
lacerations, gunshot wounds, fractures etc.<br />
We used the #simology wounds from MDT<br />
Global Solutions – www.mdtglobalsolutions.com<br />
Paul was a great teacher throughout and his<br />
passion and experience is clearly evident<br />
in the delivery of the course which not only<br />
taught me a fantastic new skill and developed<br />
my understanding in relation to some of the<br />
injuries we were creating but was great fun<br />
throughout. Having started day one as a total<br />
beginner with no previous experience the<br />
course really exceeded my own expectations<br />
of what I could achieve after 3 days, in<br />
addition to this Paul has always been available<br />
for further input and advice whenever<br />
required.<br />
I am in no doubt that the course and<br />
capabilities acquired as a result will improve<br />
our training scenarios from what we were able<br />
to produce previously, increasing the realism<br />
of what police medics may face operationally.<br />
If like me you’d like to learn more, you can find<br />
out all you need at the Saviour website –<br />
www.saviourmedical.com.<br />
And the Wounds –<br />
www.mdtglobalsolutions.com<br />
<strong>Simulation</strong> <strong>Today</strong><br />
Volume 3 No. 1<br />
<strong>Spring</strong> <strong>2021</strong><br />
<strong>Simulation</strong> <strong>Today</strong><br />
A resource for all involved in the teaching and practice of simulation<br />
We trust you have enjoyed reading the<br />
latest edition of <strong>Simulation</strong> <strong>Today</strong> and on<br />
the reverse side of this publication you will<br />
find Resuscitation <strong>Today</strong> which we hope<br />
will equally be of interest.<br />
When responding to advertisers please<br />
mention both publications.<br />
Should you wish to read previous issues<br />
online please visit:<br />
www.simulationtodayonline.com<br />
– YOUR SIM CENTER IN A BAG<br />
Providing educational solutions for emergency training<br />
SIMULATION TODAY - SPRING <strong>2021</strong><br />
See reverse for Resuscitation <strong>Today</strong><br />
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