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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>


iRIS Health<br />

<strong>Simulation</strong><br />

Authoring Platform<br />

Develop Training Scenarios<br />

Easily and Remotely<br />

• iRIS is a web-based scenario development solution that<br />

helps in easy collaboration, design and development of<br />

high quality training scenarios<br />

• Enables simulation teams to work more remotely with<br />

Subject Matter Experts<br />

• Offers a standardised approach to developing scenarios<br />

using a simple step by step wizard<br />

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 />

training partner<br />

of choice


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 />

Individuals - £60.00 inc. postage<br />

Commercial Organisations - £72.00 inc. postage<br />

We are also able to process your<br />

subscriptions via most major credit<br />

cards. Please ask for details.<br />

Cheques should be made<br />

payable to MEDIA PUBLISHING.<br />

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 />

THE Prehospital Blood &Fluid Warming Solution<br />

New Ways of Working<br />

within Endoscopy<br />

One of the impacts of Covid-19 is<br />

the way the NHS is accepting and<br />

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 />

short-term contracts and explore<br />

the differences in working life with<br />

18 Week Support compared to their<br />

day to day jobs in their home trusts.<br />

Blood &<br />

Fl<br />

uid<br />

Wa<br />

rm<br />

in<br />

ng<br />

Sy<br />

ys<br />

te<br />

m<br />

ENHANCE PAEDIATRIC SIMULATION WITH REALITi<br />

Train critical skills required for your most vulnerable patients<br />

FAST | EFFECTIVE | SAFE | INTUITIVE | LIGHTWEIGHT | POWERFUL<br />

EXCLUSIVE TO<br />

See reverse for <strong>Simulation</strong> <strong>Today</strong><br />

See reverse for Resuscitation <strong>Today</strong>


FEATURE<br />

– REMOTE CONTROL FOR REALITi360<br />

The complete simulation system for realistic pre-hospital training.<br />

Even when working remotely.<br />

PRE-HOSPITAL<br />

REMOTE CONTROL<br />

PRE-HOSPITAL<br />

CPR-TRAINING<br />

DEBRIEFING<br />

SIMULATION TODAY - SPRING <strong>2021</strong><br />

HOSPITAL<br />

FIND OUT MORE AND SCHEDULE YOUR ONLINE DEMO<br />

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 />

13

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