Great week of training rolling into the holiday week. Closed out the week with 3 different events in Carroll County, MO. Thanks for hosting us, Carroll County Ambulance, Carrollton Career Center, and Carroll County Memorial Hospital!
University of Missouri’s Mobile Sim and staff are putting in lots of miles and hours this week! Trainings occurred at Bothwell Hospital for health care personnel in Sedalia, MO earlier in the week and now in Ava, MO for the Missouri Ozarks Community Health 5k and Wellness Fair today.
Watch as Damon at the Innovations Lab creates a wearable open leg fracture 👀
This piece of moulage will be used in the Emergency Medicine Wilderness Adventure later this week, an outdoor event that focuses on medical care in the wild. A Simulated Participant will wear this wound on his leg, giving the learners a live patient with whom they'll provide care.
MU Shelden Clinical Simulation Center | Making Task Trainers
Why do we make our own task trainers? To decrease negative patient outcomes – that's always the goal. Our role at the Clinical Simulation Center is to add a crucial step in the traditional teaching method of "see one, do one, teach one" – we make it possible to PRACTICE one. But to take matters a step further, not all practice is created equal.
If you were an OB/Gyn surgeon and you had to practice throwing sutures in response to a postpartum hemorrhage, would you rather it be on a uterus made of felt or one made from malleable silicone that looks, feels, and performs like human tissue? The answer is obvious. Our task trainers reduce the reality gap for our learners – students and physicians alike – so that their "practice one" is always accurate and informative.
When body parts are your job, the office gets interesting ✋🏽💡
Our version of a Suction assisted laryngoscopy and airway decontamination (S.A.L.A.D) trainer in action. Grant Geiger, a 4th year medical student, attempts video-assisted airway access of a “patient” who had recently consumed a caustic pool chemical resulting in severe esophageal bleeding and hematemesis. Our previous model utilized a hand pump and wasn’t able to achieve the projectile emesis necessary for the desired effect. For the updated S.A.L.A.D trainer, we installed a drill-powered transfer pump capable of 3,000L/hour as well as a 5 gallon reservoir! That’s a lot of puke!
Meet the New Guy
Introducing the newest member of our Simulation team. This 5yo has interactive eyes and facial expressions, dynamic lung compliance with true ventilator support, and real patient monitor support: SpO2, EKG, capnography, NIBP, live pacing and defibrillation.
TikTok vs. Shelden Clinical Simulation Center
Here's a side-by-side view of two approaches to catheter skills validation for nursing students in COVID times. There's quite a range!
We're proud to offer our learners the novel task training kits that you see on the right. Nursing students are able check out a Foley catheter kit (which includes both male and female anatomy), take it home, then participate in online skills training facilitated by nursing educators.
Video (left) and audio: TikTok uploaded by out-of-state nursing student
Video (right): Foley trainer designed and produced in the Innovations Lab at the MU Shelden Clinical Simulation Center
Making Suture Pads in Bulk
The role of clinical simulation within the healthcare system is to bridge the gap between classroom learning and real-life clinical experiences. In order to facilitate the most realistic experience for the learners, we strive to use (or create!) the most realistic task trainers available.
Join Damon in the Shelden Innovations Lab for a time lapse look into our process for creating premium suture pads in bulk for our dermatology and plastic surgery departments. These highly durable pads provide realistic skin drag, pick-up tension, and multiple suturable layers. Stick around to the end to see it in use!
In The Making | Fluorescein Eye Staining Task Trainer
Curious how task trainers are created? Check out this process video of a Fluorescein Eye Staining trainer in the making.
In this video, Damon uses a face taken from a discarded mannequin as a “model” for a new cast. You can see lighter areas where he added clay to sculpt eyelids, lips, and nares for the final face form. The fluorescein eye staining procedure requires the provider to open the eyelid to apply fluorescein dye on the patient’s tear film, therefore a soft silicone was used for the final casted task trainer to simulate these soft tissues. The eye sockets are left vacant so that swine eyes–which mimic the human response to fluorescein–can be used in the simulation.
Moulage
Our Innovations Specialist has been experimenting with different Moulage materials in order to give the learners a more realistic experience during simulations. Moulage is a French term and refers to the art of applying mock injuries for the purpose of medical training.
