Hostname: page-component-cc8bf7c57-5wl6q Total loading time: 0 Render date: 2024-12-12T01:49:57.820Z Has data issue: false hasContentIssue false
  • English
  • Français

Creating a Novel Disaster Medicine Virtual Reality Training Environment

Published online by Cambridge University Press:  13 March 2020

Laurent Gout ,
Alexander Hart Open the ORCID record for Alexander Hart [Opens in a new window] ,
Charles-Henri Houze-Cerfon ,
Ritu Sarin ,
Gregory R. Ciottone  and
Vincent Bounes
Laurent Gout
Affiliation:
Centre Hospitalier Universitaire de Toulouse, Médecin Urgentiste, Toulouse, Midi-Pyrénées, France SAMU-31, Hôpitaux de Toulouse, Toulouse, Midi-Pyrénées, France
Alexander Hart
Affiliation:
Emergency Medicine, Beth Israel Deaconess Medical Center Fellowship in Disaster Medicine, Boston, Massachusetts USA Department of Emergency Medicine, Harvard Medical School, Boston, Massachusetts USA
Charles-Henri Houze-Cerfon
Affiliation:
Centre Hospitalier Universitaire de Toulouse, Médecin Urgentiste, Toulouse, Midi-Pyrénées, France
Ritu Sarin
Affiliation:
Emergency Medicine, Beth Israel Deaconess Medical Center Fellowship in Disaster Medicine, Boston, Massachusetts USA Department of Emergency Medicine, Harvard Medical School, Boston, Massachusetts USA
Gregory R. Ciottone
Affiliation:
Emergency Medicine, Beth Israel Deaconess Medical Center Fellowship in Disaster Medicine, Boston, Massachusetts USA Department of Emergency Medicine, Harvard Medical School, Boston, Massachusetts USA
Vincent Bounes
Affiliation:
Centre Hospitalier Universitaire de Toulouse, Médecin Urgentiste, Toulouse, Midi-Pyrénées, France SAMU-31, Hôpitaux de Toulouse, Toulouse, Midi-Pyrénées, France
Get access Rights & Permissions [Opens in a new window]

Abstract

Introduction:

Disasters are high-acuity, low-frequency events which require medical providers to respond in often chaotic settings. Due to this infrequency, skills can atrophy, so providers must train and drill to maintain them. Historically, drilling for disaster response has been costly, and thus infrequent. Virtual Reality Environments (VREs) have been demonstrated to be acceptable to trainees, and useful for training Disaster Medicine skills. The improved cost of virtual reality training can allow for increased frequency of simulation and training.

Problem:

The problem addressed was to create a novel Disaster Medicine VRE for training and drilling.

Methods:

A VRE was created using SecondLife (Linden Lab; San Francisco, California USA) and adapted for use in Disaster Medicine training and drilling. It is easily accessible for the end-users (trainees), and is adaptable for multiple scenario types due to the presence of varying architecture and objects. Victim models were created which can be role played by educators, or can be virtual dummies, and can be adapted for wide ranging scenarios. Finally, a unique physiologic simulator was created which allows for dummies to mimic disease processes, wounds, and treatment outcomes.

Results:

The VRE was created and has been used extensively in an academic setting to train medical students, as well as to train and drill disaster responders.

Conclusions:

This manuscript presents a new VRE for the training and drilling of Disaster Medicine scenarios in an immersive, interactive experience for trainees.

Keywords

disaster medicinelow resourcetechnologytrainingvirtual reality
Type
Brief Report
Information
Prehospital and Disaster Medicine , Volume 35 , Issue 2 , April 2020 , pp. 225 - 228
Copyright
© World Association for Disaster and Emergency Medicine 2020

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

Footnotes

Note: Drs. Ciottone and Bounes are Co-Senior Authors.

References

Hsu, EB, Jenckes, MW, Catlett, CL, et al. Training of hospital staff to respond to a mass casualty incident. Evid Rep Technol Assess (Summ). 2004;Apr(95):1–3.Google Scholar
Ciottone, G. Ciottone’s Disaster Medicine. 2nd ed. Philadelphia, Pennsylvania USA: Elsevier Inc.; 2015: 376.Google Scholar
Hart, A, Nammour, E, Mangolds, V, Broach, J. Intuitive versus algorithmic triage. Prehosp Disaster Med. 2018;33(4):355–361.10.1017/S1049023X18000626CrossRefGoogle ScholarPubMed
Gildea, J, Etengoff, S. Vertical evacuation simulation of critically ill patients in a hospital. Prehosp Disaster Med. 2005;20(4):243–248.10.1017/S1049023X00002600CrossRefGoogle ScholarPubMed
Gale, TCE, Chatterjee, A, Mellor, NE, Allan, RJ. Health worker focused distributed simulation for improving capability of health systems in Liberia. Simul Healthc J Soc Simul Healthc. 2016;11(2):75–81.10.1097/SIH.0000000000000156CrossRefGoogle ScholarPubMed
Ngo, J, Schertzer, K, Harter, P, Smith-Coggins, R. Disaster medicine: a multi-modality curriculum designed and implemented for emergency medicine residents. Disaster Med Public Health Prep. 2016;10(04):611–614.10.1017/dmp.2016.8CrossRefGoogle ScholarPubMed
Hansoti, B, Kellogg, DS, Aberle, SJ, et al. Preparing emergency physicians for acute disaster response: a review of current training opportunities in the US. Prehosp Disaster Med. 2016;31(06):643–647.10.1017/S1049023X16000820CrossRefGoogle ScholarPubMed
Gillett, B, Silverberg, M, Roblin, P, Adelaine, J, Valesky, W, Arquilla, B. Computer-facilitated assessment of disaster preparedness for remote hospitals in a long-distance, virtual tabletop drill model. Prehosp Disaster Med. 2011;26(03):230–233.10.1017/S1049023X11006455CrossRefGoogle Scholar
Cohen, D, Sevdalis, N, Taylor, D, et al. Emergency preparedness in the 21st century: training and preparation modules in virtual environments. Resuscitation. 2013;84(1): 78–84.10.1016/j.resuscitation.2012.05.014CrossRefGoogle ScholarPubMed
Pucher, PH, Batrick, N, Taylor, D, Chaudery, M, Cohen, D, Darzi, A. Virtual-world hospital simulation for real-world disaster response: design and validation of a virtual reality simulator for mass casualty incident management. J Trauma Acute Care Surg. 2014;77(2):315–321.10.1097/TA.0000000000000308CrossRefGoogle ScholarPubMed
Andreatta, PB, Maslowski, E, Petty, S, et al. Virtual reality triage training provides a viable solution for disaster-preparedness. Acad Emerg Med. 2010;17(8):870–876.10.1111/j.1553-2712.2010.00728.xCrossRefGoogle ScholarPubMed
Stewart, S, Pope, D, Duncan, D. Using Second Life to enhance ACCEL an online accelerated nursing BSN program. Stud Health Technol Inform. 2009;146: 636–640.Google ScholarPubMed
Markenson, D, DiMaggio, C, Redlener, I. Preparing health professions students for terrorism, disaster, and public health emergencies: core competencies. Acad Med. 2005;80(6):517–526.10.1097/00001888-200506000-00002CrossRefGoogle ScholarPubMed
Gerrish, AW, Strayer, T, Glick, R, Safford, SD, Parker, SH. Leadership in action: identifying patterns of leadership in a mass casualty simulation. JACS. 2017; 225(4):S121.Google Scholar
Awad, SS, Hayley, BB, Fagan, SP, Berger, DH, Brunicardi, FC. The impact of a novel resident leadership training curriculum. Am J Surg. 2004;188(5):481–484.10.1016/j.amjsurg.2004.07.024CrossRefGoogle ScholarPubMed