Development of a Total-Simulator System for Cardiopulmonary Resuscitation Training Using Multimedia

许多普通人都想掌握心肺复苏术（CPR），但有效的复苏培训目前是有限的，因为它必须由医生提供。由于教练员的稀缺性，开发一种有效的训练辅助工具是必要的。针对目前对急救技能准确性判断设备的研究较少，本研究结合模拟器，开发了一套面向急救技能准确性的多媒体CAI系统：通过连接到患者模拟器RESIM的多媒体个人计算机为每个受训者提供基本的交互式训练技术。所有要掌握的CPR技术都以超文本显示，其中图像，动画，音频信号和叙述用于强调一些重要问题：维持气道、人工呼吸、心脏按摩的节奏。在练习过程中，学员的技术被记录下来，然后由教练指出，以提高他/她的技术。本系统还可以通过语音信息的方式给乘客提供一些建议。通过在东京女子医科大学护理短期大学进行的一系列培训证明，使用本系统可以比传统的辅导更有效地进行CPR培训。

Many ordinary people would like to master cardiopulmonary resuscitation (CPR), but effective resuscitation training is currently limited since it must be delivered by a medical practitioner. Since instructors are scare it it desirable to develop an effective training aids. There is little research on equipment which can judge the accuracy of resuscitation skills.In this research, a skill acquaintance-oriented multimedia CAI system combining simulator has been developed : the basic interactive training technique is provided for each trainee through multimedia personal computer connected to patient simulator, RESIM.All the CPR techniques to be mastered are shown in a Hypertext where images, animations, audio signals and narrations are used to emphasize some important issues : maintaining airway, artificial breathing, rhythm of cardiac massage. During the practice, trainee's techniques are recorded and then pointed out by the instructor to improve his/her techniques. The present system can also give some advice to the trainess by voice messages. It is proved through a series of training at Junior College of Nursing, Tokyo Women's Medical College, that the CPR training may be done more effectively by using the present system than conventional tutoring.