Augmented Reality System to Teach Hemostatic Agent Use in Hemorrhage Control

描述（由申请人提供）：在过去的20年里，院前创伤生命支持的改进显著提高了患者的生存率。这些成就来自于设备、运输物流、评估/治疗方案的改进，以及从受伤点到医院的各级护理链人员的培训。从这些变化中受益的领域之一是出血的控制。然而，尽管四肢出血现在已经得到了很好的解决，许多与止血相关的产品和方案已经开发出来，以限制/停止非止血带出血，但并没有得到同样广泛的传播。这种有限的渗透的一个主要部分是可用产品的多样性和它们的高成本。这是有约束的培训，因为实际的产品通常是在难以创建的复杂培训场景中使用的。通过使用实时、交互式、计算流体动力学的最新进展来模拟血液动力学控制的出血，SimQuest提出创建一个具有成本效益的培训系统，可以允许现有的训练模型用于提供各种止血产品的详细学习场景。此外，由于所有用户行为和模拟结果都将被测量或计算，因此可以生成客观、定量的绩效衡量标准，以便对教师和机构的熟练程度进行统一评估。通过扩展公认的基于模拟的医疗培训范例，我们将提供急需的培训，使各种紧急医疗反应人员能够掌握这些重要的病人护理进展。

DESCRIPTION (provided by applicant): Improvements in pre-hospital trauma life support in the past 20 years have led to impressive enhancement in patient survival. These achievements have come as the result of improved equipment, transport logistics, assessment/treatment protocols, and training of personnel in all levels of the care chain from the point of injury to th hospital. One of the areas that has benefited from these changes is control of hemorrhage. However, although extremity-based hemorrhage is now well addressed, the numerous hemostasis-related products and protocols that have been developed to limit/stop non-tourniquetable bleeding have not had the same widespread dissemination. A major part of this limited penetration is the diversity of products available and their high cost. This has constraine training because actual products are typically used during what can often be a difficult-to-create complex training scenario. By using recent advances in real-time, interactive, computational fluid dynamics to simulate hemodynamically controlled bleeding, SimQuest proposes to create a cost-effective training system that can allow existing training manikins to be used to provide detailed learning scenarios for a diverse range of hemostasis products. Further, since all user actions and simulation outcomes will be measured or computed, objective, quantitative performance measures can be generated to allow uniform assessment of proficiency across instructors and institutions. By expanding on the accepted paradigm of simulation-based medical training, we will provide sorely needed training that will allow these significant patient care advances to be mastered by a broad range of emergency medical response personnel. PUBLIC HEALTH RELEVANCE: The proposed simulation-based method for providing training on how to treat non-tourniquetable hemorrhage with hemostasis agents will allow an important advancement in pre-hospital trauma life support to become more widely available. By addressing the existing issues in the complexity and cost of providing this training, the innovative simulator that SimQuest will develop through this project will remove existing barriers to deployment of an important advancement in patient care, with the likely result of improving patient outcomes.