Advancing emergency medicine training with remote stereoscopic livestream technology

1摘要：Immertec通过创建一个更有效的医学知识传播平台， 2一个现场沉浸式平台，让远程医生感觉好像他们在同一个房间里 3从任何地点获得及时的生物医学饲料。Immertec开发了专有的 4个用于虚拟现实（VR）中的立体流视频的软件，沿着相关生物医学 5饲料，这涉及到新的算法，以前所未有的低传输和处理数据 6延迟。低延迟流式传输允许跨多个设备的同步指令和通信。 7个距离，以便远程医生可以观看现场手术的沉浸式视频，查看关键 8医疗饲料，并实时匡威，就像物理存在。该系统将在 9急诊医学（EM）医生的程序培训背景，他们依赖于准确和 10及时的信息做出临床决策。在第一阶段的工作中，Immertec将开发 11并与医生一起测试VR用户界面，以优化现场医生体验 12个事件，并将VR界面实现到Immertec的流媒体软件中。界面应该 13在需要时向医生提供相关的诊断和临床信息， 14.从程序中分散注意力，也不施加额外的精神努力。开发用户后 15接口与医生的反馈，我们将进行一项实验，在合作与 16南佛罗里达大学（USF）高级医学学习和模拟中心 17（CAMLS）评估实时VR用于培训EM程序的可行性。实验将测试 18是否可以利用实时VR指导EM居民进行紧急程序：肩 难产19例。肩难产是一种罕见的紧急情况，是危及生命的母亲 20、婴儿母亲肩难产的并发症包括产后出血， 21例子宫破裂，3度和4度会阴裂伤，而胎儿并发症包括 22例死亡，臂丛神经损伤和缺氧导致的永久性神经损伤。由于高 23这种事件的风险和低发生率，肩难产培训是必要的EM居民， 24人接受;然而，面对面教学的限制突出了远程培训的必要性 25个选项。以前的电话会议系统受到缺乏深度、视野等的限制。 26个目标是首先从医生的角度开发实时VR界面，然后测试 27 VR流媒体是否在学习者成果和用户方面提供更高质量的培训 与传统的2D技术相比，第1阶段工作的成功将验证 29 Immertec在医疗培训中的沉浸式技术，提供了 30技术和科学的优点，这种方法的未来商业化在医疗保健领域。

1 Abstract: Immertec is facilitating more efficient dissemination of medical knowledge by creating 2 a live immersive platform that allows remote physicians to feel as if they are in the same room 3 from any location with access to timely biomedical feeds. Immertec has developed proprietary 4 software for stereoscopic streaming video in virtual reality (VR), along with relevant biomedical 5 feeds, that involves novel algorithms to transmit and process data with unprecedented low 6 latency. The low latency streaming allows for synchronous instruction and communication across 7 distances such that remote physicians can watch immersive video of live procedures, view critical 8 medical feeds, and converse in real-time as if physically present. This system will be tested in the 9 context of procedural training for Emergency Medicine (EM) physicians, who rely on accurate and 10 timely information to make clinical decisions. During this Phase 1 effort, Immertec will develop 11 and test the VR user interface with physicians to optimize the physician experience during live 12 events and implement the VR interface into Immertec’s streaming software. The interface should 13 present relevant diagnostic and clinical information to the physician at the point of need, while not 14 distracting from the procedure nor imposing additional mental effort. After developing the user 15 interface with physician feedback, we will conduct an experiment in collaboration with the 16 University of South Florida’s (USF) Center for Advanced Medical Learning and Simulation 17 (CAMLS) to assess the feasibility of live VR for training EM procedures. The experiment will test 18 whether live VR can be utilized to instruct EM residents on an emergency procedure: shoulder 19 dystocia delivery. Shoulder dystocia is a rare emergency that is life-threatening for the mother 20 and infant. Complications from shoulder dystocia for the mother include postpartum hemorrhage, 21 uterine rupture, and 3rd and 4th degree perineal lacerations, while fetal complications include 22 death, brachial plexus injury, and permanent neurologic damage due to hypoxia. Due to the high 23 risk of this event and low occurrence, shoulder dystocia training is necessary for EM residents to 24 receive; yet, limits on face-to-face instruction have highlighted the need for remote training 25 options. Previous teleconferencing systems were limited by lack of depth, field of view, etc. Our 26 aims are to first develop the live VR interface from the physician’s perspective, and then test 27 whether VR streaming provides higher quality training in terms of learner outcomes and user 28 experience compared to traditional 2D technology. Success in this Phase 1 effort will validate 29 Immertec’s immersive technology in medical training, providing empirical evidence of the 30 technical and scientific merit of this approach for future commercialization in the healthcare field.