Below are a series of events, articles, photos, and notices related to Green Ambulance Simulator and  Patient Simulation. Please use scroll bar on right to view, thanks.


  

      

Thanks to all those who visited us at the New England Fire/Rescue/EMS 2008 Conference & Exposition.

We hope to see you again real soon, be safe out there.

   

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We own several trauma manikins and a collection of moulage that can be added to our SimMan trauma scenarios to help you create a more realistic mass casualty and PHTLS training events.

        

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We have also a collection of assorted anatomy manikins, body parts, charts, airway management and iv trainers and interesting books to help your crew members solidify their knowledge.  


 

 


To see what the folks in Vermont EMS District 12 have to say about training with the
Green Ambulance Simulator check out the winter edition of the
 Vermont EMS District 12 newsletter: Pens and Needles - http://vtemsd12.com/Winter%2007%2008%20(Read-Only).pdf

Various crews working codes...

    

 
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Below are photos of Green Ambulance Simulator at
Deerfield Valley Rescue's Training Event  on September 17th, 2007
Responding to an explosion scenario: "The Terrorist Bomber"
NOTE: this scene has moulaged victims complete with lots of blood, gore and guts.

A terrorist bomber sets off his explosives  killing himself and others, the blast also resulted in at least one critically injured patient.  The call goes out for the squad to respond to the scene of an explosion of unknown origin, no other information available. Before the responding units arrive at the scene a secondary explosion occurs.

Tarps, fake broken glass, bricks, tools, wood, body parts and assorted other debries filled the area. A fog machine helped to limit the visibilty in this already dark setting, there was only minimal lighting provided other than what responding crews provide. Volunteers acted out the roles of firefighters and assorted witnesses.

Ultimate Hurt got to play the role of an unresponsive multisystem trauma victim... "his favorite role".

SimMan played the role of an EMT who showed up on scene without proper gear on or lighting, and in his haste he ends up setting off a seconday device. This would-be first responder is now the second multisystem unresponsive patient at the scene and has an amputated leg complete with an arterial bleed, as well as many other blast injuries.

    

   

Participants start treating the patients with the help of headlamps for illumination of the injuries and scene. 

OOPS, a couple of the responders forgot about B.S.I.

Ultimate Hurt prior to getting head blocks applied. The  responders needed to assist with the patients breathing with the use of a combitube and bvm while maintaining c-spine, and putting patient on long board. 

...we call "Time  Out" ....the lights come up, ....and we start the debriefing.

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CAN YOUR TRAINING USE A LITTLE STIMULUS?

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Here are comments from some of our previous trainees:

"This was great hands on training"..."Very crazy situation, really challenged us as a crew"...

"Definitely feels more real than just class time"... "This was a great experience"...

"Very realistic. Able to work as a team with several medical events happening quickly"...

"It was awesome".... "The realness of scenario and the ability to run a full call"...

"Lifelike, Realistic, Challenging"..."Stressful~ good stress though"...

"The Adrenaline".... "The intensity of the call"... "Amazingly accurate"...

"Awesome job Ralph, I love how realistic this is"

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SimsAcademy.info
Exploring simulation with the expectation of improved patient care. 


Patient Simulation: Strategies for Success 
August 22 & 23, 2007  (Archive ONLY)

Students tending to a cardiac patient.SIMS Medical Academy is offering a two day hands-on workshop for new, intermediate and more advanced users of patient simulation.  Participants will implement and evaluate scenarios using patients at SIMS Medical Center.  Using Trends and handlers will be covered with participants creating a "program," then "running" the scenario.  Stephen Donahue, Director of the Hartford Hospital Simulation Lab will open the workshop with a discussion about the hospital perspective of patient simulation.  A special interdisciplinary scenario will be shown along with a discussion on how to select, operate and manage a variety of simulation equipment.

On the second day Ralph Genella of Green Ambulance Simulator, Inc., will demonstrate his fully equipped ambulance with patient simulators.   

Faculty
Stephen Donohue - Patient Simulation Hartford Hospital
Lisa Fugiel - Nursing  STCC
Clare Lamontagne - Nursing  STCC
Jackie McColgan - Nursing  STCC
Shaun McGovern - Laerdal
Lee Robinson - Respiratory Care STCC
Esther Seligman - Respiratory Care STCC
Donna Woshinsky - Nursing STCC
Mike Foss - School of Health STCC | SIMS Medical Center
Patricia Hanrahan - School of Health STCC | SIMS Medical Center

Guest Demonstration
Ralph Genella - Green Ambulance Simulator, Inc. 

  

 Included in the $200 registration is a copy of the new SIMS Medical Patient Simulation Technician Handbook (CD), light breakfast and lunch each day.  The workshop is limited to the first 30 registrants.

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The Deerfield Valley News
 Southern Vermont's Only Independent Newspaper
Vol. 17, Issue 30    July 26 -August 1, 2007
       Local man takes emergency care training on the road
   By Mike Eldred

DOVER- Local resident Ralph Genella is taking his passion on the road.

Genella, a Deerfield Valley Rescue volunteer for the last seven years, has turned his interest in helping those who need help the most, into a personal mission.

Genella has created the Green Ambulance Simulator, what may be one-of-a-kind, state of the art training system for emergency medical personnel. Although Genella’s plans are just getting off the ground, his goal is to take his training equipment on the road to rescue squads, fire departments, and trauma centers around New England. “My goal is to change the way we do things,” he says. “I want to challenge people who go through this training to be honest about their critical thinking skills and where they need improvement.”

Genella says most emergency medical training consists of classroom time, “hands-on” time with manikins or live, but healthy, volunteers. “It’s so different from what actually happens in the back of an ambulance,” Genella says. “There’s only so much simulating a healthy person can do without actually becoming a patient themselves.”

Ongoing squad-level training helps keep skills fresh but, Genella says, most training doesn’t offer a chance for ambulance personnel to analyze and improve their skills. “We kid ourselves with most training,” Genella says. “We don’t make it real. Half the class is spent telling war stories. How much are they learning?”

The Green Ambulance Simulator challenges emergency medical personnel with a realistic scenario. Outfitted with the latest “SimMan” and “SimBaby,” created by Laerdal, are computerized manikins with amazingly lifelike medical features. Both have simulated pulses in several appropriate areas, simulated heartbeats, blood pressure, breathing and breathing sounds, pupils with variable dilation, and even some realistic internal organs – insert a specialized medical scope into SimMan’s airway, and you get a realistic view of a human lung. For cardiac care, a heart monitor and defibrillator can be attached to SimMan, with realistic feedback and action. “Although we don’t diagnose, it allows you to gather the all the information you need,” Genella says. “This makes it as real as possible.”

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                        ACTION ALERT-SIMULATION LEGISLATION

 
INFORMATION:  On December 6, 2007, US Representatives Randy Forbes (R-VA) and Patrick Kennedy (D-RI) introduced a bill, H.R. 4321, the Enhancing SIMULATION (Safety in Medicine Utilizing Leading Advanced Simulation Technologies to Improve Outcomes Now) Act of 2007 that advances the use of medical simulation.
 
The SIMULATION Act:
 
-Instructs the Director of the Agency for Healthcare Research and Quality (AHRQ) to increase the use of simulation technologies and equipment in  medical, nursing, allied health, podiatric, osteopathic, and dental education and training protocols through different programs
-Creates Medical Simulation Centers of Excellence
-Instructs the Director of AHRQ to authorize grants:
 
1.       to purchase medical simulation technologies for training
2.       to incorporate medical simulation technologies into curricula
3.       to study simulation-based methods in credentialing and accreditation
 
-Establishes the Federal Medical Simulation Coordination Council (FMSCC) to coordinate the Federal governments activities in research, development, deployment and utilization of medical simulation technologies.
 
-The bill authorizes $50 million for fiscal year 2008
 
-The Act will significantly develop the use of simulation technologies and simulation-based skills training that will improve health outcomes, patient safety, and quality; reduce medical errors; and increase health care cost saving.
 
 
ACTION NEEDED:
CONTACT YOUR US REPRESENTATIVE TO MAKE THEM AWARE OF THIS BILL AND TO ENCOURAGE THEM TO CO-SPONSOR THE BILL
 
ADDITIONAL INFORMATION AND SAMPLE MESSAGE (letter or e-mail):  Visit the Advanced Initiatives in Medical Simulation (AIMS) web site
            www.medsim.org, click on Action Alert in the upper right corner, and then follow directions.
 
If you have personal access to a legislator please contact them with this information and stress the need for this legislation.  Stress the following points:
 
1.       Oregon is a nationally recognized leader in the use of medical simulation in education and health care settings
2.       Medical simulation is a major strategy in Governor Kulongoskis Healthcare Initiative
3.       The Oregon Simulation Alliance has been the recipient of Oregon Workforce Investment (OWIB) funds for the development and implementation of medical simulation.
4.       Encourage him/her to visit the OSA web page (www.oregonsim.org)
 
                                                    
WE NEED YOU--Please Act NOW!!!