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Crash course
The Huffington Post
At the University Teaching Hospital in Kigali, Rwanda, a nurse brings in a young woman on a stretcher who is obviously pregnant, with a large protruding abdomen. The nurse calls to a young Rwandan physician standing nearby, ready to receive the patient. "Doctor, this patient was in a road traffic accident! She is pregnant, and now has severe pain in her abdomen." Luckily, the patient in this case is in no real danger — in fact, she is not a patient at all, but an actor, with a rolled up cloth beneath her clothing to help her portray a pregnant woman. The location is not the actual hospital emergency room, but a squat building a few hundred feet away that has been turned into a low-tech simulation center for medical and nursing trainees.
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Need to restore vital signs? There's a manual for that
Stanford School of Medicine
That manual — with its laminated pages and brightly-colored graphic design, hung by a sturdy metal chain within easy reach of any member of a surgical team — represents medicine's next step in using cognitive aids to support practitioners in doing the best job possible in a profession where stress is a constant and knowledge is ever-expanding.
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Tech Mod Showcase
The Society for Simulation in Healthcare
The Technical Modifications (Tech Mod) Showcase will be held on Saturday, Jan. 25. Accepted modifications will be given the opportunity to present a demonstration in the Interactive Learning Center, located on the first floor of the Moscone West Center in San Francisco. The Interactive Learning Center is a fully equipped, state-of-the-art simulation center being constructed to support the educational programming of the Sim Ops Symposium and IMSH 2014. A special exhibition area has been included to house the Tech Mod Showcase.
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Telemedicine legislation: Who is keeping count?
By Herb Rogove
For those interested in seeing a brief composite of federal legislation that may be of significant interest to the telemedicine/telehealth community, the following are the most recent ones of note: H.R. 6719 TeleHealth Promotion Act, H.R. 3077 TELE-MED Act of 2013 and H.R. 3306 Telehealth Enhancement Act of 2013. These bills, while not the panacea for all that is needed, are a legitimate and bipartisan effort in the right direction.
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  Process solutions Using Healthcare Simulation

FlexSim Healthcare simulation software will help you solve problems in room scheduling, staff utilization, resource allocation and patient flows. FlexSim’s 3D animation will help others visualize your solutions and validate improvements. Let FlexSim Healthcare model and validate your process improvement ideas before you implement them. Problem Solved. Download a Free Trial today.

Tennessee hospitals test readiness in mass casualty response exercise
Bloodied and bruised, Benjamin Steinke stepped off the school bus and staggered a few feet toward the waiting line of gurneys before dropping to the pavement outside the University of Tennessee Medical Center. Steinke, a senior at Halls High, was one of 29 high school students who played "victims" during a mass casualty drill. Actor "victims" of an explosion — similar to the Boston Marathon bombing — showed up at 54 hospitals in East Tennessee, from Chattanooga to the Tri-Cities, to test how they would handle a sudden "surge" of 20 percent of their capacities coming in through the emergency room doors.
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  MammaCare's new CBE Simulator - Trainer

Is a self-administered, palpation training platform that produces and validates breast examination competencies. The computer's program is based on published quality-standard examination protocols. It is used to train clinicians and students who perform or will be performing clinical breast exams. A digital “clinical instructor” assesses progress and provides corrective feedback.

Serious games and virtual environment arcade and showcase
The Society for Simulation in Healthcare
Join us at the IMSH 2014 for the 4th annual Serious Games and Virtual Environment Arcade and Showcase. The Serious Games and Virtual Environments Arcade and Showcase provides an environment where users of virtual and game-based technology can collaborate and network with students, clinicians, educators, start-ups, as well as small and large established companies.
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Missed last week's issue? See which articles your colleagues read most.

    Simulation, team training improves performance, patient safety (Science Daily)
Free webinar — SSH Accreditation: A Review of Systems Integration (Society for Simulation in Healthcare)
Jeffries named first vice provost for digital initiatives at Johns Hopkins (HUB)
Zombie invasion at HSN proves educational for students (Northern Life)
Students take on 'real life' cases in medical simulation program (The Wichita Eagle)

Don't be left behind. Click here to see what else you missed.

  Take Simulation Onsite

Overcome the challenges facing busy teams – bring the portable Mentice VIST®-C endovascular simulator to them. Target Cardiology, Neuro Surgery/IR, Radiology and Vascular Surgery teams all in their own environment. Practice new equipment and techniques, maintain and improve skills and communication while allowing team members to interact in different roles.

Why are doctors frustrated in using electronic health records?
MedCity News
Electronic Health Records (EHR) are electronic versions of paper-based records with the function of interoperability: the ability to share and exchange healthcare data among multiple healthcare platforms. So, with the definition given above, a hint of frustration is indicated. Anything electronic is a bit of a nuisance unless it comes natural to you. In a Statement given by Dr. Steven J. Stack, chair American Medical Association, “EHRs have been and largely remain clunky, confusing and complex. Though an 18-month-old child can operate an iPhone, physicians with 7 to 10 years of post-collegiate education are brought to their knees by their EHRs.” The dissatisfaction is pretty high among providers, in the year 2010 to 2012, "the percentage of doctors who would not recommend their EHR to a colleague increased from 24 percent to 39 percent” and they were "very dissatisfied" published in the statement by Stack.
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This new iPad ALS simulator is awesome
Mike McEvoy writes, "At the annual New York State EMS Conference Vital Signs, held in Buffalo Oct. 23-27, an Australian simulation company unveiled their iPad-based advanced life support simulator that seems to offer quite literally everything you ever dreamed of. With ECG, blood pressure (non-invasive and arterial line), capnography, respirations, temperature, labs, diagnostic quality 12-leads, and quite literally anything else you could ever want to illustrate to a paramedic, ACLS, PALS or other critical care class – the iSimulate technology made me want to repeatedly pinch myself to make sure it was not all a dream."
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Simulation Spotlight
Colby Horton, Vice President of Publishing, 469.420.2601
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