By
Stephen Poole
Christopher Madison
The STRATUS Center for Medical Simulation
The simulation Suite
• Located at Hartford Hospital in Hartford, CT
• 20,000sqft facility
• 5 Patient Simulation rooms
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Labor and Delivery
Resuscitation
ICU
ED/Trauma
OR
• Skills Lab
• Surgical Simulation
• Airway Task Training
• Ultrasound Task Training
• Robotics Lab
• DaVinci Robot Simulation
Description
Operations within a simulation center are
trending to more technology use. Learn how to
make technology work for you with simple easy
principles for set up and troubleshooting.
Learning Objectives
1. Define basic audio visual technology and
terminology
1. Identify basic cabling diagrams for Simulators
and Audio Visual products
Remove Technology as a Barrier
Creating a superior LEARNING
experience
Set the stage for success
The Simulation Specialist will set the stage and
remove technology as a barrier. They will:
Provide the right course equipment
Troubleshoot the readiness of appropriate
equipment
Manage all A/V controls
Operate and program the patient simulator
Start and stop video capture for debriefing
Focus on teaching
The curriculum expert is focused on teaching and
learning and not troubleshooting technical
difficulties: Benefits include:
Simplicity & Ease of use
No setup or breakdown for instructors
Consistent and reliable simulation cases
More appropriate usage of their time
Gaining confidence in simulation as a teaching
tool
• Manikin Control
• Instructor can control manikin functions
• Instructor Microphone
• Instructor can talk to students
• Audio & Video Capture
• Instructor can hear and see students
• Classroom Observation/Playback
• Observers can see and hear classmates
Instructor
Monitor
Video
Monitor
Microphone
Audio / Video Sources
Speakers
Patient
Monitor
Network
Manikin
Observers
Instructor
Monitor
Patient
Monitor
Manikin
Microphone
Speakers
Video
Monitor
Audio / Video Sources
Audio / Video Sources
Network
Observers
Typical Simulation layout
The HPS Room
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Overhead video camera
SimMan
Video Camera
Simulation laptop computer
Patient Monitor
Audio Cable
SVGA Cable
9 Pin Serial Cable
Microphone
Link Box
Manikan Cable
Control Room
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Switching Hub
Desktop Computer
Audio Cable
Coax Cables
Observation Client
• Video Client Computer
Extending your classroom
 Using the AVS you can live stream your recording’s anywhere
on your LAN
 This gives you the ability to broadcast your HPS room to any
pc or LCD projector in your facility via the network.
 Larger audiences, expand a small space to any or multiple
locations.
 Broadcast in-situ mock codes from anywhere
• VGA
• Analog Video
• DVI
• Digital & Analog Video
• HDMI
• Digital Video & Audio
• DisplayPort
• Digital Video, Locking Connector
• Component
• Analog Video
• Composite
• Analog HD Video
• SVideo
• Analog Video
• HDMI
• Digital HD Video & Audio
• Ethernet (IP Cameras)
• Digital HD Video Network
Common Cables
Cables And Signals Unscrambled
• Ultrasound video
• Camera video
• Composite w/ Audio
30 Frames per second progressive is the standard for camera speed
Upto 4 cameras may be connected to
these inputs
Attach Video instruments into
additional VID Inputs
The cables and connections for US
• Connect your male S-Video
cable output
• Into the back of the US
machine
• And connect the female
connector of the BNC
adapter to any VID input
on your AVS A/V adapter
CASE
Ultrasound guided right IJ Central Line
Placement
HPS Camera 1
HPS Tripod Mounted Camera 2
HPS Camera 3
S-Video Output
Debrief viewer with Ultra Sound
Quality Audio is Important
• Mixing board to control multiple
inputs and outputs
• Merge multiple microphones for
large rooms
• Control volume levels and control
feedback issues
• Audio processor for consistency and
simplicity
• Echo cancelling and feedback
eliminated
• No buttons or knobs
• No unsightly wire and plugs
• Rack mountable and network
accessible
Better Communication Audio
Lapel mic’s to participants and
key players & event leaders
Distribute Walkie Talkie’s and
headsets so confederates to
communicate freely without
detection
• Benefits
• High Reliability
• Low Cost
• High Quality Signal
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• Challenges
• Low Flexibility
• Maximum Length Limitations
• Recommended Environments
• In-Situ/Mobile Simulation
• Simulation Rooms with no Control Room
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• Benefits
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High Flexibility
Long Range
Fairly Reliable
Multi-Connector Consolidation
Utilizes Existing Network Ports
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Extender
• Challenges
• Medium Video Quality
• Strict Labeling Requirements
• Recommended Environment
• Stationary Simulation Room with dedicated
Control Room
Extender
B
Extending the range and placement of
your Elo patient Monitor
Solution: Extend the
signal of your patient
monitor up to 150ft.
USB CAT5 Extender
VGA & DVI over Ethernet
&
Extend up to 330ft over CAT5 Ethernet cabling for flexible
installations
• Challenges
• Varying Video Quality
• High Network Load
• Reliability: Susceptible to Network Outages
• Recommended Environment
• Stationary Simulation Rooms with centralized
Control Room
B
C
Network
Extender
High Flexibility
Unlimited Range
Multiple Receivers Possible
Multi-Connector Consolidation
Utilizes Existing Network Ports
Extender
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A
Extender
• Benefits
Getting the most out of
your budget
Mobile Simulation Carts
Mobile simulation continued
1. Sony wide angle remote controlled color PTZ camera (main video
capture source)
2. Patient vitals as 2nd video capture source (side by side with main
camera PIP)
3. Shotgun microphone capturing verbal communications of scenario
4. Attached forward facing speakers for playback for debrief video
5. 26" LCD display for display of patient vitals during the scenario and
debrief for playback for review and teaching purposes
Mobile simulation continued
6. Dedicated client PC (laptop) with applications for simulators: 3G, SimMan,
NewBie & SimBaby
7. Area for holding one gas tank and associated gas regulator for mannequin
ventilations (SimMan), SimBaby, Newbie
8. UPS upto 2 hours of power to the system
9. AVS Advanced Video Server for up to 4 video streams of time event
stamped event logging. With one audio capture and broadcast and archive
capabilities
10. A 19” LCD Monitor for AVS capture verification during recording
Global Learning
how?
Videoconferencing
• USB web cameras $30 - $100 (HD
resolution)
• SKYPE, GoTo meeting (free or low
cost)
• Archive your sessions
• Recordable HDD with DVD burn
capabilities
• Share your simulations anywhere
in the world
• Beyond your LAN infrastructure
• Collaborate internationally with
point to point
VTC simulations
• Host simulations,courses and
instruction via teleconferencing
Video conferencing continued
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Polls and surveys
Audience response system
Before ,during and after session “tests or quizzes”
Reminder emails-ticklers and follow-ups
Invitation and registration features
Online course catalogs & course descriptions
Charge for training now available
Scalable to manage 0 to 1,000 participants
SimMan 3G Wifi
Increase both the distance and reliability of your
SimMan 3G by adding a WiFi range Extender in between
the 2 connecting devices simman laptop and manikin
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Microsoft Visual Studio
Free Versions Available
Easiest IDE to Learn
Extremely Versatile
Supports Many Languages
• C#
• VB
• C++
• Well Documented Resources
• Endless Software Possibilities
• Capture attendance and
survey data
• Quick and easy animated
process
• RFID Badge Reader Capable
• Integrated scheduling
database
• Centrally located schedule
display
• Online schedule viewing
www.cesihh.org
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Arduino
Cheap ($32)
Easy to Learn
Scales Easily
Many Different Extenders
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Ethernet
WiFi
GPS
Accelerometers
And Many More
• Endless Hardware Possibilities
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Compact CPR feedback module
Compression depth & rate
Ventilation volume & rate
Evaluates and grades
performance
• Imports data into SimPad log
• Work in progress
• Small wireless module that
interfaces with SimMan 3G power
button
• Doesn’t require changing
batteries
• Can be synced to scheduling
database
• Could also start SimMan software
on schedule
• One step closer to fabled
“One-Touch” system