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Sökning: WFRF:(Jonsson Anders) > Konferensbidrag > Högskolan i Borås

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  • Backlund, Per, et al. (författare)
  • Pre-hospital training and simulation initiative
  • 2014
  • Konferensbidrag (refereegranskat)abstract
    • BackgroundThe pre-hospital process is a complex one involvingaspects such as medical skills as well as care taking,team performance, inter-organizational cooperation andcommunication. This calls for novel training methods andtechnology support. Our review of literature (covering theareas of pre-hospital care, training simulator technologiesand methods and process modelling) indicates that thedifferent aspects are typically trained in isolation, e.g.medical skills using patient simulators.ObjectiveThe pre-hospital training center project addresses theoverall complexity of the pre-hospital process by takingall of the aspects into account when designing scenariosand technology support for training the complete prehospitalprocess (covering alarm, on-scene activities,transportation and hand-over). This is indeed a challengingtask as we need to develop both training methods andtechnology support for a very complex training situation.MethodsThe project will develop a prototype scenario along withtechnology support to enact it. The training scenariowill involve many of the aspects listed above and will betested in a field experiment with ambulance personnel.ResultsThe expected outcome of the project is a platform forestablishing a pre-hospital simulation and training center.The initial technologies, research results and experienceswill be used to form a consortium for further work anddevelopment.ConclusionsWe have identified a need for a pre-hospital trainingcenter with the unique and ambitious idea of covering theentire pre-hospital process as well as its many interactingaspects. To the best of our knowledge this approach isnot at all common and we expect the complexity to be sohigh that it is a challenging enough research area that canonly be addressed if we have a well-designed simulationand training center in place with all the different areas ofknowledge represented, i.e. pre-hospital medicine as wellas simulation and visualization technology.
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  • Jonsson, Anders, et al. (författare)
  • The development of a military hybrid simulation model for the training of haemorrhage control in proximal extremity bleedings
  • 2014
  • Konferensbidrag (övrigt vetenskapligt)abstract
    • BackgroundExsanguination from extremity wounds is a majorcause of potentially preventable deaths in the militaryenvironment. With the widespread use of differenttechniques to control this type of bleeding, such astourniquets and haemostatic agents, it has now becomepossible to dramatically improve the survival rate forthese casualties.ObjectiveVarying techniques for pre-deployment training ofhaemorrhage control have been tested and used bythe Swedish Armed Forces, for example different typesof patient simulators. The recently developed militarytrauma patient simulators have for example become amajor improvement for the training of standard tourniquetapplication. However, very proximal ‘junctional’ bleedingslocated in for example axillae and groins still representa special training problem, since tourniquets cannot beused on these locations.MethodsBased upon an idea presented by Moorhouse et al.*, wehave developed a hybrid training model, consisting of amodified Laerdal® SimMan® 2G manikin, with a slab ofmeat with artificial ‘vessels’ running through the base ofa series of wounds. Artificial blood under pressure is usedto produce a bleeding effect.ResultsThis hybrid model has been used for two years in thetraining of medics and combat life savers. It represents arealistic bleeding model, which can be used over and overagain. Also, the cost for training is low compared to otheralternatives.ConclusionsExisting patient simulators are not suitable for trainingof haemorrhage control on proximal extremity locations.Live tissue training on anaesthetized animals is not afirst alternative for this kind of training. We consider theproposed hybrid simulation model as the best trainingmethod so far.
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  • Lundberg, Lars, et al. (författare)
  • Applying military medical training models on the training of civilian ambulance nurses
  • 2012
  • Konferensbidrag (refereegranskat)abstract
    • Background: The pre-mission training of military medical personnel is based on simulation, using either moulage patients or full-scale simulation manikins. Furthermore, the training is preferably conducted in a realistic environment, including the logistic procedures required.Summary of work: The military approach to medical training has been considered interesting to apply on the postgraduate and continuing education for civilian ambulance nurses. One MD (professor) and one RN (associate professor) are now working part-time for the Armed Forces Centre for Defence Medicine and part-time for the University of Borås. A general aim is to improve the trauma education for civilian ambulance nurses, including prehospital procedures for command & control, and by introducing selected military techniques such as tourniquets and haemostatic agents to stop life-threatening bleedings also in civilian practice.Conclusions: We have a reason to believe that this recently initiated collaboration between military medicine and civilian prehospital medicine is mutually beneficial. The civilian Emergency Medical Services will become better trained and prepared, while the Armed Forces are likely to get a larger recruitment base of skilled medical personnel for future service in international missions.Take-home messages: Collaboration between organisations with similar interests, in this case the prehospital management of trauma victims, is likely to be mutually beneficial.
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  • Suserud, Björn-Ove, et al. (författare)
  • Unique characteristics of ambulance care
  • 2005
  • Ingår i: Prehospital and Disaster Medicine. - Cambridge University Press. ; s. 8-9
  • Konferensbidrag (refereegranskat)
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