An easy-to-build, low-budget point-of-care ultrasound simulator: from Linux to a web-based solution

被引:12
作者
Damjanovic D. [1 ]
Goebel U. [1 ]
Fischer B. [2 ]
Huth M. [2 ]
Breger H. [2 ]
Buerkle H. [1 ]
Schmutz A. [1 ]
机构
[1] Department of Anesthesiology and Critical Care, Medical Center-University of Freiburg, Faculty of Medicine, University of Freiburg, Hugstetter Strasse 55, Freiburg
[2] Information Technology Section, Department of Anesthesiology and Critical Care, Medical Center-University of Freiburg, Faculty of Medicine, University of Freiburg, Freiburg
关键词
Point-of-care systems; Simulation training; Ultrasonography;
D O I
10.1186/s13089-017-0061-4
中图分类号
学科分类号
摘要
Background: Hands-on training in point-of-care ultrasound (POC-US) should ideally comprise bedside teaching, as well as simulated clinical scenarios. High-fidelity phantoms and portable ultrasound simulation systems are commercially available, however, at considerable costs. This limits their suitability for medical schools. A Linux-based software for Emergency Department Ultrasound Simulation (edus2TM) was developed by Kulyk and Olszynski in 2011. Its feasibility for POC-US education has been well-documented, and shows good acceptance. An important limitation to an even more widespread use of edus2, however, may be due to the need for a virtual machine for WINDOWS® systems. Our aim was to adapt the original software toward an HTML-based solution, thus making it affordable and applicable in any simulation setting. Methods: We created an HTML browser-based ultrasound simulation application, which reads the input of different sensors, triggering an ultrasound video to be displayed on a respective device. RFID tags, NFC tags, and QR Codes™ have been integrated into training phantoms or were attached to standardized patients. The RFID antenna was hidden in a mock ultrasound probe. The application is independent from the respective device. Results: Our application was used successfully with different trigger/scanner combinations and mounted readily into simulated training scenarios. The application runs independently from operating systems or electronic devices. Conclusion: This low-cost, browser-based ultrasound simulator is easy-to-build, very adaptive, and independent from operating systems. It has the potential to facilitate POC-US training throughout the world, especially in resource-limited areas. © 2017, The Author(s).
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  • [1] Bernier-Jean A., Albert M., Shiloh A.L., Eisen L.A., Williamson D., Beaulieu Y., The diagnostic and therapeutic impact of point-of-care ultrasonography in the intensive care unit, J Intensive Care Med., (2015)
  • [2] Laursen C.B., Sloth E., Lassen A.T., Et al., Focused sonographic examination of the heart, lungs and deep veins in an unselected population of acute admitted patients with respiratory symptoms: a protocol for a prospective, blinded, randomised controlled trial, BMJ Open., (2012)
  • [3] Olszynski P.A., Harris T., Renihan P., D'Eon M., Premkumar K., Ultrasound during critical care simulation: a randomized crossover study, CJEM., 18, 3, pp. 183-190, (2016)
  • [4] Petrosoniak A., Gray A., Fan M., Et al., MP036: Trauma Resuscitation Using in situ Simulation Team Training (TRUST): a novel approach to latent safety threat identification in trauma care, CJEM., 18, S1, pp. S78-S79, (2016)
  • [5] McNeil C.R., McManus J., Mehta S., The accuracy of portable ultrasonography to diagnose fractures in an austere environment, Prehosp Emerg Care., 13, 1, pp. 50-52, (2009)
  • [6] Shorter M., Macias D.J., Portable handheld ultrasound in austere environments: use in the Haiti disaster, Prehosp Disaster Med., 27, 2, pp. 172-177, (2012)
  • [7] Whitfield D.A., Portouw S.J., Retinal detachment due to facial gunshot wound: the utility of ultrasonography in a medically austere environment, J Emerg Med, 42, 6, pp. 678-681, (2012)
  • [8] Zhang S., Zhu D., Wan Z., Cao Y., Utility of point-of-care ultrasound in acute management triage of earthquake injury, Am J Emerg Med, 32, 1, pp. 92-95, (2014)
  • [9] Kimberly H.H., Stone M.B., Clinician-performed ultrasonography during the Boston marathon bombing mass casualty incident, Ann Emerg Med, 62, 2, pp. 199-200, (2013)
  • [10] Chenkin J., McCartney C.J.L., Jelic T., Romano M., Heslop C., Bandiera G., Defining the learning curve of point-of-care ultrasound for confirming endotracheal tube placement by emergency physicians, Crit Ultrasound J, 7, 1, (2015)