The "patient" is a computer controlled, adult sized mannequin that breathes, has a pulse and blood pressure, heart tones, breath sounds and bowel sounds. Participants interact with the patient, carry on a two-way conversation, obtain history and evaluate physical exam findings.
Participants will interact with patients by asking history questions, evaluating physical exam findings, ordering lab tests, writing problem lists and differential diagnoses, and ordering treatments.
Given the information obtained through the physical exam, participants will perform, intravenous cannulation, phlebotomy, medication administration, IM injections, airway maintenance, intubation, fiberoptic procedures, needle or surgical cricothyrotomy, needle chest decompression, chest tube insertion, bronchoscopy and Foley catheterization.
Clinical monitoring is achieved by continuous evaluation of the simulator's computer generated pulse, blood pressure, EKG, pulse oximetry, arterial blood pressure waveform, CO2 and capnograph waveform and respiratory rate. The simulator will respond to the participant interaction including medication administration. Tactile and auditory changes are reproduced on the mannequin and monitoring equipment.
Each choice made by the instructor or participant is recorded by a computer and can be replayed on a monitor. The treatment provided to the participant's efforts cause the simulated patient to either improve, get worse, live or die. Using the video tape and replay capabilities of the center, the session can be debriefed at eh conclusion. Ignored symptoms, incorrect diagnosis and inappropriate treatments can be identified after the fact.
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