Immersive distance simulation: Exploring the educational impact of stereoscopic extended reality (XR) video in remote learning environments.

There is a growing need for healthcare simulation options when local expertise or resources are not available. To connect instructors with remote learners, current options for distance simulation are typically limited to videoconferencing on desktop computers or mobile devices, which may not fully capture the complexity of clinical scenarios.Extended reality (XR) technology may provide a more immersive and realistic distance healthcare simulation experience compared to traditional videoconferencing options.

Comparing Capabilities of Simulation Modalities for Training Combat Casualty Care: Perspectives of Combat Medics.

Introduction: Combat casualty care requires learning a complex set of skills to treat patients in challenging situations, including resource scarce environments, multiple casualty incidents, and care under fire. To train the skills needed to respond efficiently and appropriately to these diverse conditions, instructors employ a wide array of simulation modalities. Simulation modalities for medical training include manikins, task trainers, standardized patient actors (i.

Advanced Trauma Life Support Course Delivery: Comparison of Outcomes From Modifications During Covid-19.

Introduction The Advanced Trauma Life Support (ATLS) Course is a two-day long medical training course developed by the American College of Surgeons (ACS) to help train and prepare healthcare providers to care for severely injured patients. The coronavirus disease 2019 (COVID-19) pandemic has resulted in the modification or cancellation of many education programs across the world. At the University of South Florida's Center for Advanced Medical Learning and Simulation (CAMLS) two different models of ATLS were delivered in response to the COVID-19 pandemic with both models utilizing the ACS's online mobile ATLS (mATLS).

The value of psychometric analysis of the advanced trauma life support cognitive test: Outcome of an ACS-Accredited educational institute multisite study.

Background: The Advanced Trauma Life Support (ATLS) course provides a standard approach to trauma. Participants must pass the ATLS post-test. We deployed the test online to allow ongoing psychometric item analysis and potential objective refinement.

Perceptions of Simulator- and Live Tissue-Based Combat Casualty Care Training of Senior Special Operations Medics.

The relative effectiveness of live tissue (LT)- and inanimate simulation (SIM)-based training of combat medics is the subject of intense debate. A structured interview was utilized to determine the training modality preferences and the perceived value of LT- and SIM-based combat casualty care training of 25 senior special operations medics. Participant demographics and training experience, Likert scale-based assessment of training modality value, selection of preferred training modality for 11 combat casualty care procedures, and 12 open-ended questions probing opinions of the limitations and benefits of LT- and SIM-based training were collected from this convenience sample.

Live tissue versus simulation training for emergency procedures: Is simulation ready to replace live tissue?

Background: Training of emergency procedures is challenging and application is not routine in all health care settings. The debate over simulation as an alternative to live tissue training continues with legislation before Congress to banish live tissue training in the Department of Defense. Little evidence exists to objectify best practice.

An evidence-based review: distracted driver.

Background: Cell phone use and texting are prevalent within society and have thus pervaded the driving population. This technology is a growing concern within the confines of distracted driving, as all diversions from attention to the road have been shown to increase the risk of crashes. Adolescent, inexperienced drivers, who have the greatest prevalence of texting while driving, are at a particularly higher risk of crashes because of distraction.

Implementation of an acute care surgery service at an academic trauma center.

Background: The establishment of acute care surgery is rapidly becoming a solution to meet emergency surgical needs. Challenges include competition for emergency surgery opportunities and the ability to economically sustain a practice.

Methods: Clinical activity was measured by reviewing the institutional and practice plan databases.

[Accuracy of the 64 multislice computed tomography in the diagnosis of coronary stent restenosis].

Objective: To determine the accuracy of coronary angiography through 64-slice computed tomography in detecting in-stent restenosis.

Method: Fifty-two patients with 76 coronary stents and suspicion of restenosis were examined. Initially, they underwent coronary angiography through 64-slice computed tomography, and subsequently invasive coronary angiography as gold standard.

[Volume of coronary calcified plaques by computed tomography and presence of significant stenosis by coronary angiography].

Background: Coronary artery calcium is almost pathognomonic of atherosclerosis. In 1990, Agatston designed a method to measure the coronary calcium score by computed tomography. Our aim was to establish the association between coronary calcified plaque volumes calculated by 64 slice computed tomography and the presence of significant coronary stenosis diagnosed by invasive coronary angiography.

Asymptomatic fistula from a giant aneurysmatic left anterior descending artery to the right ventricular outflow tract.

Coronary artery fistulas are unusual congenital or acquired coronary artery abnormalities in which blood is shunted into a cardiac chamber, great vessel or other structure, bypassing the myocardial capillary network (Jung et al. in Cardiovasc Ultrasound 5:10, 2007). We present a young adult patient with an asymptomatic fistula from a giant aneurysmatic left anterior descending artery to the right ventricular outflow tract, first diagnosed by echocardiography examination and further confirmed by 128-slice computed tomography coronary angiography.

[Accuracy of 64 slice computed tomography angiography in the diagnosis of ischemic coronary artery disease].

Introduction And Objectives: Multislice computed tomography coronary angiography (MSCT-CA) has been developed in the last years. One of the advantages is to supply information of the lumen and wall of the vessels. The aim was to assess the diagnostic accuracy of MSCT - CA to detect significant coronary stenoses taking as gold standard the invasive coronary angiography (ICA).

Sclerosing epithelioid fibrosarcoma of the pituitary.

Primary pituitary sarcoma in the absence of previous radiation therapy is very rare, only eight cases having been reported. We present the first reported case of sclerosing epithelioid fibrosarcoma of the pituitary, a 56-year-old woman presenting with diplopia and panhypopituitarism. Magnetic resonance imaging showed a 1.

Adrenal insufficiency attributable to adrenal hemorrhage: long-term follow-up with reference to glucocorticoid and mineralocorticoid function and replacement.

Objective: To describe the long-term follow-up of acute adrenal insufficiency attributable to bilateral adrenal hemorrhage.

Methods: We performed a retrospective review of medical records of four patients who underwent follow-up for 6(1/2) to 19 years.

Results: Despite published reports of more than 500 patients with bilateral massive adrenal hemorrhage through 2001, no long-term data assessing the continuing requirements for glucocorticoid and mineralocorticoid replacement are available.

Long-term physical, mental, and functional consequences of abdominal decompression.

Background: The long-term physical, mental, and functional consequences of abdominal decompression for intra-abdominal hypertension are unknown.

Methods: Thirty patients in various stages of abdominal decompression and delayed fascial closure for massive incisional hernia completed the SF-36 Health Survey and answered questions regarding their employment and pregnancy status.

Results: Patients awaiting abdominal wall reconstruction demonstrated significantly decreased perceptions of physical, social, and emotional health (p < 0.