Combat & Casualty Care

Q1 2016

Military Magazines in the United States and Canada, Covering Combat and Casualty Care, first responders, rescue and medical products programs and news\Tactical Defense Media

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Page 28 of 35 Combat & Casualty Care | Spring 2016 | 27 Virtual Prep Reality Training Real Training for Real Scenarios Simulation allows teams to practice and get feedback on their skills in a safe environment. Previously, students honed their skills on patients in the hospital where disease is variable and feedback not always timely. In simulation, learners can practice and receive feedback in a controlled environment to be competent when seeing patients in the real world. Say we want to provide a group of combat medics, Navy corpsman, or Air Force technicians with tactical combat casualty care (TCCC) training. Using the cut suit or manikin, and immersing the trainees in the chaos of combat at the point of injury, a WAVE scenario might involve using a few folks as casualties wearing appropriate makeup to simulate injuries of the nature we want to replicate such as burns, abrasions, limbs blown off, etc. Along with the replication of injuries, WAVE also provides a realistic backdrop of combat action such as explosions, small arms fire, vehicles moving through the battle, sights and smells normally associated with combat, whether urban or austere. In this f luid environment, the trainees are given the opportunity to practice tourniquet application, intubating a casualty, bandaging a wound, morphine injection, etc. before moving the casualty to the next echelon of care, such as a waiting ambulance or helicopter. The entire training scenario is live video recorded and archived so that the trainees can be debriefed using the actual footage of the scenario they were actively involved in. In situations where trainees are not actually able to train at the Sim Center with the full application of WAVE, the Center is currently experimenting with WAVE-lets or smaller versions of the WAVE experience that can be set up using a couple of screens at a warehouse or other non-medical facility like a temporary shelter. Presently, there are three WAVE-lets in operation; at Camp Bullis in San Antonio, at the Surface Warfare Medical Institute in San Diego, and at the Medical Research Center of Chemical Defense in Aberdeen, MD. In essence, these are applications of WAVE in a scaled down version of virtual reality through the same software, delivered locally, to create a combat training environment in a space the size of a small office. In the future, WAVE scenarios may be distributed from the master WAVE in Bethesda, streaming out some of the software so small little WAVE-lets can be set up wherever there is a projector and the screen capability. We are currently performing research and training teams using this new methodology with a variety of medical and nursing teams from the DoD. Dr. Shad Deering demonstrates one of the pediatric simulators at the Val. G. Hemmings Simulation Center. The SimCenter provides more than 30,000 square feet of state-of-the art simulation technology for the real-time training of military medical personnel. Trainees can be placed in simulated combat situations including the sights, sounds, smells and even the weather of real battlefelds. (USU)

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