11 August 2014
KFU Simulation Centre

Medical high technologies cause need in competent and progressive experts. In this respect KFU Institute of Fundamental Medicine and Biology uses the most innovative approaches to doctors training.

Today the Institute includes 13 departments of fundamental medicine and biology, 30 research laboratories, including 2 international clinical trial sites, and 4 academic summer intern sites.  But opened this May Simulation Centre is the main source of pride.

We invite you to make a photo tour of the Simulation Centre.

Its current facility which occupies 400 square metres contains a virtual hospital with multipurpose simulation rooms:  admissions, endoscopy room, virtual operating room, resuscitation and intensive care, maternity, pediatry, and pediatric intensive care.

The high-fidelity simulation rooms offer the opportunity to simulate a clinical scenario from the very admission of a patient. Developing skills and teamwork behaviours starts when an ambulance arrives with a patient. An operator estimates the patient's state and calls for a team of doctors.

The patient is diagnosed at the diagnostics centre.

In case it is required, he/she is taken to an operating room.

The patient is finally accommodated in a hospital ward.

Dozens of computer assisted mannequin simulators are available at the centre; they imitate adult patients, maternity patients and new-borns, infants, and phantoms to train certain medical manoeuvres (labor imitator, uterus examination, and others).

 

The centre is equipped with the most innovative facilities and training technologies: training devices and robot simulators, mannequin imitators, electronic phantoms, training models, and other interactive computer assisted equipment and real resuscitation and intensive care facilities.

At the simulation centre the focus is on development teamwork behaviours: an anesthesiologist, an operating and assisting surgeons, an intensivist, and a nurse.

Certain medical skills are learned actively under realistic conditions through high-fidelity scenarios that simulate genuine crisis management situations.  Only then with a required experience, students are allowed to approach real patients.

 

The students' activities may be observed from the balcony.

The first room to welcome students this spring was the dentist's unit. The plastic patients help students conduct the most complicated procedures and use related equipment.

Several rooms are equipped with real medical apparatus. Hands-on training is run on medium and high class reality simulators.

In the surgery unit, like in all hospitals, a zoning approach is used; we can find a changing room, a washup, a pre-operating room, and operating rooms.

 

The surgery unit is the cleanest part of the operating hospital, where aseptics is strictly observed. The taps are similar to those of real operating rooms turning off by elbow to avoid surface contact. 

There is no unnecessary furniture and equipment in the operating room; everything is close to a real situation.

The KFU Simulation Centre offers a maternity unit to teach obstetrician-gynecologists and neonatologists according to specially developed programs.

The lying-in woman's blood pressure drops suddenly, tachycardia begins, fetal heartbeats disappears, a wide range of real medical situations to be handled by an obstetrician-gynecologist.  

Virtual labor simulation system is aimed to train obstetrics skills and techniques without any risks for a woman.

Other skills are mastered in a virtual hospital.

The simulation centre is equipped with 14 cameras that enable real-time operating. A critical part of simulator-based training is debriefing using videotapes of the simulation sessions. 

The mannequin simulators are developed and produced by Eidos Ltd.

A simulator is a real copy of a human body with the same skeletal structure and anatomical organization. The back bone, neck, arms and legs are adequately flexible.

A mannequin is wirelessly connected with a computer of a supervisor who controls a student's training.

A simulator can show a large variety of symptoms a doctor meets during resuscitation, including anaphylactic shock, angor pectoris, cardiac arrest, heart attack, cardiac failure with pulmonary edema, insecticide intoxication, episode of asthma, Ruptured Spleen, etc.

Depending on the patient's state and doctor's activities, the simulator changes its physiological characteristics.

Another simulator for anesthesiologists is able to identify a medicine a doctor injects, as well as a dose, and thus change all life parametres: pulse, pupillary light reflex, open or closed eyes depending on whether the patient is conscious or unconscious.

Medical simulators are 90% similar to real people. They can show all vital signs, they breathe, bleed, and die away.  

A hybrid operating room is a full-scale operating room for a doctor to train manipulations at a certain stage of an operation.

 

During an operation, an anesthesiologist sets all parametres, regulates blood pressure and pulse. A surgeon gets in, two assistant and a nurse helping. They all behave as if they are in a real operating room. The only difference is that a nurse should not change instruments, she just presses a certain button on the monitor and the surgeon now has a scalper instead of a clamp. 

The material used for the mannequin simulators is similar to human skin; therefore it is possible to examine by touch, take blood or make intramuscularly and endovenous injections. 

To foresee how a patient can react during the operation, a virtual simulation is organized. A surgeon enters all the s diseases into the program which provides information on possible sequellae. A real operation takes place only if positive results are received.  

Source of information: Press centre
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