EDucAtIoN & trAINING The Changing Face of Ultrasound Training in the Era of Cloud-Based Services Dr. Dan Katz and Dr. Eric Savitsky describe how they created a cloud based training solution for ultrasound training. his is a three-part series that uses a case study to describe the introduction of disruptive innova-tion into medical education and training. The first installment describes identifying an unmet need in medical edu-cation and creating a cloud-based training solution. The second installment reports the process of successfully guiding a nascent educational technology from an idea into a successful commer-cial product. In the final installment, the authors detail the rapidly changing dynamics of medical education and how next-genera-tion simulation products will need to address future challenges. A stab-wound victim is rolled onto a gurney by paramedics within a trauma bay, while physicians, nurses, techs, and other emergency healthcare providers stand by waiting to go to work. “We have a twenty-four year-old-male here with multiple stab wounds to the chest and abdomen. He was stable en route but is now decompensating!” shouts the paramedic over a sea of voices and noises. “Most recent vitals are a heart rate of 115, res-piratory rate of 34, blood pressure of 60 over palp, and 85 percent oxygen saturation on a non-rebreather mask.” The trauma team springs into action placing intravenous 18 MEDSIM MAGAZINE 4.2014 T catheters and assessing the patient. Various medical equipment and devices flood the trauma bay: ventilators, infusion machines, vacuum devices, equipment carts, and tubes of all shapes and sizes. Upon completing the primary survey, a team member immediately reaches for an ultrasound machine and begins to perform an eFAST (extended Focused Assessment with Sonography in Trauma) examination. She applies ultrasound gel to select points along the patient’s body, places the probe on the gel, and, in a matter of seconds, assesses the patient’s internal anatomy and discerns patho-logic findings. The initial eFAST scan shows evi-dence of a left-sided pneumothorax and hemoperitoneum. “We need to insert a left-sided chest tube and initiate a mas-Anytime-anywhere ultrasound training. All images: Authors.
Medical Training Magazine MEdSim 4/2014: Page 18
