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Forget the stethoscope — the video game controller could be
the newest item you find in your doctor's black bag.
Medical trauma doctors and nurses throughout Florida are testing an interactive training program
developed by University
of Florida experts to
model a mass disaster involving patients with burn injuries. The Web-based
program goes live for testing this October.
The federally funded program, "Burn Center," simulates an
explosion at a theme park and teaches life-saving skills needed to treat up to
2,000 victims of burns, bombs and blasts. Health professionals care for virtual
patients, making crucial decisions and dealing with potential complications
from their injuries. The game features multiple scenarios, and players receive
scores based on response time and accuracy of care provided.
"Burn Center targets trauma surgeons and nurses to provide training
regarding what they would encounter in burn and blast injuries — something they
may not see every day," said David W. Mozingo, M.D., a professor of surgery in
the UF College of Medicine and director of the Shands Burn Center at UF, who collaborated
with UF simulation expert Sergei Kurenov, the Florida Department of Health,
ProMedia, and Orlando-based 360Ed, to create the fast-paced training program to
simulate a terror attack involving mass casualties.
"Every time you play the game it is going to be different
because the complications and patient problems are put in a ‘controlled
randomness' where it is an appropriate complication to occur, but may not occur
every time you play the game," said Mozingo, who developed the patient training
scenarios with the help of other Florida burn and trauma physicians.
Disaster preparation and response training are crucial to
victim survival after a mass casualty incident, Mozingo said. The nation only
has about 1,800 burn beds, with just 60 in Florida, limiting opportunities to care for
patients in the aftermath of a mass disaster. Opportunities also are limited to prepare key medical practitioners for the unexpected.
Eventually the program will be made available nationally.
"We knew we would have to provide some training so that the
burn care usually provided at burn centers could be applied in other hospitals,
specifically trauma centers for the more seriously injured," said Mozingo.
The game offers three educational components to teach skills
needed to treat patients with burns or other injuries from bombs and blasts. The
first requires players to make quick decisions at the disaster site about
initial medical care and then triage patients to the appropriate hospital. The
next interactive element focuses on in-hospital care, where players manage the
patients' care over a 36-hour (time-elapsed) period. The final part offers
multimedia lectures, which also involve immersive learning elements such as
engaging background scenery to keep the learner interested.
"We looked toward innovative, new technologies of teaching
to provide a product that would fulfill a unique training need," added Mozingo.
Ben Noel, chief executive officer of 360Ed, said the
program's video game format enables players to become fully immersed in the
training experience.
"One of the early problems with online learning was that
content was often just as stale as our textbooks," said Noel. "Today's
rich media and gaming culture offers endless options to dramatically improve the
value of the content and engage learners in the subject. When that is
accomplished, the learner will do the rest."
Richard Gamelli, M.D., a former president of the American
Burn Association, said the program's range of learning levels, ability to test
players' decisions, and self-study format give the game diverse utility.
"There are few things out there that can do what this
program does," said Gamelli, who is chairman of the department of surgery at
the Loyola University Chicago Stritch School of Medicine. "What is nice about
this program is that it builds on existing programs and that someone can do the
training program over and over."
Burn Center is UF's second project prompted by the Florida Department
of Health's response to a nationwide directive from the Office of Homeland
Security to ensure effective disaster response. The first program, a
lecture-based format also developed by Mozingo, was adopted by the U.S. Health
Services and Resources Administration in 2005 and is now used nationally.