{"id":164,"date":"2023-01-11T15:37:20","date_gmt":"2023-01-11T20:37:20","guid":{"rendered":"https:\/\/rybelz.com\/ovcharenko\/?p=164"},"modified":"2023-01-19T15:37:08","modified_gmt":"2023-01-19T20:37:08","slug":"2020-maxim-rebguns-summer-internship-project","status":"publish","type":"post","link":"https:\/\/rybelz.com\/new-ovcharenko\/2020-maxim-rebguns-summer-internship-project\/","title":{"rendered":"2020 Maxim Rebguns Summer Internship Project"},"content":{"rendered":"<h6>\u201cUnderstanding the use of the manikin and virtual intravenous catheter to simulate real-life patients for testing and training\u201d<\/h6>\n<p>In this summer internship project, I chose to investigate the use of the manikin for medical and biological purposes to better understand its use and how the device works. In this post, I will be covering my findings as I continue to research and examine this device and its inner workings.<\/p>\n<p>Table of Contents:<\/p>\n<ul>\n<li>Introduction<\/li>\n<li>Research<\/li>\n<li>The Use of Medical Manikins<\/li>\n<li>Anatomy And How to Use Manikins<\/li>\n<li>Media<\/li>\n<li>Appendix A<\/li>\n<li>Appendix B<\/li>\n<\/ul>\n<p><strong>Introduction<\/strong><br \/>\nManikins are utilized for many reasons, but in this investigation, we will examine the use of medical manikins in training and testing. We will start by doing research and finding out more about this topic before we will dive into using these manikins in practice, as well as dummy medical equipment and software used to simulate medical conditions.<\/p>\n<p>Over the summer this post will gradually grow as I record my findings, answer questions, and find out more about the device. The post will be organized into sections that you can find in the table of contents above.<\/p>\n<p><strong>Research<\/strong><br \/>\nIn the research section, I will record my findings of medical manikins as well as model-specific information (size, manufacturer, etc). There are three main subdivisions in the research section: a specific subdivision on the use of medical manikins, information on their history. The next subdivision is about the structure of manikins and how they work. The third subdivision is about the specific model that I will be conducting my experiments on. This will include data about the model\u2019s specifics, size, weight, and anatomy.<\/p>\n<p>All research was done thanks to the google search engine. All websites used for information are linked to in Appendix A.<\/p>\n<p><strong>The Use of Medical Manikins<\/strong><br \/>\nWhat are the uses of manikins and medicine? Medical manikins are used primarily to train learners on how to properly treat patients in realistic medical scenarios. They are used to simulate medical emergencies for medical trainees to accurately deal with real-life medical situations. Manikins have significantly improved the accuracy of medical professionals because they eliminate reliance on non-practical \u201ctextbook instruction\u201d.[1] Another reason manikins are used as a primary method in many training scenarios is that a manikin allows for the trainee to practice on a non-living object first before moving onto real humans. The advances in modern technology have allowed for extremely realistic simulations including breathing dummies with palpable pulses and monitors that show EKG, blood pressure, arterial waveforms, and other measures normally used on living patients.[2]<\/p>\n<p>Who uses medical dummies and who needs them? These devices are primarily used by nurses, EMTs, physicians, and military doctors to train recruits\/trainees on how to properly care for, transport, and provide care to human patients without the need to do so with living individuals. Most medical students practice on a dummy during training phases. These manikins are widely used due to their realistic behaviors due to modern technology.[3]<\/p>\n<p><strong>Anatomy And How to Use Manikins<\/strong><br \/>\nOne of the top companies in the medical simulation industry is Laerdal \u2014 an international medical company that sells medical equipment and simulations. The manikins described and used in this and the following sections are the Laerdal Ultimate Hurt Manikin (please note that this model has since been discontinued by the Laerdal).[4]<\/p>\n<p>It has been especially hard to find information about the specific model due to the fact that it was discontinued by Laerdal in May 2017. I was able to find an online manual from the company that included information on assembly and other general model information.<\/p>\n<p>Ultimate Hurt is a full-body manikin resembling a trauma patient that is designed for training professionals in the emergency care and transport sector. As the manual state, the manikin \u201cshould provide many sessions of training when reasonable care and maintenance is practiced\u201d. As I gathered information on the model, I listed resources and model specifications below.[5]<\/p>\n<p>What skills does the manikin teach?<\/p>\n<p>According to the \u201cdirections for use\u201d found on the Laerdal website, the manikin teaches the following medical concepts to new students:<\/p>\n<p>Oral intubation \u2013 a method of maintaining an open airway by placing a plastic tube into the trachea.[6]<br \/>\nNasal intubation \u2013 same as oral intubation, however in the nose, used when oral intubation isn\u2019t possible.[7]<br \/>\nDigital intubation \u2013 complete intubation without a direct view of the larynx or a laryngoscope (also known as blind digital intubation).[8]<br \/>\nEOA\/PTL intubation \u2013 a two-tube intubation system inserted in a \u201cblind\u201d fashion.[9]<br \/>\nCombitube\u00ae intubation \u2013 intubation using a \u201cCombitube\u201d which is designed to provide an open airway in a hospital setting.[10]<br \/>\nRight mainstem intubation \u2013 when the intubation tube is placed beyond the trachea within the right main bronchus.[6]<br \/>\nOropharyngeal and nasopharyngeal airway insertion \u2013 two methods used in keeping the airway open in an unconscious person.[11]<br \/>\nBag\/Valve Mask \u2013 a hand-held device that allows positive pressure ventilation to patients who cannot breathe.[12]<br \/>\nSuctioning techniques \u2013 suctioning allows us to remove mucus from the tracheostomy tube so that the patient can breathe normally.[13]<br \/>\nWound management \u2013 the act of treating and caring for wounds and injuries found on the patient.<br \/>\nCarotid pulse palpation \u2013 the act of finding the carotid pulse to measure a patient\u2019s heart rate.<br \/>\nExtrication \u2013 the removal of a person from entrapment in emergency medicine.[14]<br \/>\nBasic patient handling \u2013 the process of using equipment to move a patient so that medical professionals do not need to exert themselves.<br \/>\nStomach auscultation to verify proper airway positioning \u2013 a technique used to examine the abdomen to confirm the proper positioning of the medical airway.<\/p>\n<p><strong>Media<\/strong><\/p>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-165 alignleft\" src=\"https:\/\/rybelz.com\/ovcharenko\/wp-content\/uploads\/2023\/01\/virtualiv1-300x225.jpg\" alt=\"Image of the virtual IV that comes with the manikin\" width=\"300\" height=\"225\" srcset=\"https:\/\/rybelz.com\/new-ovcharenko\/wp-content\/uploads\/2023\/01\/virtualiv1-300x225.jpg 300w, https:\/\/rybelz.com\/new-ovcharenko\/wp-content\/uploads\/2023\/01\/virtualiv1-768x576.jpg 768w, https:\/\/rybelz.com\/new-ovcharenko\/wp-content\/uploads\/2023\/01\/virtualiv1.jpg 1024w\" sizes=\"auto, (max-width: 300px) 100vw, 300px\" \/> <img loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-166 alignleft\" src=\"https:\/\/rybelz.com\/ovcharenko\/wp-content\/uploads\/2023\/01\/virtualiv2-300x225.jpg\" alt=\"\" width=\"300\" height=\"225\" srcset=\"https:\/\/rybelz.com\/new-ovcharenko\/wp-content\/uploads\/2023\/01\/virtualiv2-300x225.jpg 300w, https:\/\/rybelz.com\/new-ovcharenko\/wp-content\/uploads\/2023\/01\/virtualiv2-768x576.jpg 768w, https:\/\/rybelz.com\/new-ovcharenko\/wp-content\/uploads\/2023\/01\/virtualiv2.jpg 1024w\" sizes=\"auto, (max-width: 300px) 100vw, 300px\" \/> <img loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-167 alignleft\" src=\"https:\/\/rybelz.com\/ovcharenko\/wp-content\/uploads\/2023\/01\/virtualiv3-300x225.jpg\" alt=\"\" width=\"300\" height=\"225\" srcset=\"https:\/\/rybelz.com\/new-ovcharenko\/wp-content\/uploads\/2023\/01\/virtualiv3-300x225.jpg 300w, https:\/\/rybelz.com\/new-ovcharenko\/wp-content\/uploads\/2023\/01\/virtualiv3-768x576.jpg 768w, https:\/\/rybelz.com\/new-ovcharenko\/wp-content\/uploads\/2023\/01\/virtualiv3.jpg 1024w\" sizes=\"auto, (max-width: 300px) 100vw, 300px\" \/><\/p>\n<p>&nbsp;<\/p>\n<p>&nbsp;<\/p>\n<p>&nbsp;<\/p>\n<p>&nbsp;<\/p>\n<p>&nbsp;<\/p>\n<p>&nbsp;<\/p>\n<p>&nbsp;<\/p>\n<h2><img loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-168 alignleft\" src=\"https:\/\/rybelz.com\/ovcharenko\/wp-content\/uploads\/2023\/01\/virtualiv4-e1673469550521-225x300.jpg\" alt=\"\" width=\"225\" height=\"300\" srcset=\"https:\/\/rybelz.com\/new-ovcharenko\/wp-content\/uploads\/2023\/01\/virtualiv4-e1673469550521-225x300.jpg 225w, https:\/\/rybelz.com\/new-ovcharenko\/wp-content\/uploads\/2023\/01\/virtualiv4-e1673469550521.jpg 768w\" sizes=\"auto, (max-width: 225px) 100vw, 225px\" \/><img loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-169 alignleft\" src=\"https:\/\/rybelz.com\/ovcharenko\/wp-content\/uploads\/2023\/01\/virtualiv5-225x300.jpg\" alt=\"\" width=\"225\" height=\"300\" srcset=\"https:\/\/rybelz.com\/new-ovcharenko\/wp-content\/uploads\/2023\/01\/virtualiv5-225x300.jpg 225w, https:\/\/rybelz.com\/new-ovcharenko\/wp-content\/uploads\/2023\/01\/virtualiv5.jpg 768w\" sizes=\"auto, (max-width: 225px) 100vw, 225px\" \/><\/h2>\n<p id=\"citation14\">\n<h2><\/h2>\n<h2 id=\"appendixA\" class=\"has-vivid-red-color has-text-color\">Appendix A<\/h2>\n<p id=\"citation1\">[1] \u2013 \u201cMedical Manikin: Healthcare Simulation.\u201d\u00a0<em>HealthySimulation.com<\/em>, 1 Oct. 2019, www.healthysimulation.com\/medical-manikin\/.<\/p>\n<p id=\"citation2\">[2] \u2013 McMacken, Melissa.\u00a0<em>Mannequin-Based Simulations<\/em>, 17 Oct. 2018, www.hopkinsmedicine.org\/simulation_center\/training\/mannequin_based_simulations\/.<\/p>\n<p id=\"citation3\">[3] \u2013\u00a0<em>Patient Simulators, Manikins &amp; More<\/em>, www.laerdal.com\/us\/nav\/36\/Patient-Simulators-Manikins-More.<\/p>\n<p id=\"citation4\">[4] \u2013 Laerdal Medical. \u201cWelcome to Laerdal Medical \u2013 Helping Save Lives.\u201d\u00a0<em>Laerdal Medical<\/em>, Laerdal Medical, 5 Feb. 2015, www.laerdal.com\/us\/.<\/p>\n<p id=\"citation5\">[5] \u2013 \u201cUltimate Hurt, Directions for Use.\u201d 2015. This is a pdf file and can be found at http:\/\/cdn.laerdal.com\/downloads\/f3742\/Directions_for_Use,_Ultimate_Hurt_Rev_D_-_English.pdf<\/p>\n<p id=\"citation6\">[6] \u2013 \u201cTracheal Intubation.\u201d\u00a0<em>Wikipedia<\/em>, Wikimedia Foundation, 10 June 2020, en.wikipedia.org\/wiki\/Tracheal_intubation.<\/p>\n<p id=\"citation7\">[7] \u2013 Pruitt. \u201cNasal Intubation.\u201d\u00a0<em>Emergency Physicians Monthly<\/em>, epmonthly.com\/article\/nasal-intubation\/.<\/p>\n<p id=\"citation8\">[8] \u2013 Dr Chris NicksonChris is an Intensivist and ECMO specialist at the Alfred ICU in Melbourne. He is also the Innovation Lead for the Australian Centre for Health Innovation at Alfred Health. \u201cBlind Digital Intubation \u2022 LITFL Medical Blog \u2022 CCC Airway.\u201d\u00a0<em>Life in the Fast Lane \u2022 LITFL \u2022 Medical Blog<\/em>, 21 Mar. 2019, litfl.com\/blind-digital-intubation\/.<\/p>\n<p id=\"citation9\">[9] \u2013 EN;, Niemann JT;Rosborough JP;Myers R;Scarberry. \u201cThe Pharyngeo-Tracheal Lumen Airway: Preliminary Investigation of a New Adjunct.\u201d\u00a0<em>Annals of Emergency Medicine<\/em>, U.S. National Library of Medicine, pubmed.ncbi.nlm.nih.gov\/6431854\/.<\/p>\n<p id=\"citation10\">[10] \u2013 \u201cCombitube.\u201d\u00a0<em>Wikipedia<\/em>, Wikimedia Foundation, 1 May 2020, en.wikipedia.org\/wiki\/Combitube.<\/p>\n<p id=\"citation11\">[11] \u2013\u00a0<em>Oral Airway Insertion<\/em>, AmerraMedical, 26 Sept. 2018, www.youtube.com\/watch?v=caxUdNwjt34.<\/p>\n<p id=\"citation12\">[12] \u2013 \u201cBag Valve Mask.\u201d\u00a0<em>Wikipedia<\/em>, Wikimedia Foundation, 30 May 2020, en.wikipedia.org\/wiki\/Bag_valve_mask.<\/p>\n<p id=\"citation13\">[13] \u2013 Support, SiteExecutive.\u00a0<em>Suctioning<\/em>, 18 May 2017, www.hopkinsmedicine.org\/tracheostomy\/living\/suctioning.html.<\/p>\n<p id=\"citation14\">[14] \u2013 \u201cExtricate.\u201d\u00a0<em>The Free Dictionary<\/em>, Farlex, medical-dictionary.thefreedictionary.com\/extricate.<\/p>\n<h2><\/h2>\n<h2 id=\"appendixB\" class=\"has-vivid-red-color has-text-color\">Appendix B<\/h2>\n<p>A list of contributors that made this internship possible:<\/p>\n<ul>\n<li>Author: Maxim Rebguns<\/li>\n<li>Image Credits: Dmitriy Ovcharenko<\/li>\n<li>Equipment: Dmitriy Ovcharenko<\/li>\n<\/ul>\n<p><strong>6\/30\/2020: From Dima: Maxim really great job. You used very professional format \u2013 excellent! Try to search for more details on both manikin and IV system, and also the software for both (there might be freeware \/ please do internet search).<\/strong><\/p>\n<p>7\/26\/2020:\u00a0<strong>From Dima: Internship deadline is August 17, 2020<\/strong>. You have 3 weeks left, please note that it will not be possible to add text\/data after this date due to the nature of summer internship and associated time limits.<\/p>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>\u201cUnderstanding the use of the manikin and virtual intravenous catheter to simulate real-life patients for testing and training\u201d In this summer internship project, I chose to investigate the use of &#8230;<\/p>\n","protected":false},"author":1,"featured_media":166,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[10],"tags":[],"class_list":["post-164","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-internships"],"_links":{"self":[{"href":"https:\/\/rybelz.com\/new-ovcharenko\/wp-json\/wp\/v2\/posts\/164","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/rybelz.com\/new-ovcharenko\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/rybelz.com\/new-ovcharenko\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/rybelz.com\/new-ovcharenko\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/rybelz.com\/new-ovcharenko\/wp-json\/wp\/v2\/comments?post=164"}],"version-history":[{"count":5,"href":"https:\/\/rybelz.com\/new-ovcharenko\/wp-json\/wp\/v2\/posts\/164\/revisions"}],"predecessor-version":[{"id":770,"href":"https:\/\/rybelz.com\/new-ovcharenko\/wp-json\/wp\/v2\/posts\/164\/revisions\/770"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/rybelz.com\/new-ovcharenko\/wp-json\/wp\/v2\/media\/166"}],"wp:attachment":[{"href":"https:\/\/rybelz.com\/new-ovcharenko\/wp-json\/wp\/v2\/media?parent=164"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/rybelz.com\/new-ovcharenko\/wp-json\/wp\/v2\/categories?post=164"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/rybelz.com\/new-ovcharenko\/wp-json\/wp\/v2\/tags?post=164"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}