Shyam Gajrani, Author at SEM Trainers

How do TCCC Training Manikins Help Medical Services? | Tactical Combat Casualty Care

Shyam Gajrani / October 6, 2021October 12, 2021 / Uncategorized

Simulation training manikins have long helped improve the state of our healthcare and patient satisfaction. TCCC training manikins help train medical students and aspirants for providing immediate medical care for life-threatening injuries on the battlefield.

What is TCCC?

TCCC is Tactical Combat Casualty Care. These are guidelines that need to be followed so that combatants can get immediate medical attention for life-threatening injuries on the battlefield. All medical and non-medical combatants receive the training for this so that they can effectively and timely manage combat trauma and blast-related injuries. This involves training for three scenarios/phases of casualty:

Care under fire- Life-threatening external and extremity hemorrhages need to be controlled immediately in the first phase with limb tourniquets.
Tactical field care- This is the second phase. During this, massive hemorrhages need to be controlled, breathing and circulation need to be monitored, burns need to be monitored and treated, and the airway needs to be managed.
Tactical evacuation care- In this third phase, any chest or abdominal trauma need to be monitored for signs of tension pneumothorax, and bleeding needs to be controlled.

Delivering TCCC Training with Medical Simulation

Earlier, the hemorrhage when a wounded man’s main artery is divided would be so quick and so much that he would die before help could reach him. We have come a long way with tactical combat casualty care since. With the help of simulation, we have seen massive improvement in the quality of training for first responder skills in military settings. Simulation can create realistic scenarios and provide first-hand learning in a safe environment, building essential decision-making and tactical skills. With combat trauma manikins and trainers/simulators mimicking high-stress situations in the battlefield, combatants can develop the skills to ultimately reduce the number of deaths.

How does that happen? Well, when the manikins and trainers simulate realistic high-stress scenarios in the battlefield, both the medical and non-medical combatants get a chance to learn and practice how to effectively care for the injured soldiers and control any hemorrhages in the battlefield itself- at the point of injury, before they can be moved to a treatment facility. These are life-saving decisions that the combatants must make.

Tactical Casualty Care Simulators (TCCS) and Tactical Hemorrhage Control Trainers (THCT)

These simulators and trainers a boon in realistically teaching life-saving techniques and strategies for delivering effective trauma care in the battlefield. This is useful to many industries like the military, government forces, medical resuce, and private security. These simulators and trainers recreate the wounds that are commonly the result of war. The result is that combatants improve their reaction times and decision making skills, and go into the battlefield more prepared. The ultimate goal is the reduction of the number of preventable deaths.

Here at SEM Trainers, we provide the most realistic, reactive TCCC training manikins, simulators, and trainers so that training can be as realistic as possible:

Casualty Care Rescue Randy – powered by Strategic Operations Hyper-Realistic® technology

In the battlefield, death most commonly happens because of bleeding, tension pneumothorax, or an airway obstruction. This full-body manikin is carefully designed to deliver realistic training on these three procedures:

Massive Bleeding

Tension Pneumothorax

Airway Obstruction

This manikin has articulated joints and contains 3 to 4 liters of blood.

Buy it here.

CPR Module for REALITi360 Patient Monitor Simulators

This simulator is a CPR module that gives detailed real-time visual feedback on the quality of CPR being delivered by the trainees. The dashboard shows the rate, depth, and release of each compression in real-time, and it’s also easy to generate reports and convert them into PDFs for mailing and printing.

You can wear this on the wrist, put it on the manikin, or put it inside the manikin.

Buy it here.

Hemorrhage Control Arm Trainer P102

Simulating a realistic adult male arm, this trainer and its traumatic wound on the upper part of the arm realistically bleeds and helps with the practice of hemorrhage control. The wound packing and tourniquet application makes for a hands-on training, and makes the trainer suitable for TCCC and Civilian Casualty Care training. It has deep lacerations or stab wounds, large caliber gunshot wounds, and junctional wounds in the shoulder area.

You can wear this or use this as a standalone simulator.

Buy it here.

Simulated Patient Monitor – REALITi Plus

A simulated patient monitor designed to run different scenarios anywhere- whether it’s an ambulance or a helicopter. It mimics real defibrillators, monitors, and ventilators.

Buy it here.

Tactical Combat Casualty Care Simulator with Abdominal Evisceration – TCCS 5

A full body TCCS for realistically training on abdominal wounds with evisceration and a traumatic amputation above the right wrist.

Buy it here.

Tactical Combat Casualty Care Simulator with Gunshot Wounds – TCCS 1

A full body TCCS for combat trauma care training of gunshot wounds, hemorrhages, and airway management.

Buy it here.

Tactical Combat Casualty Care Simulator with Major Vascular Injuries – TCCS 2

A full body TCCS for training on major vascular injuries usually seen in the warzone.

Buy it here.

Tactical Combat Casualty Care Simulator with Traumatic Amputations – TCCS 3

A full body TCCS for training in combat trauma care for traumatic amputation injuries above the left elbow, above the left knee, and at the upper right thigh.

Buy it here.

Tactical Combat Casualty Care Simulator with Traumatic Amputations and Gunshot Wounds – TCCS 4

A full body TCCS for training on combat trauma care for multiple traumatic gunshot wounds and amputation injuries.

Buy it here.

Tactical Hemorrhage Control Trainer – THCT

A full-sized simulator for training rapid assessment and treatment of trauma injuries in disaster drill and active shooter simulation scenarios.

Buy it here.

Obstetrics Simulators: Simulation Training in Obstetrics for Medical Students

Shyam Gajrani / September 15, 2021October 12, 2021 / Uncategorized

Over the years, simulation has proved itself to be a valuable tool in teaching and training for obstetric and gynecological scenarios. The various scenarios and situations simulated are able to give medical aspirants a chance for hands-on exposure to all the different procedures and situations that might crop up in a safe, non-judgmental learning environment- without the possibility of causing harm to a real patient. The use of such low-/high-fidelity simulators and VR simulators allow the aspirants an improvement in their level of skill and knowledge alike. And with repeated practice, they make fewer errors. Simulation training in obstetrics, along with skill assessment, allows for learning with patient safety, and improves patient outcomes.

Obstetrics Simulators: The past and the present

Simulation training in obstetrics and gynecology is a way to improve related skills without having to compromise patient safety. Earlier, things were not the same. Students would be involved in treating real patients. They would make mistakes and even burn out. Women would often prefer to maintain privacy, and students would not learn a lot waiting outside. But students don’t learn just from theory. They need to practice. Now, with simulators available for this, students can practice procedures and tasks in a safe environment without exposure to real patients, while also building communication skills and decision making skills in the process. They get a safe space to make mistakes and learn from them. And when trained by simulation, students go into practice knowing what they are doing, and delivering quality patient care.

What skills do they help build?

With high-quality, realistic obstetrics simulators with laparascopic and robotic operative simulations, trainees can practice procedures and skills for the following:

Standard delivery
Postpartum hemorrhage
Instrument deliveries
Shoulder dustocia
Fetal malpresentation
Massive blood transfusion protocol
Disseminated intravascular coagulation
Amniotic fluid emboli
Hysterectomy
Oophorectomy
Salpingectomy
Access to the abdomen

Apart from these procedure-centric skills, the simulators also help build soft skills like communication skills and decision making skills.

Obstetrics Simulators to the Rescue

Simulation-led training can prevent a lot of uncomfortable situations. Let’s take a few examples.

Let’s take the example of an IUD. Students need to learn how to place an IUD, but it is unlikely that they will ever get the chance to place an IUD inside a real patient. So the student has no way to understand the fundamentals and the anatomy involved. But with a simulator like our Family Planning Educator, the student gets a chance to experience the process first-hand. And a realistic simulator makes for a more surreal experience, and the student learns better (in this case).
Most women would not be comfortable being given intimate exams like breast exams, pelvic exams, labor cervical exams, endometrial biopsies, and hysteroscopies by students or residents. These are all private assessments. Virtual Reality and other simulators can make exposure possible for students so they can develop these skills.
If a student is performing a labor cervical exam on a pregnant woman, not only will it take him a while to locate the cervix, all the waiting around will make the patient uncomfortable in an already tense scenario. The student might also feel the pressure to speed it up. Low-fidelity manikins are the better option to allow the students to get comfortable and feel around, familiarizing themselves with everything as they try to locate the cervix.

70 Realistic, Professional-Quality Obstetrics Simulators You Need to Get

Students learn by doing. And they get excited when they get to do things. It makes them engage and interact more as well. They also benefit from the learning assessment and feedback. Manikins and actors (people who will act like a real patient) make the experience feel more realistic. Together, it all makes for a smoother experience and removes the pressure.

How does Simulation-based training can help clinicians to develop their ventilator operating skills?

Shyam Gajrani / August 27, 2021September 9, 2021 / Uncategorized

In the COVID-19 pandemic

As the COVID-19 pandemic took over the whole country, MP’s across the country feared their state would not have enough ventilators to treat severely ill patients. And when they had ventilators available, they lacked human resources to operate them. Simulation-based training was introduced to help new joiners and clinicians to fill those vacancies and make them learn how to become familiar with the ventilators and other types of machinery.

Essentials for Ventilator Management Training

Critical patients with COVID-19 symptoms will often get to be placed on a ventilator to assist them to breathe. When a patient is mechanically ventilated, a Pulmonologist will provide care for them. However, as the number of COVID-19 patients mounted, many hospitals did not have enough staff trained to manage ventilators.
Many hospitals have shifted staff over to their emergency and care departments to provide relief to healthcare workers, who were overworked before the covid – 19 pandemic. The in-depth work of managing the ventilator requires specific training and skills and many clinicians and new joiners can intubate and subsequently mechanically ventilate the patient just because of simulation training.
Healthcare workers who don’t concentrate on critical care medicine or anesthesiology have little experience taking care of ventilated patients. This means that a lot of healthcare workers lack the clinical experience needed to require the care of ventilated patients.

Fortifying Ventilator Skills Through Simulation

Many universities and hospitals are turning to simulation to teach their clinicians and staff to ensure health workers have the talents to figure with ventilators. Simulation enables clinicians to practice employing a ventilator during a wise scenario, developing their knowledge and skills before using them on real people.
As the participants apply their skills and decision-making during a safe clinical environment, they receive feedback from educators. This allows the participants to spot mistakes, learn what went wrong, and improve their performance without putting real patients in danger. The students gain experience while using the ventilator screen simulator and also excel the skills needed to handle their patients.
Furthermore, a study found that residents who completed five hours of simulated ventilation training had an equivalent level of data as those that completed month-long rotations in an ICU. Thus, simulation-based training is often a useful gizmo for teaching ventilator management skills.

Clinicians learn new skills with the help of Simulation sessions.

Participants also incorporate the COVID-19 protocols. By practising the new protocols on a simulator, participants integrate them into their system until they become a manner. As a result, crucial moments for correct infection prevention aren’t missed during patient care, especially during airway emergencies.
Furthermore, since isimulate’s Ventilator Screen Simulation for REALITi360 is often placed on a true ventilator, participants also can find out how to switch the parameters of respiratory mechanics, including resistance, compliance, rate of respiration, etc. based on the simplest course of treatment.
SEM trainers and systems extend training and consultation for operating ventilator screen simulation for REALITi360. The learner can work on placing the patient on a ventilator practice establishing an airway. The scenario based training also allows them to experience a significant number of monitors, defibrillators and ventilators that they might encounter in their EMT or Hospital careers.

Simulation-based training is particularly important now considering the necessity for healthcare workers during this pandemic. As hospitals transition to emergency and important care departments, simulation-based training helps to make sure their capacity to supply care is typically enhanced and never compromised.

Why Do We Need to Train Nurses in PICC Insertion?

Shyam Gajrani / May 24, 2021May 24, 2021 / Clinical Skills

You can’t think of oncology care without thinking of Peripherally-Inserted Central venous Catheters (PICC). Patients who require long-term venous access, like those suffering from cancer, benefit from PICC lines. It is used to administer or deliver medication, liquid nutrition, and other treatment directly to the large central veins near the heart. If you frequently need to be jabbed for medicine or bloodwork, you may be advised a PICC line to avoid repeated irritation to your veins, and the pain from repeated jabbing.

A PICC line is a long, thin tube inserted through a vein in the arm (or, rarely, in the leg) and passed through so your doctor can access the large central veins near your heart. This is a temporary procedure, and is a great option if your treatment is going to last for at least a few days or weeks.

PICC Line Insertion: Techniques

Let’s talk about how we carry out PICC. The conventional technique is the landmark method where we feel the most prominent vein [usually] in the antecubital fossa, and cannulate it with a wide bore needle/sheath, and then insert the catheter through the sheath. Alternatively, we can use ultrasound and a micro-introducer needle where we identify [usually] the basilic vein above the elbow via ultrasound, and then insert a 21 gauge needle into the vein under direct ultrasound image. Then, we pass a guide wire through to the catheter through the needle and the sheath. This is a newer technique with a nearly 100% success rate and minimal injury rate.

Why Do We Need to Train Nurses for This?

In the past, only certified radiologists and specially-trained assistants would be allowed to perform PICC insertion. So why shift this responsibility to nurses? Well, here’s why. If we train our nurses in performing PICC insertions, it will create efficiency and take a load off an already overwhelmed hospital setting. Further, we will discuss the benefits of training nurses in PICC insertion.

Benefits of Training Nurses in PICC Insertion

As discussed previously, training nurses in PICC insertion has a number of benefits to it:

It helps nurses upskill.
With proper training, nurses can learn to competently insert a catheter, effectively avoiding running the risk of patient complications.
If nurses will be able to perform PICC insertions, it will take a considerable load off an already overwhelmed clinical setting.
It could reduce the overall costs of running the setting. When performed by a radiology specialist, a PICC insertion is more expensive.
If nurses would perform PICC insertions, patients won’t have to wait a long time for their turn. This would prevent procedure delays for the patients.
We could avoid post-insertion complications and infections alike. (PICC lines need to be monitored for complications like infections, bleeding, blood clots, nerve injury, irregular heartbeat, damage to veins, and a blocked/broken PICC line). Radiology specialists could do it, but then they likely won’t stick around after the procedure. Nurses will always be available to check up on the patient, and can keep monitoring the situation periodically. The nurses can preasses, follow-up, and troubleshoot.
It also helps avoid complications caused by delay in treatment.
Allowing nurses to handle PICC insertion ensures a better use of valuable healthcare resources.
It helps increase patient satisfaction.
It helps decrease the length of stay for the patient as delays are minimized.
It can reduce the number of failed cannulations.

Limitations

So are nurses qualified to do PICC insertions all the time? There are a few circumstances when a nurse must not insert a PICC line, and refer the patient to a medical practitioner instead:

When the patient does not give consent to the nurse.
When the patient is a minor.
When the patient has a pacemaker.
When the patient has an anatomical distortion from surgery, injury, trauma, or disease.
When the patient has bilateral arm lymphoedema.
When the patient has an implantable defibrillator.
When the patient has an arterio-venous fistula.
When the patient is on haemodialysis or peritoneal dialysis.
When the patient is scheduled for an arterio-venous fistula.
When the patient won’t allow care for the PICC line.
When the patient has an allergy to Lidocaine Hydrochloride 1%.
When the patient has a platelet count of 50 or less.
When the patient has a coagulation disorder.
When the patient has had thrombolytic therapy within 2 days.
When the patient has an inappropriate vein size under ultrasound.
When a PICC line insertion by the nurse has failed.

Nurses can be trained with a one-week course. If they have the necessary training and experience, their competence has been successfully assessed by a qualified professional, and they are confident in their ability to perform the insertions, training our nurses to perform PICC insertions would be a favourable decision.

Simulators for PICC Insertion Training

Like we said, manikins and simulators specially made for PICC insertion can help immensely with training. We provide some high-quality simulators for this purpose.

Peter PICC Line Simulator

This is a PICC line simulator and a great teaching model that is portable and lightweight. It is an upper torso with neck, chin, right arm, ribs, muscle tissue, arm skin, body skin, arm vein set, body vein set, fluid bag, a carrying case, and an additional pouch. It is anatomically correct and features the superior vena cava, subclavian, jugular, median basilic, basilic, and cephalic veins. It has a movable chin that might occlude insertion in real life just as well, and has palpable ribs that allow measuring proper catheter length from the insertion site to the second/third intercostal space. It also allows standard IV catheter placement.

Standard Arm for Chester Chest, Light Skin – VATA

This simulator helps train with infusion, withdrawal, care, securement, and dressing of multiple vascular access lines. The right chest area has a tunneled central catheter with a Dacron cuff, the external jugular vein is raised and opens to connect to a triple lumen catheter, and the upper chest area opens to connect to a subclavian catheter. It also has a real port for accessing IVAD placements. It allows infusing fluid and withdrawing blood.

We’ve been doing this for 25 years, so we know what we’re doing, and only deliver the best quality simulators. To make a purchase, you can call us at 02632 257259, +91-88495 63724, or +91-98791 03905, or write to us at [email protected].

The Role of Fidelity in Simulation Training

Shyam Gajrani / May 21, 2021May 21, 2021 / Medical Simulation

Fidelity comes from the Latin word fidēlis, meaning faithful or loyal. Generally speaking, fidelity is the degree of exactness with which something is copied or reproduced.

What is Fidelity in Simulation Training?

We have always emphasized on the role and benefits of using simulation for training aspiring doctors and nurses. Simulators are devices that imitate the real-life medical environment, but in a safe way, so learners can practice with real-time feedback but without the risks involved.

In simulation, fidelity is a term that denotes the degree to which the simulator replicates reality. Simply speaking, it is how well the simulator is able to imitate a real-life medical environment, or how close it gets to a real scenario. So, a simulator that depicts a real scenario really well would be termed “high-fidelity”, and one that does not so much, “low-fidelity”. A low-fidelity simulation is less realistic than a high-fidelity one.

Levels of Fidelity in Simulation

In 1990, Miller sketched out a pyramid depicting how a person’s actions are built upon his knowledge, competence, and performance. An increased level of fidelity in simulation may correspond to a transformation from knowledge to competence, performance, and ultimately, action.

We observe the following levels of fidelity in simulation:

Low-Fidelity Simulation: This level of simulation helps build knowledge. This may not be very realistic, but it takes away the stress of the situation and lets the learner focus on learning the skill. Take static models and 2D displays for example.
Mid-Fidelity Simulation: This one is a bit more realistic and helps build competence in the learner. Take, for example, full-body manikins that imitate real heart and breathing sounds. Learners can use these to train on procedures like IV insertions, injections, and NG tube insertions.
High-Fidelity Simulation: These are the most realistic simulations- the closest to real life. Take, for example, full-body computerized manikins that can talk and run pre-programmed scenarios.

Types of Fidelity in Simulation

Fidelity can be physical, psychological, and conceptual. Physical fidelity can be perceived by the senses. If your manikin’s skin feels like real skin, and body parts react and bleed like they would on a real patient, it increases the degree of physical fidelity. Task-trainers, or lifelike manikin simulators representing a part of the body can help train on specific skills and focus on functional fidelity. And when they allow haptic feedback, that increases the degree of physical fidelity. Moulage, or applying makeup to mock injury, can engage learners’ sensory perceptions.

If you introduce some realistic background noises to the simulated setting, you will increase the physical fidelity, consequently also increasing the psychological fidelity as it elicits an emotional response from the learner and raises stress levels. If all aspects of your simulated scenario accurately represent how they would be in a real scenario, such that it makes sense to the learner, you have high conceptual fidelity.

Beyond the three major classifications, fidelity may also be classified as functional fidelity, which is the dynamic interaction between the learner and the task at hand, and sociological fidelity, which is how the interactions between the participants affect the level of realism.

So What Degree of Fidelity Do We Really Need?

Ideally, we want all simulators to be high-fidelity, but limited procurement budgets make that hard to achieve. So, often, we must settle for a trade-off between the degree of fidelity and the cost of procurement, or “mid-fidelity”. In high-stress environments, the costs may be monetary as well as loss of human life. We will discuss various scenarios ahead in the discourse.

Scenarios to Imagine

Imagine this. A well-established gaming company comes up with an exciting idea for a new game, and the developers must build it soon. A high-fidelity videogame would be meticulous with the graphics, the gameplay, and the story. A game that would manage to ignore even one of these aspects could fail to create an immersive, realistic gaming experience. This would result in a failure of the game to launch successfully, and possibly cost the company millions of dollars, along with ruining its reputation. Here, the cost would be monetary.

In the application of aircraft or driving simulation, higher fidelity would be required. Poor training and poor decisions made under high-stress, emergency situations in real-life could result in fatal outcomes. In emergency situations on an actual plane, you would expect your pilots to make the right decisions at the right time regardless of the immense stress of an urgent, unfamiliar situation. This cannot be made possible without training in high-fidelity simulation.

If we take the military for example, soldiers may be trained for combat in a high-fidelity simulation. Such training must prepare the soldier for making resource-aware decisions and train them in dealing with a variety of unexpected situations. Training for this in low-fidelity simulations may not prepare a soldier for combat, but create the illusion of competence.

Ultimately, the degree of fidelity exercised in simulation can impact the levels of confidence and anxiety. If learners practice in low-fidelity environments, they might incorrectly assume confidence. Being met with unexpected developments in-field can render a state of disillusionment and disbelief in the training, revealing that they were, in fact, unprepared, and further leading to possibly catastrophic consequences.

However, it is also true that learners and educators are biased towards HFS (High-Fidelity Simulation), and that higher levels of fidelity may increase the cognitive load on the learner to the point of overwhelming him, effectively decreasing learning. Maybe beginners would be better off starting with low-fidelity simulation and then move up as they gain experience. Low-fidelity simulation may also be preferred when training on skills that call for repeated practice.

For More Detailed Information Contact Us on [email protected] or +91-88495 63724 .

EMS Simulation Training for Clinical Skills Lab | 16 Best Simulators to Get

Shyam Gajrani / April 29, 2021April 29, 2021 / Clinical Skills, Medical Simulation

An opportunity for simulation of clinical experience with life-saving Emergency Medical Services (EMS) can be provided to Medical Students. In EMS Simulation Training for clinical skills lab, the EMS simulators imitate high-stress emergency scenarios for education and training purposes where students can practice procedures and treatments realistically, but without the risks.

Benefits of EMS Simulators

Concisely, EMS simulators are medical simulation devices that mimic real medical environments and situations so that learners can experience the demands of a real hospital environment in a safe environment. Learners can afford to make mistakes and receive feedback. Simulators are used so that students can gain experience before stepping out into the real-world, and so that we can avoid risks to the lives of real patients from being operated on by inexperienced students. This also helps avoid inconvenience to real patients. Such hands-on learning helps students make the transition from theory to practice. Other than training, EMS Simulators are being used for assessment and evaluation, which can be a closing part of coursework. These simulators also come in handy with system integration and improvement. Furthermore, they are being used to assist health-system and facility research efforts.

SEM Trainers & Systems provide some of the best professional-quality medical products that you can use:

1. Simulated Patient Monitor – REALITi Go

This is an ALS patient monitor simulator for paramedic and HEMS training in Advanced Life Support. This monitor is a great tool for students to learn and train on a realistic platform with a simulated monitor, 5 generic patient monitor screens, defibrillator, AED, and ventilator.

2. Simulated Patient Monitor with Debriefing & CPR Feedback – REALITi Pro

This is an advanced vital sign simulation system that you can use to run multiple scenarios anywhere- even in an ambulance or a helicopter. It comes with 5 simulated proprietary patient monitor screens for training on vital signs. It has live video streaming, CPR feedback, and simulated patient records. It looks, sounds, and functions like a real patient monitor.

3. SMART STAT Complete

This manikin offers simplicity of operation in a highly advanced trainer. It is a great add-on to your list of EMS Simulators. It can be used for physician training, nursing school training, hospital and clinic training programs, paramedic training, military battle field training, disaster response training, and a multitude of other medical training applications.

Only high fidelity manikin that is operated with an iPad!
Full-body, adult manikin
Trains students in EMS, nursing, and trauma skills
Provides experience with cardiac and medical disease care
Anatomical landmarks
Mobile and wireless
Rechargeable
No external programs or equipment necessary
This simulator can function in the lab and in the field ascertaining diagnostic ability. Student performances records can be transferred to a computer, and chronological scenario event logs can be printed.
Durable and can be placed in different indoor and outdoor environments
Can be used with Microsoft Windows
Has an on-board air compressor, and includes iPad® programming, storage for students’ performances, spontaneous breathing, pulses, blood pressure, carotid and femoral pulses, normal and emergent heart and lung sounds, 12 pulse points synchronized with the heart, EKG interpretation and cardiac treatment, IV and drug therapy, tension pneumothorax treatment, chest tube insertion with simulated drainage, and advanced difficult airway maintenance

4. Deluxe Child CRiSis™ with Advanced Airway Management

This is a resuscitation system for teaching life-saving techniques for children, with PALS (Pediatric Advanced Life Support) training capabilities. With all skill stations available, it simulates a 5 year old. It has airway management, intraosseous infusion, blood pressure arm, CPR, IV arm, defibrillation chest, and femoral access.

5. STAT Baby Advanced

This baby simulator includes all physiological features of a baby and helps develop student assessment skills by managing student information, creating scenarios, and tracking sessions for review and debriefing. This simulator in the list of EMS Simulators , satisfies every training need for post-neonatal care of pediatric patients.

6. Chest Drain Simulator

The torso presents as a patient lying on his back with

Surgical access is lateral to the pectoralis major
The arm has been removed for easier access and extended for anatomical relevance
The ribs can be clearly felt below the surface of the skin
Trainees can make an incision through the fleshy part, surgically dividing the tissue with blunt forceps until the plural cavity is clearly felt by finger insertion
Complete finger rotation is possible, allowing the trainee to ensure that there are no obstructions before a drainage system can be introduced
The popping effect of passing through the pleura is realistic and a unique feature
A drain can be securely sutured into position onto this simulated flesh

7. Cricothyrotomy Simulator

The newly designed Life/form® Cricothyrotomy Simulator has been developed for learning and practicing the techniques necessary to perform needle or surgical cricothyrotomy procedures. Paramedics, EMTs, combat medics, flight nurses, anesthesiologists, and other emergency medical personnel will have the opportunity to strengthen their ability and confidence to perform or assist in implementing surgical airways.

8. Life/form® Pericardiocentesis Simulator – Advanced Trauma Life Support (ATLS)

This simulator is perfect for training for pericardiocentesis, and includes fluid reservoir bag, foot pump, surgical skin pads, subcutaneous surgical pads, nurse training pads, pneumothorax pads, blood powder, simulated pericardium, IV bag and a hard carry case.

9. Pneumothorax Training Manikin

Recommended by EMT (Emergency Medical Training) instructors, this model permits instruction of the delicate procedure for successfully managing chest wounds in which a collapsed lung interferes with the victim’s respiration and blood flow.

The model accepts needle and thoracotomy in the second intercostal space, in the mid-clavicular line, the fifth intercostal space in the mid-axillary line. A realistic training aid to practice proper needle insertion which enables built-up air pressure to escape the thorax.

10. Truman Trauma-X | Trauma Manikin | ATLS | Airway Management & Resuscitation Skills

The Truman Trauma System offers an anatomically correct simulated human torso designed for trainees to practice several surgical procedures together with the renowned AirSim head for training the full range of airway management and resuscitation skills. The Truman Trauma System also allows the use of replaceable tissue sets that allow each learner a life-like & unique surgical experience.

Skill Development:

Chest tube insertion: recognition of correct position, surgical incision, blunt dissection through chest wall, perforation of pleura, and finger sweep
Needle Decompression of tension pneumothorax
Cardio Pulmonary Resuscitation (CPR)
Needle and Surgical Cricothyroidotomy
Airway Management Skills including OP and NP airway tube insertion, tracheal intubation, bag valve mask techniques, supraglottic airway insertion and ventilation
Percutaneous Tracheostomy
Identification of tracheal deviation and jugular vein distension which are warning signs attributed to tension pneumothorax

11. Advanced Casualty Simulation Kit

This simulation kit helps train bandaging and patient care skills for more complex wounds. It has an open amputation, a compound fracture of humerus, a compound fracture of tibia, a sucking wound of chest, and a gunshot wound of palm, along with 24 stick-on lacerations and open fracture wounds. It also comes with makeup accessories.

12. Emergency Medical Treatment (EMT) Casualty Simulation Kit

This simulation kit simulates disasters like bus accidents and building explosions, and attempts to address a wide variety of training situations. It includes wounds, fractures, lacerations, amputations, burns, makeup accessories, and even blood powder for simulated blood!

13. AED Trainer Plus 2

This trainer simulates shock delivery (without high voltages) to familiarize responders with AED devices, and has 10 training scenarios to simulate sudden cardiac arrests.

14. Basic Life Support Simulator with Feedback

This high quality and economical AHA compliant BLS manikin is a complete solution to train, monitor, analyse and debrief CPR performances. The manikin connects with the app using a strong and reliable Bluetooth connection – no need to set up a wireless network.

The Instructor App provides a detailed performance review of up to six manikins at a time while the Student App enables trainees to directly see and monitor their CPR performance in real-time.

The CPR apps provide feedback for:

Compression (depth, recoil, and rate)
Breath (volume)
Hands-off time in real-time
Feedback and evaluation meet the standard of the latest guidelines of the American Heart Association (AHA) and the European Resuscitation Council (ERC).

15. CPR CPRLilly PRO+

The new Quality CPR training manikin offered by 3B Scientific enables instructors and healthcare providers to measure, monitor and analyze the CPR performance of up to 10 trainees at a time. CPRLilly Pro+ helps instructors increase effectiveness and efficiency in their CPR courses by connecting with the free CPRLilly App on tablet to follow the CPR performance and deliver objective feedback leading to Quality CPR training (App available on Apple and Google play). It also enables trainees to see and monitor their own performance in real-time with the student view of the App. LED lights located directly on manikin’s neck provide direct CPR feedback and indicate correct compressions parameters (depth, release and rate).

16. SAM II® Student Auscultation Manikin

Auscultation is an essential clinical skill needed to assess and monitor patients’ conditions. With the Cardionics SAM II Student Auscultation Manikin, teaching and learning this skill becomes even more versatile and economic. The SAM II trainer can be used with any stethoscope. All sounds and videos are recorded from live patients for students to experience a life-like simulation. Users can also create and save their own case videos.

SAM II Student Auscultation Manikin is used in teaching and learning heart, lung and bowel sounds. When connected to the laptop (included) with the pre-installed software, a variety of sounds, videos and lessons recorded can be accessed.

Nursing Skills Simulation: What you Need to Know?

Shyam Gajrani / April 13, 2021April 14, 2021 / Medical Simulation

“The very first requirement in a hospital is that it should do the sick no harm.”
– Florence Nightingale

Sending newly qualified nurses out into the real world to deal with patients and unexpected situations as they present themselves can manufacture inconvenience and risk that can be avoided. All skills take time and practice, but trial-and-error- is dangerous and unsuitable to a real clinical setting. Simulation is an extremely powerful tool to prepare these learners for the demands of a real hospital environment.

Nursing Skills Lab Setup

A nursing skills lab will be a safe, controlled environment equipped with full-body manikins, task trainers (lifelike anatomy models that help learners practice a skill by breaking down a task into smaller, simpler actions and allowing repeated practice), and other hospital equipment. This is a realistic platform for students to learn without the risk of harming or discomforting a patient. In a nursing skills lab, mistakes are opportunities to learn.

Some activities that are part of a nursing skills lab:

Blood Pressure Monitoring
Catheterization
Wound Care
Intramuscular Injections
Oxygenation Therapy
Head-to-toe Assessment
Tracheostomy Care

Nursing Skills Simulation

The purpose of nursing skills simulation is to prepare aspiring nurses to communicate, motivate, delegate, prioritize, make quick decisions, and respond to change in a real-life situation. It serves to acclimatize nursing students to the real-life clinical environment and gives them an idea of what to expect, developing confidence and acumen.

Simulation can be an excellent strategy to prepare learners to think on their feet, hone their management skills, and learn to make real-time patient care decisions before transitioning into the real world as qualified nurses. This is a safe environment to assess how they respond to unexpected events and whether they succumb or thrive under pressure. It can be a rich learning experience for aspiring student nurses. Nursing skills simulation is a great way to allow nursing students to experience dealing with patients first-hand in a controlled environment while allowing them to explore how to deal with errors.

Performing nursing skills simulation in skill lab by SEM Trainers & Systems

Roles & Scenarios in a Nursing Skills Lab

Learners may be assigned roles and placed in diverse scenarios making use of predetermined events. Some roles that may be assigned include:

A patient with a mental and/or physical health issue (or a manikin may be used as a patient)
A staff nurse tending to three patients, subordinates, and students
A healthcare assistant
A student performing a placement
An angry relative
A manager telling ward staff of a change of events
A doctor or a relative calling the ward

Once the roles are assigned, learners may be placed in scenarios that realistically model challenges likely to be faced by newly qualified nurses. Some of these are:

A patient suffering a cardiac arrest in presence of other patients.
Incorrect medication has been administered because of a wrong prescription.
An angry relative rambling on and distracting the nurse.
A demanding patient.
A person calling the ward to complain at a busy time.

Benefits of a Simulation Environment

The use of simulation in nursing furnishes a plethora of benefits to the learner:

Knowledge
Technical skills
Attitude
Motivation and satisfaction
Self-confidence
Reflection
Leadership
Efficiency and effectiveness
Patient safety

Nursing Skills Simulation: How it Works

Simulation is performed in three steps – planning, implementation, and evaluation.

1. Planning a Simulation

This involves developing realistic scenarios, writing scripts, and preparing the environment. This is done keeping in mind the learning objectives and the availability of realistic materials.

2. Implementing a Scenario

With the required material and decided objectives, students may be briefed at the venue. In this way, this step involves:

Briefing: Familiarizing students with the setting
Action: Conducting the scenario in 10-15 minutes
Debriefing: Reflecting on the simulation with positive reinforcement and analysis

3. Evaluating a Simulation

Finally, the students’ performance is assessed via formative and summative evaluations.

Simulators from SEM Trainers

If you’re looking to purchase medical simulators for the purpose of nursing skills training, SEM Trainers has premium-quality simulation products sourced from Germany, USA, Japan, and Europe.

GERi™ Complete Nursing Skills Manikin
KERi™ Complete Nursing Skills Manikin
Nurse Training Baby, New Born
3B Scientific® Patient Care Training Manikin PRO Models | Advanced Nursing Skills Development Manikins
Complete CRiSis™ Resuscitation Training System with Advanced Airway Management
Simulated Patient Monitor with Debriefing & CPR Feedback – REALITi Pro
Deluxe Infant Crisis Manikin
STAT Baby Advanced
Chest Drain Simulator
Hemorrhage Control Arm Trainer P102
NG Tube & Trach Skills Simulator
Pericardiocentesis Simulator
Patient Education Tracheostomy Care Set
Pneumothorax Training Manikin
Truman Trauma-X | Trauma Manikin
Adult Deluxe Airway Management Trainer
Advanced Infant Intubation Head with Board
Child Intubation Head
AED Trainer Plus 2
Basic Life Support Simulator
CPR
CPR-Torso Brad™Junior with Electronics, 7-year old
Baby Sani CPR Manikin
Auscultation Trainer and Smartscope™
Adult Auscultation Trainer with SimScope Wi-Fi Training Stethoscope
Blood Pressure Simulator
Catheterization Simulator Set BASIC
Epidural and Spinal Injection Trainer
Advanced Venipuncture and Injection Arm
Complete Intramuscular Injection Training Kit
I.v. Injection Arm P50/1
Newborn Intraosseous Infusion and Injection Leg
Advanced Patient Care Male Prostate Simulator
Episiotomy and Suturing Trainer
Suture Kit
Surgery Trainer
Suture Practice Arm
Trainer for Wound Care and Bandaging Techniques

Simulation has been shown to provide positive learning experiences for aspiring nursing students and improve their acumen and skills. It makes learners capable and contributes to patient safety across the world. Are you taking advantage of all the possibilities nursing skills simulation has to offer?

Contact SEM Trainers & Systems for All your Simulation Needs to get a Customised Solution:

Drop a mail – [email protected] or

Make a call – +91 8849563724

Why Choose SEM Trainers & Systems for Medical Simulation?

Shyam Gajrani / April 5, 2021April 5, 2021 / Medical Simulation

Why SEM Trainers – We, as a remarkable organization, are successfully engaged in putting forth the best quality Medical Simulator Training. All the manikins are accurately developed by veteran professionals with the use of supreme quality raw materials and the latest technologies. Known for their remarkable features, our manikins are used as an important medium in medical appliances for training purposes. Apart from this, all offered manikins can be easily purchased at highly competitive prices from us.

Making your students prepare for the real world, we provide a variety of medical simulation dummies, simulators and procedure trainers. Appropriate for use by surgeons and diagnosticians, and including models for vets, our selection of realistic and top-quality medical dummies for simulation helps students to get essential virtual feedback on their skills.

Exemplary for use in field rescue situations or, in the classroom, our patient simulation and medical mannequins are the best choice for any institution looking to offer their students risk-free and actual hands-on experience.

You will appreciate the convenience of having the life/form Simulator Training to teach several medical procedures. You can try it of any size for group demonstrations and practice sessions. Each student can realistically practice administering using the lifelike models.

Medical Simulation Manikins for Surgical and Nursing Procedures

We provide a complete range of simulators to aid in the teaching of key processes and practices. Offering products sourced from the USA, Japan and Europe, our range of premium simulation products are suitable for all teaching requirements. These units get student physicians familiar with performing a range of basic and advanced operations, from inserting a catheter into a woman’s urethra to performing knee-joint arthroscopy.

Whether for a CPR or First Aid class or final-year university medical training, our patient simulation dummies are a resourceful teaching resource sure to be a vital part of any curriculum. Professionally-designed to give the perfect realism in terms of material, movement, and reaction, our medical manikins can give students confidence and the apt skills in starting an IV, performing a tracheotomy or rescuing a person who has drowned in the water.

Features of our Medical Simulation Manikins

They are easy to use and understand with a smooth finish and are also highly interactive. They are guaranteed new manikin simulators from reputed USA/Europe/Japanese brands at the best affordable prices. We guarantee you that there is no fake labelling and we do not use cheap manikins. There are no second hand refurbished manikins supplied as “NEW’’.

We also guarantee we do not entice you with large discounts and then sell refurbished second hand repaired reputed brands. We provide you original manikins, labels, cartons, and manuals of original manufacturers. Next, in “why SEM Trainers” article, we will discuss the expertise that our brand possess.

Our Expertise

We have the latest knowledge of technology resources in Medical Simulation, Simulation-Based Medical Education Methodologies, Scenario-Based Training Methodologies, Design Guidelines Clinical Skills Laboratories, and Post Sales Workshops, Installation, Demos, Training, Repairs. We are the only company in India giving you all Manufacturers Simulators under a single roof.

We are well aware of our contribution to CSR (Corporate Social Responsibility) and thus, we promote CME (Continuous Medical Education). It focuses on realism to staff training and accuracy to their medical skills at Ground to Rural Hospitals. We also provide medical training and cost effective manikins for a better medical training environment to all possible extent in different rural areas.

SEM Products and Services

Now, in why SEM Trainers article, let’s look at some of our products and services.

Anatomical Models
Anatomy Sets
Brain
Digestive System
Eye
Heart
Joint
Lung
Muscle
Skin
Urology

Anatomical Software

3B NEUROteacher™
Anatomical Charts and Medical Simulators
Life Support (ALS)
Advanced Trauma Life Support (ATLS)
Airway Management
Basic Life Support
Clinical Skills Trainers
Emergency Rescue
Gynecology
Nursing Skills & Patient Care
Obstetrics
Orthopedic Workshop Bones
Patient Monitor Simulators
Simulation Kits
Surgery
TCCC Training Manikins
Transesophageal Echocardiography (TEE)
Virtual Dissection Table
Virtual Reality Simulators

Health Education

Arthritis & Osteoporosis
Asthma and Allergies
Condom Trainers
Diabetic Teaching Tools
Drug and Alcohol
Heart Health & Fitness
Men’s Health
Nutrition Education
Obesity & Eating Disorders
Parenting Education
Pregnancy & Childbirth
Sex Education
Tobacco Education
Women’s Health

Why is SEM Trainers Unique?

We understand the struggles involved in saving lives in hospitals or disaster sites. Saving a life starts with the proper knowledge, suitable training practices, and appropriate learning and training equipment. We acknowledge the supreme value of quality and excellence, the prime importance of affordability to all, combined excellence in quality, and appropriate training equipment and suitable affordability.

We provide the perfect and most comprehensive range of appropriate training equipment and have the highest world-class quality ISO-DIN 9001 Quality Certification Standard and Worlddidac Quality Charter. We offer our products and services at comparatively lowest costs and to your door by delivering anywhere in India.

We ensure the highest medical safety, portability, durability and medical fidelity and we are also Certified by world-renowned agencies to be “within limits for toxic and carcinogenic contamination and emissions.’’

Other than that, we also provide lifetime access to the demonstration and installation of our products to all the medical professionals, so that they can always have a manual ready to refer to in their future references.

Clinical Skills Lab – Learn the Entire Setup & Benefits

Shyam Gajrani / April 3, 2021April 3, 2021 / Clinical Skills

Teaching basic clinical skills to medical students has gone tricky because of less access to in-patients. In a traditional manner, clinical skills are applied to patients under the guidance of more trained practitioners.

Recently, health care trends in the world have switched toward outpatient management from patient care. Because of that, teaching hospitals do not have enough inpatients for making students learn things. Some clinical skills are not appropriate for teaching in the setting done for the outpatient. With many inpatients even in a hospital, which is the best environment for clinical teaching, it becomes difficult to look for appropriate patients for bedside teaching.

Teaching complex medical procedures such as blood draw, intravenous catheter placement, lumbar puncture, and endotracheal intubation can cause pain to patients. Trying hands on a few skills such as pelvic examination, male genital examination as well as female breast examinations can also result in psychological and physical distress.

Physical indications such as various heart murmur, abnormal breath sounds, and dislocated hip, may not be immediately available for providing lessons. Reports have explained teaching these kinds of skills in limited settings on manikins, but manikins have not been used by any studies on a large scale to teach clinical skills in the third-year clerkship as a part of an integrated curriculum.

Factors Affecting the Development of Clinical Skills Lab

The evolution in the ways of teaching and learning, the revolutionary changes in the delivery of health care and the quick development of technology dared the formerly used way of clinical skills development and resulted in the establishment of clinical skills laboratories (CSLs) in many medical and nursing schools for the medical education.

So to get away with such issues, Clinical Skills Laboratories and many programmes were developed to improve the clinical skills and their application to solving clinical difficulties of all the medical students.

The students were made to practise and learn clinical skills in a stepwise and structured procedure in small groups on manikins, standardized patients, models and many more in CSL. They also got to learn to react to clinical emergencies and practise their learnings to solve them by simulations.

Students meet their learning objectives when they are guided by the clinical skill demonstrators (facilitator). Skill performance and small group demonstration enable an objective assessment of skill acquisition and precision in the monitoring of students.

Setup of Clinical Skills Lab

To set up a clinical skill lab, it is necessary to take help from the modern educational theory in the formation and delivery of the facility. For CSLs, the development of communication skills is an important area to focus on. As a matter of fact, another name for those laboratories would be clinical and communication skills lab units or centres, as the suitable application of clinical skills needs the integration of both communication skills and technical clinical skills.

Clinical skills laboratories may consist of many small side rooms for interviews and a huge open space for seminars. It may include several varieties of clinical settings such as procedural skill rooms, accident and emergency cubicles, a place for simulators, general practice consulting rooms, and an Intensive Care Unit.

Offices for support staff and teachers and storage areas are also imperative. It is also crucial for the space that is available to be kept fluid for anticipated rearrangement to suit any particular lesson. Moreover, a clinical skills lab should give a sense of a natural clinical environment.

Advantages of Clinical Skills Labs

Clinical skills labs can come in handy for multi-professional education and teamwork. It gives the students access to learn with new opportunities in a protected and safe environment. Bridging the gap between the clinical setting and classroom reduces students’ anxiety levels.

The advanced educational strategies and learning procedures are difficult to apply in the traditional process using bedside teaching and are, thus, best practised in the CSLs.

Students’ way of conduct and essential communication skills can be enhanced by imbibing these skills into the comprehensive clinical skills program.

One of the most crucial advantages of CSLs is that by imbibing them into the theoretical portions of the curriculum, skills are mastered within their suitable context. Information technology and computer-assisted learning can be used in CSLs to improve the interaction between practice and theory.

Objective structured clinical examination (OSCE), can also be carried out at the clinical skills learning labs and it is becoming an ideal method of evaluating the skills.

Thus, by all these advantages, we can see that CSLs give the ideal environment for the evaluation of medical skills acquisition.

To learn and establish a more specific protocol based and scientific skills lab, contact SEM Trainers & Systems at sem@semtrainervalsaders.com or call +91 88495 63724 for all your needs.

CPR Manikins Buying Guide – Top Factors Affecting Buying Process

Shyam Gajrani / March 24, 2021March 24, 2021 / Medical Simulation

The one thing that brings the training to life is CPR manikins. Students get to build their confidence as they practice their CPR technique as they would perform in real life similar to receiving a realistic training experience. As there are many CPR manikins in the market, it becomes quite challenging to figure out what kind of manikin would be best for buying. Some instructors prefer visual and auditory feedback on their manikins to enhance their students’ experience. While other instructors may have portability as their top priority for choosing manikins. So it turns out that the best manikin is the one that is going to depend on their personal preferences and training requirements. Thus, there are some of the most popular manikins that instructors use for training.

As you probably know now that CPR manikins are vital in emergency training. Whether you are all new to the emergency care instructing field, or you are just starting to begin your training venture or even you are wanting to replace your former CPR manikins, you are required to know a few basic and essential things before selecting the manikins to buy. As there are plenty in the group, but not all dummy CPR manikins are created the same.

Basic Life Support skills can effectively be trained on a simulator (also referred to as BLS training manikin). During Basic Life Support courses, the trainee learns to assess unresponsiveness, the absence of breathing and /or a pulse. In the next step, the correct positioning of the victim is trained followed by CPR (Cardio Pulmonary Resuscitation) with the correct frequency and depth of chest compression and ventilation (mouth-to-mouth and mouth-to-nose).

Types of CPR Manikins

Here are some of the best manikins the instructors bring into use:

High-quality CPR training uses defined parameters for the depth and number of compressions and gives the trainee direct feedback about his or her performance. It is important for the training of Basic Life Support that the simulators are age-specific, as the trainees should learn to apply the correct forces. 3B Scientific® offers adult, child and neonatal BLS and CPR trainers.

BASICBilly+ Basic Life Support (BLS) and CPR manikin now come with a direct CPR feedback Upgrade Kit which enables students and instructors to effectively train CPR with the free, accurate and user-friendly mobile apps powered by heartisense from 3B Scientific Germany.

The new Quality CPR training manikin offered by 3B Scientific enables instructors and healthcare providers to measure, monitor and analyze the CPR performance of up to 10 trainees at a time. CPRLilly Pro+ helps instructors increase effectiveness and efficiency in their CPR courses by connecting with the free CPRLilly App on the tablet to follow the CPR performance and deliver objective feedback leading to Quality CPR training (App available on Apple and Google play) from 3B Scientific Germany.

The Basic Buddy® Plus Manikin is dramatic, realistic, affordable, and 2019 AHA Compliant. It enables effective and accurate training by using apps and a sensor kit. The student and instructor apps provide real-time feedback and feature adult capabilities, as well as a realistic interface from Nasco Healthcare USA.

CPR Prompt® TMAN 2 Infant Training and Practice Manikin – Single – Blue:- A professional-quality infant manikin at a fraction of the cost! Comprehensive design allows for the practice of Heimlich maneuver and abdominal thrusts, as well as CPR and mouth-to-mouth breathing from Nasco Healthcare USA.

You should also know what exactly to look for when you choose a CPR manikin, in order to find the one that is perfectly suitable for your training program.

Factors Affecting a CPR Manikins Buying Process

In this article, we will discuss the top factors you need to take into consideration before buying a CPR manikin:

1. Time

You should choose lightweight and smaller manikin if you spend a lot of time travelling to different places while you are training. If you get such a CPR manikin that is easy to carry and set up then your experience would be less stressful. Additionally, you should also consider it to be easy to wash and clean. However, if your training places are shops or worksites, then you may have to sacrifice the weight for good durability.

2. Training Requirements

You should think about what is required in your training and you should choose your CPR manikin that depends on what your specific training requirements are. For example, you should make sure that your selected manikin can be securely used with pads if you want to use the AED trainer unit’s pads on your chosen CPR manikin.

3. Feedback Mechanism

If your training technique needs features such as indicator lights that appear when rescue compressions and breaths are being done properly, then you should rather look for a model that has such a feedback mechanism included. However, you should buy a model that does not have this feature, if this kind of system would rather become a distraction while you are training.

4. Materials

You should search for a manikin that is latex-free if you are worried about any allergic reactions that are possible. Make sure you are aware of whether your CPR manikins need any special solution to get cleaned.

5. Budget

As you know that manikins come in different shapes and sizes, it is not at all surprising that their price also varies. You need to consider your expenses and select the manikin that best suits your needs and your budget.

Keep in mind all these features above as a buying guide to purchase the best CPR manikins.

For further details and customized comprehensive training solution, contact SEM Trainers & Systems at +91 8849563724