{"id":140029,"date":"2024-03-08T10:50:33","date_gmt":"2024-03-08T15:50:33","guid":{"rendered":"https:\/\/www.ucf.edu\/news\/?p=140029"},"modified":"2024-05-17T16:22:10","modified_gmt":"2024-05-17T20:22:10","slug":"mixing-realities-for-more-realistic-trauma-training","status":"publish","type":"post","link":"https:\/\/www.ucf.edu\/news\/mixing-realities-for-more-realistic-trauma-training\/","title":{"rendered":"Mixing Realities for More Realistic Trauma Training"},"content":{"rendered":"<p>One of the first steps in trauma, wound and combat casualty care is to stop the bleeding. \u201cThere\u2019s a right amount of pressure. Too much is not a good thing. Not enough is not a good thing,\u201d says Gregory Welch, AdventHealth Endowed Chair in Healthcare Simulation at <a href=\"https:\/\/www.ucf.edu\/college\/nursing\/\">UCF\u2019s College of Nursing<\/a>.<\/p>\n<p>Currently, there is no way to tell if the pressure a trainee applies is correct. A new patented innovation seeks to solve this and the other limitations of current training tools.<\/p>\n<figure id=\"attachment_140105\" style=\"max-width: 300px;\" class=\"figure float-left\"><noscript><img decoding=\"async\" width=\"300\" height=\"200\" class=\"figure-img size-medium wp-image-140105 img-fluid\" src=\"https:\/\/www.ucf.edu\/wp-content\/blogs.dir\/20\/files\/2024\/03\/GregWelch_2-300x200.jpg\" alt srcset=\"https:\/\/www.ucf.edu\/wp-content\/blogs.dir\/20\/files\/2024\/03\/GregWelch_2-300x200.jpg 300w, https:\/\/www.ucf.edu\/wp-content\/blogs.dir\/20\/files\/2024\/03\/GregWelch_2-768x512.jpg 768w, https:\/\/www.ucf.edu\/wp-content\/blogs.dir\/20\/files\/2024\/03\/GregWelch_2-600x400.jpg 600w, https:\/\/www.ucf.edu\/wp-content\/blogs.dir\/20\/files\/2024\/03\/GregWelch_2-360x240.jpg 360w, https:\/\/www.ucf.edu\/wp-content\/blogs.dir\/20\/files\/2024\/03\/GregWelch_2.jpg 1199w\" sizes=\"(max-width: 300px) 100vw, 300px\"><\/noscript><img decoding=\"async\" width=\"300\" height=\"200\" class=\"figure-img size-medium wp-image-140105 img-fluid lazyload\" src=\"data:image\/svg+xml,%3Csvg%20xmlns%3D%22http%3A%2F%2Fwww.w3.org%2F2000%2Fsvg%22%20viewBox%3D%220%200%20300%20200%22%3E%3C%2Fsvg%3E\" alt srcset=\"data:image\/svg+xml,%3Csvg%20xmlns%3D%22http%3A%2F%2Fwww.w3.org%2F2000%2Fsvg%22%20viewBox%3D%220%200%20300%20200%22%3E%3C%2Fsvg%3E 300w\" sizes=\"(max-width: 300px) 100vw, 300px\" data-srcset=\"https:\/\/www.ucf.edu\/wp-content\/blogs.dir\/20\/files\/2024\/03\/GregWelch_2-300x200.jpg 300w, https:\/\/www.ucf.edu\/wp-content\/blogs.dir\/20\/files\/2024\/03\/GregWelch_2-768x512.jpg 768w, https:\/\/www.ucf.edu\/wp-content\/blogs.dir\/20\/files\/2024\/03\/GregWelch_2-600x400.jpg 600w, https:\/\/www.ucf.edu\/wp-content\/blogs.dir\/20\/files\/2024\/03\/GregWelch_2-360x240.jpg 360w, https:\/\/www.ucf.edu\/wp-content\/blogs.dir\/20\/files\/2024\/03\/GregWelch_2.jpg 1199w\" data-src=\"https:\/\/www.ucf.edu\/wp-content\/blogs.dir\/20\/files\/2024\/03\/GregWelch_2-300x200.jpg\"><figcaption class=\"figure-caption\">AdventHealth Endowed Chair in Healthcare Simulation Gregory Welch<\/figcaption><\/figure>\n<p>The multi-sensory wound simulation was developed by Welch and a team of experts from UCF\u2019s College of Nursing, Department of Computer Science, and Institute for Simulation and Training. The innovation merges the physical and virtual worlds to enhance the quality and realism of healthcare training.<\/p>\n<p>Healthcare professionals, combat medics, and first responders currently may receive training in the physical and virtual worlds separately. The physical simulations involve a fake wound and fake blood on a mannequin or standardized patient (actor). Created with moulage or special effects makeup, these simulated wounds are static, lack responsiveness to treatment, and take time to set up.<\/p>\n<p>There are also computer-based and virtual reality simulations, which lack physical touch for hands-on training. \u201cVR is amazing, but the default is everything is virtual,\u201d Welch says. \u201cIn healthcare, hands-on training \u2014 being able to touch a patient or grab a tool \u2014 really matters.\u201d<\/p>\n<p>UCF\u2019s innovation combines a hands-on, tactile experience in the real world with a dynamic wound in the digital world. The result, according to the patent, is a \u201cpowerful combination that has the potential to revolutionize casualty care training for both the military and civilians.\u201d<\/p>\n<h2>Realistic Training<\/h2>\n<p>It works like this. A user wears a head-mounted augmented reality (AR) system that presents a scenario. The \u201cpatient\u201d is physically present in front of the user, either as a simulation mannequin or participant, and the virtual wound appears seamlessly overlaid on that patient, such that the user perceives only a wounded patient.<\/p>\n<p>On the physical \u201cpatient\u201d is UCF\u2019s patented smart moulage that tells the AR system to fill in the details of the scenario. With it, a user may see blood on their hands until the appropriate amount of pressure is applied. That pressure is gauged by a sensor.<\/p>\n<p>\u201cIf you bend it, for example, the smart moulage know it\u2019s flexing and the digital imagery will match what you\u2019re feeling,\u201d Welch says. \u201cYou\u2019re feeling it, and it\u2019s feeling you.\u201d<\/p>\n<p>Users may also feel a pulse and liquid \u201cblood\u201d thanks to an actuator inside the wound that emits water from a reservoir. The latter idea came from co-inventor and global healthcare simulation expert Mindi Anderson.<\/p>\n<p>\u201cLiquid is used already in simulation. For example, when using an IV task trainer, a student may \u2018see\u2019 simulated blood when starting an IV,\u201d Anderson says. \u201cThis is different because it is done virtually. Water may look like simulated blood, and when the participant puts pressure on the wound to stop the bleeding, they can see the results of their intervention.\u201d<\/p>\n<p>Those results for users would be seeing the apparent rate of blood loss slow and vital signs possibly stabilize.<\/p>\n<h2>Clever Coding<\/h2>\n<p>Another unique aspect of UCF\u2019s smart moulage innovation is how it connects to the AR system.<\/p>\n<p>Normally, head-mounted displays track your location within a room with static things around you and overlay digital content onto the user\u2019s view of the real world.<\/p>\n<p>\u201cThe issue is that the wound location could change, depending on the scenario, and the virtual wound needs to stay stuck, so to speak, to the physical piece to be as realistic as possible. This could be challenging and complex to code,\u201d Welch says.<\/p>\n<p>Instead, Welch and the team developed a way for the wound to identify itself to the augmented reality (AR) system \u2014 almost like a QR code embedded in the smart moulage. The AR system would scan this code and would lock into it, continually tracking the wound and rendering effects of the user\u2019s interventions in the scenario in real time.<\/p>\n<h2>Future Potential<\/h2>\n<p>Welch envisions this smart moulage may appear like a simple rubbery skin with electronics and a battery embedded inside, which can be peeled off, put in a box to charge overnight, and be ready to use each day. Its portability is also a benefit.<\/p>\n<p>\u201cA simulated wound, such as this, can be put on a mannequin, person, or anywhere to help with training,\u201d Anderson says. \u201cParticipants can see and respond to realistic scenarios and hopefully, transfer the skills to work with real life patients.\u201d<\/p>\n<p>\u201cWhen we cannot find solutions for our needs, we develop our own solutions using interdisciplinary collaborations such as this,\u201d Anderson adds.<\/p>\n<p>The smart moulage has applications beyond severe bleeding scenarios, and could be used for burn training, surgical training and more.<\/p>\n<figure id=\"attachment_140107\" style=\"max-width: 372px;\" class=\"figure float-left\"><noscript><img decoding=\"async\" width=\"300\" height=\"200\" class=\"figure-img  wp-image-140107 img-fluid\" src=\"https:\/\/www.ucf.edu\/wp-content\/blogs.dir\/20\/files\/2024\/03\/VR-300x200.jpg\" alt srcset=\"https:\/\/www.ucf.edu\/wp-content\/blogs.dir\/20\/files\/2024\/03\/VR-300x200.jpg 300w, https:\/\/www.ucf.edu\/wp-content\/blogs.dir\/20\/files\/2024\/03\/VR-768x512.jpg 768w, https:\/\/www.ucf.edu\/wp-content\/blogs.dir\/20\/files\/2024\/03\/VR-600x400.jpg 600w, https:\/\/www.ucf.edu\/wp-content\/blogs.dir\/20\/files\/2024\/03\/VR-360x240.jpg 360w, https:\/\/www.ucf.edu\/wp-content\/blogs.dir\/20\/files\/2024\/03\/VR.jpg 1200w\" sizes=\"(max-width: 300px) 100vw, 300px\"><\/noscript><img decoding=\"async\" width=\"300\" height=\"200\" class=\"figure-img  wp-image-140107 img-fluid lazyload\" src=\"data:image\/svg+xml,%3Csvg%20xmlns%3D%22http%3A%2F%2Fwww.w3.org%2F2000%2Fsvg%22%20viewBox%3D%220%200%20300%20200%22%3E%3C%2Fsvg%3E\" alt srcset=\"data:image\/svg+xml,%3Csvg%20xmlns%3D%22http%3A%2F%2Fwww.w3.org%2F2000%2Fsvg%22%20viewBox%3D%220%200%20300%20200%22%3E%3C%2Fsvg%3E 300w\" sizes=\"(max-width: 300px) 100vw, 300px\" data-srcset=\"https:\/\/www.ucf.edu\/wp-content\/blogs.dir\/20\/files\/2024\/03\/VR-300x200.jpg 300w, https:\/\/www.ucf.edu\/wp-content\/blogs.dir\/20\/files\/2024\/03\/VR-768x512.jpg 768w, https:\/\/www.ucf.edu\/wp-content\/blogs.dir\/20\/files\/2024\/03\/VR-600x400.jpg 600w, https:\/\/www.ucf.edu\/wp-content\/blogs.dir\/20\/files\/2024\/03\/VR-360x240.jpg 360w, https:\/\/www.ucf.edu\/wp-content\/blogs.dir\/20\/files\/2024\/03\/VR.jpg 1200w\" data-src=\"https:\/\/www.ucf.edu\/wp-content\/blogs.dir\/20\/files\/2024\/03\/VR-300x200.jpg\"><figcaption class=\"figure-caption\">Co-inventors Associate Professor Frank Guido-Sanz and College of Nursing Associate Dean for Simulation and Immersive Learning Mindi Anderson demonstrating the technology. (Photo by Dana Saccoccio)<\/figcaption><\/figure>\n<p>\u201cThe potential of this invention to improve trauma and critical care training scenarios involving wounds and bleeding injuries is endless. It could benefit frontline providers, from first responders to nurses and physicians, across military and civilian settings to ultimately impact patient lives,\u201d says co-inventor Frank Guido-Sanz who has <a href=\"https:\/\/www.ucf.edu\/news\/ucf-professor-mentor-to-all-whether-in-classroom-icu-or-deployment\/\">first-hand experience in trauma care<\/a> as an acute care nurse practitioner in addition to his faculty appointment at the College of Nursing.<\/p>\n<p>For now, this patented innovation is in the prototype stage. UCF\u2019s Technology Transfer team is working to make potential licensees aware of the technology (<a href=\"https:\/\/ucf.flintbox.com\/technologies\/1bbe444f-714d-47cf-8cbe-26014d40e225\">view more here<\/a>), and helping them explore how it might fit with their systems or envisioned use cases.<\/p>\n<p>While this patent waits to be licensed for broad use, Welch, who has more than 25 patents at UCF, will continue to innovate.<\/p>\n<p>\u201cI think there\u2019s a void between the two spaces of relatively realistic real-world patient scenarios and VR,\u201d Welch says. \u201cThat\u2019s the hard space to develop, but there\u2019s a lot of space for something to be done.\u201d<\/p>\n","protected":false},"excerpt":{"rendered":"<p>A patented innovation developed by UCF researchers brings the virtual and physical worlds together to enhance healthcare training for trauma and casualty care.<\/p>\n","protected":false},"author":57,"featured_media":140102,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"lazy_load_responsive_images_disabled":false,"footnotes":"","_links_to":"","_links_to_target":"","_wp_rev_ctl_limit":""},"categories":[12],"tags":[4869,54367,22543],"tu_author":[],"class_list":["post-140029","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-health","tag-college-of-nursing","tag-entertainment-immersive","tag-healthcare"],"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v22.3 (Yoast SEO v27.1.1) - https:\/\/yoast.com\/product\/yoast-seo-premium-wordpress\/ -->\n<title>Mixing Realities for More Realistic Trauma Training | University of Central Florida News<\/title>\n<meta name=\"description\" content=\"A patented innovation developed by UCF researchers brings the virtual and physical worlds together to enhance 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