MATADOR Medical Advanced Training

in an Artificial Distributed Environment

Ragnhild Halvorsrud,
Applied Media Technology
Telenor Research and
Development
Contents:
Multitrauma accidents
Emergency care in
Nordic countries - the
BEST project
Why use simulators?
Existing simulators
The DOVRE platform

MATADOR
Goal/outline/time plan
Medical content
Current status
Comparison
MATADOR partners
Conclusion

Multitrauma accidents
strikes many young,
healthy, and ablebodied
persons
take many lifes
Age < 35 years: the most
frequent cause of death
can often be effectively
treated
Most errors occur in the
initial assessment phase.
http://www.trauma.org
In the emergency room
many groups of medical
personnel
time pressure
rapid technological changes
high staff turnover
chaotic learning situation
No room for learning by doing !!
Hospitals in Nordic countries
countries with long
distances
harsh weather
conditions
sparse population
many small hospitals
no national standard
for trauma care
The BEST project
The BEST team visits rural
hospitals.
1. Theory based on actual cases.
2. Training session are
videorecorded. 3. Observation,
review and feedback.
Success factors:
Courses at each hospital
Immediate feedback, focus on team performance
Why use simulators in medicine?
Limited access to real training situations.
Simulation provides a way to gain
competence in emergency situations that
seldom occur.
Reduce the cost of training surgeons.
Reducing the risk to patients.
Existing simulators
http://www.trauma.org
http://www.mdchoice.com/
MDchoice.com the ultimate medical
information finder
http://www.rti.org/vr/w/vmetsum.cfm
Research Triangle Institute, NC, USA
DOVRE
A tool for distributing 3D-
graphics, sound and video
Developed from scratch using C++
Multi-platform: win32 & Unix
(Linux/IRIX)
API for creating distributed virtual
worlds
(Distributed Object-oriented Virtual
Reality Environment)
The EduAction project
using VR to enhance collaborative learning
developed for pupils in the secondary school
pupils take the role of interplanetary explorers, looking
for planets suitable for new colonies
Corpus Callosum,
the disaster-ridden
planet
http://amt.fou.telenor.no/EduAction/
The DISCOVER project
Distributed training environment for the
offshore and maritime sectors
Haptic devices
Haptic related to the sense of touch
Haptic displays - electromechanical device
that deliver force sensation
PHANToM premium 1.5 - to be integrated
in the MATADOR prototype
MATADOR
The goal is to develop and evaluate a
simulation environment for managing
acutely traumatized patients.
Target group: both students and physicians.
Proposal was presented to Nordunet2.
2.6 mill. NOK from Nordunet2.
MATADOR outline
Project tasks
0
5
10
15
20
25
% of resources
System des.
Content des.
User req.
System develop.
Content creation
System eval.
Field trial
Evaluation
Usability
Exploitation
Project manag.
Project plan
Project period: July 2000 June 2002
Total # manhours: 10200
0
200
400
600
800
1000
1200
1400
1600
1800
2000
2000 2001 2002
Content description
System development
Content creation
Evaluation
Scenario walk-through
Description of
accident, organ
injuries, etc.
wrong
answer
Time-out to
study procedure

CT/MR/Xray

Decisio
n-
making
Feedback

Scenario i
i = [1,3]


















CT/MR/Xray

Decisio
n-
making


Time-out to
study procedure

Pilot scenario
7 year old girl on bicycle, hit by car
Unconcious when primary physician arrives, no immediate
signs of external injuries
10 min: patient becomes concious, but weak
40 min: unstable vital signs, helicopter arrives
60 min: during transportation, patient develop spasms
65 min: respiration and circulation stop as helicopter arrives at
hospital. Attempting heart/lung rescue. Conditions interpreted
as head injury. Further treatment stopped.
Current status
Fly-through of a virtual OR
Design and animation:
Ivar Kjellmo
Applied Media Technology
MATADOR versus other simulators
A multiuser system
training as a team
Advanced 3D-
technology
MATADOR
session manager
MATADOR partners:
Faculty of Medicine, University of Ume
Multimedic AS
The Norwegian Medical Association
InterMedia, University of Oslo
Medical Faculty, University of Oslo
Boxer Technologies AS
Telenor R&D

Concluding remarks
Nordic countries: similarities in culture, language,
and health care systems
A joint Nordic effort would be of substantial
benefit
Towards a Nordic standard?
URL http://amt.fou.telenor.no/MATADOR/