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Am J Surg. 2018 Jan;215(1):42-47. doi: 10.1016/j.amjsurg.2017.02.011. Epub 2017 Feb 10.

Development and evaluation of a trauma decision-making simulator in Oculus virtual reality.

Author information

1
Department of Surgical Affairs, Royal College of Surgeons in Ireland, Ireland. Electronic address: cuanharrington@rcsi.ie.
2
Department of Surgical Affairs, Royal College of Surgeons in Ireland, Ireland.
3
Department of Trauma and Orthopaedic Surgery, Tallaght Hospital, Dublin, Ireland.
4
Department of Epidemiology and Public Health Medicine, Royal College of Surgeons in Ireland, Ireland.

Abstract

BACKGROUND:

Consumer-available virtual-reality technology was launched in 2016 with strong foundations in the entertainment-industry. We developed an innovative medical-training simulator on the Oculus™ Gear-VR platform. This novel application was developed utilising internationally recognised Advanced Trauma Life Support (ATLS) principles, requiring decision-making skills for critically-injured virtual-patients.

METHODS:

Participants were recruited in June, 2016 at a single-centre trauma-course (ATLS, Leinster, Ireland) and trialled the platform. Simulator performances were correlated with individual expertise and course-performance measures. A post-intervention questionnaire relating to validity-aspects was completed.

RESULTS:

Eighteen(81.8%) eligible-candidates and eleven(84.6%) course-instructors voluntarily participated. The survey-responders mean-age was 38.9(±11.0) years with 80.8% male predominance. The instructor-group caused significantly less fatal-errors (p < 0.050) and proportions of incorrect-decisions (p < 0.050). The VR-hardware and trauma-application's mean ratings were 5.09 and 5.04 out of 7 respectively. Participants reported it was an enjoyable method of learning (median-6.0), the learning platform of choice (median-5.0) and a cost-effective training tool (median-5.0).

CONCLUSION:

Our research has demonstrated evidence of validity-criteria for a concept application on virtual-reality headsets. We believe that virtual-reality technology is a viable platform for medical-simulation into the future.

KEYWORDS:

Simulation; Surgical education; Trauma moulage; Virtual reality

PMID:
28262203
DOI:
10.1016/j.amjsurg.2017.02.011
[Indexed for MEDLINE]

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