ALS SIM VR
Non Linear Training

Flexible, accessible and self-directed Advanced Life Support team leader training

ALS SIM VR Feed

Proudly Supported By
Epic Games

ALS Sim VR Overview

Tune into Nathan Moore our SME on Talking HealthTech

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What our users say

“I am of the generation that rarely uses this stuff, I am also of a generation that doesn’t play computer games, at all, ever. But that was good! What I can see that this is good at is making sure team leaders are getting sequences right.”

Dr Ken HarrisonSenior Staff Specialist
Anaesthetics

“This application has the potential to significantly improve the way we train and assess ALS team leaders. Being able to facilitate both individual and collaborative experiences really adds to it benefits.”

Richard Conway
Clinical Nurse Consultant
Clinical Emergency Response System

“I think this is a really cool thing. I think it would compliment the simulation training where you’ve got a lot of staff resources. You could potentially reinforce new learning without much supervision and the feedback is generated automatically in the program.”

Dr Andrew Coggins Staff Specialist
Emergency

"This has the potential to be an extremely effective educational tool.”

Sandra Warburton
Nurse Educator
Simulation

“That is the coolest thing I’ve seen in education for a long time”

Alyssa Clarke Senior ICU Nurse

ALS SIM VR Features

Team Task
Allocation

All members of the ALS team are present and able to have commonly required tasks allocated to them.

ALS algorithm
Implementation

Decisions made within the application are graded against the Australian Resuscitation Council Advanced Life Support guidelines. Randomisation of the cardiac rhythms and other patient pathology allow for increased replay ability and variation in management strategies.

Systematic Patient
Assessment

The user can allocate a team member to perform all common parts of a patient assessment, using the A-G and A-E assessment frameworks.

Cardiac Rhythm
Interpretation

Randomisation of the cardiac rhythm and recording of user performance against key KPIs allows the user to practice the real time interpretation of cardiac rhythms in the setting of a cardiac arrest.

ALS Medication Administration

Common ALS medications are available for administration by the team and the medication administration is graded against the ARC council guidelines depending if the patient is on the shockable or non-shockable side of the algorithm.

Arterial Blood Gas Interpretation

Randomised arterial blood gasses are available for interpretation by the team leader, which will have an impact on which reversible causes of cardiac arrest are marked correct.

ECG Interpretation

Randomised ECGs are available for interpretation by the team leader, which will have an impact on which reversable causes of cardiac arrest are marked correct.

Scribe Nurse

All decisions made within the scenario are recorded in realtime and made available for review by the user by referring to the scribe nurses resuscitation chart.

ZOLL X and R series
defibrillator operation

In the skill trainer section of ALS-SimVR interactive models of both the X Series or R series ZOLL defibrillators have been created to allow the user to familiarise themselves with their use.

Defibrillation
Practice

The user can practice defibrillation using an interactive three-dimensional models of either the X Series or R series ZOLL defibrillator, being led through the COACHED defibrillation process.

Cardioversion practice

The user can practice performing a cardioversion on the virtual patient using an interactive three-dimensional models of either the X Series or R series ZOLL defibrillator.

Pacing practice

The user can practice commencing pacing on the virtual patient using an interactive three-dimensional models of either the X Series or R series ZOLL defibrillator.

Handover practice and
reflection

Using a randomised set of patients and required clinical handovers the user can practice discerning the required information for the prescribed handover, verbally give the handover to a virtual clinician and then replay that handover back to themselves whilst reflecting on the provided information with the prompt of an ISBAR cognitive aide.

Learner
Insights

All performance within the application is recorded including in-app time, number of playthroughs, user demographics and also key KPIs such as off chest time, defibrillation accuracy, medication accuracy and reversible causes.

This information is then made available to the user both at the completion of a scenario but also via their own personal dashboard on the FRLE website allowing review of individual playthroughs and performance change over time. Users can also be grouped into classrooms allowing instructors to have overviews of class performance prior or following face to face training.

The Cost effective simulation approach
Our key advantage over other providers is our systems that come preloaded into all of our training applications. This includes the following;

The Learning Process
Watch: Pre Coursor material like video or live demo
DO: Run through the scenerio until a level of success is achieved
Assess: Using the same simulation as above however with an assessment running and no hints or training wheels attached.

Advanced Life Support Training Features

Since the widespread implementation of early identification of deterioration programs, cardiac arrests are becoming less frequent inpatient populations.

However, when they do occur, they can have catastrophic consequences if not appropriately managed. As a result of the reduction in cardiac arrest rates there is a corresponding reduction in the exposure of medical and nursing staff to the management of these patients. This in turn means that there a fewer opportunity for staff to consolidate the required skills putting more emphasis on simulation-based training.

The delivery of initial and refresher training andre-accreditation for ALS teams is a resource intensive challenge faced by hospitals globally. The face-to-face training often involves significant time spent both in skills stations and debriefing exploring and teaching specific technical aspects of ALS management.

There will always be a need for teams to manage patients inextremus and the challenge is how to facilitate cost-effective and on-going training for the skills required for this low frequency yet high stakes event.

Lets dig deeper

The Problem

Since the widespread implementation of early identification of deterioration programs, cardiac arrests are becoming less frequent inpatient populations.

However, when they do occur, they can have catastrophic consequences if not appropriately managed. As a result of the reduction in cardiac arrest rates there is a corresponding reduction in the exposure of medical and nursing staff to the management of these patients. This in turn means that there a fewer opportunity for staff to consolidate the required skills putting more emphasis on simulation-based training.

The delivery of initial and refresher training andre-accreditation for ALS teams is a resource intensive challenge faced by hospitals globally. The face-to-face training often involves significant time spent both in skills stations and debriefing exploring and teaching specific technical aspects of ALS management.

There will always be a need for teams to manage patients inextremus and the challenge is how to facilitate cost-effective and on-going training for the skills required for this low frequency yet high stakes event.

Lets dig deeper

The Problem

Since the widespread implementation of early identification of deterioration programs, cardiac arrests are becoming less frequent inpatient populations.

However, when they do occur, they can have catastrophic consequences if not appropriately managed. As a result of the reduction in cardiac arrest rates there is a corresponding reduction in the exposure of medical and nursing staff to the management of these patients. This in turn means that there a fewer opportunity for staff to consolidate the required skills putting more emphasis on simulation-based training.

The delivery of initial and refresher training andre-accreditation for ALS teams is a resource intensive challenge faced by hospitals globally. The face-to-face training often involves significant time spent both in skills stations and debriefing exploring and teaching specific technical aspects of ALS management.

There will always be a need for teams to manage patients inextremus and the challenge is how to facilitate cost-effective and on-going training for the skills required for this low frequency yet high stakes event.

Lets dig deeper

The Problem

Since the widespread implementation of early identification of deterioration programs, cardiac arrests are becoming less frequent inpatient populations.

However, when they do occur, they can have catastrophic consequences if not appropriately managed. As a result of the reduction in cardiac arrest rates there is a corresponding reduction in the exposure of medical and nursing staff to the management of these patients. This in turn means that there a fewer opportunity for staff to consolidate the required skills putting more emphasis on simulation-based training.

The delivery of initial and refresher training andre-accreditation for ALS teams is a resource intensive challenge faced by hospitals globally. The face-to-face training often involves significant time spent both in skills stations and debriefing exploring and teaching specific technical aspects of ALS management.

There will always be a need for teams to manage patients inextremus and the challenge is how to facilitate cost-effective and on-going training for the skills required for this low frequency yet high stakes event.

Lets dig deeper

The Problem

Since the widespread implementation of early identification of deterioration programs, cardiac arrests are becoming less frequent inpatient populations.

However, when they do occur, they can have catastrophic consequences if not appropriately managed. As a result of the reduction in cardiac arrest rates there is a corresponding reduction in the exposure of medical and nursing staff to the management of these patients. This in turn means that there a fewer opportunity for staff to consolidate the required skills putting more emphasis on simulation-based training.

The delivery of initial and refresher training andre-accreditation for ALS teams is a resource intensive challenge faced by hospitals globally. The face-to-face training often involves significant time spent both in skills stations and debriefing exploring and teaching specific technical aspects of ALS management.

There will always be a need for teams to manage patients inextremus and the challenge is how to facilitate cost-effective and on-going training for the skills required for this low frequency yet high stakes event.

Lets dig deeper

The Problem

Since the widespread implementation of early identification of deterioration programs, cardiac arrests are becoming less frequent inpatient populations.

However, when they do occur, they can have catastrophic consequences if not appropriately managed. As a result of the reduction in cardiac arrest rates there is a corresponding reduction in the exposure of medical and nursing staff to the management of these patients. This in turn means that there a fewer opportunity for staff to consolidate the required skills putting more emphasis on simulation-based training.

The delivery of initial and refresher training andre-accreditation for ALS teams is a resource intensive challenge faced by hospitals globally. The face-to-face training often involves significant time spent both in skills stations and debriefing exploring and teaching specific technical aspects of ALS management.

There will always be a need for teams to manage patients inextremus and the challenge is how to facilitate cost-effective and on-going training for the skills required for this low frequency yet high stakes event.

Lets dig deeper

The Problem

Since the widespread implementation of early identification of deterioration programs, cardiac arrests are becoming less frequent inpatient populations.

However, when they do occur, they can have catastrophic consequences if not appropriately managed. As a result of the reduction in cardiac arrest rates there is a corresponding reduction in the exposure of medical and nursing staff to the management of these patients. This in turn means that there a fewer opportunity for staff to consolidate the required skills putting more emphasis on simulation-based training.

The delivery of initial and refresher training andre-accreditation for ALS teams is a resource intensive challenge faced by hospitals globally. The face-to-face training often involves significant time spent both in skills stations and debriefing exploring and teaching specific technical aspects of ALS management.

There will always be a need for teams to manage patients inextremus and the challenge is how to facilitate cost-effective and on-going training for the skills required for this low frequency yet high stakes event.

Lets dig deeper

The Problem

Since the widespread implementation of early identification of deterioration programs, cardiac arrests are becoming less frequent inpatient populations.

However, when they do occur, they can have catastrophic consequences if not appropriately managed. As a result of the reduction in cardiac arrest rates there is a corresponding reduction in the exposure of medical and nursing staff to the management of these patients. This in turn means that there a fewer opportunity for staff to consolidate the required skills putting more emphasis on simulation-based training.

The delivery of initial and refresher training andre-accreditation for ALS teams is a resource intensive challenge faced by hospitals globally. The face-to-face training often involves significant time spent both in skills stations and debriefing exploring and teaching specific technical aspects of ALS management.

There will always be a need for teams to manage patients inextremus and the challenge is how to facilitate cost-effective and on-going training for the skills required for this low frequency yet high stakes event.

Lets dig deeper

The Solution

Based on the extensive evidence for the efficacy of virtual reality (VR) for skills training, we suggest that ongoing ALS education andre-accreditation could be enhanced using bespoke VR based training

Utilizing skills established over many years delivering ALS training we have developed a hi-fidelity prototype, ALS-Sim VR, using the lateststand-alone Oculus Quest headset. The reduced ongoing costs, flexibility and scalability of portable VR allows such an application to have an impact both in the national and international sectors

We have already performed a pilot study for ALS-SimVR with a group of senior health professionals. All participants reported very positive experiences with the prototype and the project has gained significant interest from clinicians, Universities, and industry partners

Implementation

We have completed an initial user study exploring the user needs of clinicians utilising VR for ALS training which is currently being finalised for publication.

The findings of this study have guided the on going development of the application. Ethics approval has been established for a study exploring contributing factors for knowledge acquisition in VR to help better understand appropriate recommendations for utilisation of the application for clinician training. Future research will aim to validate ALS-SimVR as an educational tool and then progress to validation as an assessment tool.

Our goal is to firstly make this application free for the public health system across Australia and then build upon the interest we have had to develop international partners to make the necessary changes to meet international requirements


Features

  • ALS team task allocation
  • ALS Algorithm implementation
  • Systematic patient assessment
  • Rhythm interpretation
  • ALS Medication administration
  • ABG interpretation
  • ECG Interpretation
  • X & R series defibrillator operation
  • Defibrillation performance
  • Cardioversion performance
  • Pacing commencement
  • Clinical handover and reflection

research paper

DOI:10.2196/20797

Exploring User Needs in the Development of a Virtual Reality–Based Advanced Life Support Training Platform: Exploratory Usability Study

research paper

DOI:10.1145/3359996.3365051

ALS-SimVR: Advanced Life Support Virtual Reality Training Application

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