BurnCare tablet trainer to enhance burn injury care and treatment
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BurnCare tablet trainer to enhance burn injury care and treatment Austin Baird1* , Maria Serio-Melvin2, Matthew Hackett3, Marcia Clover1, Matthew McDaniel1, Michael Rowland2, Alicia Williams2 and Bradly Wilson1
Abstract Background: Applied Research Associates (ARA) and the United States Army Institute of Surgical Research (USAISR) have been developing a tablet-based simulation environment for burn wound assessment and burn shock resuscitation. This application aims to supplement the current gold standard in burn care education, the Advanced Burn Life Support (ABLS) curriculum. Results: Subject matter experts validate total body surface area (TBSA) identification and analysis and show that the visual fidelity of the tablet virtual patients is consistent with real life thermal injuries. We show this by noting that the error between their burn mapping and the actual patient burns was sufficiently less than that of a random sample population. Statistical analysis is used to confirm this hypothesis. In addition a full body physiology model developed for this project is detailed. Physiological results, and responses to standard care treatment, are detailed and validated. Future updates will include training modules that leverage this model. Conclusion: We have created an accurate, whole-body model of burn TBSA training experience in Unreal 4 on a mobile platform, provided for free to the medical community. We hope to provide learners with more a realistic experience and with rapid feedback as they practice patient assessment, intervention, and reassessment. Keywords: Burn, Simulation, TBSA, Escharotomy, Training, Android, Tablet, Treatment, Military
Background Burn injuries are a serious life-threatening injury to the warfighter in a combat zone. In Operations Iraqi and Enduring Freedom (OIF & OEF) burns comprised 5% of casualties evacuated from the battlefield [1]. These injuries result in approximately a 4% mortality rate, but the compounding effects of the recovery can lead to lifelong reductions in quality of life. Evacuation time from the battlefield to increasing levels of care decreases with increasing burn size, but during OIF and OEF evacuation time to the US Army Burn Center took on average 4 days for patients with burns of over 40% of their body [2]. Compounding this evacuation time is the * Correspondence: [email protected] 1 Applied Research Associates, Inc., 8537 Six Forks Rd, Raleigh, NC 27615, USA Full list of author information is available at the end of the article
continuously evolving battlefield with increasing far forward disparate engagement zones. The Department of Defense (DoD) anticipates the future battlefield to consist of large-scale combat operations across multiple domains, with near peer adversaries resulting in a lack of air and ground superiority and significantly delayed evacuation to definitive care [3]. This creates a need for more burn care training focused on prolonged settings. A patient with over 40% total body surface area (TBSA) burn is and will be in crit
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