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2. 2 TODAY’S AGENDA What are medical simulators? Role of MAGPI GigaPoP The experiments –1 st year –2 nd year Security issues The future

3. 3 TODAY’S AGENDA What are medical simulators? Role of MAGPI GigaPoP The experiments –1 st year –2 nd year Security issues The future

4. 4 TYPES OF SIMULATION Static Models Computer Controlled Models Animated Simulations Manipulative Models

5. 5 TYPES OF SIMULATION Static Models Computer Controlled Models Animated Simulations Manipulative Models

6. 6 STATIC MODELS

7. 7 TYPES OF SIMULATION Static Models Computer Controlled Models Animated Simulations Manipulative Models

8. 8 TYPES OF SIMULATION Static Models Computer Controlled Models Animated Simulations Manipulative Models

9. 9 RESUSCI ANNE™ MANIPULATIVE MODEL

10. 10 TYPES OF SIMULATION Static Models Computer Controlled Models Animated Simulations Manipulative Models

11. 11 TYPES OF SIMULATION Static Models Computer Controlled Models Animated Simulations Manipulative Models

12. 12 COMPUTER CONTROLLED MODELS

13. 13 TYPES OF SIMULATION Static Models Computer Controlled Models Animated Simulations Manipulative Models

14. 14 TYPES OF SIMULATION Static Models Computer Controlled Models Animated Simulations Manipulative Models

15. 15 ANIMATED SIMULATION

16. 16 TYPES OF SIMULATION Static Models Computer Controlled Models Animated Simulations Manipulative Models

17. 17 COST OF A SIMULATOR

18. 18 COST OF A SIMULATOR True Cost Of A Simulator Simulator - $75,000 Operator cost - $50,000 per year x 5 yrs. Room - $5000 Total = $330,000 (5 years)

19. 19 TODAY’S AGENDA What are medical simulators? Role of MAGPI GigaPoP The experiments –1 st year –2 nd year Security issues The future

20. 20 TODAY’S AGENDA What are medical simulators? Role of MAGPI GigaPoP The experiments –1 st year –2 nd year Security issues The future

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22. 22 Role of MAGPI GigaPoP Sponsored Participant Relationship with University of Pennsylvania Technical resources and options Liaison to Internet2 staff, resources, and I2 community Support for extension of activity to Saint Francis University Support for extension of activity to rural PA community Promote awareness of CERMUSA/SFU initiatives

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26. 26 A strong partnership

27. 27 TODAY’S AGENDA What are medical simulators? Role of MAGPI GigaPoP The experiments –1 st year –2 nd year Security issues The future

28. 28 TODAY’S AGENDA What are medical simulators? Role of MAGPI GigaPoP The experiments –1 st year –2 nd year Security issues The future

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30. 30 USING SIMULATION MODELS ON I2 I2 Uniformed Services University of the Health Sciences National Library of MedicineSaint Francis University ISDN IP

31. 31 Heart Rate Pulse Oximetry (O 2 ) Blood Pressure

32. 32 Commodity Internet I2

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35. 35 Which of the following life threatening conditions held the highest priority in the initial treatment of the patient? Respiratory arrest

36. 36 How does the condition occur with this patient? Pulmonary edema

37. 37 TODAY’S AGENDA What are medical simulators? Role of MAGPI GigaPoP The experiments –1 st year –2 nd year Security issues The future

38. 38 TODAY’S AGENDA What are medical simulators? Role of MAGPI GigaPoP The experiments –1 st year –2 nd year Security issues The future

39. 39 RESEARCH OBJECTIVES Create patient simulation classes to train medical providers from a distance. Evaluate the effectiveness of providing specialized medical simulation training from a distance. Demonstrate teaching effectiveness of Internet2.

40. 40 USING SIMULATION MODELS ON I2 7/23/03 Uniformed Services University of the Health Sciences National Library of MedicineSaint Francis University MAGPI 11/21/03

41. 41 Inserting a Swan-Ganz catheter

42. 42 Emergency Room Vital Signs monitor

43. 43 Heart rate Arterial blood pressure Pulmonary pressure Central venous pressure Pulse oximetry

44. 44 Digital Video Transport System (DVTS)

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47. 47 This simulation experience was a valuable use of my time. N=53

48. 48 SELF REPORT ON MONITOR VIEWING N = 42 %Amount > 50% / x ER / Waveform 24 50 / 50 11 x / > 50% ER / Waveform 7

49. 49 I prefer this simulation over a comparable lecture on the same material. N=53

50. 50 I would like to participate in more distance education exercises with the simulator. N=53

51. 51 TODAY’S AGENDA What are medical simulators? Role of MAGPI GigaPoP The experiments –1 st year –2 nd year Security issues The future

52. 52 TODAY’S AGENDA What are medical simulators? Role of MAGPI GigaPoP The experiments –1 st year –2 nd year Security issues The future

53. 53 Firewall Issues… Using DVTS: Both Computers had IP addresses connected directly to the Abilene network, so no firewall issues were encountered. Abilene Network

54. 54 Firewall Issues… Using H.323: The Polycom at USUHS was located behind their firewall, which prevented CERMUSA from connecting. Abilene Network X Firewall Blocked Ports: 1720 – H.323 Setup Port Dynamic UDP Ports

55. 55 Firewall Issues… Using H.323: To get around the firewall, we filed Paperwork with USUHS’s IT department. Ports 1720 and a range of dynamic UDP ports were opened to allow traffic from CERMUSA’s network to pass through. Abilene Network Traffic Permitted!

56. 56 TODAY’S AGENDA What are medical simulators? Role of MAGPI GigaPoP The experiments –1 st year –2 nd year Security issues The future

57. 57 TODAY’S AGENDA What are medical simulators? Role of MAGPI GigaPoP The experiments –1 st year –2 nd year Security issues The future

58. 58 SIMTECH VIRTUAL EMERGENCY ROOM The Virtual Emergency Room (Stanford University) simulates a team learning situation. Real people enter the world as “avatars” and play their roles. The patient is totally simulated. Courtesy Parvati Dev Stanford University

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60. 60 TODAY’S AGENDA What are medical simulators? Role of MAGPI GigaPoP The experiments –1 st year –2 nd year Security issues The future

61. 61 TODAY’S AGENDA What are medical simulators? Role of MAGPI GigaPoP The experiments –1 st year –2 nd year Security issues The future

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