This is one of the most comprehensive ER simulation scenarios I’ve made.

Total required time for this scenario was more than one hour.

Interposed still pictures of patient information, data and images are taken from PPT slides made for this simulation. Of course these are real data from real patient.

I’ve made various kinds of these PPT slides for ER simulation based on our valuable treatment experiences. Cases are such as cardiovascular failure, respiratory failure, trauma, burn, septic shock, cardiac arrest, environmental disorder and poisoning.

As you notice, usually I use two large TV monitor (more than 50 inch), one is for displaying patient vital sings and the other is to share patient information each other.

This double monitor method is quite useful for sharing information and I love this simulation setting.

Participants can easily immerse themselves into the scenario due to real setting and true patient data derived from real patient.

This scenario has a lot of learning objectives, so that it might be too complicated to perform. For example, to perform rapid initial assessment and intervention for severe shock, to make differential diagnosis, to recognize the appropriate timing to start ECMO, to prepare and start ECMO precisely and safely and to transfer ECMO patient to another room.

However the real clinical setting is like this, so I want them to cope with the extremely difficult situation and overcome with mutual help and cooperation in simulated environment.

In order to mimic blood products, I’ve made these dummy blood products by laminating pictures with magnet in the back.

These pictures are able to stick to plastic bag which also has magnet on the surface.

This is a cheap and easy way to make simulated blood products or something like that.

This is a short movie clip from my special simulation seminar named “SimMarathon” on Dec 27, 2014.

I’ve developed this simulation seminar in order to try new innovative simulation.

This is the first scenario among 9 completed ones.

Diagnosis had not been informed to participants at first. The team in charge had to do all of assessment, collecting data, diagnosis, appropriate treatment, disposition and informed consent in this scenario.

The more real the scenario would be, the more excited the participants would become.

For me, this is the first attendance at IMSH.

This is a great opportunity to know the current world fashion in area of medical simulation education.

I applied “mentor/mentee program” as a mentee, and could make new connection with other simulation teachers through my mentor.

There are bunch of workshops, seminars and exhibits during this conference and bunch of simulation educators are coming from all over the world.

I could figure out both of my weak points and strong points  compared to the world standard.

Although I’ve participated several workshops, my lower English skill prevented me from being proactive in those courses.

I’ve strongly decided to develop my English communication ability to become a global standard educator.

SimMan3G in our simulation center puts on several different kinds of wigs according to scenarios. These are inevitable to get learners immersed into each scenario.

Japanese wigs with black hair or some gray hair look funny because the appearance of SimMan3G is basically western style!

This is the scenario training of starting VA-ECMO for persistent VF patient in our simulation center.

ECPR for out-of-hospital cardiac arrest, especially for persistent/recurrent VF, is not uncommon in Japanese high volume emergency centers.

This kind of training should be widely provided in order to reinforce emergency team members to perform ECMO procedures in a safe way.

These Photos are taken while special simulation seminar named “SimMarathon” in SIMSTAR which is the simulation center of Tohoku University in Sendai City, Japan.

Hi I’m Tomoyuki Endo in Sendai City, Japan.

I just get started this blog to share my ideas and experiences in my area of interests.

My area of  interests is medical simulation education, especially in the field of emergency care or critical care medicine.

I’ve been dedicated to simulation education for many years to help learners success in the real clinical settings.

I want to show my educational experiences and challenges at our simulation center and let other simulation experts know my way of simulation education.