Enhancing Simulation by Augmenting Reality: A Mixed-Reality Experience (1090-004142)
CE Hours: 0.25 Session Type: SimVentors
Simulation enhancement to increase fidelity on manikin development is a fluid process as technologies advance for medical education. Creating moulage to increase the lived experience of the participant is a continuous feat for all simulation experts. The goal is to create a simulation environment enhanced by augmented reality (AR) that will increase the fidelity of experiential learning environment. Augmented reality application provides a layer on top of reality for an interactive virtual environment. A team was established to invent a computer application to re-create a realistic environment to simulate sudden fires in the operating room. The team was composed of professors from the nurse anesthesia program from the School of Nursing and Health Studies at the University of Miami and engineering students from the same institution. After a meeting in the Simulation Hospital for Advancing Research and Education (SHARETM), a decision was made to design computer-generated dynamic “props” to simulate columns of smoke, fire, water stream/mist to be deployed by instructors as needed during a simulated tracheostomy surgery. The computer engineers reprogrammed the battery-operated remote control of the Magic Leap 1™ goggles to allow the instructor to select the type of fire (e.g., airway versus non-airway fire) and the type of prop activated at a given time. When the instructor decided to simulate a sudden airway fire, they would pull the trigger on the remote control to generate a column of moving smoke coming out of the mouth of the manikin. If the trainee did not identify smoke as a possible early sign of fire within a few minutes, the instructor would switch from “smoke” to “fire” mode and click the trigger again to generate a small fire out of the mouth of the manikin. Once the trainee realizes an airway fire is taking place, they would be expected to use an empty sterile water bottle (physical prop) to extinguish it by simulating pouring it over the airway fire seen through the Magic Leap 1TM goggles. Simultaneously the instructor would switch from “fire” to “water” mode and click the trigger once more to generate an overlaid water stream (electronic prop) coming out of the empty sterile water bottle. This stream is perceived by the trainee as a stream of water coming out of the real water bottle to extinguish the fire. Therefore, the use of both physical and electronic props creates a mixed-reality environment that enhances the simulation experience.