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1
Hollie Adejumo
Howard High School
Harbor Hospital Clinical Simulation
             Center
               
What is Clinical
            Simulation?
                                                    
 Using technology to practice medicine
 Educational tool to help healthcare providers review
  techniques




            http://blog.hospitalclinic.org/en/2009/05/nou-laboratori-de-simulacio-clinica-de-la-facultat-de-medicina/
Clinical Simulation
                Task Trainers                                                  Simulators
                                                           

    http://www.temple.edu/ics/programs/medicine/fy2.html




                                                               https://today.ucf.edu/new-simulators-give-ucf-nursing-students-life-like-practice/




http://www.hisupplier.com/product-293478-UPPER-ARM-
INTRAMUSCULAR-INJECTION-SIMULATOR-medical-teaching-models-
education-model/
Project Thesis
                   
 Design an orthopedic simulator for the use of
  orthopedic residents and other healthcare
  professionals




           http://www.southpointehospital.org/spgme/Programs/OrthopedicSurgery/OrthopedicResidencyCu
           rriculum/tabid/1438/Default.aspx
Elbow
  




http://www.joint-pain-expert.net/elbow-anatomy.html
Elbow Stabilizers
  Primary      Secondary
MCL                    Radiohumeral
Osseous Articulation    Articulation
Ulnohumeral            Capusle
 Articulation           Musculature
Posterior Elbow Dislocation
Disengagement of the coronoid process from the
 trochlea
Posterior movement of ulna and radius




                                                           http://lifeinthefastlane.com/2010/01/elbow-dislocation/



  http://www.medkaau.com/vb/showthread.php?t=7957&page=2
2
Elbow Reduction
      




           3   http://lifeinthefastlane.com/2010/01/elbow-dislocation/
Task Trainer
            Development
                 
 Research
 Viewed elbow cadaver
 Visited anatomy lab
 Sawbones
 Started to design task trainer
Questions?
   




  http://www.appearancedayspa.com/faq.html
Sources
                       Special Thanks to:
                                  
 Johns Hopkins Medical Institute Orthopedic Staff
     Dr. John Tis
     Dr. Meredith Lazar-Antman
     Dr. Paul Sponseller
 Johns Hopkins Center for Functional Anatomy and Evolution
     Dr. Chris Ruff
     Heather Garvin
 Sawbones and Pacific Research Staff
     Thom Porro
     Amy Johnson
 Medstar Harbor Hospital & SiTEL Simulation Center staff
     Dr. James Wood
     Emily Shaw
     Michael Shukis
 Union Memorial STAT Lab
     Brent G. Parks
     Michael Tsai
 Howard High School staff
     Bruce Riegel
Sources
                   
1. http://thebiglead.fantasysportsven.netdna-cdn.com/wp-c
   http://www.youtube.com/watch?v=jWe5lcXdN2I
3. http://www.youtube.com/watch?v=Mdms_wiPohg
4. http://www.youtube.com/watch?v=FElcYZ3YT8o&featur

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Improving Orthopedic Elbow Reduction Techniques through Clinical Simulation

  • 1. 1
  • 3. Harbor Hospital Clinical Simulation Center 
  • 4. What is Clinical Simulation?   Using technology to practice medicine  Educational tool to help healthcare providers review techniques http://blog.hospitalclinic.org/en/2009/05/nou-laboratori-de-simulacio-clinica-de-la-facultat-de-medicina/
  • 5. Clinical Simulation Task Trainers Simulators  http://www.temple.edu/ics/programs/medicine/fy2.html https://today.ucf.edu/new-simulators-give-ucf-nursing-students-life-like-practice/ http://www.hisupplier.com/product-293478-UPPER-ARM- INTRAMUSCULAR-INJECTION-SIMULATOR-medical-teaching-models- education-model/
  • 6. Project Thesis   Design an orthopedic simulator for the use of orthopedic residents and other healthcare professionals http://www.southpointehospital.org/spgme/Programs/OrthopedicSurgery/OrthopedicResidencyCu rriculum/tabid/1438/Default.aspx
  • 8. Elbow Stabilizers Primary  Secondary MCL Radiohumeral Osseous Articulation Articulation Ulnohumeral Capusle Articulation Musculature
  • 9. Posterior Elbow Dislocation Disengagement of the coronoid process from the trochlea Posterior movement of ulna and radius http://lifeinthefastlane.com/2010/01/elbow-dislocation/ http://www.medkaau.com/vb/showthread.php?t=7957&page=2
  • 10. 2
  • 11. Elbow Reduction  3 http://lifeinthefastlane.com/2010/01/elbow-dislocation/
  • 12. Task Trainer Development   Research  Viewed elbow cadaver  Visited anatomy lab  Sawbones  Started to design task trainer
  • 13. Questions?  http://www.appearancedayspa.com/faq.html
  • 14. Sources Special Thanks to:   Johns Hopkins Medical Institute Orthopedic Staff  Dr. John Tis  Dr. Meredith Lazar-Antman  Dr. Paul Sponseller  Johns Hopkins Center for Functional Anatomy and Evolution  Dr. Chris Ruff  Heather Garvin  Sawbones and Pacific Research Staff  Thom Porro  Amy Johnson  Medstar Harbor Hospital & SiTEL Simulation Center staff  Dr. James Wood  Emily Shaw  Michael Shukis  Union Memorial STAT Lab  Brent G. Parks  Michael Tsai  Howard High School staff  Bruce Riegel
  • 15. Sources  1. http://thebiglead.fantasysportsven.netdna-cdn.com/wp-c http://www.youtube.com/watch?v=jWe5lcXdN2I 3. http://www.youtube.com/watch?v=Mdms_wiPohg 4. http://www.youtube.com/watch?v=FElcYZ3YT8o&featur

Notes de l'éditeur

  1. Elbow= hinge joint Allows for flexion, extension 3 bones- H,R,U Ulna has olecrenon (hook shape)- articulates on trochlea Radius is smaller than ulna, does not directly articulate w/ humerus, radial head is round- allows radius to ride on the capitellum Humeroulnar joint- allows for extension, flexion Radioulnar joint- pivot joint, allows supination, pronation Humeroradial joint- supination, pronation
  2. Ulnahumeral- olecranon impinging on the olecranon fossa  prevents ulna from dislocating posteriorly Another stabilizer is the
  3. Elbow is one of the most stable joints in the body, but a dislocation is not uncommon Most associated w/ sports injuries Olecranon is unlocked from the trochlea, articular surfaces become out of position
  4. Before reduction, the doctor performs a neurovascular assessment to make sure that the elbow is not impinging on any vessel/nerve Anesthetic can be used to help relax the muscles