Department of Emergency and Disaster Management, Faculty of Medicine, School of Public Health, Tel Aviv University, Tel Aviv, Israel.
Surgical Science, Airport City, Israel.
Isr J Health Policy Res. 2024 Sep 12;13(1):46. doi: 10.1186/s13584-024-00634-8.
In the realm of trauma response preparation for prehospital teams, the combination of Augmented Reality (AR) and Virtual Reality (VR) with manikin technologies is growing in importance for creating training scenarios that closely mirror potential real-life situations. The pilot study focused on training of airway management and intubation for trauma incidents, based on a Trauma AR-VR simulator involving reserve paramedics of the National EMS service (Magen David Adom) who had not practiced for up to six years, activated during the Israel-Gaza conflict (October 2023). The trauma simulator merges the physical and virtual realms by utilizing a real manikin and instruments outfitted with sensors. This integration enables a precise one-to-one correspondence between the physical and virtual environments. Considering the importance of enhancing the preparedness of the reserve paramedics to support the prehospital system in Israel, the study aims to ascertain the impact of AR-VR Trauma simulator training on the modification of key perceptual attitudes such as self-efficacy, resilience, knowledge, and competency among reserve paramedics in Israel.
A quantitative questionnaire was utilized to gauge the influence of AR-VR training on specific psychological and skill-based metrics, including self-efficacy, resilience, medical knowledge, professional competency, confidence in performing intubations, and the perceived quality of the training experience in this pilot study. The methodology entailed administering a pre-training questionnaire, delivering a targeted 30-minute AR-VR training session on airway management techniques, and collecting post-training data through a parallel questionnaire to measure the training's impact. Fifteen reserve paramedics were trained, with a response rate of 80% (n = 12) in both measurements.
Post-training evaluations indicated a significant uptick in all measured areas, with resilience (3.717±0.611 to 4.008±0.665) and intubation confidence (3.541±0.891 to 3.833±0.608) showing particularly robust gains. The high rating (4.438±0.419 on a scale of 5) of the training quality suggests positive response to the AR-VR integration for the enhancement of medical training, CONCLUSIONS: The application of AR-VR in the training of reserve paramedics demonstrates potential as a key tool for their swift mobilization and efficiency in crisis response. This is particularly valuable for training when quick deployment of personnel is necessary, training resources are diminished, and 'all hands on deck' is necessary.
在创伤反应的院前团队准备领域，增强现实（AR）和虚拟现实（VR）与模拟人技术的结合对于创建尽可能贴近潜在真实情况的培训场景变得越来越重要。这项试点研究侧重于基于涉及国家急救服务（Magen David Adom）后备医护人员的创伤 AR-VR 模拟器的气道管理和插管培训，这些后备医护人员已经有长达六年没有进行过实践，在 2023 年以色列-加沙冲突期间被激活。创伤模拟器通过使用配备有传感器的真实模拟人和器械来融合物理和虚拟领域。这种集成实现了物理环境和虚拟环境之间的精确一一对应。考虑到增强后备医护人员对以色列院前系统的准备程度的重要性，这项研究旨在确定 AR-VR 创伤模拟器培训对后备医护人员在自我效能、韧性、知识和专业能力等关键感知态度上的改变的影响。
在这项试点研究中，使用定量问卷来衡量 AR-VR 培训对特定心理和技能指标的影响，包括自我效能、韧性、医学知识、专业能力、进行插管的信心以及对培训体验质量的感知。方法包括在进行培训前进行问卷调查，提供 30 分钟的针对气道管理技术的 AR-VR 培训，然后通过平行问卷收集培训后的数据，以衡量培训的影响。共有 15 名后备医护人员接受了培训，在两次测量中，他们的回应率为 80%（n=12）。
培训后的评估表明，所有测量领域都有显著提高，韧性（3.717±0.611 至 4.008±0.665）和插管信心（3.541±0.891 至 3.833±0.608）表现出特别强劲的增长。培训质量的高评分（5 分制中的 4.438±0.419）表明，AR-VR 集成对于增强医学培训的反应良好。
AR-VR 在后备医护人员培训中的应用证明了它是快速动员和危机应对效率的关键工具。这对于需要快速部署人员、培训资源减少和需要全员参与的培训特别有价值。
