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Development and evaluation of a trauma decision-making simulator in Oculus virtual reality
Cuan M Harrington1, Dara O Kavanagh1, John F Quinlan2
1Department of Surgical Affairs, Royal College of Surgeons in Ireland, Ireland.
American Journal of Surgery
|March 7, 2017
Summary
Virtual reality (VR) offers a viable platform for medical simulation. This study demonstrates the validity of a VR trauma training simulator, showing its effectiveness for improving decision-making skills in critical care scenarios.
Area of Science:
- Medical Simulation
- Virtual Reality Technology
- Trauma Care Training
Background:
- Consumer virtual reality (VR) technology emerged in 2016, primarily in entertainment.
- An innovative medical training simulator was developed using the Oculus™ Gear-VR platform.
- The simulator applies Advanced Trauma Life Support (ATLS) principles for critical patient decision-making.
Purpose of the Study:
- To assess the validity of a novel VR medical training simulator.
- To evaluate its effectiveness in teaching ATLS principles.
- To determine participant perceptions of the VR training tool.
Main Methods:
- Participants (candidates and instructors) were recruited from a single-centre ATLS course in Ireland.
- Simulator performance was correlated with participant expertise and course outcomes.
- A post-intervention questionnaire assessed the validity and usability of the VR platform.
Main Results:
- Instructors made significantly fewer fatal errors and incorrect decisions compared to candidates (p < 0.050).
- High mean ratings were reported for VR hardware (5.09/7) and the trauma application (5.04/7).
- Participants found the VR simulator enjoyable, a preferred learning platform, and cost-effective.
Conclusions:
- Evidence of validity criteria was demonstrated for the VR headset application.
- VR technology presents a promising and viable future platform for medical simulation.
- The developed VR simulator effectively supports critical decision-making training in trauma care.

