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Development and usability testing of a fully immersive VR simulation for REBOA training.

T Birrenbach1, R Wespi2, W E Hautz2

  • 1Department of Emergency Medicine, Inselspital, University Hospital Bern, Freiburgstrasse 16C, Bern, CH-3010, Switzerland. tanja.birrenbach@insel.ch.

International Journal of Emergency Medicine
|October 6, 2023
PubMed
Summary

Virtual reality (VR) simulation offers a feasible and effective method for training Resuscitative Endovascular Balloon Occlusion of the Aorta (REBOA) teams. This immersive VR training improves trainee confidence in performing the critical REBOA procedure.

Keywords:
Medical educationREBOATrauma resuscitationVirtual reality

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Area of Science:

  • Medical Simulation
  • Trauma Surgery
  • Emergency Medicine

Background:

  • Resuscitative Endovascular Balloon Occlusion of the Aorta (REBOA) is a critical intervention for severe bleeding trauma.
  • Training for REBOA is essential due to its complexity and rare application.
  • Current REBOA training guidelines are lacking, and simulation methods can be costly.

Purpose of the Study:

  • To assess the feasibility and acceptance of immersive virtual reality (VR) for REBOA training.
  • To evaluate trainee confidence in performing REBOA before and after VR simulation.
  • To determine the usability, immersion, workload, and satisfaction with VR REBOA simulation.

Main Methods:

  • Prospective feasibility pilot study involving prehospital emergency physicians and paramedics.
  • Utilized a fully immersive VR REBOA simulation.
  • Assessed usability, presence, workload, user satisfaction, and confidence levels.

Main Results:

  • VR REBOA training was feasible with no significant side-effects.
  • High usability, immersion, user satisfaction, and manageable workload were reported.
  • Trainee confidence in performing REBOA significantly increased post-training.

Conclusions:

  • Immersive VR simulation is a viable and well-accepted method for REBOA procedural training.
  • VR training offers advantages like time and instructor independence for REBOA curricula.
  • This technology can enhance the preparedness of medical teams for critical trauma interventions.