Development and usability testing of a fully immersive VR simulation for REBOA training
Abstract Background Resuscitative endovascular balloon occlusion of the aorta (REBOA) is a potentially life-saving procedure for bleeding trauma patients. Being a rare and complex procedure performed in extreme situations, repetitive training of REBOA teams is critical. Evidence-based guidelines on...
| Main Authors: | , , , , , , , |
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| Format: | Article |
| Language: | English |
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BMC
2023-10-01
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| Series: | International Journal of Emergency Medicine |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s12245-023-00545-6 |
| _version_ | 1827635741766713344 |
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| author | T. Birrenbach R. Wespi W. E. Hautz J. Berger P. R. Schwab G. Papagiannakis A. K. Exadaktylos T. C. Sauter |
| author_facet | T. Birrenbach R. Wespi W. E. Hautz J. Berger P. R. Schwab G. Papagiannakis A. K. Exadaktylos T. C. Sauter |
| author_sort | T. Birrenbach |
| collection | DOAJ |
| description | Abstract Background Resuscitative endovascular balloon occlusion of the aorta (REBOA) is a potentially life-saving procedure for bleeding trauma patients. Being a rare and complex procedure performed in extreme situations, repetitive training of REBOA teams is critical. Evidence-based guidelines on how to train REBOA are missing, although simulation-based training has been shown to be effective but can be costly and complex. We aimed to determine the feasibility and acceptance of REBOA training using a fully immersive virtual reality (VR) REBOA simulation, as well as assess the confidence in conducting the REBOA procedure before and after the training. Methods Prospective feasibility pilot study of prehospital emergency physicians and paramedics in Bern, Switzerland, from November 2020 until March 2021. Baseline characteristics of trainees, prior training and experience in REBOA and with VR, variables of media use (usability: system usability scale, immersion/presence: Slater-Usoh-Steed, workload: NASA-TLX, user satisfaction: USEQ) as well as confidence prior and after VR training were accessed. Results REBOA training in VR was found to be feasible without relevant VR-specific side-effects. Usability (SUS median 77.5, IQR 71.3–85) and sense of presence and immersion (Slater-Usoh-Steed median 4.8, IQR 3.8–5.5) were good, the workload without under-nor overstraining (NASA-TLX median 39, IQR 32.8–50.2) and user satisfaction high (USEQ median 26, IQR 23–29). Confidence of trainees in conducting REBOA increased significantly after training (p < 0.001). Conclusions Procedural training of the REBOA procedure in immersive virtual reality is possible with a good acceptance and high usability. REBOA VR training can be an important part of a training curriculum, with the virtual reality-specific advantages of a time- and instructor-independent learning. |
| first_indexed | 2024-03-09T15:31:45Z |
| format | Article |
| id | doaj.art-ff29b22e3cd84c52b4a7e401ef910c5f |
| institution | Directory Open Access Journal |
| issn | 1865-1380 |
| language | English |
| last_indexed | 2024-03-09T15:31:45Z |
| publishDate | 2023-10-01 |
| publisher | BMC |
| record_format | Article |
| series | International Journal of Emergency Medicine |
| spelling | doaj.art-ff29b22e3cd84c52b4a7e401ef910c5f2023-11-26T12:15:01ZengBMCInternational Journal of Emergency Medicine1865-13802023-10-011611910.1186/s12245-023-00545-6Development and usability testing of a fully immersive VR simulation for REBOA trainingT. Birrenbach0R. Wespi1W. E. Hautz2J. Berger3P. R. Schwab4G. Papagiannakis5A. K. Exadaktylos6T. C. Sauter7Department of Emergency Medicine, Inselspital, University Hospital BernDepartment of Emergency Medicine, Inselspital, University Hospital BernDepartment of Emergency Medicine, Inselspital, University Hospital BernDepartment of Emergency Medicine, Inselspital, University Hospital BernDepartment of Emergency Medicine, Inselspital, University Hospital BernORamaVR SADepartment of Emergency Medicine, Inselspital, University Hospital BernDepartment of Emergency Medicine, Inselspital, University Hospital BernAbstract Background Resuscitative endovascular balloon occlusion of the aorta (REBOA) is a potentially life-saving procedure for bleeding trauma patients. Being a rare and complex procedure performed in extreme situations, repetitive training of REBOA teams is critical. Evidence-based guidelines on how to train REBOA are missing, although simulation-based training has been shown to be effective but can be costly and complex. We aimed to determine the feasibility and acceptance of REBOA training using a fully immersive virtual reality (VR) REBOA simulation, as well as assess the confidence in conducting the REBOA procedure before and after the training. Methods Prospective feasibility pilot study of prehospital emergency physicians and paramedics in Bern, Switzerland, from November 2020 until March 2021. Baseline characteristics of trainees, prior training and experience in REBOA and with VR, variables of media use (usability: system usability scale, immersion/presence: Slater-Usoh-Steed, workload: NASA-TLX, user satisfaction: USEQ) as well as confidence prior and after VR training were accessed. Results REBOA training in VR was found to be feasible without relevant VR-specific side-effects. Usability (SUS median 77.5, IQR 71.3–85) and sense of presence and immersion (Slater-Usoh-Steed median 4.8, IQR 3.8–5.5) were good, the workload without under-nor overstraining (NASA-TLX median 39, IQR 32.8–50.2) and user satisfaction high (USEQ median 26, IQR 23–29). Confidence of trainees in conducting REBOA increased significantly after training (p < 0.001). Conclusions Procedural training of the REBOA procedure in immersive virtual reality is possible with a good acceptance and high usability. REBOA VR training can be an important part of a training curriculum, with the virtual reality-specific advantages of a time- and instructor-independent learning.https://doi.org/10.1186/s12245-023-00545-6REBOAVirtual realityTrauma resuscitationMedical education |
| spellingShingle | T. Birrenbach R. Wespi W. E. Hautz J. Berger P. R. Schwab G. Papagiannakis A. K. Exadaktylos T. C. Sauter Development and usability testing of a fully immersive VR simulation for REBOA training International Journal of Emergency Medicine REBOA Virtual reality Trauma resuscitation Medical education |
| title | Development and usability testing of a fully immersive VR simulation for REBOA training |
| title_full | Development and usability testing of a fully immersive VR simulation for REBOA training |
| title_fullStr | Development and usability testing of a fully immersive VR simulation for REBOA training |
| title_full_unstemmed | Development and usability testing of a fully immersive VR simulation for REBOA training |
| title_short | Development and usability testing of a fully immersive VR simulation for REBOA training |
| title_sort | development and usability testing of a fully immersive vr simulation for reboa training |
| topic | REBOA Virtual reality Trauma resuscitation Medical education |
| url | https://doi.org/10.1186/s12245-023-00545-6 |
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