Revived Mannequins Breathe New Life Into Training by U.S.
Navy Dawn Grimes, NMRTC Guantanamo Bay
May 4, 2022
Hospital Corpsman Ethan Church departed US
Navy Medicine Readiness and Training Command Guantanamo Bay (US
NMRTC GB) several weeks ago.
However, the contributions he made during
his 18-month tour live on in the life-like mannequins that are
helping medical staff keep their life-saving emergency medicine
skills honed and ready.
November 8, 2021 - Naval Medical Forces Atlantic (MEDLANT) Rear Adm. Darin K. Via present HN Ethan Church US Navy Medicine Readiness and Training Command with a flag officer coin for his extensive efforts to improve the quality of training at the command. (U.S. Navy photo by Dawn Grimes, NMRTC Guantanamo Bay)
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When he arrived in October 2020, the
London, Kentucky native was assigned to the Staff Education and
Training (SEAT) department. It wasn’t the assignment he expected,
but due to an extreme shortage in training staff, Church, right out
of “A” school, was not only assigned, but for a short while, served
as Lead Petty Officer. Almost immediately, he took an interest in
the department’s training mannequins.
“When I got here, these things were
useless, just negative space and only one person knew how to use
them, Lt. Williams,” Church said. “Of course, her primary job was
taking care of patients and she couldn’t come out to SEAT to make
them work,” he explained. “It started out with me just trying to
figure out on my own all the things they could do I thought it was
neat ‘oh they can do this and that.’” His curiosity earned him an
opportunity to undergo two-weeks of formal instruction at Navy Yard
Portsmouth, Virginia. Two classrooms there simulated a battlefield
environment, the other, an Operating Room. “I learned all about
them, how they work, how to program, take them apart, clean them."
Returning to Guantanamo Bay, the newly trained technician set
out to revive the training department's lifeless mannequins and give
them a leading role in a variety of training scenarios including
mass casualty drills, the command’s quarterly Round Robin Skills
Training and during unannounced emergency drills.
“As the only qualified Enlisted Simulation
Technician in the command, he programed and ran the 'SIM-Man'
mannequin for the providers in the hospital to practice on.” Cmdr.
Kristen Edgar, SEAT Department Head said. “During quarterly
training, a mannequin was used to insert NG tubes to aspirate the
contents of the stomach and practice feeding and monitoring the
vitals while being inpatient," she said, adding,. “His ability to
plan and operate training aids has been invaluable and greatly added
to the successful and ever improving training for the command.”
Church managed, tracked, and maintained 21 mannequins, each with
unique capabilities for complimenting and enhancing medical
readiness training like ‘SimMan 3G’, a patient simulator created to
simulate Pharyngeal swelling, Laryngospasm, Needle Thoracentesis,
and other medical conditions. ‘SimMan 3G Trauma’ provides students
the opportunity to practice responding to Arterial and Venous
bleeding, Surgical Cricothyrotomy (a procedure that involves placing
a tube through an incision in the cricothyroid membrane) as well as
practice responding to amputated limbs.
“They’re very
life-like, they can hold up to a pint of liquid that simulates
blood, they talk and cry out and they have eye-tracking,' Church
said, adding that the impact the mannequins make is evident. “Most
of the time it’s not what people say when they’re training, it’s
what they look like," he said. “During our last Code Purple, you
could see they were really being tested they were stressing out -
decisions had to be made - after the drill they were like, ‘that was
one of the best trainings I’ve ever done.’”
Code Purple
simulates an obstetrics emergency. The command’s most recent Code
Purple occurred after Church’s rotation and used the mannequin named
‘Victoria.” The advanced simulator has accurate anatomical
proportions and allows students to train using the obstetric tools
they use in real patient care scenarios and simulates all stages of
labor - from antepartum to postpartum.
April 26, 2022 - U.S. Navy Lt. Cmdr. Kristen Elmezzi responds to Code Purple Drill simulating birth with shoulder dystocia, also called birth trauma with “Victoria,” a Simulation Mannequin used during training at US NMRTC Guantanamo Bay. (U.S. Navy photo by Dawn Grimes, NMRTC Guantanamo Bay)
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For this drill, a
code was called for simulating birth with shoulder dystocia, also
called birth trauma, that happens when one or both of a baby's
shoulders get stuck inside the mother's pelvis during labor and
birth. “We just have fewer resources,” said Lt. Cmdr.. Kristen
Elmezzi US NMRTC GB OB-GYN. “We have phenomenal and competent
physicians, but being in an isolated location without ICUs or a big
medical center very close by, these drills are essential to ensuring
that we’re all keeping up our skills – from the OBGYN to everybody
involved.”
The Code Purple drill also employed, ‘Super Tory’
a newborn simulator so life-like that it startled the responding
physician. The infant simulator is designed to recreate the
challenges of neonatal care specialist training in real environments
and features active movement, true ventilator support and real
patient monitoring. “Even though the moms who stay here to deliver
are expected to have healthy babies, any labor has the potential to
be very dangerous,” Elmezzi said. “That’s why you want to make sure
that we’re doing these drills and that they’re as realistic as
possible.”
As training leader for the command, Cmdr. Edgar,
puts high value on the benefits of training with the mannequins
Church revitalized. “Simulation in healthcare creates a safe
learning environment in which healthcare practitioners can learn new
skills and hone existing individual and team skills.” Edgar said.
Lt Cmdr. Elmezzi, who joined the command after Church,
echoed, “I don’t know how it was before I was here, but while I was
here, I really feel like he took our simulations to the next level
he really ran with this idea,” she said. “I handed him some
materials in terms of simulations topics, and he took it and he
created phenomenal drills. He really got the mannequins ready to
roll and he made it so the rest of the SEAT team are prepared to
continue, that was shown in our last drill, the SEAT team were ready
and on it and completed the simulation without any hiccups.”
Last November, Church was recognized by Naval Medical Forces
Atlantic Commander, Rear Adm. Darin K. Via who presented him with a
flag officer coin for his extensive efforts to improve the quality
of training at the command. He has now reported for duty with 1st
Marine Division, 5th Regiment Camp Pendleton California. “I want to
be in the field, that’s where every corpsman should want to be,
that’s where corpsmen originated.” About his time and experience in
Guantanamo Bay, Church said, “I couldn’t do patient care, so I found
my own way. I’ve learned a lot and I feel fortunate that I got to
play a role in patient care making a difference for how our doctors
and corpsmen are ready.“
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