Step 1. 

DOWNLOAD the latest Exonicus Trauma Simulator software .zip file for your VR ready gaming PC and Oculus Rift S or Quest. It takes 47 seconds to download, unzip and to enter the virtual Emergency Room for trauma simulation.

Step 2. 

By downloading Exonicus Trauma Simulator software on your PC you agree to End User License Agreement.

Trauma Simulator is NOT collecting information about equipment, system, or application software and peripherals. All data in relation to use of Licensed software belongs to you and is stored on your computer.

Step 3. 

New version of the Exonicus Trauma Simulator is released every two weeks. If you would like to receive an update about the latest version please let me know by contacting me at CONTACT.

Step 4. 

Learn how use controllers with Oculus First Steps

Oculus Virtual Reality is designed for free-play movement and interaction with the virtual world via two VR controllers and physical body movement of the user.

Button functions for the Exonicus Trauma Simulator software:

1. Left Thumbstick is for moving forward, backward, to left and right. 

2. Right Thumbstick is for 360 degree rotation

Use Thumbsticks for moving only when having a limited area and seated. Be aware of motion sickness caused by using Thumbsticks.

We recommend to use Exonicus Trauma Simulator in an empty room of size of minimum 15 feet by 9 feet by physically walking and hand movements. Maks sure you have Guardian system properly set up!

We recommend to use Exonicus Trauma Simulator in an empty room of size of minimum 15 feet by 9 feet by physically walking and hand movements. Make sure you have the Guardian system properly set up!

3. To open the tablet with the menu push down or one click left Thumbstick. To close click again.

4. Trigger one click is for taking an object and second click is to place it

5. Oculus Grip button is for to drop an object

6. For actions what require time component need to hold Trigger

7. To skip a step in training scenario hold down any button on right controller longer than 2 seconds

Step 5.

Walk to the Log-in screen, type in username password (request your password at sandis.kondrats@exonicus.com) to select a training scenario and go to the training room. 

Step 6.

Scenarios are written by emergency physicians of the Madigan Army Medical Center and Rigas Stradins University and based on ATLS (Advanced Trauma Life Support). Select a scenario and walk to the Training or Simulation room.

Selected scenario within the Learning room has a predefined path displayed to the user with the blue triangle and written instructions. Training protocol is chosen by the author of the scenario. Training has no time limitations and reporting.

Step 7. 

Selected scenarios within the Simulation room are recorded for reporting purposes based on grading/scoring given by the author of the scenario. There is a time limitation (5 minutes) to perform ABCDE, critical actions and to choose disposition based on given choices. There are no instructions or predefined path.

The user is presented with a virtual patient where a standard physical exam is possible, including pupils that react to light, tympanic membrane exam, breathing (chest rise/fall), breath sounds, heart sounds, bowel sounds, pulse that can be felt at neck/wrists/groin/feet, patient moans in pain when player interacts with region with respective injury, shows a normal/abnormal fast ultrasound exam, can vomit, bleed, and responds to simple verbal commands.

The interactive vital sign monitors respond/react through correlating injury modules that include airway injury, pneumothorax, hemorrhage, extremity injury, and internal bleeding.

Incorporation of supporting characters – a Nurse and/or Medic that respond to directives through simple verbal commands and assist with aspects of the simulation.

The virtual medical devices include: Oxygen Mask, Endotracheal Tube, Laryngoscope, Nasal Airway, Suction Catheter (Yanker Suction Catheter), Ambu Bag, Needle Decompression Device, Scalpel, Hemostat, Chest Tube, Gauze (Combat Gauze Packing), IV Catheter x3, Intravenous Fluid Bag (Normal Saline), IV Tubing (from Fluids, Blood to Intravenous line in arm), Blood Cooler (With Blood Products Bag inside), Interosseous Drill/Interosseous Needle, Tourniquet, C-Collar, Splint (SAM Splint), Trauma Shears, Blood Pressure Cuff (hanging of monitor or by crash cart), Cardiac Monitor Leads (5 Colors), O2 Saturation Probe, Otoscope, Ultrasound Probe, Pelvic Binder, Glove Box/PPE, Boxes With Labels, Medicine, Blanket/Sheet, Betadine Swabs, Stethoscope, Tablet for Lab/Imaging review, and Cardiac Arrest/Defibrillation Pads.

Animations are triggered by objects being placed in the respective location close to the patient includes: Putting on Gloves, Depiction of the initial Accident that Caused the Injuries, Tourniquet Placement, take an X-Ray, Intubation, Needle Decompression of Pneumothorax, Oxygen Mask Placement,  Ambu-Bag Use, Intravenous Line Placement, C-Collar Placement, Leg Splinting, Nasal Airway Placement, Clothing Removal, Intravenous Fluid/Blood hanging/initiation, Blood Product Initiation, Blood pressure cuff placement, Cardiac Monitor Placement, O2 Saturation Probe Placement, Pelvic Binder Placement, Interosseous (I/O) Needle Placement, Cardiac Arrest Pad Placement, Chest Tube Insertion, Cricothyrotomy Placement, and Central Line Placement.

A display for use throughout the simulation allows for order entry, lab retrieval, review of the radiology results, and the selection for the final disposition of the patient.

Step 8.  

Final report what you reviewed at the end of the Simulation scenario is recorded in corresponding Exonicus Trauma Simulator folder under Trauma Simulator_Data within subfolder Logs