Simulation-based Training System for Junctional and Noncompressible Hemorrhage

Deployed military medics and non-medic soldiers on the battlefield may be required to manage junctional and noncompressible hemorrhage. Devices such as the Combat Ready Clamp (CRoC) and abdominal aortic tourniquet have recently been developed and deployed to meet this requirement. There are currently no realistic training systems for these devices which can limit their effectiveness in the field. For example, current training on the CRoC is limited to learning how deploy the device on unwounded, non-bleeding human volunteers. Operative Experience, Inc. proposes to meet this requirement through the development of a training program based on an anatomically accurate, vascularized, human body simulator with standardized size and weight, standardized artificial blood vessels and tissues, standardized blood pressure and flow and multiple, junctional wound patterns. These models will be based on our operative surgical model technology. The phase I effort will focus on a high-fidelity physical simulator of the shoulder with pressurized blood flow in an artificial axillary artery that is compressible by a properly-placed Combat Ready Clamp and that can exposed and clamped by surgical means.