Code Blue VR vs AngioAID 3D

Sudden cardiac arrest (SCA) presents a difficult clinical problem, as it often occurs with little warning and requires a complex set of resuscitative actions to be instituted within minutes. Therefore, survival from cardiac arrest is poor, with out-of-hospital SCA survival to discharge generally reported at less than 10%, and survival from in-hospital SCA estimated at 18%. Additionally, multiple errors are made during resuscitation of the patient with sudden cardiac arrest. Clinical simulation has been shown to improve the resuscitation outcomes of patients with SCA. However, clinical simulation is resource intensive, requiring a high faculty to learner ratio. Consequently, only a small number of healthcare personnel can undergo regular repeated training required for optimal outcomes. With the use of 360-degree video, it may highlight common and fatal errors in a contextual manner where a constant stream of data are received, communicated and interpreted by a team of doctors, nurses and respiratory therapist. Hence there is a potential that 360-degree videos can improve the resuscitation of the patient with SCA when combined with simulation training. The utility of 360-degree videos could potentially facilitate the medical education and training of healthcare staff to deliver effective resuscitation for better patient outcomes.

AngioAID 3D is educational tool designed to teach key concepts of diagnostic angiography of coronary arteries. Developed at the Mount Sinai Hospital in New York City, New York State's highest volume cardiac cath lab, we aim to provide an interactive learning experience on this important topic. Within a 3D live simulation, you begin by advancing a diagnostic guidewire into the aortic root. Then, advance one of many diagnostic catheter options to either the right of left coronary ostium. Through pushing and pulling, as well as rotation of the catheter, try to achieve a truly co-axial engagement of the coronary ostium with the catheter. Meanwhile monitor the hemodynamic tab which simulated damping from over-engagement or roofing of the catheter tip. Line up the view with the target view, zoom to fill the screen with he coronaries, and rotate the C-Arm LAO/RAO and Cranial/Caudal until you're where you think you need to be. Finally, inject dye and take a cine to compare with the one we actually did in the cath lab for this set of coronaries. In addition to the diagnostic simulation, "Review Mode" allows you to play with angles and panning while always being able to see the vessels with no dye injection needed. Also a collection of key topics have been included within the review mode such as key angiographic angles depending on what you're aiming to see clearly, vessel segmentation conventions, and more coronary anatomy and angiography pearls. We highly recommend you view the tutorial video that is available when you first open the application or from the settings page to understand all of the available functions. The first launch has a normal set of coronary arteries but please stay tuned while we create more sets of coronaries such as anomalous coronaries and bypass grafts.