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Progress Reports from 2008 Fellow Scholarship Recipients

Written by JMSA Admin on . Posted in Latest


Tomo Tarui, MD

Dr. Tarui is developing projects to offer support for families with pediatric neurological conditions in Boston area. Together with a social worker, he has already held two meetings for such families. With the help of Dr. Nakamoto, Dr. Tarui has partnered with the Consulate General of Boston, hopefully to expand the program. On August 12th, Dr. Tarui organized a seminar at the Consulate General of New York to discuss issues related to raising children in Japan and the United States. Professor Tsutsui from the Japanese Red Cross College of Nursing and various members of the healthcare community were invited to lead the discussions.
Tomo Tarui, MD
Pediatric Neurology
Children’s Hospital Boston
Akira Nishsiaki, MD 
Distant Simulation Project –Stage 1 Activity Report

Stage 1-Running a simulator at a distant site and achieve communication with images. 

To identify barriers and technical challenges against establishing the real-time bidirectional communication with video- images and sounds to perform distant simulation-based education and debriefing. To test the system from informational technology safety perspective.

June 7, 2008 from 7:00am-8:30am US EST, 8:00pm-9:30pm at Tokyo, Japan

Participating Sites: 
National Center for Child Health and Development, Japan. 
The Children’s Hospital of Philadelphia, USA
From NCCHD: Dr. Ikeyama, Dr. Sudo, Dr. Kuga, Dr. Enomoto
From CHOP: James Scott, Akira Nishisaki
From Laerdal, Japan for technical support: Ms. Ando, Mr. Yamamoto, Mr. Fujisawa (Nobu)

What was achieved:
A. Tokyo and we successfully established our dual communication through Skype®.  
B. Our Skype® account name is Chop Simcenter   username: XXXXX
C. We successfully ran their simulator (SimBaby®) through NCCHD Logmein account (XXXXXXX). 
D. We test-ran a 3 minute Scenario with Laryngospasm in PACU. 
E. We have identified the following:
1. Logmein will not provide any sound or video images
2. Logmein will not provide video-debrief opportunity including vital signs.
3. AVS client® at CHOP to obtain realtime images and sounds at the training site (NCCHD) will be a solution. 
4. To achieve this, CHOP and NCCHD need to open Port 5001.
5. Three simultaneous communication system will be necessary through two PCs. One is Simulator Operation PC, Second for Laerdal Client for realtime image and sounds, Third for dual communication through Skype®. 
6. The Second and Third communication will be achieved by one PC. 
7. Dr. Hashimoto, Anesthesiologist at NCCHD, will take over this project. Nobu-san at Leardal will continue this technical support.
8. CHOP needs a dedicated laptop PC to serve ‘6’, which requires 1GB RAM, 2GB dual core processor.
9. Will need a microphone and speaker to effectively debrief a team with 4-6 people. CHOP will use a headphone system.

Next Step (Stage 2):
1. Request to open Port 5001 for video-data transmission through Laerdal AVS client. Jim will submit a ticket (CHOP). NCCHD will work on this as well.
2. Create a share folder between NCCHD and CHOP Sim Center for debrief files and for scenarios (Jim and Dr. Takahashi will work on this.)
3. Test the AVS client system as soon as both ports are open. We expect this early July.
4. Dr. Ikeyama and I are going to develop evaluation tool for remote simulation..
5. Dr. Ikeyama will send us his Surveymonkey draft for this purpose.
6. We aim to go live late July-early August. We set up a date.
7. CHOP requires 1GB RAM, 2GB dual core processor-laptop for this project. Laerdal Japan will communicate this with Laerdal US. 
8. NCCHD will prepare a microphone, and speaker system for next rehearsal. 

Respectfully submitted.


Akira Nishsiaki, MD
Anesthesiology and Critical Care Medicine
Center for Simulation, Advanced Education and Innovation
The Children’s Hospital of Philadelphia

Figure 1:

Distant Simulation System
distant stimulation image

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