Emergency caesarean simulator to help junior doctors
For the first time, junior doctors will be given the chance to practice an emergency caesarian procedure using a life-size simulator called Desperate Debra.
An emergency caesarian is often called for following the baby’s head becoming stuck in the mother’s pelvis. From this difficult position, the head is required to be pushed back into the uterus before an incision is made in the abdomen to retrieve the baby.
This highly complex and intricate procedure is often an unwelcome shock to doctors who are thrust into the situation for the first time in a real-life scenario. While the training should prepare the doctors for such an eventuality, the advantages that a real-life simulation would give trainees could be invaluable.
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British medical team and manufacturers, Adam,Rouilly developed Debra, realising the need for the training manikin, given that 10-20 emergency caesarians are carried out every day.
“Of all the women who reach full dilatation, somewhere between about two and five percent will end up needing this type of operation,” explained Andy Shennan, professor of obstetrics at Guy’s and St Thomas’s Hospital.
Shennan was also a pivotal figure in developing the projects and further expressed the significance of Debra:
“Because caesareans are any time day or night, it is very likely that the doctor who’s doing this is not that experienced and may not have come across a similar delivery before. So the first time you’re exposed to this problem is often in a real-life situation.
“There are other teaching models a bit like it, but certainly nothing that mimics the difficulty of getting the head out during a caesarean.”
The device, designed by Dr Graham Tydeman of NHS Fife, has received so much critical acclaim upon its unveiling that it is now thought that it will be used to further refine the procedure, as well as using it as a benchmark for future birth simulators.
“The model is really attractive in the sense that you don’t have lots of calibration and electronics and keyboards and things to go wrong, which has been an issue with other models,” asserted Gabriel Ogwo, product development manager at Adam,Rouilly.
Jvion launches AI-powered map to tackle mental health crisis
Clinical AI company Jvion has launched an interactive map of the US that highlights areas that are most vulnerable to poor mental health.
The Behavioral Health Vulnerability Map uses Jvion's AI CORE™ software to analyse public data on social determinants of health (SDOH) and determine the vulnerability of every US Census block group.
Vulnerability refers to the likelihood that residents will experience issues like self-harm, suicide attempts or overdoses. The map also identifies the most influential social determinants in each region, to show the social and environmental conditions that contribute to mental illness.
As an example, the map shows that Harrison County in Mississippi has a 50% higher suicide rate than the rest of the state. It also shows a high percentage of individuals in the armed forces at a time when active duty suicides are at a six-year high, along with a high prevalence of coronary artery disease, arthritis, and COPD, all chronic illnesses that are linked to a higher suicide risk.
The map also shows Harrison County has a high percentage of Vietnamese Americans, who studies suggest have high rates of depression and may be less likely to seek help from mental health professionals.
The map was built using the same data and analytics that Jvion used to create the COVID Community Vulnerability Map, which was launched towards the start of the pandemic.
With this new map, Jvion is aiming to tackle the growing mental health crisis in the US. “At a time when so many Americans are struggling with their mental health, we’re proud to offer a tool that can help direct treatment resources to the communities that need it most,” said Dr John Showalter, MD, Jvion’s chief product officer, who led the development of the map.
“For too long, the healthcare industry has struggled to address social determinants of health, particularly in the context of behavioural health. Our hope is that by surfacing the social and environmental vulnerabilities of America’s communities, we can better coordinate our response to the underlying conditions that impact the health and wellbeing of people everywhere.”