STOPS Cut Suit — Beaver Creek’s Birds of Prey World Cup downhill

Cutman

by Paddy O’Connell, photo by Dominique Taylor 

The radio squawks and your heart is a 10-pound sledgehammer. A racer on Beaver Creek’s Birds of Prey World Cup downhill course compressed awkwardly at 67 miles per hour and tomahawked through the orange safety fencing. You arrive to bloodstained snow. A femur bone—splintered like a broomstick—protrudes from the skier’s right thigh. Blood garden hoses from the wound. The patient screams in agony. His femoral artery is severed. He will die in less than five minutes if you can’t stop the bleeding. It’s all up to you.

OK, breathe. This is only a drill. The skier is a med student from Rocky Mountain Vista University School of Medicine (RMVU) wearing a Strategic Operations’ Cut Suit, a hyper realistic field surgical simulator. Even the fake blood looks, feels, and smells authentic. Another med student remotely squirts liter after liter of fake blood out of the prosthetic wound. This is the most intense of the five on-mountain training scenarios Dr. Larry Gaul, United States Ski and Snowboard Association (USSA) Chief Medical Officer, and Dr. Tony LaPorta, professor of surgery at RMVU, are using to train 70 World Cup volunteer doctors in emergency medical procedures at a Beaver Creek seminar.

USSA has employed the Cut Suit for the last five years, to recreate World Cup injuries. The compound femur scenario comes from Aksel Svindal’s 2007 Beaver Creek crash, which nearly cost him his leg and career. The quick response of the medical staff saved Svindal. The context, and the realism of the Cut Suit produces the emotional, psychological, and physiological reactions physicians experience in a crash like Svindal’s—and force them to fight through them. “The Cut Suit creates that same stress,” says Kit Lavell, Executive Vice President of Strategic Operations. “The body engages the fight or flight response. Participants exhibit the same real life response to trauma: tunnel vision, auditory exclusion, loss of fine motor skills.”

The goal isn’t to eliminate those stressors. Performing while a patient is bleeding to death is inherently stressful. But, says Lavell, with training, you can perform better under pressure.

Back in real time, blood is sprinkling the snowpack. You drop next to the shrieking skier, ask his name, tell him who you are, and that you’re here to help. Your chest swells with quick, short breaths. Your hands shake as you pull on blue latex gloves. But you’re in the zone when the cuff snaps on your wrist. The racer’s head jerks back and he bellows as you dig your left knee into his hip crease and put pressure on the laceration with your right hand. The warm, quick flow of blood pulses through your fingers at first, but slows as you weight your knee. A toboggan with a full medical kit and tourniquet is on the way. You are the first responder at a World Cup—and you just saved a skier’s life.

From the Deep Winter issue.

CAE Healthcare and Strategic Operations

Pour la presse spécialisée

CAE Santé annonce un accord de distribution exclusive avec Strategic Operations pour des combinaisons de simulation en traumatologie (Cut Suit)

Montréal (Canada), le 18 septembre 2015 – CAE Santé a annoncé aujourd’hui qu’elle a signé un accord exclusif avec l’entreprise Strategic Operations pour distribuer leurs combinaisons de simulation en traumatologie (Cut Suit) et d’autres produits de simulation destinés à la formation, et ce, à l’échelle mondiale, à l’exception des États-Unis. Conçue pour simuler les soins sur les lieux d’un accident, la combinaison de simulation chirurgicale en traumatologie (Surgical Cut Suit) permet aux premiers intervenants et aux médecins de s’exercer aux procédures d’urgence médicales et chirurgicales sur des patients avec des lésions traumatiques et blessures sévères simulées.

Strategic Operations, une entreprise de San Diego (États-Unis), simule des scénarios d’intervention médicale sur les lieux d’un accident en faisant appel à la « magie d’Hollywood » avec des environnements de formation ultra-réalistes comprenant des effets spéciaux, des acteurs et des blessures simulées. Strategic Operations a mis au point une gamme de produits de simulation médicale que des acteurs ou des patients simulés peuvent porter pour permettre une simulation interactive en temps réel avec des patients simulés victimes de traumatismes. Les combinaisons de simulation chirurgicale en traumatologie (Surgical Cut Suit) et de simulation en secourisme en situation de combat (Tactical Combat Casualty Care (TCCC)/EMS Cut Suit) peuvent également être mises sur un mannequin pour augmenter le réalisme d’un scénario.

« Strategic Operations a créé une remarquable gamme de produits de simulation qui s’ajoute à notre catalogue et que nous pouvons utiliser de concert avec des patients simulés et nos simulateurs de patients afin de diversifier les scénarios de formation en traumatologie », a déclaré le Dr Robert Amyot, président de CAE Santé. « Comme CAE Santé, Strategic Operations a fait appel à des leaders d’opinion et des experts cliniques pour mettre au point des outils de formation pour des scénarios de soins médicaux d’urgence qui sont courants, mais pour lesquels il est impossible de s’exercer sur de vrais patients, dans le but commun de sauver plus de vies. »

« Nous sommes ravis de faire partie de la vaste gamme de solutions de formation de CAE Santé », a affirmé Kit Lavell, vice-président exécutif de Strategic Operations. « Nos produits sont très complémentaires et je crois que cette synergie sera accueillie favorablement par le marché. »

Les combinaisons de simulation chirurgicale en traumatologie (Surgical Cut Suit) et de simulation en secourisme en situation de combat (Tactical Combat Casualty Care (TCCC)/EMS Cut Suit) ont été mises au point pour traiter les trois principales causes de décès sur les champs de bataille : hémorragie, obstruction des voies respiratoires et pneumothorax sous tension. Les combinaisons de simulation chirurgicale en traumatologie permettent de s’exercer sur un patient simulé atteint d’une grave hémorragie interne ou de sévères lésions d’organes, des lieux d’un accident jusqu’au transport du patient, en passant par l’intervention chirurgicale. Strategic Operations a récemment attiré l’attention des médias lorsque sa combinaison de simulation a été utilisée en état d’apesanteur dans le ciel d’Ottawa (Canada) dans le but de simuler une intervention chirurgicale de sauvetage dans l’environnement le plus hostile : l’espace. (articles en anglais : http://www.lfpress.com/2015/07/24/space-surgeon et http://www.gizmag.com/medical-team-attempts-simulated-zero-gravity-surgery/38330/).

« La combinaison de simulation chirurgicale en traumatologie (Surgical Cut Suit) fait partie d’un programme de formation unique offert à l’école d’ostéopathie de la Rocky Vista University, au Colorado, et mis au point avec notre aide », a ajouté Stu Segall, président de Strategic Operations. En plus des pathologies, la combinaison de simulation chirurgicale en traumatologie permet de simuler diverses procédures : maîtrise d’une hémorragie à l’aide d’un garrot ou en suturant ou agrafant des organes internes, ligature artérielle ou clampage artériel, cricothyrotomie, thoracentèse par trocart, suture d’organes internes et de la peau ainsi que l’établissement d’un accès veineux périphérique. Les deux combinaisons sont personnalisables selon le scénario voulu et peuvent être réparées en vue d’utilisations ultérieures.

Strategic Operations a également mis au point un système de pompe pour du sang simulé que l’on peut commander à distance, des combinaisons de simulation de lésion secondaires à une explosion pour simuler le traitement d’hémorragies graves au-dessus du genou et au-dessus d’un garrot, un outil de formation en secourisme en situation de combat 6 en 1, ainsi qu’un torse simulé servant à offrir des formations sur diverses procédures visant à dégager les voies respiratoires et à rétablir la respiration.

CAE Santé et Strategic Operations feront une démonstration de ces produits à des conférences en médecines civiles et militaires à venir et à l’International Meeting for Simulation in Healthcare (réunion annuelle sur la simulation en soins de santé) qui aura lieu à San Diego en janvier 2016.

À propos de Strategic Operations

Strategic Operations Inc, dans le giron de Stu Segall Productions, un studio cinématographique complet basé à San Diego (Californie), offre des services et des produits de formation ultra-réalistes (Hyper-RealisticMC) aux organismes militaires, aux organismes responsables de l’application des lois et aux autres organismes responsables de la sécurité intérieure. L’entreprise fait appel à des effets spéciaux cinématographiques pour simuler des situations de combat et des blessures de combat, des acteurs, des leaders d’opinion, des scénarios de formation et des systèmes de simulation médicale tels que la combinaison de simulation en traumatologie (Cut Suit) dans le but de créer les environnements de formation les plus uniques de l’industrie. Au cours des 13 dernières années, Strategic Operations a offert des services de formation ultra-réalistes à plus de 750 000 premiers intervenants d’organismes civils, militaires et organismes responsables de l’application des lois. STOPS Tactical Training Canada LLC, une filiale de Strategic Operations, a son siège social en Alberta, au Canada. Pour de plus amples renseignements, visitez le www.strategic-operations.com.

Suivez-nous sur Twitter à @StrategicOps

À propos de CAE Santé

CAE Santé fournit des outils d’apprentissage de pointe aux étudiants et aux professionnels de la santé, ce qui leur permet de s’exercer sans risque à l’aide d’une plateforme de simulation avant de mettre en application leurs aptitudes sur de réels patients. La gamme complète de solutions de simulation de CAE Santé inclut la simulation chirurgicale et la simulation de l’échographie, les programmes, la plateforme audiovisuelle de gestion de centres LearningSpace et les simulateurs de patients (nourrisson, enfant et adulte) hautement réalistes. À l’heure actuelle, près de 9 000 simulateurs et solutions audiovisuelles de CAE Santé sont utilisés dans le monde par des écoles de médecine, des écoles de soins infirmiers, des hôpitaux, des forces de défense et d’autres entités. www.caesante.com

À propos de CAE

CAE (NYSE : CAE; TSX : CAE) est un chef de file mondial en prestation de formation dans les domaines de l’aviation civile, de la défense et sécurité, et des soins de santé. Nous concevons et intégrons les solutions de formation les plus complètes de l’industrie, grâce aux connaissances et au savoir-faire de nos 8 000 employés, de nos technologies de simulation de renommée mondiale et de notre réputation en matière de service et d’innovation technologique s’échelonnant sur sept décennies. Notre présence mondiale est la plus vaste de l’industrie, avec 160 établissements et centres de formation situés dans 35 pays, y compris les activités de nos coentreprises, et le plus important parc de simulateurs de vol au monde. Chaque année, nous formons plus de 120 000 membres d’équipage civils et militaires, ainsi que des milliers de professionnels de la santé. www.cae.com

Suivez-nous sur Twitter à @CAE_Inc

CAE and Strategic Operations

Trade Press Release

CAE Healthcare announces exclusive distributor agreement with Strategic Operations for medical simulation trauma surgical suits

Montreal, Canada, September 18, 2015 – CAE Healthcare announced today that it has signed an exclusive rights agreement to distribute the Strategic Operations (STOPS) Surgical Cut Suit and other simulation training products in all parts of the world outside the United States. Designed for point-of-injury care, the Surgical Cut Suit allows first responders and physicians to practice performing surgical and emergency procedures on patients with simulated traumatic, life-threatening injuries.

Based in San Diego, USA, STOPS simulates medical response field scenarios through the “magic of Hollywood,” with hyper-realistic training environments that include special effects, role players and simulated wounds. STOPS has developed a line of medical products that can be worn by actors or Standardized Patients (SPs) to allow real-time interaction with a trauma patient. The Surgical Cut Suit and Tactical Combat Casualty Care (TCCC)/EMS Cut Suit vest can also be zipped around a manikin to add realism to a scenario.

“Strategic Operations has created a spectacular line of simulation products that complement our portfolio and can be used in conjunction with Standardized Patients and our patient simulators to add versatility to trauma training scenarios,” said Dr. Robert Amyot, President of CAE Healthcare. “Like CAE Healthcare, Strategic Operations has employed subject matter and clinical experts to create training tools for emergency medical scenarios that are common but impossible to practice on live patients with the shared goal of saving more lives.”

“We are pleased to be part of the CAE Healthcare extensive portfolio of training solutions,” STOPS Executive Vice President Kit Lavell said. “Our products are very complementary and I believe the market will respond enthusiastically to this new synergy.”

The TCCC/EMS Cut Suit was developed for treating the three primary causes of death on the battlefield: hemorrhage, airway compromise and tension pneumothorax. The Surgical Cut Suit allows practice on a patient with severe internal bleeding or organ damage from point-of-injury through transport and surgical intervention. STOPS recently garnered media attention when the Cut Suit was used in a gravity-free environment in the skies above Ottawa, Canada to simulate damage control surgery in the ultimate austere environment – space. (http://www.lfpress.com/2015/07/24/space-surgeon and http://www.gizmag.com/medical-team-attempts-simulated-zero-gravity-surgery/38330/)

“The Surgical Cut Suit is part of a unique educational curriculum that Rocky Vista University College of Osteopathic Medicine in Colorado developed with our help,” said STOPS President Stu Segall. Besides pathologies, Surgical Cut Suit procedures include hemorrhage control by tourniquet or by suturing and stapling of internal organs, arterial ligation or clamping, surgical cricothyrotomy, needle thoracentesis and suturing of internal organs and skin and peripheral IV access. Both suits can be customized based on the scenario and are repairable for multiple uses.

STOPS has also created a blood pumping system that can be controlled remotely, blast trousers for treatment of severe bleeding injuries that are above the knee and above tourniquet placement and also a 6-in-1 TCCC trainer, an upper torso that provides training for multiple procedures to clear airways and restore breathing.

CAE Healthcare and Strategic Operations will demonstrate the products at upcoming military and civilian medical conferences and at the International Meeting for Simulation in Healthcare (IMSH) in San Diego in January of 2016.

About Strategic Operations

Strategic Operations Inc., on the lot of Stu Segall Productions, a full-service TV / movie studio in San Diego, Calif., provides “Hyper-RealisticTM” training services and products for military, law enforcement and other organizations responsible for homeland security. The company employs state-of-the-art Hollywood battlefield special effects, combat wound effects, medical simulation systems like the “Cut Suit,” role players, subject matter experts, and training scenarios to create training environments that are the most unique in the industry. Over the last 13 years Strategic Operations has provided Hyper-RealisticTM training support to more than 750,000 military, law enforcement, and civilian first responders.  STOPS Tactical Training Canada LLC, a subsidiary of Strategic Operations, has headquarters in Alberta, Canada. For more information, visit www.strategic-operations.com.

Follow us on Twitter @ StrategicOps.

About CAE Healthcare

CAE Healthcare offers cutting-edge learning tools to healthcare students and professionals, allowing them to develop practical experience through risk-free simulation training before treating real patients. CAE Healthcare’s full spectrum of simulation solutions includes surgical and imaging simulation, curriculum, the LearningSpace audiovisual and center management platform and highly realistic adult, pediatric and baby patient simulators. Today, approximately 9,000 CAE Healthcare simulators and audiovisual solutions are in use worldwide by medical schools, nursing schools, hospitals, defence forces and other entities. www.caehealthcare.com

About CAE

CAE (NYSE: CAE; TSX: CAE) is a global leader in the delivery of training for the civil aviation, defence and security, and healthcare markets. We design and integrate the industry’s most comprehensive training solutions, anchored by the knowledge and expertise of our 8,000 employees, our world-leading simulation technologies and a track record of service and technology innovation spanning seven decades. Our global presence is the broadest in the industry, with 160 sites and training locations in 35 countries, including our joint venture operations, and the world’s largest installed base of flight simulators. Each year, we train more than 120,000 civil and defence crewmembers, as well as thousands of healthcare professionals. www.cae.com

Follow us on Twitter @CAE_Inc

Practicing Tactical EMS on the “Cut Suit”

By: Shannon Pieper

"Hyper-Realistic" Training

A medic attends to a downed pilot during training at the HALO Conference.

First responders, military special ops and government counterterrorism personnel gathered for the HALO Corporation’s Counterterrorism Summit last week in San Diego. Although the overall attendee and exhibitor attendance took a big hit from Superstorm Sandy, which prevented many people from traveling, one highly attended event was the Downed Pilot Rescue, conducted by the training company Strategic Operations.

Led by a president with 35 years in the film industry and an executive vice president who flew 243 combat missions in Vietnam, Strategic Operations creates what it terms “hyper-realistic” training. It combines Hollywood battlefield special effects, combat wound effects, medical simulation systems and role players to produce an environment that is so close to real that participants react with the stress and fear of a live event—and thus learn valuable lessons about how to react under combat. The company has provided training support to more than 600,000 military personnel, but it is also branching into the public safety sector, as evidenced by the HALO event and a recent training with the San Diego Fire Department.

The HALO training demonstration featured a “developing-world” (think Afghanistan) village, constructed specifically for the training, as well as a team of actors who impersonated villagers and insurgents. Former Navy SEALs formed the airborne quick reaction force (QRF), and members of San Diego-area SWAT formed the force that eventually took over the village.

The scenario: A downed pilot is trapped in the village. The QRF parachutes into the village to attempt to extract the downed pilot while the opposition force fires rocket-propelled grenades (RPGs) and small arms fire at them. The quick reaction force fights off the opposition, fights its way into the village, locates and administers aid to the pilot, extracts him and leaves.

A key component of the demonstration involved the QRF administering medical care to the downed pilot. This training featured the use of the “cut suit,” which is an incredibly realistic suit worn by the victim that allows first responders to perform medical care procedures. And we’re not talking simple things like applying bandages. The cut suit allows for the practice of:

  • Extremity tourniquet application and hemorrhage control
  • Extremity arterial hemorrhage clamping
  • Needle and Surgical Chricothyroidotomy
  • Bilateral Chest Needle Thoracentesis
  • Surgical Chest Tube Thoracotomy
  • Surgical incisions to the thoracic and abdominal cavity with venous bleeding
  • Thoracotomy & intra-thoracic exploration and hemorrhage control of gross organ structures
  • Laporotomy & intra-abdominal exploration and hemorrhage control of gross organ structures
  • Suturing or stapling of gross organs & skin in all locations
  • Urinary catheterization and bladder tap
  • Peripheral IV access

Strategic Operations’ website lists the following features of the cut suit:

  • The system can be worn during intensely physical scenarios at the point of injury
  • The system weighs approximately 30 lbs (approximately equivalent to a current defense issued, fully-loaded individual body armor)
  • Body armor, uniform, clothing and equipment is not only don-able over the system but usable
  • The system allows for interaction with a live patient during the emergency assessment and treatment process
  • The skin and organs are user repairable, allowing for multiple uses per unit (well beyond fifty repairs to fully lacerated skin)
  • Interchangeable organs, variable rate beating heart and variable blood flow
  • Wounds created by the user
  • Breakable and repairable bones (ribs & sternum)

Check out the photos from this unique demonstration and let us know what you think: How does your training match up? Would EMS benefit from “hyper-realistic” training?

 

Read More: JEMS Emergency Medical News | Law Officer