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Sim Center Technology. By Stephen Poole Christopher Madison. The STRATUS Center for Medical Simulation. The simulation Suite. About CESI C enter for E ducation, S imulation and I nnovation. Located at Hartford Hospital in Hartford, CT 20,000sqft facility 5 Patient Simulation rooms

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sim center technology

Sim Center Technology


Stephen Poole

Christopher Madison

about cesi c enter for e ducation s imulation and i nnovation
About CESICenter for Education, Simulation and Innovation
  • Located at Hartford Hospital in Hartford, CT
  • 20,000sqft facility
  • 5 Patient Simulation rooms
    • Labor and Delivery
    • Resuscitation
    • ICU
    • ED/Trauma
    • OR
  • Skills Lab
    • Surgical Simulation
    • Airway Task Training
    • Ultrasound Task Training
  • Robotics Lab
    • DaVinci Robot Simulation

Operations within a simulation center are trending to more technology use. Learn how to make technology work for you with simple easy principles for set up and troubleshooting.

learning objectives
Learning Objectives
  • Define basic audio visual technology and terminology
  • Identify basic cabling diagrams for Simulators and Audio Visual products
remove technology as a barrier

Remove Technology as a Barrier

Creating a superiorLEARNINGexperience

set the stage for success
Set the stage for success

The Simulation Specialist will set the stage and remove technology as a barrier. They will:

  • Provide the right course equipment
  • Troubleshoot the readiness of appropriate equipment
  • Manage all A/V controls
  • Operate and program the patient simulator
  • Start and stop video capture for debriefing
focus on teaching
Focus on teaching

The curriculum expert is focused on teaching and learning and not troubleshooting technical difficulties: Benefits include:

  • Simplicity & Ease of use
  • No setup or breakdown for instructors
  • Consistent and reliable simulation cases
  • More appropriate usage of their time
  • Gaining confidence in simulation as a teaching tool
basic sim room components
Basic Sim Room Components
  • Manikin Control
    • Instructor can control manikin functions
  • Instructor Microphone
    • Instructor can talk to students
  • Audio & Video Capture
    • Instructor can hear and see students
  • Classroom Observation/Playback
    • Observers can see and hear classmates
component diagram

Instructor Monitor

Video Monitor

Component Diagram


Audio / Video Sources


Patient Monitor




manikin control diagram
Manikin Control Diagram

Instructor Monitor

Patient Monitor


av capture diagram
AV Capture Diagram

Video Monitor

Audio / Video Sources

av observation diagram
AV Observation Diagram

Audio / Video Sources



the hps room
The HPS Room

Overhead video camera


Video Camera

Simulation laptop computer

Patient Monitor

Audio Cable

SVGA Cable

9 Pin Serial Cable


Link Box

Manikan Cable

control room
Control Room
  • Switching Hub
  • Desktop Computer
  • Audio Cable
  • Coax Cables
observation client
Observation Client
  • Video Client Computer
extending your classroom
Extending your classroom
  • Using the AVS you can live stream your recording’s anywhere on your LAN
  • This gives you the ability to broadcast your HPS room to any pc or LCD projector in your facility via the network.
  • Larger audiences, expand a small space to any or multiple locations.
  • Broadcast in-situ mock codes from anywhere
computer monitors
Computer Monitors
  • VGA
    • Analog Video
  • DVI
    • Digital & Analog Video
  • HDMI
    • Digital Video & Audio
  • DisplayPort
    • Digital Video, Locking Connector
  • Component
    • Analog Video
  • Composite
    • Analog HD Video
  • SVideo
    • Analog Video
  • HDMI
    • Digital HD Video & Audio
  • Ethernet (IP Cameras)
    • Digital HD Video Network
cables and signals unscrambled
Cables And Signals Unscrambled
  • Ultrasound video
  • Composite w/ Audio
  • Camera video
the cables and connections for us
The cables and connections for US
  • Connect your male S-Video cable output
  • Into the back of the US machine
  • And connect the female connector of the BNC adapter to any VID input on your AVS A/V adapter

Ultrasound guided right IJ Central Line Placement

quality audio is important
Quality Audio is Important
  • Mixing board to control multiple inputs and outputs
  • Merge multiple microphones for large rooms
  • Control volume levels and control feedback issues
  • Audio processor for consistency and simplicity
  • Echo cancelling and feedback eliminated
  • No buttons or knobs
  • No unsightly wire and plugs
  • Rack mountable and network accessible
better communication audio
Better Communication Audio

Lapel mic’s to participants and key players & event leaders

Distribute Walkie Talkie’s and headsets so confederates to

communicate freely without detection

direct cables
Direct Cables
  • Benefits
    • High Reliability
    • Low Cost
    • High Quality Signal
  • Challenges
    • Low Flexibility
    • Maximum Length Limitations
  • Recommended Environments
    • In-Situ/Mobile Simulation
    • Simulation Rooms with no Control Room



point to point ethernet extenders
Point-to-Point Ethernet Extenders
  • Benefits
    • High Flexibility
    • Long Range
    • Fairly Reliable
    • Multi-Connector Consolidation
    • Utilizes Existing Network Ports
  • Challenges
    • Medium Video Quality
    • Strict Labeling Requirements
  • Recommended Environment
    • Stationary Simulation Room with dedicated Control Room





extending the range and placement of your elo patient monitor
Extending the range and placement of your Elo patient Monitor

Solution: Extend the signal of your patient monitor up to 150ft.

USB CAT5 Extender

vga dvi over ethernet
VGA & DVI over Ethernet


Extend up to 330ft over CAT5 Ethernet cabling for flexible installations

ip ethernet extenders
IP Ethernet Extenders



  • Benefits
    • High Flexibility
    • Unlimited Range
    • Multiple Receivers Possible
    • Multi-Connector Consolidation
    • Utilizes Existing Network Ports
  • Challenges
    • Varying Video Quality
    • High Network Load
    • Reliability: Susceptible to Network Outages
  • Recommended Environment
    • Stationary Simulation Rooms with centralized Control Room






mobile simulation continued
Mobile simulation continued

1. Sony wide angle remote controlled color PTZ camera (main video

capture source)

2. Patient vitals as 2nd video capture source (side by side with main

camera PIP)

3. Shotgun microphone capturing verbal communications of scenario

4. Attached forward facing speakers for playback for debrief video 

5. 26" LCD display for display of patient vitals during the scenario and

debrief for playback for review and teaching purposes

mobile simulation continued51
Mobile simulation continued

6. Dedicated client PC (laptop) with applications for simulators: 3G, SimMan,

NewBie & SimBaby

7. Area for holding one gas tank and associated gas regulator for mannequin

ventilations (SimMan), SimBaby, Newbie 

8. UPS upto 2 hours of power to the system 

9. AVS Advanced Video Server for up to 4 video streams of time event

stamped event logging. With one audio capture and broadcast and archive


10. A 19” LCD Monitor for AVS capture verification during recording

  • USB web cameras $30 - $100 (HD resolution)
  • SKYPE, GoTo meeting (free or low cost)
  • Archive your sessions
  • Recordable HDD with DVD burn capabilities
  • Share your simulations anywhere in the world
  • Beyond your LAN infrastructure
  • Collaborate internationally with point to point

VTC simulations

  • Host simulations,courses and instruction via teleconferencing
video conferencing continued
Video conferencing continued
  • Polls and surveys
  • Audience response system
  • Before ,during and after session “tests or quizzes”
  • Reminder emails-ticklers and follow-ups
  • Invitation and registration features
  • Online course catalogs & course descriptions
  • Charge for training now available
  • Scalable to manage 0 to 1,000 participants
simman 3g wifi
SimMan 3G Wifi

Increase both the distance and reliability of your SimMan 3G by adding a WiFi range Extender in between the 2 connecting devices simman laptop and manikin



application development
Application Development
  • Microsoft Visual Studio
  • Free Versions Available
  • Easiest IDE to Learn
  • Extremely Versatile
  • Supports Many Languages
    • C#
    • VB
    • C++
  • Well Documented Resources
  • Endless Software Possibilities
sign in kiosks
Kiosks
  • Capture attendance and survey data
  • Quick and easy animated process
  • RFID Badge Reader Capable
  • Integrated scheduling database
  • Centrally located schedule display
  • Online schedule viewing
prototyping circuit boards
Prototyping Circuit Boards
  • Arduino
  • Cheap ($32)
  • Easy to Learn
  • Scales Easily
  • Many Different Extenders
    • Ethernet
    • WiFi
    • GPS
    • Accelerometers
    • And Many More
  • Endless Hardware Possibilities
vitalsim cpr feedback
VitalSim CPR Feedback
  • Compact CPR feedback module
  • Compression depth & rate
  • Ventilation volume & rate
  • Evaluates and grades performance
  • Imports data into SimPad log
automatic manikin power on off
Automatic Manikin Power On/Off
  • Work in progress
  • Small wireless module that interfaces with SimMan 3G power button
  • Doesn’t require changing batteries
  • Can be synced to scheduling database
  • Could also start SimMan software on schedule
  • One step closer to fabled “One-Touch” system