Intracranial Hematoma/ Burr Hole and Trauma Flap Simulator

The proposed project is a virtual workbench, part-task simulator for training medical personnel to perform simple emergency neurosurgical procedures for trauma, specifically to (1) explore (open) depressed skull fractures and remove bony fragments, (2) drill a burr hole into the skull for either diagnostic (placement of intraventricular catheter or extradural intracranial pressure monitor) or therapeutic decompression of a hematoma, and (3) elevate a bone flap for bleeding control. Using the two-pronged approach SimQuest employs on its other surgical simulation projects, the burr-hole/flap trainer (BURRT) will comprise both cognitive and skills training. The cognitive training will consist of a didactic curriculum driven by multiple case scenarios encountered in recent conflicts and cover indications, contraindications, equipment, technique, and complications. The skills training will utilize a haptics device that will enable trainees to get the feel of the correct technique. The system infrastructure will enable management of cases and student data, and trainees will be scored using metrics developed for the procedure by surgeons with demonstrated expertise in the procedures. The BURRT will be an invaluable training adjunct for military personnel in forward and remote locations and for civilian healthcare providers in rural areas who do not have ready access to trained neurosurgical personnel.