A simulation model for the ultrasound diagnosis of long-bone fractures

Simulation in Healthcare : Journal of the Society for Simulation in Healthcare
Jason D Heiner, Todd J McArthur

Abstract

Ultrasound is emerging as a promising tool for the diagnosis of skeletal fractures, particularly in environments where conventional radiography may be absent or limited. This article presents a high-fidelity, practical simulation model for the ultrasound diagnosis of long-bone fractures and also examines the ability of physicians to diagnose the presence or absence of different fracture patterns using this model. The bony component of the model is a bare turkey leg bone that is mechanically fractured and housed in a shallow plastic container within a gelatin-based solution. Twenty physicians sonographically evaluated five models with different fracture patterns for the presence or absence of a fracture and were then queried regarding their opinion of this model as a teaching tool. Physicians were able to correctly identify the presence or absence of a fractured model with 100% sensitivity and 100% specificity across all fracture patterns and expressed agreement that this would be a useful teaching model. This high-fidelity, practical model is simple to construct, and the creation of a variety of fracture patterns is possible. Physicians found this to be a potentially useful teaching tool and correctly identified the presence or...Continue Reading

References

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Citations

Dec 3, 2014·The American Journal of Emergency Medicine·Anna Yvonne KempinskaAlexander Sasha Dubrovsky
Jul 2, 2010·Wilderness & Environmental Medicine·Jason D Heiner, Todd J McArthur
Jun 15, 2011·International Emergency Nursing·Jason D HeinerTodd J McArthur
Jun 20, 2012·IEEE Transactions on Ultrasonics, Ferroelectrics, and Frequency Control·F William MauldinJohn A Hossack
Dec 3, 2014·Annals of Emergency Medicine·Alexander Sasha DubrovskyElise Mok
Nov 21, 2015·Journal of the Royal Army Medical Corps·Max TalbotP Schneider

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