Author: ibi

Infirmary Integrated has the functionality to save and load simulation files. If you create a patient profile that you want to save for future simulations, simply save the file from the main menu. The .ii simulation file can be easily loaded and recreate the entire simulation.

Simulations can now be found on the Simulations page!

Introducing new features added to Infirmary Integrated in version 0.92:

• Realism and interface improvements made to Intra-Aortic Balloon Pump (IABP) simulator
  • Augmentation options added (percent augmented, augmentation alarm)
  • Assisted systole (decreased pressure prior to native systolic waveform)
  • Mean arterial pressure (MAP) accurately calculated on IABP
  • Diastolic pressures adjusted for realism
  • Control sizes and colors adjusted for ease of use
• Realism improvements made to all devices and waveforms
  • Mean arterial pressure (MAP) realistically miscalculated on other devices when IABP active (since these devices don’t factor IABP functionality into their calculations)
  • Tracing timing adjusted between electrical vs. pressure tracings (electrical activity precedes mechanical activity by approx. 100-200 ms)
• Full support for 15 languages
  • Amharic
  • Arabic
  • Chinese
  • Farsi
  • Hebrew
  • Hindi
• Development and release improvements
  • Defibrillator device actively under development, possibly for next release
  • Development portions of program removed from release build
    • Release is fully functional- no clutter from development

See the screenshots and captions below for more information, and check out the Downloads page to get the new version!

Introducing new features added to Infirmary Integrated in version 0.91:

• Intra-Aortic Balloon Pump (IABP) simulator is complete
  • Arterial waveforms accurately modeled with and without IABP inflation and/or pulsed cardiac rhythm.
  • Augmentation time on waveform scales with heart rate.
• Full support for 9 languages (recently added Korean and Swahili)
• Miscellaneous improvements to realism
  • Transduced lines now must be zeroed prior to use.

See the screenshots and captions below for more information, and check out the Downloads page to get the new version!

Major improvements done to Infirmary Integrated over the past few weeks are finally unveiled today with the release of version 0.9!

Major highlights include:
– 12 lead ECG simulator is fully functional.
– Full support for 7 languages has been implemented.
– Complete user interface re-write for a faster, cleaner look and experience.
– Groundwork for cross-platform compatibility is complete.

See the screenshots and captions below for more information, and check out the Downloads page to get the new version!

Now on Youtube, you can watch the short 5-part guide on Infirmary Integrated version 0.8, showing what Infirmary Integrated is, how to use it, and what it can do.

In addition, you can also watch and see all of the different cardiac rhythms modeled in the video below!

It’s a definite milestone for Infirmary Integrated now that the cardiac monitor simulator is complete. Completely functional, complete with all the features I initially envisioned it to have, completely usable in the classroom.

So what’s new? For starters, a lot of polishing was done to the user interface, more cardiac rhythms were added (pulsed vs pulseless ventricular tachycardia, coarse vs fine ventricular fibrillation, monomorphic vs polymorphic ventricular tachycardia), more waveforms were added (central venous pressure, pulmonary artery catheter), and the ability to save and load simulation files.

So what’s the next step? Porting Infirmary Integrated to Mac OS X so that all future versions will simultaneously be released for Windows and Mac!!

With this new website, I would like to introduce Infirmary Integrated, an advanced cardiac monitor simulator that I have been developing for use as a teaching tool in medical and nursing education. Monitoring a patient’s vital signs and hemodynamic status is key in emergency and critical care medicine, so it is important for clinicians to be practiced at reading echocardiograms and interpreting vital signs. For this, Infirmary Integrated can be a priceless tool for teaching and practicing reading waveforms and interpreting a patient’s status based on monitoring.

Infirmary Integrated is free and open source software. As a critical care nurse, I wanted to create a teaching tool that I would have found useful when I was a student- and to make sure it is accessible to students and teachers without being limited by price or accessibility. My goal was to create a piece of software that could be utilized across the world in simulation labs or on personal computers for practice and learning, to better prepare nurses to care for critically ill patients with advanced techniques and equipment.

Infirmary Integrated simulates patient monitoring realistically, digitally simulating 22+ cardiac rhythms and additional waveforms, showing tracings from all 12 ECG leads and various hemodynamic monitoring devices, and realistically displaying the data as a real cardiac monitor would in any monitored hospital unit.

Although development continues on Infirmary Integrated, at its current version, it is still a usable teaching tool. Future plans are to include simulated devices including a 12 lead ECG, defibrillator, intra-aortic balloon pump (IABP), and ventilator- hopefully within the coming months. If you are interested in using Infirmary Integrated, you can download an installation package from the Github repository. Note that Infirmary Integrated is only available on Windows- I do have distant future plans to port it to other operating systems and devices, but those plans are very distant.

If you have any questions about Infirmary Integrated regarding its use, development, or any bugs you may encounter with it, please feel free to contact me at ibi.keller [at] gmail [dot] com

 

Thank you,

Ibi Keller, MSN, RN, CCRN, CEN