(c) 2017-2024, by Ibi Keller, MSN, RN, CCRN, CEN, CNE
Available for download on the Downloads page.
This is a maintenance release that improves behind-the-scenes functionality of Infirmary Integrated, improving performance and fixing a few lingering bugs, mainly:
In addition to the ACLS Practice Case #1 simulation scenario for Infirmary Integrated that was posted last week, 4 new scenarios for Infirmary Integrated simulating ACLS Practice Megacodes are available for download.
Advanced Cardiac Life Support (ACLS) Megacode Practice Case 49 by the American Heart Association (Instructor Manual, page 159). Anoxic event due to airway obstruction, scenario starts with patient being given rescue breaths via bag valve mask in symptomatic tachycardia, proceeds to cardiac arrest with multiple rhythms, results in return of spontaneous circulation.
Advanced Cardiac Life Support (ACLS) Megacode Practice Case 50 by the American Heart Association (Instructor Manual, page 161). Severe myocardiac infarct presenting with symptomatic tachycardia, progressing into cardiac arrest with multiple rhythms, results in return of spontaneous circulation.
Advanced Cardiac Life Support (ACLS) Megacode Practice Case 51 by the American Heart Association (Instructor Manual, page 163). Inferior myocardiac infarct presenting with symptomatic bradycardia with an ECG notable for ST changes in inferior leads, progressing into cardiac arrest with multiple rhythms, results in return of spontaneous circulation.
Advanced Cardiac Life Support (ACLS) Megacode Practice Case 52/55 by the American Heart Association (Instructor Manual, page 165). Symptomatic bradycardia with an ECG notable for ST changes in III and aVF, progressing into cardiac arrest with multiple rhythms, results in return of spontaneous circulation.
Available for download now at the Downloads page.
This release really expands Infirmary Integrated’s functionality as a simulator with the ability to play scenarios. Scenarios are patient simulations that can progress and change as you go step by step through the scenario. For example, a scenario could have a patient progress from being mildly unstable to drastically critical, or can progress from a lethal cardiac rhythm to stable rhythm if the proper intervention is chosen.
Creating scenarios is also simple with the new Scenario Editor that is included with Infirmary Integrated. Using the Scenario Editor, you can create scenarios using the visual designer that acts like a flowchart. It is simple to create steps for the scenario, plugging in what you want the patient’s parameters to be, and then add progressions from one step to the other, including optional progressions that can change the course of the scenario.
The possibilities are limitless with Infirmary Integrated and its included Scenario Editor. For example, scenarios could be easily created and played to simulate teaching points for critical care classes, and could be used as adjunct teaching aids for the American Heart Associations’s (AHA) courses including Advanced Cardiovascular Life Support (ACLS) and Pediatric Advanced Life Support (PALS).
Additionally, freely available scenarios will be available for download at Infirmary Integrated’s website, located at https://www.infirmary-integrated.com/simulations/ and some are posted below.
Available for download now at Downloads page.
This release includes new features related to simulating pulmonary arterial (PA) catheters (also known as Swan-Ganz catheters). Now you can select where the PA catheter is, simulating insertion, placement, and wedging as the catheter travels through the superior vena cava, the right atrium, the right ventricle, through the pulmonic valve into the pulmonary artery, and lastly wedging against the pulmonary capillary bed. In Infirmary Integrated’s patient editor, if you select a PA catheter position and click “apply”, the PA catheter waveform and transduced PA pressures will update in the Monitor display.
Infirmary Integrated’s goal is to help students and clinicians advance their knowledge and practice of critical care concepts, and so this feature may be found useful for education and simulation in intensive care units and cardiac catheterization labs.
Major changes since last release (v 1.0):
Available for download now at Downloads page.
Major changes since last release (v 0.99.03):
Continuing in beta testing and bug fixing while implementing new features.
Major implementations since last release (v0.97):
Beta testing bug fixes:
Version 0.97 includes the ability to mirror (broadcast) the simulated patient’s parameters utilizing a “server and client” method. For example, an instructor (the host), can create a simulated patient on one computer, and set up multiple computers (or students logging in remotely) to mirror the broadcast data in real-time!
Continuing on the security features added in previous releases, portions of data transmitted over the Internet are encrypted and, specifically, passwords are not transmitted or stored in raw form; Infirmary uses industry standard the MD5 hashing algorithm for passwords.
And to use Infirmary without broadcasting, simply select “Inactive” (which is the default mode anyway!).
File formatting for save files (.ii) are now utilizing encryption (previously just utilized obfuscation). This allows for safe transmission across the Internet (for future planned features) and cannot easily be read into by text editors.
Note: save files created with previous versions of Infirmary cannot be opened by version 0.96 onward. Contact me if you need any files converted to this new file format!
Major changes since last release (v0.93):
Next steps before release: beta testing and minor interface updates/debugging.
Major features introduced in v0.93:
Realism and interface updates and debugging: