三维便携式文档(3D-PDF)在战现场急救培训中的应用
|
摘要
目的创建三维便携式文档(3D-PDF)并研究其在战现场急救培训中的应用。方法基于薄层高精度、高分辨率的中国数字化人体数据集(CVH数据集)分割重建出战创伤损伤及救治相关人体结构,借助Amira、Cinema4D、Deep Exploration及Acrobat等软件,创建含三维视图、图文解说及视频教学等内容的3D-PDF,利用化妆伤员与3D-PDF相结合的教学模式,对20名医学专业卫勤学员进行战现场急救技术培训。结果与结论创建出适用于指压止血、环甲膜穿刺、气胸穿刺、骨髓腔穿刺等急救技术培训的3D-PDF文件;在化妆伤员的培训模式中加入3DPDF文档,弥补了化妆伤员无法提供伤情内部特征的缺点,可有效调动学员的学习积极性,充分提高学员的学习效率与教员的授课效率。3D-PDF文档在军事医学教育中具有巨大的拓展空间。
Objective To create a three-dimensional portable document format( 3 D-PDF) and study its application in emergency treatment training on the battle field. Methods Based on the thin-slice,high-precision,high-resolution Chinese visible human( CVH) dataset,the human structures related to traumatic injury and its emergency treatment were segmented and 3 D reconstructed and created to 3 D-PDF,with Amira,Cinema4 D,Deep Exploration and Acrobat softwares.The 3 D-PDF included the three-dimensional view,text explanation and video teaching. Using a teaching approach that comloined 3 D-PDF with the makeup wounded,20 medical professional staffs were trained about emergency treatment.Results and Conclusion The 3 D-PDF files were created for emergency treatment training,including the hemostasis by finger pressing,thyrocricocentesis,pneumothorax puncture and bone marrow cavity puncture. The combined training mode including the 3 D-PDF files and the makeup wounded could overcome the flaw of the makeup wounded training that cannot describe the internal characteristics of the injury,which can effectively improve the motivation and efficiency of the trainees,and teaching efficiency. The application of 3 D-PDF files has enormous space for expansion in military medical education.
Objective To create a three-dimensional portable document format( 3 D-PDF) and study its application in emergency treatment training on the battle field. Methods Based on the thin-slice,high-precision,high-resolution Chinese visible human( CVH) dataset,the human structures related to traumatic injury and its emergency treatment were segmented and 3 D reconstructed and created to 3 D-PDF,with Amira,Cinema4 D,Deep Exploration and Acrobat softwares.The 3 D-PDF included the three-dimensional view,text explanation and video teaching. Using a teaching approach that comloined 3 D-PDF with the makeup wounded,20 medical professional staffs were trained about emergency treatment.Results and Conclusion The 3 D-PDF files were created for emergency treatment training,including the hemostasis by finger pressing,thyrocricocentesis,pneumothorax puncture and bone marrow cavity puncture. The combined training mode including the 3 D-PDF files and the makeup wounded could overcome the flaw of the makeup wounded training that cannot describe the internal characteristics of the injury,which can effectively improve the motivation and efficiency of the trainees,and teaching efficiency. The application of 3 D-PDF files has enormous space for expansion in military medical education.
引文
[1]付小兵,姚咏明,刘良明,等.中华战创伤学.第1卷,战创伤学总论[M].郑州:郑州大学出版社,2016:68-70.
[2]何忠杰.再论急救白金十分钟[J].解放军医学杂志,2012,37(5):391-393.
[3]宗兆文,包俊强,秦昊,等.作战人员战现场急救培训课程设置[J].解放军医院管理杂志,2018,25(4):359-360.
[4]何忠杰,马俊勋.论战创伤急救的时效性[J].解放军医学杂志,2005,30(7):566-567.
[5]BlackbourneLH,Baer DG,Eastridge BJ,et al.Military medical revolution:prehospital combat casualty care[J].J Trauma Acute Care Surg,2012,73(6):372-377.
[6]宗兆文,秦昊,徐雷,等.战救技术培训模拟训练进展与启示[J].华南国防医学杂志,2016,23(8):526-528.
[7]魏高峰,高万玉,孙秋明,等.数字医学技术在战伤救治训练中的应用研究[J].医疗卫生装备,2012,33(7):83-85.
[8]唐昊,崔浩诚,于冠宇,等.模拟医学教学模式在战伤救治教学中的应用[J].医学教育研究与实践,2016,24(1):145-148.
[9]吴毅,罗娜,谭立文,等.三维便携式文件在解剖教学中的应用[J].医学教育研究与实践,2014,22(2):320-321.
[10]Shin DS,Chung MS,Park JS,et al.Portable document format file showing the surface models of cadaver whole body[J].J Korean Med Sci,2012,27(8):849-856.
[11]Kamp TVD,Rolo TDS,Vagoviˇc P,et al.Three-dimensional reconstructions come to life-interactive 3D PDF animations in functional morphology[J].PLo S One,2014,9(7):e102355.
[12]De Bakker BS,De Jong KH,Hagoort J,et al.An interactive threedimensional digital atlas and quantitative database of human development[J].Science,2016,354(6315):aag0053.
[13]Sakakushev BE,Marinov BI,Stefanova PP,et al.Striving for better medical education:the simulation approach[J].Folia Med,2017,59(2):123-131.
[14]Wu Y,Dabhoiwala NF,Hagoort J,et al.Architecture of structures in the urogenital triangle of young adult males;comparison with females[J].J Anat,2018,233(4):447-459.
[15]Song Y,Xiong Y,Chen W,et al.Sectional anatomy and threedimensional visualization of the posterolateral complex of the knee joint based on undeformed high-resolution sectional anatomical images[J].Anat Rec,2018,301(10):1764-1773.
[2]何忠杰.再论急救白金十分钟[J].解放军医学杂志,2012,37(5):391-393.
[3]宗兆文,包俊强,秦昊,等.作战人员战现场急救培训课程设置[J].解放军医院管理杂志,2018,25(4):359-360.
[4]何忠杰,马俊勋.论战创伤急救的时效性[J].解放军医学杂志,2005,30(7):566-567.
[5]BlackbourneLH,Baer DG,Eastridge BJ,et al.Military medical revolution:prehospital combat casualty care[J].J Trauma Acute Care Surg,2012,73(6):372-377.
[6]宗兆文,秦昊,徐雷,等.战救技术培训模拟训练进展与启示[J].华南国防医学杂志,2016,23(8):526-528.
[7]魏高峰,高万玉,孙秋明,等.数字医学技术在战伤救治训练中的应用研究[J].医疗卫生装备,2012,33(7):83-85.
[8]唐昊,崔浩诚,于冠宇,等.模拟医学教学模式在战伤救治教学中的应用[J].医学教育研究与实践,2016,24(1):145-148.
[9]吴毅,罗娜,谭立文,等.三维便携式文件在解剖教学中的应用[J].医学教育研究与实践,2014,22(2):320-321.
[10]Shin DS,Chung MS,Park JS,et al.Portable document format file showing the surface models of cadaver whole body[J].J Korean Med Sci,2012,27(8):849-856.
[11]Kamp TVD,Rolo TDS,Vagoviˇc P,et al.Three-dimensional reconstructions come to life-interactive 3D PDF animations in functional morphology[J].PLo S One,2014,9(7):e102355.
[12]De Bakker BS,De Jong KH,Hagoort J,et al.An interactive threedimensional digital atlas and quantitative database of human development[J].Science,2016,354(6315):aag0053.
[13]Sakakushev BE,Marinov BI,Stefanova PP,et al.Striving for better medical education:the simulation approach[J].Folia Med,2017,59(2):123-131.
[14]Wu Y,Dabhoiwala NF,Hagoort J,et al.Architecture of structures in the urogenital triangle of young adult males;comparison with females[J].J Anat,2018,233(4):447-459.
[15]Song Y,Xiong Y,Chen W,et al.Sectional anatomy and threedimensional visualization of the posterolateral complex of the knee joint based on undeformed high-resolution sectional anatomical images[J].Anat Rec,2018,301(10):1764-1773.
© 2004-2018 中国地质图书馆版权所有 京ICP备05064691号 京公网安备11010802017129号 地址：北京市海淀区学院路29号 邮编：100083 电话：办公室：(+86 10)66554848；文献借阅、咨询服务、科技查新：66554700 |