Hi colleagues - many of you will be familiar with nicutools.org neonatal calculators. My new project is a synchronous, multi-participant, instructor-led team simulation in a free browser tool available at neosim.nicutools.org

You can set up a virtual neonatal resus case and invite your trainees into the "sim lab" where they can prepare equipment, discuss team roles, then in real time resuscitate the virtual manikin which responds in a life-like fashion to their interventions. T-piece ventilation, intubation, UVC, adrenaline, red cells, needle thoracotomy and more are all modelled.

You as teacher / instructor can adapt the sim to suit your teaching requirements and flex the manikin's response mid-sim as you need to support learning. There is a comprehensive debrief timeline provided post sim.

Initial user feedback is very positive and is helping with on-going improvements to the project. If you have any trainees interested in the idea of study into the educational value of this specific tool I would be very keen to hear from you as well.

Seems like a fantastic project! Will share in our clinical teams and try out.

It looks very interesting and promising for online training...
Today I have a class on advanced resuscitation with final-year medical students and we're going to explore this alternative together ...

Thank you,

Carlos A. Delgado. MD, PhD.
NRP AAP Instructor Mentor
Research Professor University San Marcos
Lima, Peru

Hi Carlos - I would greatly appreciate any observations / feedback / suggestions including any related to ease of use. Michael.

Hi Michael

It looks very interesting . We will try in our Postgraduates and assess and definitely give you a feedback .

Dear Michael,

Thank you for your message and for developing Neosim. I wanted to share my experience with you.

In my first sessions with final-year medical students, it was difficult to interact adequately. I planned to use the application by projecting a QR code on the screen so that students could join. Those who managed to enter began using it immediately. However, I could not guide the case properly, and each participant simply applied commands to see what would happen. It became more of a command-testing scenario than an instructor-led team simulation.

Later, I purchased the app and programmed four scenarios on my iPhone, trying to increase complexity in term newborns. With this approach, a new group of students began measuring their performance scores in similar scenarios, creating a kind of competition to see who could perform the scenario best. I found this an interesting strategy to help them learn and practice the correct sequence.

I think the tool has great potential for online neonatal resuscitation training. Perhaps a multilingual environment would allow greater engagement of students and professionals from other continents. Other possible suggestions would be a way to limit or lock participant actions during the scenario, or perhaps role-assignment tools.

I would be happy to collaborate in an educational evaluation or pilot, including in Spanish-speaking settings. Please let me know if that would be useful.

Thank you again for this project.

Best regards,

Carlos

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Carlos A. Delgado, MD, PhD
NRP AAP Instructor Mentor
Research Professor, Universidad San Marcos
Lima, Peru