CouchDB Based Real-Time Wireless Communication System for Clinical Simulation

Medical simulators are advancing in technology and complexity to enhance realism and hence implementing a real-time communication system for such simulators is a challenge that engineers face. This paper follows up on the Firebase communication system solution that was employed for the modular extracorporeal membrane oxygenation (ECMO) simulator and addresses its challenges and limitations by presenting an alternative CouchDB based communication system. Testing results shows that CouchDB overcomes Firebase limitations in terms of latency, compatibility, and ongoing maintenance costs. The new approach features automatic application program interfaces (APIs), extremely low latency, and long term reliability.