Design and Implementation of a Virtual Reality System and Its Application to Training Medical First Responders

This paper presents the design and implementation of a distributed virtual reality (VR) platform that was developed to support the training of multiple users who must perform complex tasks in which situation assessment and critical thinking are the primary components of success. The system is fully immersive and multimodal, and users are represented as tracked, full-body figures. The system supports the manipulation of virtual objects, allowing users to act upon the environment in a natural manner. The underlying intelligent simulation component creates an interactive, responsive world in which the consequences of such actions are presented within a realistic, time-critical scenario. The focus of this work has been on the training of medical emergency-response personnel. BioSimMER, an application of the system to training first responders to an act of bio-terrorism, has been implemented and is presented throughout the paper as a concrete example of how the underlying platform architecture supports complex training tasks. Finally, a preliminary field study was performed at the Texas Engineering Extension Service Fire Protection Training Division. The study focused on individual, rather than team, interaction with the system and was designed to gauge user acceptance of VR as a training tool. The results of this study are presented.

[1]  M R Stytz,et al.  A distributed virtual environment prototype for emergency medical procedures training. , 1997, Studies in health technology and informatics.

[2]  James M. Calvin,et al.  The SIMNET virtual world architecture , 1993, Proceedings of IEEE Virtual Reality Annual International Symposium.

[3]  R A Robb,et al.  Virtual endoscopy: evaluation using the visible human datasets and comparison with real endoscopy in patients. , 1997, Studies in health technology and informatics.

[4]  R. Bowen Loftin,et al.  Training the Hubble space telescope flight team , 1995, IEEE Computer Graphics and Applications.

[5]  Herbert H. Bell,et al.  The effectiveness of distributed mission training , 1999, CACM.

[6]  Norman I. Badler,et al.  Casualty Modeling for Real-Time Medical Training , 1996, Presence: Teleoperators & Virtual Environments.

[7]  D M Kaufman,et al.  Teaching and assessing clinical skills using virtual reality. , 1997, Studies in health technology and informatics.

[8]  Richard M. Satava,et al.  Virtual Environments for Medical Training and Education , 1997, Presence: Teleoperators & Virtual Environments.

[9]  Michael Zyda,et al.  NPSNET:A Network Software Architecture for LargeScale Virtual Environments , 1994, Presence: Teleoperators & Virtual Environments.

[10]  Judith S. Dahmann,et al.  A reusable architecture for simulations , 1999, CACM.

[11]  M. Albanese,et al.  Problem‐based Learning: A Review of Literature on Its Outcomes and Implementation Issues , 1993, Academic medicine : journal of the Association of American Medical Colleges.

[12]  Jim X. Chen,et al.  A Model for Understanding How Virtual Reality Aids Complex Conceptual Learning , 1999, Presence: Teleoperators & Virtual Environments.

[13]  Allen Munro,et al.  Integrating Pedagogical Agents into Virtual Environments , 1998, Presence.

[14]  Sharon Stansfield Applications of Virtual Reality to Nuclear Safeguards , 1998 .

[15]  R B Loftin,et al.  Building a virtual reality temporal bone dissection simulator. , 1997, Studies in health technology and informatics.

[16]  Sudhanshu Kumar Semwal,et al.  Mapping Algorithms for Real-Time Control of an Avatar Using Eight Sensors , 1998, Presence.

[17]  H. Schmidt,et al.  The psychological basis of problem‐based learning: a review of the evidence , 1992, Academic medicine : journal of the Association of American Medical Colleges.

[18]  Ken Perlin,et al.  Real Time Responsive Animation with Personality , 1995, IEEE Trans. Vis. Comput. Graph..

[19]  Louis B. Rosenberg,et al.  A volumetric approach to virtual simulation of functional endoscopic sinus surgery. , 1997, Studies in health technology and informatics.

[20]  G. Setnik,et al.  Demonstration of high-fidelity simulation team training for emergency medicine. , 1999, Academic emergency medicine : official journal of the Society for Academic Emergency Medicine.

[21]  Jean Wineman,et al.  Gorillas in the bits , 1997, Proceedings of IEEE 1997 Annual International Symposium on Virtual Reality.

[22]  K. E. Washington,et al.  Code manual for CONTAIN 2.0: A computer code for nuclear reactor containment analysis , 1997 .

[23]  Grigore C. Burdea,et al.  Virtual reality training simulation for palpation of subsurface tumors , 1997, Proceedings of IEEE 1997 Annual International Symposium on Virtual Reality.

[24]  Norman I. Badler,et al.  Simulating humans: computer graphics animation and control , 1993 .

[25]  Sharon A. Stansfield,et al.  MediSim: a prototype VR system for training medical first responders , 1997, Proceedings. IEEE 1998 Virtual Reality Annual International Symposium (Cat. No.98CB36180).

[26]  P N Kizakevich,et al.  Virtual medical trainer. Patient assessment and trauma care simulator. , 1998, Studies in health technology and informatics.

[27]  Henk G. Schmidt,et al.  The psychological basis of problem-based learning , 1985 .

[28]  W. Eric L. Grimson,et al.  Simulating arthroscopic knee surgery using volumetric object representations, real-time volume rendering and haptic feedback , 1997, CVRMed.

[29]  Stellan Ohlsson,et al.  The Round Earth Project: deep learning in a collaborative virtual world , 1999, Proceedings IEEE Virtual Reality (Cat. No. 99CB36316).

[30]  Dan M. Shawver Virtual actors and avatars in a flexible user-determined-scenario environment , 1997, Proceedings of IEEE 1997 Annual International Symposium on Virtual Reality.

[31]  David L. Tate,et al.  Virtual environments for shipboard firefighting training , 1997, Proceedings of IEEE 1997 Annual International Symposium on Virtual Reality.

[32]  Cagatay Basdogan,et al.  Surgical Simulation: An Emerging Technology for Training in Emergency Medicine , 1997, Presence: Teleoperators & Virtual Environments.

[33]  Ken Perlin,et al.  An image synthesizer , 1988 .