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Combat Surgical Training

TCCS simulator in a military uniform

Deploying doctors and medics are often ill-prepared for the rigors of combat casualty care and combat trauma surgery.   In response, OEI has created training courses using high fidelity and anatomically correct simulators with pathology and wound patterns representative of combat injuries.

The simulators consist of artificial tissues, including skin, bone, muscle, fascia, blood vessels and nerves that can be operated on, and training assumes standard combat surgical instruments.   Training ranges from point-of-injury casualty care to sophisticated forward surgical hospital procedures.

  • OEI’s acclaimed four part fasciotomy model and curriculum of the lower leg was specifically developed to reduce the estimated 20% error rate in performing this procedure in Iraq.  This simulation based system is currently undergoing independent validation funded by the US Army and sponsored by the Henry M. Jackson Foundation.
  • OEI point-of-injury simulators with curriculum for damage-control and operative management of high velocity gunshot wounds to the thigh, enabling instruction in the:
    • Vascular control of the femoral vessels at the groin
    • Extensile exposure of the femoral artery and vein
    • Damage-control shunting of the femoral artery and vein
    • External fixation of the femur
    • Lateral compartment fasciotomy of the thigh <appears here and above?>
    • Four compartment fasciotomy of the lower leg
    • Trans-femoral amputation
    • Below-knee amputation
  • OEIs Head and Neck simulator series enabling craniotomy and craniectomy instruction in four high-occurrence traumatic brain inuries:
    • depressed skull fracture
    • evacuation of  subdural hematoma
    • evacuation of epidural hematoma and tack up dura (through drill holes oblique through inner table)
    • management of fragment penetration of brain
  • Emergency War Surgery Course – OEI is continuing development of simulators and curriculum for reducing combat mortality and hopes to supplement or supplant the existing Emergency War Surgery Manual Third Edition with a complete simulation based training system.

Ready to train like a pro?