Em Tombash

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Abdominal Wall Defects · episode host Aerodigestive / ENT · episode host Biliary Atresia · episode host Colorectal / ARM & Hirschsprung · episode host Etiologies (Gastroschisis/NEC/Atresia/Volvulus) · episode host Intestinal Failure · episode host Intestinal Rehab · episode host Liver Tumors (Hepatoblastoma/HCC) · episode host Sarcoma (Ewing/Rhabdo) · episode host Short Bowel Syndrome · episode host

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Summaries Em gave as host · 82 summaries

Recaps of other experts' statements, not Em's own clinical position.

Summaries Em gave as host · Arrhythmias 13 summaries

Open the Arrhythmias collection →

Technology : Digital Twinning

▶ Ep 3 · 1:05
host summary Em Tombash summarizing a resource: Digital twinning involves visual modeling software to replicate an object that looks similar to the real-life object, then feeding the system with data about that object. ↗
▶ Ep 3 · 1:40
host summary Em Tombash summarizing a resource: Inside the computer and virtual world, digital twins are upgradable and extendable, without the physical limitations experienced in real life. ↗
▶ Ep 3 · 2:28
host summary Em Tombash summarizing a resource: Digital twin technology can be used to generate a virtual healthcare facility or a human body. ↗
▶ Ep 3 · 2:34
host summary Em Tombash summarizing a resource: Digital twins can be created from an individual's genetic makeup, physiological characteristics, and lifestyle habits. ↗
▶ Ep 3 · 2:40
host summary Em Tombash summarizing a resource: AI helps in the design of digital twins to put together organs and physiological data to output a 3D image, which can then be modeled to a specific patient from their specific parameters. ↗
▶ Ep 3 · 2:53
host summary Em Tombash summarizing a resource: Digital twins of human hearts can visualize circulation patterns. ↗
▶ Ep 3 · 2:57
host summary Em Tombash summarizing a resource: Digital twins can model potassium overload in the heart, which induces arrhythmias, to help understand, predict and avoid cardiac arrests. ↗
▶ Ep 3 · 3:08
host summary Em Tombash summarizing a resource: Digital twins can model a heart restarting after surgery, showing imbalances of electrical signals going through the heart before an actual heartbeat. ↗
▶ Ep 3 · 3:23
host summary Em Tombash summarizing a resource: A digital twin of a patient's heart combined with data from similar cases can predict the best possible outcome for the patient. ↗
▶ Ep 3 · 3:25
host summary Em Tombash summarizing a resource: Digital twins enable doctors to simulate various options for a certain procedure and select the one with the optimal computer result. ↗
▶ Ep 3 · 3:44
host summary Em Tombash summarizing a resource: The Swedish Digital Twin Consortium aims to develop a strategy for personalized medicine based on constructing unlimited copies of network models of all molecular, phenotypical and environmental factors, treating those digital twins with thousands of drugs to identify the best performing drug, then treating the actual patient with this drug. ↗
▶ Ep 3 · 4:15
host summary Em Tombash summarizing a resource: Healthcare planners, practitioners, and administrators already use digital twin technology to aid robotic surgery, accelerate precision medicine applications, and manage inventories or complex supply chains. ↗
▶ Ep 3 · 4:31
host summary Em Tombash summarizing a resource: Digital twinning with artificial intelligence is already supporting practicing doctors, improving healthcare access, and lowering costs. ↗
Summaries Em gave as host · Cardiac Arrest 13 summaries

Open the Cardiac Arrest collection →

Technology : Digital Twinning

▶ Ep 4 · 1:05
host summary Em Tombash summarizing a resource: Digital twinning involves visual modeling software to replicate an object that looks similar to the real-life object, then feeding the system with data about that object. ↗
▶ Ep 4 · 1:40
host summary Em Tombash summarizing a resource: Inside the computer and virtual world, digital twins are upgradable and extendable, without the physical limitations experienced in real life. ↗
▶ Ep 4 · 2:28
host summary Em Tombash summarizing a resource: Digital twin technology can be used to generate a virtual healthcare facility or a human body. ↗
▶ Ep 4 · 2:34
host summary Em Tombash summarizing a resource: Digital twins can be created from an individual's genetic makeup, physiological characteristics, and lifestyle habits. ↗
▶ Ep 4 · 2:40
host summary Em Tombash summarizing a resource: AI helps in the design of digital twins to put together organs and physiological data to output a 3D image, which can then be modeled to a specific patient from their specific parameters. ↗
▶ Ep 4 · 2:53
host summary Em Tombash summarizing a resource: Digital twins of human hearts can visualize circulation patterns. ↗
▶ Ep 4 · 2:57
host summary Em Tombash summarizing a resource: Digital twins can model potassium overload in the heart, which induces arrhythmias, to help understand, predict and avoid cardiac arrests. ↗
▶ Ep 4 · 3:08
host summary Em Tombash summarizing a resource: Digital twins can model a heart restarting after surgery, showing imbalances of electrical signals going through the heart before an actual heartbeat. ↗
▶ Ep 4 · 3:23
host summary Em Tombash summarizing a resource: A digital twin of a patient's heart combined with data from similar cases can predict the best possible outcome for the patient. ↗
▶ Ep 4 · 3:25
host summary Em Tombash summarizing a resource: Digital twins enable doctors to simulate various options for a certain procedure and select the one with the optimal computer result. ↗
▶ Ep 4 · 3:44
host summary Em Tombash summarizing a resource: The Swedish Digital Twin Consortium aims to develop a strategy for personalized medicine based on constructing unlimited copies of network models of all molecular, phenotypical and environmental factors, treating those digital twins with thousands of drugs to identify the best performing drug, then treating the actual patient with this drug. ↗
▶ Ep 4 · 4:15
host summary Em Tombash summarizing a resource: Healthcare planners, practitioners, and administrators already use digital twin technology to aid robotic surgery, accelerate precision medicine applications, and manage inventories or complex supply chains. ↗
▶ Ep 4 · 4:31
host summary Em Tombash summarizing a resource: Digital twinning with artificial intelligence is already supporting practicing doctors, improving healthcare access, and lowering costs. ↗
Summaries Em gave as host · Preeclampsia 28 summaries

Open the Preeclampsia collection →

Disruptive technologies in medical education: escape rooms, virtual reality, and gamification

▶ Ep 3 · 0:02
host summary Em Tombash summarizes what Dr. M Tom Bash said: Hi everyone, I am M Tom Bash. I'm a research fellow at Cincinnati Children's Hospital Medical Center ↗
▶ Ep 3 · 0:43
host summary Em Tombash summarizing the discussion: Escape rooms are time-bound immersive adventure experiences with hidden clues and keys, where participants try to get out before time ends, typically including sequential puzzles or escape box challenges. ↗
▶ Ep 3 · 1:24
host summary Em Tombash summarizing the discussion: Medical escape rooms have been utilized to teach and reinforce topics including discussing cancer diagnosis, cardiovascular physiology, and fluids and electrolytes. ↗
▶ Ep 3 · 1:49
host summary Em Tombash summarizing the discussion: Institutions are adopting medical escape rooms to teach residents, nursing staff, and other trainees to recognize and respond to medical conditions like preeclampsia, sepsis, and patient safety. ↗
▶ Ep 3 · 2:19
host summary Em Tombash summarizing the discussion: Casey Davis and colleagues published a how-to guide for building medical escape rooms in Medical Teacher journal in April 2022. ↗
▶ Ep 3 · 2:52
host summary Em Tombash summarizing the discussion: Metaverse is an integrated network of 3D virtual worlds accessed with VR headsets, with users navigating using eye movements, feedback controllers, and voice commands. ↗
▶ Ep 3 · 3:32
host summary Em Tombash summarizing the discussion: Avatars can visit multiple doctors in virtual clinics or get second opinions from various healthcare professionals in the virtual hospital. ↗
▶ Ep 3 · 3:39
host summary Em Tombash summarizing the discussion: Virtual hospitals offer first aid and preventative health programs using AR, VR, and artificial intelligence software to educate patients and suggest treatment plans. ↗
▶ Ep 3 · 4:11
host summary Em Tombash summarizing the discussion: In 2018, Lucille Packard Children's Hospital Stanford piloted VR capabilities in pediatric clinical settings and expanded its VR program to over 150 use cases per month, helping young patients beyond the hospital. ↗
▶ Ep 3 · 4:30
host summary Em Tombash summarizing the discussion: Stanford Medicine Children's Health is home to one of the nation's largest VR programs. ↗
▶ Ep 3 · 4:50
host summary Em Tombash summarizing the discussion: A team of physicians, engineers, researchers, and child life professionals is piloting virtual reality experiences, new tablet-based apps, and interactive bedside projector-based games at Stanford. ↗
▶ Ep 3 · 5:28
host summary Em Tombash summarizing the discussion: A prospective randomized controlled trial from Seoul National University College of Medicine showed VR experience of the preoperative process could reduce preoperative anxiety and improve compliance during anesthetic induction in children undergoing elective surgery and general anesthesia. ↗
▶ Ep 3 · 6:25
host summary Em Tombash summarizing the discussion: Induu allows healthcare professionals to create a unique digital copy of their patient using CT or MRI scans, which surgeons can review with a virtual headset before going into the case. ↗
▶ Ep 3 · 6:46
host summary Em Tombash summarizing the discussion: The National Institute of Health, OSF Healthcare, and Children's Hospital of Illinois use Induu for training surgical teams, evaluating patient cases, research collaborations, and more. ↗
▶ Ep 3 · 7:17
host summary Em Tombash summarizing the discussion: A significant percentage of surgical residents report they do not feel ready to independently perform procedures upon completion of their training. ↗
▶ Ep 3 · 7:17
host summary Em Tombash summarizing the discussion: A significant percentage of surgical residents report they do not feel ready to independently perform procedures upon completion of their training. ↗
▶ Ep 3 · 7:26
host summary Em Tombash summarizing the discussion: VR training represents an accessible, cost-effective, and deliberate practice methodology to help surgeons reach a competency threshold or achieve surgical mastery. ↗
▶ Ep 3 · 7:26
host summary Em Tombash summarizing the discussion: VR training represents an accessible, cost-effective, and deliberate practice methodology to help surgeons reach a competency threshold or achieve surgical mastery. ↗
▶ Ep 3 · 7:37
host summary Em Tombash summarizing the discussion: The FDA approved Precision OS Envision as a VR preoperative planning tool, with the patented software available in early 2022, letting surgeons use an Oculus Quest 2 device for preoperative planning. ↗
▶ Ep 3 · 8:20
host summary Em Tombash summarizing the discussion: The surgery's direction was from Great Ormond Street Hospital in London while the actual surgery was happening in Rio de Janeiro. ↗
▶ Ep 3 · 8:28
host summary Em Tombash summarizing the discussion: Proximy allows multiple people in remote locations to virtually interact in a way which mimics what they would experience if collaborating in the same operating room, using artificial intelligence, machine learning, and augmented reality. ↗
▶ Ep 3 · 8:47
host summary Em Tombash summarizing the discussion: Clinicians using Proximy can remotely interact in a live procedure or assessment from start to finish, physically showing each other where to make an incision in real time or using physical gestures to illustrate a technique. ↗
▶ Ep 3 · 10:28
host summary Em Tombash summarizing the discussion: The Identity Shield sticker is made of very thin plastic material that is adhesive, non-reactive, and hypoallergenic, includes PHI like first and last name, date of birth, blood type, or possible allergies, and lasts for 7 days on patients. ↗
▶ Ep 3 · 10:43
host summary Em Tombash summarizing the discussion: Common use of Identity Shield is in NICU, newborns, and children due to the high loss rate of wristbands, which is 12% in these populations. ↗
▶ Ep 3 · 11:09
host summary Em Tombash summarizing the discussion: According to the pilot study, patient, nurse, and clinical staff feedback was overwhelmingly positive at 80% of clinicians preferring the Identity Shield over traditional wristbands. ↗
▶ Ep 3 · 11:27
host summary Em Tombash summarizing the discussion: With the RFID layer, hospital staff can use NFC to read the Identity Shield badge without ever having to lift the patient's sleeve. ↗
▶ Ep 3 · 11:50
host summary Em Tombash summarizing the discussion: NFC has been a staple feature on smartphones for several years: the first Android device included NFC in 2010, and Apple followed in 2014, meaning NFC has been present since iPhone 6. ↗
▶ Ep 3 · 12:04
host summary Em Tombash summarizing the discussion: Children's Health in Dallas, Texas is now using Identity Shield after Northwell Health. ↗
Summaries Em gave as host · Sepsis 28 summaries

Open the Sepsis collection →

Disruptive technologies in medical education: escape rooms, virtual reality, and gamification

▶ Ep 6 · 0:02
host summary Em Tombash summarizes what Dr. M Tom Bash said: Hi everyone, I am M Tom Bash. I'm a research fellow at Cincinnati Children's Hospital Medical Center ↗
▶ Ep 6 · 0:43
host summary Em Tombash summarizing the discussion: Escape rooms are time-bound immersive adventure experiences with hidden clues and keys, where participants try to get out before time ends, typically including sequential puzzles or escape box challenges. ↗
▶ Ep 6 · 1:24
host summary Em Tombash summarizing the discussion: Medical escape rooms have been utilized to teach and reinforce topics including discussing cancer diagnosis, cardiovascular physiology, and fluids and electrolytes. ↗
▶ Ep 6 · 1:49
host summary Em Tombash summarizing the discussion: Institutions are adopting medical escape rooms to teach residents, nursing staff, and other trainees to recognize and respond to medical conditions like preeclampsia, sepsis, and patient safety. ↗
▶ Ep 6 · 2:19
host summary Em Tombash summarizing the discussion: Casey Davis and colleagues published a how-to guide for building medical escape rooms in Medical Teacher journal in April 2022. ↗
▶ Ep 6 · 2:52
host summary Em Tombash summarizing the discussion: Metaverse is an integrated network of 3D virtual worlds accessed with VR headsets, with users navigating using eye movements, feedback controllers, and voice commands. ↗
▶ Ep 6 · 3:32
host summary Em Tombash summarizing the discussion: Avatars can visit multiple doctors in virtual clinics or get second opinions from various healthcare professionals in the virtual hospital. ↗
▶ Ep 6 · 3:39
host summary Em Tombash summarizing the discussion: Virtual hospitals offer first aid and preventative health programs using AR, VR, and artificial intelligence software to educate patients and suggest treatment plans. ↗
▶ Ep 6 · 4:11
host summary Em Tombash summarizing the discussion: In 2018, Lucille Packard Children's Hospital Stanford piloted VR capabilities in pediatric clinical settings and expanded its VR program to over 150 use cases per month, helping young patients beyond the hospital. ↗
▶ Ep 6 · 4:30
host summary Em Tombash summarizing the discussion: Stanford Medicine Children's Health is home to one of the nation's largest VR programs. ↗
▶ Ep 6 · 4:50
host summary Em Tombash summarizing the discussion: A team of physicians, engineers, researchers, and child life professionals is piloting virtual reality experiences, new tablet-based apps, and interactive bedside projector-based games at Stanford. ↗
▶ Ep 6 · 5:28
host summary Em Tombash summarizing the discussion: A prospective randomized controlled trial from Seoul National University College of Medicine showed VR experience of the preoperative process could reduce preoperative anxiety and improve compliance during anesthetic induction in children undergoing elective surgery and general anesthesia. ↗
▶ Ep 6 · 6:25
host summary Em Tombash summarizing the discussion: Induu allows healthcare professionals to create a unique digital copy of their patient using CT or MRI scans, which surgeons can review with a virtual headset before going into the case. ↗
▶ Ep 6 · 6:46
host summary Em Tombash summarizing the discussion: The National Institute of Health, OSF Healthcare, and Children's Hospital of Illinois use Induu for training surgical teams, evaluating patient cases, research collaborations, and more. ↗
▶ Ep 6 · 7:17
host summary Em Tombash summarizing the discussion: A significant percentage of surgical residents report they do not feel ready to independently perform procedures upon completion of their training. ↗
▶ Ep 6 · 7:17
host summary Em Tombash summarizing the discussion: A significant percentage of surgical residents report they do not feel ready to independently perform procedures upon completion of their training. ↗
▶ Ep 6 · 7:26
host summary Em Tombash summarizing the discussion: VR training represents an accessible, cost-effective, and deliberate practice methodology to help surgeons reach a competency threshold or achieve surgical mastery. ↗
▶ Ep 6 · 7:26
host summary Em Tombash summarizing the discussion: VR training represents an accessible, cost-effective, and deliberate practice methodology to help surgeons reach a competency threshold or achieve surgical mastery. ↗
▶ Ep 6 · 7:37
host summary Em Tombash summarizing the discussion: The FDA approved Precision OS Envision as a VR preoperative planning tool, with the patented software available in early 2022, letting surgeons use an Oculus Quest 2 device for preoperative planning. ↗
▶ Ep 6 · 8:20
host summary Em Tombash summarizing the discussion: The surgery's direction was from Great Ormond Street Hospital in London while the actual surgery was happening in Rio de Janeiro. ↗
▶ Ep 6 · 8:28
host summary Em Tombash summarizing the discussion: Proximy allows multiple people in remote locations to virtually interact in a way which mimics what they would experience if collaborating in the same operating room, using artificial intelligence, machine learning, and augmented reality. ↗
▶ Ep 6 · 8:47
host summary Em Tombash summarizing the discussion: Clinicians using Proximy can remotely interact in a live procedure or assessment from start to finish, physically showing each other where to make an incision in real time or using physical gestures to illustrate a technique. ↗
▶ Ep 6 · 10:28
host summary Em Tombash summarizing the discussion: The Identity Shield sticker is made of very thin plastic material that is adhesive, non-reactive, and hypoallergenic, includes PHI like first and last name, date of birth, blood type, or possible allergies, and lasts for 7 days on patients. ↗
▶ Ep 6 · 10:43
host summary Em Tombash summarizing the discussion: Common use of Identity Shield is in NICU, newborns, and children due to the high loss rate of wristbands, which is 12% in these populations. ↗
▶ Ep 6 · 11:09
host summary Em Tombash summarizing the discussion: According to the pilot study, patient, nurse, and clinical staff feedback was overwhelmingly positive at 80% of clinicians preferring the Identity Shield over traditional wristbands. ↗
▶ Ep 6 · 11:27
host summary Em Tombash summarizing the discussion: With the RFID layer, hospital staff can use NFC to read the Identity Shield badge without ever having to lift the patient's sleeve. ↗
▶ Ep 6 · 11:50
host summary Em Tombash summarizing the discussion: NFC has been a staple feature on smartphones for several years: the first Android device included NFC in 2010, and Apple followed in 2014, meaning NFC has been present since iPhone 6. ↗
▶ Ep 6 · 12:04
host summary Em Tombash summarizing the discussion: Children's Health in Dallas, Texas is now using Identity Shield after Northwell Health. ↗