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PSSPano BETA 1An interactive mobile web simulator The Paramedicine Scenario Simulator Panorama or PSSPano is an interactive, portable, gamified tool for paramedics that need to review and practice their skills.  An initiative of eTV, Learning Technologies in conjunction with Paramedicine at Red River College- the Paramedicine Scenario Simulator concept began in 2012 as an online prototype, supported by the Program Innovation Fund.  In this mobile web sample are examples of the potential uses of a wireless, media rich tool that combines both learning principles and educational, game-based learning.
USES IN EDUCATIONBelow are suggested uses of the PSS Pano for Educational purposes For Paramedics: To practice and review current skills using gamified scenarios; practice with simulated tools.  For Students: To gain awareness of the practices of PCP.  For instructors: To augment and enhance class content (Blended Learning). 
BACK
LEARN MORE (how to use the PSSPano) Place information to learn how to use the PSSPANO. Information and diagrams of it's use in the context of learning. Best use and practice on site and suggestions (and examples) of exercises for instructors. Consult Tim on this one.
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Paramedicine Scenario Simulator Panorama BETA 1
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RESOURCE
GAME
PRACTICE
SELECTION PANEL
TOOLS
Temporary NEXT
CONTINUE
Overview of Trauma scenario Trauma Scenario- Alleyway bar incident is a basic scenario managing a single gunshot to the right leg, midshaft Fibula/Tibia. The user will be expected to manage the wound appropriately at the Technician-Paramedic level with no transfer of function skills available for this scenario.
                     You have arrived at the address given to you by the DISPATCHER. Apon arrival, you assess the situation. To continue with the scene assessment, select continue.   
Decision 1: What do you do now?
Choice result 1: It is inappropriate to have both medics ignore the patient, point deduction, and patients BP will decrease, and mental status will decrease.  Police inform you of a laceration to the patients back, mid clavicular 4th intercostal region. Scenario may otherwise continue.
Choice result 2:  This is the appropriate choice, full marks awarded with no change in patients vitals, Police inform you of a laceration to the patients back, mid clavicular 4th intercostal region.
Choice result 3: While not per say incorrect, the user will now have to identify the laceration on their own via assessment. The scenario will continue normally with the addition of the wound reveal video should the user choose to do a full secondary.
SCENE ASSESSMENT Take a look around… what do you see? HINT: You can look around by selectingthe screen and dragging. SELECT Highlighted to learn more.
Choice results transition for 1, 2 & 3 only, this is a still of bar-pano and must "synch" with moving pano still starting point.
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BOX
Animated graphic: An image of the patient being loaded into the back of the ambulance and secured into place. The option to continue to “load and go” appears. Select continue
Quiz 1: Onsite Assessment.
Quiz 2: TBA
Quiz 3: TBA
Quiz 4: TBA
Quiz 5: TBA
TOOLS:Assess, Diagnose and Treat  (make interactive-using HTML5 and  interactive sprites with Adobe Edge). Control bleed, then... 1. Assess: Tools 1& 2 2. Diagnose: Quiz 3. Treatment: Tool 3 Show image transforms into 3D representation. It should "flow" from this screen.
TOOL ONE:Assess blood pressure- expand on concept from original version (ie: blood  pressure cuff, check heart with Stethoscope, show inner workings option- display protocol patient care map . Add dialogue elements.
CHECK PULSE: Place finger on red circle to feel pulse.
BACK TO BAR PANORAMA
EKG representation
TOOL TWO:Assess responsiveness: Eye dilation and more...
Diagnose: After completing the  assessment- answer some "visual" quizzes to proceed to tool three- 
TOOL THREE: Treat patient wound using tools. Combine 3D with drop and drag tools.
EXPOSURE
DISABILITY
AIRWAY
INITIAL ASSESSMENT
CIRCULATION
BREATHING
THIS COMPLETES THE INITIAL  ASSESSMENT. PLEASE PROCEED TO  DIAGNOSIS...
YES
GENERAL IMPRESSION OF THE PATIENT: IS THE PATIENT CONSCIOUS? 
NO
GENERAL IMPRESSION OF THE PATIENT: IS PATIENT IN DISTRESS? 
GENERAL IMPRESSION OF THE PATIENT: IS PATIENT PALE? 
GENERAL IMPRESSION OF THE PATIENT: IS THE PATIENT CYANOTIC? 
INCORRECT! HE’S JUST BEEN SHOT- SO, YES.
Decision 1: Is the scene safe to enter?
                                          Trauma Scenario          Location details: "Alley-Way Bar" You and your partner have been alerted by dispatch togo onsite to a potential gunshot wound trauma at the Alley-War Bar in the downtown area. 
A
The scene is unsafe, wait for dispatch to contact you.
The police are on scene, so it must be safe.
Just because the police are there does not mean it is safe, confirm with dispatch.
C
B
                     RESULT: This is an inappropriate choice. However, you may still proceed.  
AWARDED ONE EXPERIENCE POINT!
EXPERIENCE BAR
                        RESULT:                           Correct Proceedure!  Full points awarded for confirming  safe entry with dispatch.
 RESULT: Incorrect procedure .Patients condition rapidly deteriorates.
             
You and your partner have arrived on scene in a dark, back alley... 
PLAY VIDEO
                    On-site officer         The incident as the on-site officer understands it:     “this kid was talking to a guys girlfriend and the nextthing  you know— he ended up with a bullet in his leg!"
INSERT OPENING VIDEO HERE w VO Corrrect size for 16:9 video, full screen. You may have to adjust (upwards) to accommodate player and skip option(to be added).
Talk to the officer, patient waits.
Begin assessing the patient. Get your partner to obtain information from the officer.
Leave the officer alone, focus on the patient.
TREAT
ASSESS
VIDEO
TOOLS
DIAGNOSE
START AGAIN?
END OF GAME
CUFF
STETHO
PULSE
QUIZ
DIAGNOSE: BLOOD PRESSURE
CHECK HEART: Move Stethoscope onto chest to hear heart beat.
CHECK Blood pressure: Tap to initiate BP and release for reading.
AMBULANCE
An ambulance is a vehicle for transportation of sick or injured people  to, from or between places of treatment for an illness or injury, and in some instances will also provide out  of hospital medical care to the patient. 
TUTORIAL
LISTEN
BACK TO TOOLS
INTERACT
GLOSSARY OF TERMS Select to view glossary.
MEDIA
VIDEO TUTORIAL AND QUIZZES Select Embedded and linked media.
GLOSSARY
SELECT
PARAMEDICINE  EXAMINATION PART 2 The patient exhibits inebriation and lack of cooperation.
PARAMEDICINE  EXAMINATION PART 1 Part 1 of this paramedic assessment, the patient is loaded onto the ambulance.
BACK TO RESOURCES SELECT
STAGE ONE  REMOVE EXCESS FOOTWARE
PARAMEDICINE  EXAMINATION PART 1 LOAD and GO The patient is loaded onto the ambulance and is transported to the  nearest available emergency centre. Please pay attention to the Paramedic’s interaction with the patient as she reassess his condition within the moving ambulance.  
Side access door
POSITION 2
Reverse lettering
POSITION 1
Exterior access panels
Rear access door
POSITION 4
Forward reflectors
POSITION 3
Flashing lights
BACK TO AMBULANCE
Manager of eTV, Learning TechnologiesChristopher Basarowich SupervisorDan Feriolo Project designer, programming and writer.Murray Toews Panorama photography and build. Dylan Smitzniuk Photography and Cinematography.Jonathan Ferber Video ProductionLauren Kullman, Dylan Smitzniuk, Easter Urdarbe, Murray Toews  Voice talentMeagan Chorney, Murray Toews SME 2015Tim L. Scharer, Instructor, Primary Care paramedic.
CREDITS 
 USE THE INTERFACE
USES IN EDUCATION
HOW USE THE INTERFACE  Show image/title/description of all functionality. Add button/link How experience points work:
CONTINUE TO AMBULANCE DETAIL
SWIPE SCREEN LEFT OR RIGHT TO SEE AMBULANCE IN 3D
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11
A
12
What is the Glasgow Coma Scale (GCS) score of a patient who opens her eyes when you call her name, is confused when she speaks, and points to her area of pain?
13
10
D
INCORRECT
INCORRECT
RETURN TO BAR SCENE
The correct answer is C
INCORRECT
Warm, flushed skin to the extremity.
Unilateral pulse deficit and pallor.
Vascular compromise in a lower extremity is characterized by:
Bilaterally diminished pedal pulses.
Inability to feel or move the extremity.
The correct answer is A
RETURN TO PULSE
TERM 3: Description 3
TERM 4: Description 4
ALARM REACTION: The body's autonomic, sympathetic nervous system response to stimuli.
BACK TO RESOURCES
TERM 2: Description 2
GLOSSARY OF TERMS
INCORRECT! HIS COLOUR LOOKS GOOD.
CORRECT! EVEN THOUGH HE APPEARS INCOHERENT, HE IS STILL RESPONSIVE TO STIMULI.
INCORRECT! PROCEED ANYWAY...
INCORRECT! THERE APPEARS TO BE GOOD BLOOD FLOW.
I wasn’t inside when it happened—but I heard a gunshot. I’m just waiting for my boyfriend to pick me up...
I saw the kid talking up that girl…he was asking for trouble. I heard that he was dead or worse yet, brain dead!
TALK TO THE BYSTANDERS
DRAG TO VIEW
FIND THE PATIENT!
AWARDED TWO MORE EXPERIENCE POINTS!
evaluate
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