Appl Clin Inform 2023; 14(04): 714-724
DOI: 10.1055/s-0043-1771396
Research Article

Design and Development of an Objective Evaluation System for a Web-Based Simulator for Trauma Management

1   Escuela Técnica Superior de Ingenieros de Telecomunicación, Universidad Politécnica de Madrid, Madrid, Spain
Luis Castañeda López
1   Escuela Técnica Superior de Ingenieros de Telecomunicación, Universidad Politécnica de Madrid, Madrid, Spain
Fernando Monforte-Escobar
2   SAMUR – Protección Civil, SAMUR-PC, Madrid, Spain
Rubén Quintero Mínguez
3   Emergency Services SUMMA 112, Madrid, Spain
Manuel Quintana-Díaz
4   Servicio de Medicina Intensiva, Hospital La Paz Institute for Health Research, IdiPAZ, Madrid, Spain
Álvaro Gutiérrez
1   Escuela Técnica Superior de Ingenieros de Telecomunicación, Universidad Politécnica de Madrid, Madrid, Spain
› Author Affiliations
Funding This research did not receive any specific grant from funding agencies in the public, commercial, or not-for-profit sectors.


Background Trauma injuries are one of the main leading causes of death in the world. Training with guidelines and protocols is adequate to provide a fast and efficient treatment to patients that suffer a trauma injury.

Objectives This study aimed to evaluate deviations from a set protocol, a new set of metrics has been proposed and tested in a pilot study.

Methods The participants were final-year students from the Universidad Autónoma de Madrid and first-year medical residents from the Hospital Universitario La Paz. They were asked to train four trauma scenarios with a web-based simulator for 2 weeks. A test was performed pre-training and another one post-training to evaluate the evolution of the treatment to those four trauma scenarios considering a predefined trauma protocol and based on the new set of metrics. The scenarios were pelvic and lower limb traumas in a hospital and in a prehospital setting, which allow them to learn and assess different trauma protocols.

Results The results show that, in general, there is an improvement of the new metrics after training with the simulator.

Conclusion These new metrics provide comprehensive information for both trainers and trainees. For trainers, the evaluation of the simulation is automated and contains all relevant information to assess the performance of the trainee. And for trainees, it provides valuable real-time information that could support the trauma management learning process.

Protection of Human and Animal Subjects

This study did not involve human and/or animal subjects as the research objective.

Authors' Contributions

All authors whose names appear on the submission, (1) made substantial contributions to the conception or design of the work; or the acquisition, analysis, or interpretation of data; or the creation of new software used in the work; (2) drafted the work or revised it critically for important intellectual content; (3) approved the version to be published; and (4) agree to be accountable for all aspects of the work in ensuring that questions related to the accuracy or integrity of any part of the work are appropriately investigated and resolved.

Publication History

Received: 25 April 2023

Accepted: 15 June 2023

Article published online:
06 September 2023

© 2023. Thieme. All rights reserved.

Georg Thieme Verlag KG
Rüdigerstraße 14, 70469 Stuttgart, Germany

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