Paramedics practicing a vehicle rescue simulation with a car and ambulance in a training facility
Healthcare

Simulation technology enhances emergency medical services

Organization: ASB Rhein-Main Training Centre
Location: Frankfurt am Main, Germany
Customer need: Health, safety and environment (HSE)
Frankfurt am Main, Germany, 

The ASB Rhein-Main Training Centre utilizes advanced simulation technology and realistic environments to prepare paramedics for high-pressure emergencies. Through synchronized video recording and structured debriefing, trainees bridge the gap between theory and practice to ensure better patient care.


Two emergency responders performing CPR and ventilation on a medical training mannequin. Copyright to pictures: Mangold / Pascal Jackel

ASB Rhein-Main Training Centre

The ASB Rhein-Main Training Centre in Frankfurt am Main conducts simulation training for trainee paramedics and emergency medical technicians. This external provider is a central training center of the Arbeiter-Samariter-Bund and covers a wide catchment area stretching from western and southern Hesse, via Frankfurt am Main, to central Hesse. 

Each year, more than 100 people begin their training there as paramedics or emergency medical technicians.

A simulation training session, including a debriefing, lasts around 45 to 60 minutes and recreates a realistic emergency scenario: Trainees must respond to a specific emergency situation, ensure patient safety, make decisions and work as a team. 

The simulated scenarios range from highly complex surgical emergencies to internal medical conditions in a domestic setting. Resuscitation scenarios are also regularly carried out under realistic conditions.

Paramedics providing medical care to a patient on a stretcher inside an ambulance. In an emergency, seconds can mean the difference between life and death. Copyright to pictures: Mangold / Pascal Jackel

Simulation training as preparation for emergencies

In an emergency, seconds can mean the difference between life and death. Realistic training scenarios are therefore a crucial component of modern rescue training, which today must offer more than just the imparting of theoretical specialist knowledge.

To prepare paramedics and emergency medical technicians optimally for real-life operations, so-called simulation training sessions are carried out. In these, relevant operational situations are practiced as realistically as possible and without risk. This helps bridge the gap between theory and practice and enables team training to be carried out professionally. 

Another advantage is that even highly complex or rare emergencies can be rehearsed in a targeted and repeatable manner.

Mangold International’s simulation facility has raised the quality of our training to a new level in the long term. Thanks to the realistic scenarios and structured debriefing, our trainees gain significantly greater confidence in their actions and the ability to reflect. The result? Better-trained paramedics are entering patient care – and that is precisely our core mission
Robin Kehl
Head of Paramedic Training at the ASB Rhein-Main Training Centre
A medical simulation software interface displaying synchronized video feeds of a rescue scenario alongside patient vital signs for analysis. Simulation training: Camera footage as proof for debriefing. Copyright to pictures: Mangold / Pascal Jackel

Camera footage as a prerequisite for the debriefing

During the training session, participants are filmed synchronously from various angles. After the session, they receive a detailed debriefing and an analysis of their decisions and performance.

The simulation is therefore designed not only to replicate the scenario itself, but above all to enable a targeted debriefing based on lip-synchronised video and audio recordings made during the training.

In the past, the ASB Rhein-Main Training Centre used a small, mobile simulation setup for this purpose instead of a permanently installed system across several simulation rooms. 

Not only did this mean the camera equipment had to be set up anew for every single training session, but for many of the trainees, the mobile solution in a classroom also failed to provide the necessary level of realism to make the simulation effective.

Complex requirements for healthcare improvement

As part of a relocation, the ASB Rhein-Main Training Centre had the opportunity to set up four permanently installed simulation rooms, each measuring 20 m². These comprise a residential or care home room, an outdoor scenario with artificial turf and a street lamp, and a neutral room with a projector. These rooms are complemented by a 120m² arena featuring a mobile car for technical rescues and a fully equipped ambulance.

The technology required for this simulation environment had to meet several requirements: it needed to function reliably and stably, particularly during simulations and examinations. 

Furthermore, it had to allow two simulations to be controlled simultaneously from a central control room. The software had to enable synchronised recording start times for both simulations, as well as offer various layout options and a marking function for key sequences to facilitate video debriefings.

Two emergency responders practicing medical protocols on a training mannequin in a simulated room. Realistic trainings are a crucial component of modern rescue training. Copyright to pictures: Mangold / Pascal Jackel

Attention on network cameras: remotely controllable and high resolution

Furthermore, the hardware had to be network-compatible, have low latency and, ideally, be capable of operating on a standalone network. Particular attention was paid to the cameras used: they needed to be remotely controllable, allow for multiple perspectives and offer high resolution to fully capture the simulation scenarios.

In addition, it should be possible to make lip-synchronised audio recordings and to play background noise into the simulation rooms to make the scenarios even more realistic.

The ASB Rhein-Main Training Centre chose Mangold International for their planning and implementation expertise. 

With their extensive knowledge in software and system solutions, Mangold was the ideal partner. Their proven expertise in planning and technical installation was invaluable to our project’s success
Robin Kehl
Head of Paramedic Training at the ASB Rhein-Main Training Centre

Plug-and-play system for ASB Rhein-Main Training Centre

Axis IP-based audio and video technology forms a central component of Mangold’s solutions for the professional recording and analysis of complex training and observation scenarios.

For the project in Frankfurt am Main, Mangold International acted as Axis system integrator and, provided a ‘plug-and-play’ system for the ASB Rhein-Main Training Centre. This covers the entire process, from detailed installation planning to the final on-site configuration of the solution.

Optimizing simulations in healthcare with advanced technology

The new technology solution, comprising software developed by Axis partner Mangold International and Axis integrated hardware, was tailored precisely to the on-site requirements and integrated into the existing IT infrastructure. 

At the heart of the solution is the Mangold VideoSyncPro software, a marker-based recording program for structured video debriefing. A wide range of integrated Axis components ensure the precise capture of training scenarios and is optimally tailored to the varying requirements of the simulation rooms.

A professional monitoring a medical training simulation using a computer and tablet. Tailor-made camera and audio technology for precise analysis. Copyright to pictures: Mangold / Pascal Jackel

Tailor-made camera and audio technology for precise analysis

A total of twelve AXIS PTZ cameras for flexible viewing angles, four Axis network cameras with i-CS 2.8–8.5 mm lenses and two compact Axis box cameras were integrated. 

These different models enable precise recording of the scenarios in the simulation room: by panning, tilting and zooming, the PTZ network cameras can flexibly capture various details in high resolution, such as individual hand movements during an infusion. The PTZ cameras are controlled via Axis joysticks

The remaining cameras are used to provide a complete view of the scenario from a fixed perspective. With the help of specialized i-CS lenses, the cameras can be optimally adjusted to spatial conditions.

Simulation made easy with high-quality audio products

In addition to the network cameras, several Axis network speakers have also been installed in the simulation rooms. In combination with clip-on microphones, these audio solutions enable high-quality audio recording and transmission. High-quality video and audio recordings are essential for debriefings following simulation training sessions. 

The loudspeakers enable practical instructors to communicate directly with trainees in the simulation room or to play back background noise to make individual simulations more realistic – for example, road noise in outdoor scenarios. 

In addition, several Axis connectivity cubs have been installed to support the integration of further audio functions into the system.

For our software solutions, we need a hardware that operates reliably in demanding audio and video recording solutions. In Axis, we have found a partner whose technology has integrated very well into our systems for many years and provides optimal support for the analysis of audiovisual data
Pascal Mangold
Founder and Managing Director of Mangold International
Instructor leading a medical training debriefing in a classroom setting. Video debriefing improves emergency readiness. Copyright to pictures: Mangold / Pascal Jackel

New simulation rooms enhance the quality of training

With the introduction of permanently set-up simulation rooms and the implementation of professional technical equipment for efficient and structured debriefings, the ASB Rhein-Main Training Centre can conduct realistic simulation scenarios under standardized conditions. This has significantly improved the quality, intensity, and sustainability of training at the center.

Partnering for smarter, safer medical care

Looking ahead, the simulation facility is to be further expanded in collaboration with Mangold International, particularly with regard to additional scenarios and enhanced settings. 

Plans include, amongst other things, a simulated intensive care unit and a central emergency room to replicate clinical scenarios such as the delivery theatre, anesthesia or intensive care. The aim is to develop the project further in the long term through partnership and to continuously optimize the simulation environment.

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Joysticks and keypads

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