Paul® and MamaAnne®: simulation for a safer life start

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Every two minutes, a mother in the world loses her life from often avoidable causes. The training of healthcare personnel plays a key role in preventing these tragedies. Laerdal Italia, with the advanced simulator for obstetric emergencies MamaAnne® and Paul®, developed by SimCharacter and distributed by Laerdal globally, offers innovative tools to improve safety during childbirth and in the first days of a newborn’s life.

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According to the WHO, a maternal death occurs every two minutes worldwide. Many of these deaths are preventable and staff preparation and training play a key role in this. Building confidence and skills in dealing with obstetric emergencies through simulation training today is made even more effective thanks to the technological advancement achieved by simulators, which, combined within the Laerdal ecosystem, fosters competency-based education (CBE), in which NLN scenarios and pre-programmed cases are mapped onto the validated AACN and QSEN models, available on the open platform, Laerdal Scenario Cloud and integrated with e-learning systems in Augmented Reality and with Sim Capture for Skills checklists to guarantee maximum profitability in each learner’s path.

Due to their high realism and numerous clinical benefits, MamaAnne® and Paul® are also establishing themselves as valuable tools in continuing education for maternal and perinatal risk prevention. MamaAnne® is the result of the joint effort of Laerdal Medical and Limbs & Things who have combined their respective experience and expertise to offer a new standard in obstetric emergency simulation with a focus on inclusion. MamaAnne is a pregnant woman simulator that allows professionals and students to practice in different complication scenarios such as haemorrhage, hypertensive disorders of pregnancy and thrombo-embolism; but also from non-typical obstetric emergencies such as cardiovascular pathologies and sepsis or the management of adverse events, now rare, related to anaesthesia and mainly due to the failure to control the airway in general anaesthesia for caesarean section. The latter is also a risk factor that increases maternal mortality and for this reason it too must be adequately prepared for both performance and indication to ensure appropriateness.

MamaAnne is modelled on the most innovative of training platforms, easily modulated, flexible and highly realistic not only in its features and articulation capabilities, but above all in the physiology of childbirth and repere points. Equipped with sensors capable of detecting the pressures or tractions exerted, for skills training guided by objective feedback, it has the advantage of having intuitive operation and being easy to configure, which, in addition to reducing simulator set-up time, makes it perfect for in-situ simulations. Furthermore, the ability to simulate multiple critical situations simultaneously, all controlled and monitored by the unique Laerdal Learning Application (LLEAP) software, makes MamaAnne a realistic and immersive training experience.

Paul® was developed by the team of doctors, biomedical engineers, software developers, make-up artists and special effects experts at SimCharacter, a European company distributed exclusively in Italy and worldwide by Laerdal Medical from January 2024. This collaboration, made possible by the strong convergence of the mission and vision of the two companies, will see further developments of products and technological solutions with a strong impact on the effects of simulation in the clinic. Paul® is an accurate representation of a preterm baby born in the 27th week of pregnancy, modelled on the MRI data of real-life preterm babies. Praised by neonatologists and neonatal intensive care nurses for its highly realistic and convincing features, Paul is a simulator that combines the ability to reproduce complications such as breathing difficulties, infections, and neurodevelopmental problems that require early intervention and high specialisation with the ability to create compassion and empathy, emotions required to tirelessly care for these tiny patients. With Paul, healthcare professionals can acquire essential specialist skills in the management of complications associated with preterm infants, learning to recognise the signs of respiratory distress or infection and to intervene with appropriate procedures. Like MamaAnne, Paul has the advantage of being wireless, intuitive in use and easy to prepare, making it ideal for in-situ simulation.

Paul and MamaAnne represent an important step towards safe care at birth, helping to ensure that every start in life is healthy and peaceful.

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