NNCC Harvey Sarnat NNCC Fellowship University of Calgary
Innovation in Education · Alberta Children's Hospital

Neonatal Neuro-Critical Care Innovation in Education Lab

Democratizing access to innovative, affordable brain-health education for trainees worldwide — combining clinical expertise with the latest technology and cross-disciplinary collaboration.

1,000+Workshop participants worldwide
9 countriesIndia, China, US, UK, Kuwait, Oman, Colombia & Quito
28% → 7%Reduction in missed HIE cases

Our Vision

Democratizing access to innovative, affordable brain-health education for trainees worldwide.

Our Mission

To create state-of-the-art teaching modules by combining clinical expertise with the latest technology and cross-disciplinary collaboration.

Through Collaboration

We bridge medicine and engineering with students and professionals from Computer Science & Software Engineering, Bioengineering & Mechanical Engineering, and 3D Design.

About the Lab

Locally built, globally used

The Neonatal Neuro-Critical Care Program, under the umbrella of the ACH Neuro-Critical Care Program, has developed an Innovation in Neonatal Neuro-Critical Care Education Lab. The lab has produced cutting-edge, innovative simulators and models — all developed locally — that have been used across the globe for clinical-care application, quality improvement and research.

Flagship Model

Cranial Ultrasound Simulation Model

Computer-based simulators and ultrasound-able 3D-printed brain phantoms — developed in partnership with the Sonographic Clinical Assessment of the Newborn (SCAN) Program.

The cranial ultrasound simulators let learners practise ultrasonography using a bank of images from patients with normal cranial structures and multiple pathologies, plus ultrasound-able 3D-printed heads with landmark brain structures. Preloaded images are selected via the computer program, while a mannequin with sensors embedded under the scalp lets the probe select corresponding image sequences to simulate real-life scanning. Components include a laptop connected to a sensor within the probe. The tools familiarize trainees with probe orientation, image-optimization skills, and ultrasound-machine knobology.

Brain Phantoms

Ultrasound-able 3D-printed heads with simplified key internal brain structures — the lateral ventricles, caudo-thalamic notch, and choroid plexus.

3D-printed cranial ultrasound brain phantom

Computer-Based Cranial Ultrasound Simulators

  • 3D-printed heads with pressure sensors at the anterior and mastoid fontanels.
  • 3D-printed probes with Arduino sensors that interact with the sensors in the printed heads.
  • Cranial ultrasonography software translates probe movements into images, simulating a real cranial ultrasound study.
Computer-based cranial ultrasound simulator

Global implementation

Used in conferences and hands-on workshops across India, China, the US, UK, Kuwait, Oman, Colombia and Quito — with more than 1,000 participants in total. We follow up with centres afterward to help them build their programs and sustain learned skills.

Clinical skills & education

Integrated into our neonatology fellowship program. All of our neonatology fellows now train in neonatal cranial ultrasonography — compared with no formal training before the models were developed.

Quality improvement

Used to standardize the preterm brain-injury definition among radiologists and neonatologists. Two workshops in Calgary and Toronto brought together representatives from every Level III centre in the country; the resulting taskforce created a consensus practice guideline to standardize diagnosis and imaging in preterm infants nationwide.

Research & what's next

We tested the efficacy of simulation-based learning in gaining and sustaining ultrasonography skills and published the results in a peer-reviewed journal. In development: smart tracing of lateral-ventricle borders for surface-area measurement, side-by-side MRI/US slicing, interactive self-learning quizzes, user-contributed case libraries, expanded phantoms (corpus callosum, cerebellum, third ventricle), and cerebral-artery Doppler functionality.

Vascular Imaging

Cerebral Arteries Doppler Model

The anterior and middle cerebral artery simulator features the anterior and middle cerebral arteries embedded in a realistic, ultrasound-compatible brain phantom.

Anatomy included

Anterior Cerebral Artery, Middle Cerebral Arteries, and Cerebral Peduncle.

Simulation mechanism

A peristaltic pump generates flow, while a 20 cc syringe allows manual control of pulsation.

Learning objectives

  • Generating 2D images
  • Mastering Doppler acquisition (Color and Pulse Wave)
  • Measuring Resistive (RI) and Pulsatility (PI) indices

Implementation: used in training at international workshops.

Cerebral arteries Doppler model

MCA Model

A dedicated middle-cerebral-artery model for Doppler training and demonstration.

MCA model slide
Procedural Skill Maintenance

PHVD Measurement & Reservoir Tapping Model

As surgical intervention for post-hemorrhagic ventricular dilatation (PHVD) becomes rare, maintaining competency in tapping the ventricular reservoir is a challenge. We developed a "just-in-time" teaching model that includes:

  • A teaching video
  • A reservoir simulator — a reservoir connected to an IV fluid bag hidden inside a mannequin body, with a surgical incision and suture that resemble the real reservoir surgical site

Implementation

Used as a "just-in-time" teaching tool each time we face a case of reservoir insertion, and at international workshops such as the Pediatric Academic Societies meeting and the American Academy of Pediatrics District VIII Section of Neonatal-Perinatal Medicine.

Digital Tools

Smartphone App for Preterm Brain-Injury Diagnosis

We converted the consensus viewpoint developed between Neonatology and Radiology into a smartphone application — made free on Google Play and the App Store — to improve compliance and decrease variability. Using AI, we then developed an all-in-one tool for GMH-IVH prevention, management and diagnosis.

HIE Identification

Neonatal Neurological Examination Simulators & Modules

Built to improve identification of infants who suffered perinatal asphyxia and are eligible for therapeutic hypothermia — where the window of opportunity to start treatment is short.

Targeted Neurological Examination Teaching Videos

With formal family consent, full neurological-examination videos were recorded for normal and abnormal newborns, then edited and integrated into one targeted neurological examination to improve HIE identification.

Neonatal neurological examination simulator

Therapeutic Hypothermia Eligibility Tool

A free smartphone application that serves as a checklist and decision-making tool for cooling eligibility.

Targeted Neuro-Exam Virtual Reality Module

Recorded videos were converted into animation scenarios used to create a virtual-reality module in which trainees can observe and perform the targeted neurological examination.

Neurological Examination Mannequins

In collaboration with computer scientists, mechanical engineers and bioengineers, a neurological-examination model was developed to simulate tone assessment and posture. The project won Best in Clinical Category at the 2019 Health Hack competition.

Neurological examination mannequin
28% → 7%Missed HIE cases after implementation — without increasing annual volume
2 + 1Workshops in Kuwait, plus a nursing NNCC workshop in Calgary
RCTRandomized controlled pilot trial published (PubMed)

The combined package of teaching modules and simulators was used in the Southern Alberta Neonatal Outreach Program, where we visited all Level I and II referring centres and conducted sessions on improving HIE identification.

Neuro-Monitoring

Neonatal EEG Teaching Modules & Simulator

Teaching videos demonstrate how to place EEG electrodes and generate a good-quality signal, with step-by-step "how-to" tutorials on starting an EEG study and troubleshooting. In collaboration with computer scientists, software engineers and mechanical engineers, an EEG simulator was developed to simulate EEG set-up.

Clinical impact

Using these modules — videos, documents, small-group training, workshops and the simulator — we trained NICU nurses to set up EEG studies, helping establish neuro-monitoring in the NICU. Nurse-initiated EEG significantly decreased time to study initiation, which in turn led to a significant reduction in anti-seizure medication use and improved seizure diagnosis.

Neonatal EEG simulator

Teaching EEG Set-up with Simulation & Live Children

The EEG and neuro-exam simulators were used at our local, national and international workshops — with our own children volunteering as simulation models.

Teaching EEG setup with simulation
Artificial Intelligence

AI NNCC Tools

Open-access decision-support tools developed by the NNCC Innovation & Research group.

Bring brain-health innovation to your centre

Train with us, collaborate on a model, or bring our simulators and modules to your workshop. We help centres worldwide build and sustain neonatal neuro-critical care skills.

Apply to Train With Us