HEMS Timer Privacy Policy 2021

Privacy Policy

Per Östergren built the HEMS Timer app as a Commercial app. This SERVICE is provided by Per Östergren and is intended for use as is.

This page is used to inform users regarding my policies with the collection, use, and disclosure of Personal Information if anyone decided to use my Service.

If you choose to use my Service, then you agree to the collection and use of information in relation to this policy. The Personal Information that I collect is used for providing and improving the Service. I will not use or share your information with anyone except as described in this Privacy Policy.

The terms used in this Privacy Policy have the same meanings as in our Terms and Conditions, which is accessible at Awesome Ultrasound Simulator unless otherwise defined in this Privacy Policy.

Information Collection and Use

The Service requires no personal data to work, and no personally identifiable information is collected. Additional data that you provide yourself, such as additional video files, are stored on your device and not shared by any other party.

The app does not use third party services that may collect information used to identify you.

Log Data

I want to inform you that whenever you use my Service, in a case of an error in the app I collect data and information on your phone called Log Data. This Log Data may include information such as your device Internet Protocol (“IP”) address, device name, operating system version, the configuration of the app when utilizing my Service, the time and date of your use of the Service, and other statistics. This data is only shared according to the settings in iOS that controls sharing of data with the developer.

Security

I value your trust and therefore collect a minimum of information, of which none should be traceable to a specific individual. Remember that no method of transmission over the internet, or method of electronic storage is 100% secure and reliable, and I cannot guarantee its absolute security.

Children’s Privacy

These Services do not address anyone under the age of 13. I do not knowingly collect personally identifiable information from children under 13. In the case I discover that a child under 13 has provided me with personal information, I immediately delete this from our servers. If you are a parent or guardian and you are aware that your child has provided us with personal information, please contact me so that I will be able to do necessary actions.

Changes to This Privacy Policy

I may update our Privacy Policy from time to time. Thus, you are advised to review this page periodically for any changes. I will notify you of any changes by posting the new Privacy Policy on this page. These changes are effective immediately after they are posted on this page.

Contact Us

If you have any questions or suggestions about my Privacy Policy, do not hesitate to contact me.

Privacy Policy

Privacy Policy

Per Östergren built the Awesome Ultrasound Simulator app as a Commercial app. This SERVICE is provided by Per Östergren and is intended for use as is.

This page is used to inform users regarding my policies with the collection, use, and disclosure of Personal Information if anyone decided to use my Service.

If you choose to use my Service, then you agree to the collection and use of information in relation to this policy. The Personal Information that I collect is used for providing and improving the Service. I will not use or share your information with anyone except as described in this Privacy Policy.

The terms used in this Privacy Policy have the same meanings as in our Terms and Conditions, which is accessible at Awesome Ultrasound Simulator unless otherwise defined in this Privacy Policy.

Information Collection and Use

The Service requires no personal data to work, and no personally identifiable information is collected. Additional data that you provide yourself, such as additional video files, are stored on your device and not shared by any other party.

The app does not use third party services that may collect information used to identify you.

Log Data

I want to inform you that whenever you use my Service, in a case of an error in the app I collect data and information on your phone called Log Data. This Log Data may include information such as your device Internet Protocol (“IP”) address, device name, operating system version, the configuration of the app when utilizing my Service, the time and date of your use of the Service, and other statistics. This data is only shared according to the settings in iOS that controls sharing of data with the developer.

Security

I value your trust and therefore collect a minimum of information, of which none should be traceable to a specific individual. Remember that no method of transmission over the internet, or method of electronic storage is 100% secure and reliable, and I cannot guarantee its absolute security.

Children’s Privacy

These Services do not address anyone under the age of 13. I do not knowingly collect personally identifiable information from children under 13. In the case I discover that a child under 13 has provided me with personal information, I immediately delete this from our servers. If you are a parent or guardian and you are aware that your child has provided us with personal information, please contact me so that I will be able to do necessary actions.

Changes to This Privacy Policy

I may update our Privacy Policy from time to time. Thus, you are advised to review this page periodically for any changes. I will notify you of any changes by posting the new Privacy Policy on this page. These changes are effective immediately after they are posted on this page.

Contact Us

If you have any questions or suggestions about my Privacy Policy, do not hesitate to contact me.

This privacy policy page was created at privacypolicytemplate.net and modified/generated by App Privacy Policy Generator

New update: v3.0 - FINALLY!

After months and months of development, design and some beta testing, version 3.0 of Awesome Ultrasound Simulator is finally ready for release. As before, this will be a free update for current users, but due to the technology involved in the making of the app, iOS 11 is required which unfortunately excludes older devices.

The basics of the app will remain the same as before, some things have a new look, and some things are brand new. Let's go into detail.

New style

I wanted to make a refreshed design, this is how it turned out. Buttons and overall layout is very similar to earlier versions.

New editing 

In earlier versions, changing pathologies for a case moved the user to a new screen with a long, scrollable screen with buttons and pathologies. This was OK, but made quick changes and discoverability a bit hard. In v3.0 the user stays on the remote control screen, but in an editing mode. The touching one of the highlighted organs displays what pathologies can be selected, which makes for a quicker and more discoverable experience.

When designing a case, the current setup of pathologies can be saved for later access by pressing the 'Save' button. Name your case with an appropriate description. Loading a predefined setup is as easy as pressing the 'Load' button and selecting the desired case from the list that appears.

Using this method, complex changes can be made within seconds, giving the operator of the remote time to focus on the ongoing simulation.

CPR Mode

CPR scenarios is the bread and butter of simulation training. Everyone does it, cardiac arrest is always an option when simulating. I have made the case that Awesome Ultrasound Simulator is a great way to simulate the use of ultrasound when confirming or excluding treatable reasons for the cardiac arrest, but ultrasound is also a great tool to assess the heart during the rhythm/pulse check.

Enter 'CPR mode', which gives the operator of the remote control quick access to four buttons associated to CPR: compressions, asystole, ventricular fibrillation and normal contractions. Pressing any button shows the corresponding clip from the subcostal/subxiphoid view as this is the natural place to look at the heart in this scenario. 

Accessing the 'CPR Mode' on iPad is as easy as pressing the 'CPR Mode' button on the left on the screen, but on iPhone this button is absent due to constrained space. Using the iPhone, a gentle shake will instead bring up a dialoge that asks the user if she/he would like to enter 'CPR Mode' and confirming brings up the panel.

Use this feature in your training!

Add your own clips

Can I add my own clips to display instead of the standard clips provided by the app as default? Yes, now you can. This is a 'Pro' feature, not necessarily for everyone, but it makes for some interesting modifications. It is worth noting that the changes are made on the device that acts as monitor, and that importing a clip makes it possible to alter what's being showed when that specific pathology is called for by the remote.

Some preparation may be necessary to get everything to work properly. AUS only accepts files encoded in MPEG-4, usually .mp4 files. 

Export your clips, what file format they come off the machine may vary. Make sure that patient data is removed, some machines do this, if present after export -use Clip Deidentifier to crop your file. If the file is not encoded in MPEG-4, use Handbrake video encoder or your encoder of choice to 1) make sure that the file is in the right format 2) compress it to an adequate file size. Anything over 576p is usually overkill, 480p is fine. Make sure that any sound is muted! A 2-3 second clips should be around 500k-1mb in size. Save the file where you can access it from the device you wish to save it to (iCloud, Dropbox, etc). Name your files appropriately, organize them!

Access the video clip library by pressing 'Video Settings' when in Monitor mode. Navigate your way to the pathology clip you would like to add a clip to. Press the '+' button and a file picker will appear. What services that are available depends on what you have installed on your device. iCloud are installed on every iOS device but requires a macOS computer. Dropbox, Google drive and such requires installation on both the iOS device and your computer to work. Select the clip that you would like to add, only .mp4 files can be selected.

After being added, selecting the clip instead of the 'Standard' clip in the list, makes it appear when called for.

If several clips are installed for use in different cases, specific setups can be saved to make management easier. E.g. 4 different clips of positive FAST exams are added to both LUQ, RUQ and pelvic views, and setups are saved as trauma1, trauma2, trauma3, trauma4, where all clips are standard except the added FAST exams. Load setups by pressing the 'Load' button and select a specific setup, or select 'All standard' to reset to just using standard clips.

This feature will make everyone able to alter the experience and modify the app to suit their needs. I cannot wait to see what you'll make with this.

New 'Pathology': Pregnancy

As the headline suggests, pregnancy is now an option when selecting pelvic pictures. As with other pathologies in the midline view, these images are available in longitudinal and transverse, and as always; switching between views are done with a touch of the monitor screen. 

Instructions and F.A.Q.

Instructions & F.A.Q. section is accessed from the startup screen. Links to programs, instructions for use and illustrations are all placed here.

That's all, hope that you'll enjoy the new experience. Tell your friends or place a review on the AppStore to help spread the word about ultrasound simulation!

Happy simulations, y'all! 

In celebration of dasSMACC...

...Awesome Ultrasounsd Simulator is on SALE!!!

50% off during the length of the conference, so if you haven't yet made the jump to interactive ultrasound simulations, take the chance and go for it now!

Will also attend the conference, will probably spend a lot of time in the "SimHaus", discussing simulation, and will be giving away AUS swag to a few lucky attendees.

See y'all in Berlin!

//Per

What's that on the TV? -Ultrasound, that's what!!!

Today, Awesome Ultrasound Simulator is getting more ominous than ever, with the release to the 1.0 version of the app for Apple TV. You can now use any TV connected with an Apple TV as the monitor screen when doing your simulation scenarios, which can come in handy if short of iOS devices or if you are in a location such as a sim lab where screens usually are abundant.

Using the HDMI output of the Apple TV also facilitates interactive presentations, let the audience scan a doll or a mannequin, and let the picture be shown for everyone to see via the projector.

Some things are different than the iOS version, such as that only monitor mode is possible on the TV. Usually, switching between short axis och long axis views are done by a touch on the monitor screen. On the TV, this is managed by clicking the Play/Pause button in the Apple TV remote instead. This can be done by the person doing the simulation, using the Apple TV remote as a dummy probe to examine the patient, or by the simulation facilitator who can switch view on command from the examiner.

A standard iOS device is required to act as remote controller for the monitor, but nothing differs in regards to how you connect the devices or how to set up pairing with 'Team Mode' if used in a setting with many instances of the app in use simultainiously.

The Apple TV version is bundled with the iOS version, so if you've bought one you've automatically got the other. Try it out!

Together with the 1.0 Apple TV release, the iOS version is getting an update also. Version 2.1 adds increased compatibility with the TV version, and minor bug fixes. Download on the AppStore!

I hope that you will find use for this version, even if not in the every day simulation. Happy simulations!

2.0.3 update

Another update to improve the functionality of the app. This includes one resolved issue that prevented one of the four possible possible FAST exams from showing. Most annoying, but now fixed. The monitor portion of the simulation setup randomizes which exam that will be presented, why different examinations/cases now can display different images. This will make interpretations a bit harder, as images will not be instantly recognizable as one or the other of the two possible; normal or pathologic.

New feature: app can now be launched directly into either monitor- or remote mode via 3D Touch to the app icon on devices that supports this (6S, 7). This speeds up the process somewhat as you can bypass the start screen, which is always nice if time is of the essence.

Thanks a lot everyone for your support! I know that many new users are coming from recommendations by current users, which truly feels rewarding on its own. If you have the time or interest, leaving a rating for the app in the AppStore (written or star doesn't matter) would help a lot.

Until next time, happy simulations!!!

2.0.2 update

This update fixes a bug that led the app to crash on 12" iPad Pro units if the "Use Device As Remote" button was pressed. Unfortunately a bit of a slip up with my QA process that led to this error, but hopefully not affecting too many users.

If you happen to stumble over any bugs, don´t hesitate to get in touch!

2.0.1 update

Quick update pushed out today with minor changes to the interface when setting up your scenario. The contrast ratio between selected or unselected pathologies (red color) have been increased so that it's easier to discern what pathology that's currently selected. To make things even clearer, the associated text below the current selection is now underlined. Hopefully these changes will make the interface easier to navigate and use, and if you are affected by color blindness, the addition of underlined text will make a big difference.

Big thanks to Niels Castle of SimMon app fame for providing feedback and suggestions!

SESAME protocol and advanced cardiac arrest resuscitation

Modern resuscitation mainly differs itself from its past in that focus now now is shifted from just running a protocol, like the ERC Guidelines for CPR, to trying to narrow down the root cause of the collapse by enhancing physiologic monitoring and diagnostics. The use of invasive monitoring of arterial pressure and end tidal CO2 have been getting a lot of attention in the last couple of years and ultrasound is gaining traction as the primary diagnostic tool.

But. Does everyone know how to use this tool in this special situation? Incorporating advanced diagnostics into the already established concept of CPR takes practice and thinking. When to do it, where to look?

Dr. Daniel Lichtenstein have proposed the SESAME protocol as the way to standardize the diagnostic use of ultrasound in cardiac arrest. The protocol specifies a structured approach that can be used to rule in or rule out causes of cardiac arrest, and can be preformed while standard CPR is ongoing.

Listen to Dr. Lichtenstein explaining the concept, or read up on the details.

The main points are to rule in or rule out:

• Tension pneumothorax
• DVT in femoral vessels
• Major bleeding in abdomen or from the aorta
• Tamponade
• RV-strain or other cardiac cause

All these diagnoses can be found in the Awesome Ultrasound Simulator, why training easily can be preformed with just a mannequin and two iDevices. Training focus can be to correctly finding and treating the underlying pathology that's causing the arrest while maintaining good compressions. How many persons are required to run the standard protocol with good quality while also expanding the diagnostics this way? How do you communicate your findings to the rest of the team, and how do you tailor your treatment?

Ultrasound Simulation 2.0

As I've mentioned earlier, the time has come for a 2.0 version of the app called Awesome Ultrasound Simulator. The work began this past fall, and did unfortunately take a lot longer than I first expected. I've had several ideas on how to make the app better, and I've also gotten a lot of feedback from users. Some things are easier to implement than others, and I can assure you that development will continue.

The highlights in v2.0 can be seen when designing your cases. I've added a massive library of pathologies including:

• cardiac arrest (4 views)
• LUCAS compressions in the subcostal view
• Endocarditis
• Type A aortic dissection
• LV & RV infarction

I've also added 3 extra sets of clips of a positive FAST exam in both the LUQ and RUQ view. Each time the monitor starts, 1 out of 4 possible sets of clips will be chosen at random. This randomness will make the app better in situations where It's used frequently and in several scenarios following each other.

RUQ & LUQ now includes the possibility to show hydronefrosis (mild to moderate).

On popular demand, I've also added a new view. You can now check for clots in the femoral veins on both sides. Nothing stopping you now from making that awesome 'PE that leads to cardiac arrest' case that you´we always dreamed about!

As of the release of iOS 10, Apple have introduced a bug in the framework that the app uses to connect devices. This bug made it impossible to connect a device running iOS 9.3.5 to any device running iOS 10. I have gotten a lot of correspondence about this, and I'm sorry to say that fixing this bug is beyond my capability. As it seems, even Apple seem to be struggling. My solution to have this app working for everyone it to require at least iOS 10, as I know that connectivity will work as intended. Most devices are already running 10.x, but some older hardware will be left unsupported...

I hope that you will find that this update adds something special to your simulations, and that you will spread the word to others if you think that they can benefit.

If you want to reach out, I'm on twitter at @bysnrk & the awesome account @UltrasoundSim.

Happy simulations, y'all!

/Per Östergren 

Celebrating the new year with an update

It's been almost a year since the Awesome Ultrasound Simulator was released in the AppStore. To celebrate the fact, and to enhance the experience for all of you that have bought the app, a 2.0 version is to be released.

Hopefully soon, but as you all may be familiar with; the final touches are often what takes the longest to finish.

My focus has been to make the app better in the ways that matter concerning its use in simulation, focusing on the features that have been requested in the year that have past. I'm very thankful for all of the feedback that I've got, and I hope that you will make use of the changes and adding in your simulations. If you have any suggestions, please feel free to get in touch!

In the last year, the app have been in use in medical- and trauma- simulation training all over the globe, used in presentations as an interactive way to teach ultrasound, used as a tool for examination at POCUS courses.

Hopefully, the coming year will bring a whole lot more of all of the above, and maybe it can even be used in new contexts?

2017 -the year of Awesome Products?

In other news, I've now started selling 3D-printed probes for use with the simulation software. People have tried different solutions on how to get the probe part of the ultrasound machine included in the simulation with varying success. This is my take on the whole thing.

3D-printed in white PLA plastic, with gray silicone makes this probe look like you are using a regular GE V-scan-like device when paired together with your phone.

Connect the probe with a regular lightning to USB-cable to your phone or iPad.

This is only plastic, no magic or electrical parts that interact with the software in any way. But, adding parts that mimic reality often enhances the experience of simulation, as makers of software like ALSi & SimMon and mannequin makers like Trauma FX Global can assure you. Combining this device together with the Awesome Ultrasound Simulator will make your simulations 'pop' in a way they didn't do before.

You'll find the probes in the 'Awesome Products' section, starting today.

Compatibility issuses with iOS 10?

So. Apple released thier update to version 10 of iOS yesterday. Fundamentally, nothing has really changed 'under the hood' concerning Awesome Ultrasound Simulator, so no issues were to expect. However when using two devices running different versions of iOS (9,10), connecting can sometimes time out. I've seen issues when using the iOS 9 as remote with iOS 10 as monitor, but flipping the roles; iOS 10 as remote and iOS 9 as monitor works well.

After upgrading all devices to iOS 10, connection was again almost immediate and worked both ways.

Why this is happening, I don't know. I'll investigate and hopefully work out a fix. Until then my recommendation is to either stay with iOS 9 on all devices, or upgrade everything to iOS 10.

Happy simulations!

Teaching using A.U.S. -a few examples

The word about Awesome Ultrasound Simulator is spreading around the world, but more important; It's use in in-situ simulation is real and effective.

Used https://t.co/jCnktT3yog for TRUST study must have 4 #insitu #simulation! Lives up to its name. #awesome @bysnrk pic.twitter.com/R57RBQ78YM

— Andrew Petrosoniak (@petrosoniak) August 17, 2016

In Toronto, Dr. Andrew Petrosoniak is using earlier, actual, trauma cases in the simulation at the emergency department at St Michaels hospital in his TRUST study. POCUS is a critical component to aid the modern doctor in diagnosing and treatment of trauma patients, and simulating the POCUS examination adds both educational value, and added realism to the simulaiton case.

Training in #ultrasound during #CPR with @UltrasoundSim today at Summerschool Emergency Anesthesia @AnesAMC @AMC_NL. pic.twitter.com/ADw3PVNgOh

— Hans van Schuppen (@HansvanSchuppen) August 3, 2016

In Amsterdam, Dr. Hans van Schuppen is using Awesome Ultrasound Simulator in advanced CPR training, of his anaestesia residents. POCUS can, and should, be used in every cardiac arrest scenario, both in real life and in simulation.

Great work, Hans and Andrew, and good luck with your education endavours!

Version 1.5 - What's new?

Version 1.5, aka 'The C. Wurster asked for it' update!

I've gotten some feature requests and try to fulfil your wishes if possible. So, I hereby give you:

New view: Aorta !!!!
It's now possible to simulate examination of the aorta. For now, I've included sagittal and transverse images of normal vascular anatomy and an aneurysm. Will swap out current aneurysm for any larger or more thrombotised as soon as I can get my probe on one, as the current one not yet fulfils the requirements for operation and looks fairly benign (diameter ~5cm).

Social sharing
Marketing of this app has up until now only consisted of some Tweeting and some very rare demonstrations in person. I'm very happy for every mention, and extremely exited by the few pictures and videos of people actually using the app in their simulation scenarios! If you want, there is now the possibility to share on Twitter or Facebook directly from whit in the app. Unfortunately, Facebook won´t allow for pre-filled sharing sheets, so you will have to come up with something yourself or copy the text from the Twitter share sheet.

Thats it for now. Use the app, spread the word to others that teach ultrasound, simulation or in other ways can benefit from having the ability to simulate POCUS.

Version 1.4 - What's new?

Version 1.4 of Awesome US got released just in time for SMACC DUB and includes a plethora of improvements.

-New and better clips of normal lungs and of the normal A4C view of the heart.

-Improvements to the remote controller portion if the app.

Before v.1.4 the app could malfunction if more than one buton on the controller was pushed down at once. Starting with 1.4 this no longer is the case as only one button can be activated at any given time. Big thanks to the quality testers that are my sons for finding this issue!

-New 'Help'-switch in monitor mode

Got the request from one of the consultants at work to add this feature. Not sure if this is nessecary, but at least I've got a userbase of 1 after this update. Flipping the switch reveals a text interpretation of the current clip. May be that this makes thing too easy for anyone that isn't a consultant, so use with caution...

Version 1.3 released!

Version 1.3 was released yesterday. Biggest change from earker versions is the possibility to include a full ventricle of 'Gastric' content in the LUQ view. Maybe that ventricle should be drained before an intubation of the patient?

Our department has also got a new ultrasound machine (GE S70), which produced much more detail rich pictures than our S6 ones. It has also the option to export images in a less compressed format than my old workflow of 'S6 scans -> Syngo database -> .avi export'. Hopefully I can herefrom update some of the scans with better ones. In this version the old, 'Pleural Effusion' clips are changes to newer ones from this new machine.