{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,1]],"date-time":"2026-04-01T01:05:13Z","timestamp":1775005513157,"version":"3.50.1"},"publisher-location":"Cham","reference-count":38,"publisher":"Springer Nature Switzerland","isbn-type":[{"value":"9783032179296","type":"print"},{"value":"9783032179302","type":"electronic"}],"license":[{"start":{"date-parts":[[2026,1,1]],"date-time":"2026-01-01T00:00:00Z","timestamp":1767225600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.springernature.com\/gp\/researchers\/text-and-data-mining"},{"start":{"date-parts":[[2026,1,1]],"date-time":"2026-01-01T00:00:00Z","timestamp":1767225600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/www.springernature.com\/gp\/researchers\/text-and-data-mining"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2026]]},"DOI":"10.1007\/978-3-032-17930-2_9","type":"book-chapter","created":{"date-parts":[[2026,4,1]],"date-time":"2026-04-01T00:02:39Z","timestamp":1775001759000},"page":"124-136","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Intelligent Vital Signs Simulator Based on Virtual Patients with Medical Orientation in Shock Scenarios"],"prefix":"10.1007","author":[{"ORCID":"https:\/\/orcid.org\/0009-0008-4100-3677","authenticated-orcid":false,"given":"Diego","family":"Hern\u00e1ndez-Cabrera","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9183-6086","authenticated-orcid":false,"given":"Alberto","family":"Ochoa-Zezzatti","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0008-2155-8552","authenticated-orcid":false,"given":"Antonio I.","family":"Mart\u00ednez-Santos","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9786-2018","authenticated-orcid":false,"given":"H\u00e9ctor M.","family":"Buenabad-Arias","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2507-0067","authenticated-orcid":false,"given":"Laura L.","family":"Castro-G\u00f3mez","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8164-649X","authenticated-orcid":false,"given":"Miguel A.","family":"Basurto-Pensado","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","published-online":{"date-parts":[[2026,4,1]]},"reference":[{"key":"9_CR1","doi-asserted-by":"publisher","DOI":"10.4103\/jehp.jehp_558_21","volume-title":"Benefits of Simulation-Based Education in Hospital Emergency Departments: a Systematic Review","author":"S Moslehi","year":"2022","unstructured":"Moslehi, S., Masoumi, G., Barghi-Shirazi, F.: Benefits of Simulation-Based Education in Hospital Emergency Departments: a Systematic Review (2022). https:\/\/doi.org\/10.4103\/jehp.jehp_558_21"},{"key":"9_CR2","doi-asserted-by":"publisher","unstructured":"Bergamo, P.A.d.S., Streng, E.S., de Carvalho, M.A., Rosenkranz, J., Ghorbani, Y.: Simulation-based training and learning: a review on technology-enhanced education for the minerals industry. (2022). https:\/\/doi.org\/10.1016\/j.mineng.2021.107272","DOI":"10.1016\/j.mineng.2021.107272"},{"key":"9_CR3","doi-asserted-by":"publisher","DOI":"10.1109\/CONESCAPAN60431.2023.10328422","volume-title":"Proceedings of 2023 IEEE Central America and Panama Student Conference","author":"D Amaya","year":"2023","unstructured":"Amaya, D., Melendez, D., Marin, M., Cubias, J.: Construction and Design of a Didactic Prototype of a Vital Signs Monitor programmed with LabVIEW. In: Proceedings of 2023 IEEE Central America and Panama Student Conference. CONESCAPAN 2023 (2023). https:\/\/doi.org\/10.1109\/CONESCAPAN60431.2023.10328422"},{"key":"9_CR4","doi-asserted-by":"publisher","unstructured":"Ren, Q., Chen, F., Zhang, H., Tu, J., Xu, X., Liu, C.: Effects of a standardized patient-based simulation in anaphylactic shock management for new graduate nurses. BMC Nurs. 21(1) (2022). https:\/\/doi.org\/10.1186\/s12912-022-00995-y","DOI":"10.1186\/s12912-022-00995-y"},{"key":"9_CR5","doi-asserted-by":"publisher","unstructured":"McInerney, N., Nally, D., Khan, M.F., Heneghan, H., Cahill, R.A.: Performance effects of simulation training for medical students \u2013 a systematic review. GMS J. Med. Educ. 39(5) (2022). https:\/\/doi.org\/10.3205\/zma001572","DOI":"10.3205\/zma001572"},{"key":"9_CR6","doi-asserted-by":"publisher","unstructured":"Carrero-Planells, A., Pol-Casta\u00f1eda, S., Alamillos-Guardiola, M.C., Prieto-Alomar, A., Tom\u00e1s-S\u00e1nchez, M., Moreno-Mulet, C.: Students and teachers\u2019 satisfaction and perspectives on high-fidelity simulation for learning fundamental nursing procedures: a mixed-method study. Nurse Educ. Today. 104 (2021). https:\/\/doi.org\/10.1016\/j.nedt.2021.104981","DOI":"10.1016\/j.nedt.2021.104981"},{"key":"9_CR7","doi-asserted-by":"publisher","unstructured":"Fraser, K., et al.: Simulation training improves diagnostic performance on a real patient with similar clinical findings. Chest. 139(2) (2011). https:\/\/doi.org\/10.1378\/chest.10-1107","DOI":"10.1378\/chest.10-1107"},{"key":"9_CR8","doi-asserted-by":"publisher","unstructured":"Ajab, S., et al.: An Alternative to Traditional Bedside Teaching during COVID-19: High-Fidelity Simulation-Based Study. JMIR Med. Educ. 8(2) (2022). https:\/\/doi.org\/10.2196\/33565","DOI":"10.2196\/33565"},{"key":"9_CR9","doi-asserted-by":"publisher","unstructured":"Tabatabai, S.M.: COVID-19 impact and virtual medical education. (2020). https:\/\/doi.org\/10.30476\/jamp.2020.86070.1213","DOI":"10.30476\/jamp.2020.86070.1213"},{"key":"9_CR10","doi-asserted-by":"publisher","DOI":"10.1016\/j.psc.2021.03.002","volume-title":"The Use of Simulation in Teaching","author":"SR McGue","year":"2021","unstructured":"McGue, S.R., Pelic, C.M., McCadden, A., Pelic, C.G., Lewis, A.L.: The Use of Simulation in Teaching (2021). https:\/\/doi.org\/10.1016\/j.psc.2021.03.002"},{"key":"9_CR11","doi-asserted-by":"publisher","DOI":"10.1016\/j.nedt.2022.105536","volume-title":"The Effectiveness of Simulation-Based Training on the Competency of Military Nurses: a Systematic Review","author":"A Niu","year":"2022","unstructured":"Niu, A., Ma, H., Zhang, S., Zhu, X., Deng, J., Luo, Y.: The Effectiveness of Simulation-Based Training on the Competency of Military Nurses: a Systematic Review (2022). https:\/\/doi.org\/10.1016\/j.nedt.2022.105536"},{"key":"9_CR12","doi-asserted-by":"publisher","DOI":"10.1007\/s11845-021-02695-z","volume-title":"The Effectiveness of Virtual Reality Simulation as Learning Strategy in the Acquisition of Medical Skills in Nursing Education: a Systematic Review","author":"ST Jallad","year":"2022","unstructured":"Jallad, S.T., I\u015f\u0131k, B.: The Effectiveness of Virtual Reality Simulation as Learning Strategy in the Acquisition of Medical Skills in Nursing Education: a Systematic Review (2022). https:\/\/doi.org\/10.1007\/s11845-021-02695-z"},{"key":"9_CR13","doi-asserted-by":"publisher","unstructured":"D\u00edaz-Guio, D.A., et al.: Online-synchronized clinical simulation: an efficient teaching-learning option for the COVID-19 pandemic time and: beyond. Adv.Simul. 6(1) (2021). https:\/\/doi.org\/10.1186\/s41077-021-00183-z","DOI":"10.1186\/s41077-021-00183-z"},{"key":"9_CR14","doi-asserted-by":"publisher","unstructured":"Ayaz, O., Ismail, F.W.: Healthcare simulation: a key to the future of medical education \u2013 A Review. (2022). https:\/\/doi.org\/10.2147\/AMEP.S353777","DOI":"10.2147\/AMEP.S353777"},{"key":"9_CR15","doi-asserted-by":"publisher","unstructured":"Pardue, K.T.: Exploring the development of nursing clinical judgment among students using virtual reality simulation. Nurse Educ. 48(2) (2023). https:\/\/doi.org\/10.1097\/NNE.0000000000001318","DOI":"10.1097\/NNE.0000000000001318"},{"key":"9_CR16","doi-asserted-by":"publisher","unstructured":"Al-Elq, A.H.: Simulation-based medical teaching and learning. J. Fam. Community Med. 17(1) (2010). https:\/\/doi.org\/10.4103\/1319-1683.68787","DOI":"10.4103\/1319-1683.68787"},{"key":"9_CR17","doi-asserted-by":"publisher","unstructured":"Kassutto, S., Clancy, C., Harbison, S., Tsao, S.: A virtual simulation-based clinical skills course. Clin. Teach. 21(4) (2024). https:\/\/doi.org\/10.1111\/tct.13727","DOI":"10.1111\/tct.13727"},{"key":"9_CR18","doi-asserted-by":"publisher","unstructured":"Zackoff, M.W., et al.: Multiuser immersive virtual reality simulation for interprofessional sepsis recognition and management. J. Hosp. Med. 19(3) (2024). https:\/\/doi.org\/10.1002\/jhm.13274","DOI":"10.1002\/jhm.13274"},{"key":"9_CR19","doi-asserted-by":"publisher","unstructured":"Rady, M.Y., Smithline, H.A., Blake, H., Nowak, R., Rivers, E.: A comparison of the shock index and conventional vital signs to identify acute, critical illness in the emergency department. Ann. Emerg. Med. 24(4) (1994). https:\/\/doi.org\/10.1016\/S0196-0644(94)70279-9","DOI":"10.1016\/S0196-0644(94)70279-9"},{"key":"9_CR20","doi-asserted-by":"publisher","unstructured":"Meltzer, S.J.: The nature of shock. Arch. Intern. Med. 1(6) (1908). https:\/\/doi.org\/10.1001\/archinte.1908.00050050002001","DOI":"10.1001\/archinte.1908.00050050002001"},{"key":"9_CR21","volume-title":"Harrison Principios de Medicina interna","author":"D Longo","year":"2012","unstructured":"Longo, D., Fauci, A., Kasper, D., Hauser, S., Jameson, L., Loscalzo, J.: Harrison: principios de medicina interna (18\u00b0 ed). In: Harrison Principios de Medicina interna (2012)"},{"key":"9_CR22","unstructured":"Tintinelli: Tintinalli\u2019s Emergency Medicine Manual. (2018)"},{"key":"9_CR23","doi-asserted-by":"publisher","unstructured":"D\u00e1vila-Cervantes, A.: Simulaci\u00f3n en Educaci\u00f3n M\u00e9dica. Invest. Educ. M\u00e9d. 3(10) (2014). https:\/\/doi.org\/10.1016\/s2007-5057(14)72733-4","DOI":"10.1016\/s2007-5057(14)72733-4"},{"key":"9_CR24","doi-asserted-by":"publisher","DOI":"10.1046\/j.1365-2923.37.s1.9.x","volume-title":"Low- to High-Fidelity Simulation - a Continuum of Medical Education?","author":"NJ Maran","year":"2003","unstructured":"Maran, N.J., Glavin, R.J.: Low- to High-Fidelity Simulation - a Continuum of Medical Education? (2003). https:\/\/doi.org\/10.1046\/j.1365-2923.37.s1.9.x"},{"key":"9_CR25","doi-asserted-by":"publisher","DOI":"10.1080\/01421590500046924","volume-title":"Features and Uses of High-Fidelity Medical Simulations that Lead to Effective Learning: a BEME Systematic Review","author":"SB Issenberg","year":"2005","unstructured":"Issenberg, S.B., McGaghie, W.C., Petrusa, E.R., Gordon, D.L., Scalese, R.J.: Features and Uses of High-Fidelity Medical Simulations that Lead to Effective Learning: a BEME Systematic Review (2005). https:\/\/doi.org\/10.1080\/01421590500046924"},{"key":"9_CR26","doi-asserted-by":"publisher","unstructured":"Woodham, L.A., Ellaway, R.H., Round, J., Vaughan, S., Poulton, T., Zary, N.: Medical student and tutor perceptions of video versus text in an interactive online virtual patient for problem-based learning: a pilot study. J. Med. Internet Res. 17(6) (2015). https:\/\/doi.org\/10.2196\/jmir.3922","DOI":"10.2196\/jmir.3922"},{"key":"9_CR27","doi-asserted-by":"publisher","unstructured":"Lehmann, R., Bosse, H.M., Simon, A., Nikendei, C., Huwendiek, S.: An innovative blended learning approach using virtual patients as preparation for skills laboratory training: perceptions of students and tutors. BMC Med. Educ. 13(1) (2013). https:\/\/doi.org\/10.1186\/1472-6920-13-23","DOI":"10.1186\/1472-6920-13-23"},{"key":"9_CR28","doi-asserted-by":"publisher","DOI":"10.1097\/ACM.0000000000001146","volume-title":"The Role for Virtual Patients in the Future of Medical Education","author":"NB Berman","year":"2016","unstructured":"Berman, N.B., Durning, S.J., Fischer, M.R., Huwendiek, S., Triola, M.M.: The Role for Virtual Patients in the Future of Medical Education (2016). https:\/\/doi.org\/10.1097\/ACM.0000000000001146"},{"key":"9_CR29","doi-asserted-by":"publisher","unstructured":"Cook, D.A., Erwin, P.J., Triola, M.M.: Computerized virtual patients in health professions education: a systematic review and meta-analysis. (2010). https:\/\/doi.org\/10.1097\/acm.0b013e3181edfe13","DOI":"10.1097\/acm.0b013e3181edfe13"},{"key":"9_CR30","doi-asserted-by":"publisher","unstructured":"Ward, W., Cole, R., Bola\u00f1os, D., Buchenroth-Martin, C., Svirsky, E., Weston, T.: My science tutor: A conversational multimedia virtual tutor. J. Educ. Psychol. 105(4) (2013). https:\/\/doi.org\/10.1037\/a0031589","DOI":"10.1037\/a0031589"},{"key":"9_CR31","doi-asserted-by":"publisher","DOI":"10.2196\/20963","volume-title":"Effectiveness of Virtual Medical Teaching during the COVID-19 Crisis: Systematic Review","author":"RJ Wilcha","year":"2020","unstructured":"Wilcha, R.J.: Effectiveness of Virtual Medical Teaching during the COVID-19 Crisis: Systematic Review (2020). https:\/\/doi.org\/10.2196\/20963"},{"key":"9_CR32","first-page":"2007","volume":"2007","author":"P Stodulka","year":"2007","unstructured":"Stodulka, P., Privitzer, P.: Development of WEB accessible medical educational simulators. Proc. EUROSIM. 2007, 2007 (2007)","journal-title":"Proc. EUROSIM"},{"key":"9_CR33","doi-asserted-by":"publisher","unstructured":"Kleinert, R., et al.: Web-based immersive virtual patient simulators: positive effect on clinical reasoning in medical education. J. Med. Internet Res. 17(11) (2015). https:\/\/doi.org\/10.2196\/jmir.5035","DOI":"10.2196\/jmir.5035"},{"key":"9_CR34","doi-asserted-by":"publisher","DOI":"10.1016\/j.jss.2014.06.043","volume-title":"Performance of Technology-Driven Simulators for Medical Students - a Systematic Review","author":"M Michael","year":"2014","unstructured":"Michael, M., Abboudi, H., Ker, J., Khan, M.S., Dasgupta, P., Ahmed, K.: Performance of Technology-Driven Simulators for Medical Students - a Systematic Review (2014). https:\/\/doi.org\/10.1016\/j.jss.2014.06.043"},{"key":"9_CR35","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2923.2009.03547.x","volume-title":"A Critical Review of Simulation-Based Medical Education Research: 2003\u20132009","author":"WC McGaghie","year":"2010","unstructured":"McGaghie, W.C., Issenberg, S.B., Petrusa, E.R., Scalese, R.J.: A Critical Review of Simulation-Based Medical Education Research: 2003\u20132009 (2010). https:\/\/doi.org\/10.1111\/j.1365-2923.2009.03547.x"},{"key":"9_CR36","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2011.1234","volume-title":"Technology-Enhanced Simulation for Health Professions Education: a Systematic Review and Meta-Analysis","author":"DA Cook","year":"2011","unstructured":"Cook, D.A., et al.: Technology-Enhanced Simulation for Health Professions Education: a Systematic Review and Meta-Analysis (2011). https:\/\/doi.org\/10.1001\/jama.2011.1234"},{"key":"9_CR37","doi-asserted-by":"publisher","unstructured":"Rozanski, E., Rondeau, M.: Choosing fluids in traumatic hypovolemic shock: the role of crystalloids, colloids, and hypertonic saline. J. Am. Anim. Hosp. Assoc. 38(6) (2002). https:\/\/doi.org\/10.5326\/0380499","DOI":"10.5326\/0380499"},{"key":"9_CR38","doi-asserted-by":"publisher","DOI":"10.1097\/00002727-200501000-00002","volume-title":"Hypovolemic Shock: an Overview","author":"DM Kelley","year":"2005","unstructured":"Kelley, D.M.: Hypovolemic Shock: an Overview (2005). https:\/\/doi.org\/10.1097\/00002727-200501000-00002"}],"container-title":["Lecture Notes in Computer Science","Advances in Computational Intelligence. MICAI 2025 International Workshops"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/978-3-032-17930-2_9","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,1]],"date-time":"2026-04-01T00:02:40Z","timestamp":1775001760000},"score":1,"resource":{"primary":{"URL":"https:\/\/link.springer.com\/10.1007\/978-3-032-17930-2_9"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026]]},"ISBN":["9783032179296","9783032179302"],"references-count":38,"URL":"https:\/\/doi.org\/10.1007\/978-3-032-17930-2_9","relation":{},"ISSN":["0302-9743","1611-3349"],"issn-type":[{"value":"0302-9743","type":"print"},{"value":"1611-3349","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026]]},"assertion":[{"value":"1 April 2026","order":1,"name":"first_online","label":"First Online","group":{"name":"ChapterHistory","label":"Chapter History"}},{"value":"MICAI","order":1,"name":"conference_acronym","label":"Conference Acronym","group":{"name":"ConferenceInfo","label":"Conference Information"}},{"value":"Mexican International Conference on Artificial Intelligence","order":2,"name":"conference_name","label":"Conference Name","group":{"name":"ConferenceInfo","label":"Conference Information"}},{"value":"Guanajuato","order":3,"name":"conference_city","label":"Conference City","group":{"name":"ConferenceInfo","label":"Conference Information"}},{"value":"Mexico","order":4,"name":"conference_country","label":"Conference Country","group":{"name":"ConferenceInfo","label":"Conference Information"}},{"value":"2025","order":5,"name":"conference_year","label":"Conference Year","group":{"name":"ConferenceInfo","label":"Conference Information"}},{"value":"3 November 2025","order":7,"name":"conference_start_date","label":"Conference Start Date","group":{"name":"ConferenceInfo","label":"Conference Information"}},{"value":"3 November 2025","order":8,"name":"conference_end_date","label":"Conference End Date","group":{"name":"ConferenceInfo","label":"Conference Information"}},{"value":"24","order":9,"name":"conference_number","label":"Conference Number","group":{"name":"ConferenceInfo","label":"Conference Information"}},{"value":"micai2025","order":10,"name":"conference_id","label":"Conference ID","group":{"name":"ConferenceInfo","label":"Conference Information"}},{"value":"https:\/\/micai.org\/2025\/","order":11,"name":"conference_url","label":"Conference URL","group":{"name":"ConferenceInfo","label":"Conference Information"}}]}}