-
60 traumas and pathologies divided between Willy and Debbie
- Can be positioned realistically
- Human technical factors
- Unlimited repetition of views without human exposure
- Radiographs that permit evaltuation of trainee performance
- Teaching/training for civilain hosptial ER's
The concept of grouping a large number of casualties in two
teaching/training phantoms was originated by the Fleet
Hospital & Operations Training Center, Camp Pendleton,
California. WOUNDED WILLY and DAMAGED DEBBIE were designed and
constructed by Radiology Support Devices, Inc. of Long Beach,
California.

It is a universally-accepted fact of life that people cannot
be subjected to diagnostic radiography for other than
medically-necessary purposes. Observance of this principle
rules out the use of patients for basic training in these
procedures (but permitting the use of patients for advanced,
supervised training).
The re-creation of the human body, in all of its immense
complexity, represents overkill for radiographic training. One
example of a widely-accepted divergence from precise
reproduction of the human is the use of transparent phantoms
to combine the teaching of radiography with that of anatomy.
Whichever philosophy is pursued, the basic qualifiers of human
substitutes are phantoms that yield radiographs resembling
those of the human, taken with human technical factors,
articulated to enable basic views to be presented, and with an
appropriate level of human anatomy.
A phantom is a “trade-off” between acceptable anatomic detail
and unacceptable impact of artifacts on the image. WILLY and
DEBBIE are based on several decades of experience with
“trade-offs”, variously driven toward one extreme or another.
They yield human-like images, with human technical factors and
with limited artifacts, (which are presented clearly as
artifacts, not as anatomic detail). They are well-balanced
patient substitutes for basic training of radiologic
technologists, particularly in military or emergency room
environments.

They demonstrate and evaluate positioning and imaging
techniques, including kVp, mAs, contrast, optical density, OFD
and TFD. Their radiographs are optically equivalent to humans
in density and contrast.
WILLY AND DEBBIE DIFFERENCES:
The most obvious difference between them is in the complement
of traumas and pathologies assigned to each.
Another difference is that DEBBIE has female breasts, while
WILLY has natural male chest contours. DEBBIE is fitted with a
wig, while WILLY is bald. They are dressed in camos for
military training and in jumpsuits for civilian training.

There is no single, unique description of any of their traumas
and pathologies. Rather, there are limitless variations among
a broad range of casualties. The most meaningful judgments of
the realism of trauma and pathologies are those based on long
radiographic experience across the spectrum of casualties.
Patrick Hale, Senior Radiologic Technologist at the UCLA
Emergency Room and an RSD consultant, made those judgments
with respect to WILLY AND DEBBIE.
DIMENSIONS
The size and weight of PIXY are also used for WILLY and
DEBBIE. They are small adults. Since technologists must learn
to work with patients of all sizes and weights, a smaller
phantom is as valid for training as a larger phantom, and
position is facilitated. Each is 5 ft. 1 in. tall (156 cm) and
weights 105 lbs (48 kg).
ANATOMY
WILLY and DEBBIE are articulated at the neck, shoulders,
elbows, hips and knees. Fractures of the left shoulder and
left hip are located in DEBBIE. To minimize handling problems,
all other traumas of the arms and legs are located in WILLY
and on the right side of DEBBIE. The articulations provide a
broad range of positioning of capabilities, even the “frog
position”.
LUNGS
Lungs are molded of durable materials with radiodensities
matched to humans in a median respiratory state. Animal lungs
matching the human in size and blood vessels are available,
but they are oriented towards research rather than training.
SOFT TISSUES
WILLY and DEBBIE have solid “soft tissues” that are hard and
rigid. They cannot be palpated to locate traumas. However,
radiological technologists are generally informed by the
physician as to the views to be taken. The manual provides
this information to instructors.
SKELETONS
RSD-manufactured skeletons are used rather than natural human
skeletons. The latter are generally unavailable and usually
consist of an assortment of bones ranging from children to
adults of ages for which osteoporosis becomes a factor.
RSD skeletons are not to be confused with plastic skeletons
for teaching anatomy. RSD skeletons are made to fit the
soft-tissue molds precisely. They have spongiosa moldings
within marrow cavities and outer, cortical bone. Both
constituents meet the internationally-accepted standards for
radiodensity and specific gravity.


Traumas and pathologies are listed below. External markings
are: N (none), O (open wound), S (swelling), H (bullet or
foreign body hole), B (bruise), Side (R.L.), E (WILLY or
DEBBIE).

| Number |
WILLY/DEBBIE |
Description |
Side |
External Marking |
| 1 |
WILLY |
Metallic fragment in
orbit |
R |
N |
| 2 |
WILLY |
Multiple fragments lower
face |
N/A |
N |
| 3 |
WILLY |
Step deformity of
intraorbital rim |
L |
B |
| 4 |
WILLY |
Separated fracture of
frontal zygomatic suture |
L |
S |
| 5 |
WILLY |
Metallic foreign body
over skull |
N/A |
N |
| 6 |
WILLY |
Mandible fracture with
missing bone |
N/A |
O |
| 7 |
DEBBIE |
Depressed comminuted
fracture of zygomatic arch |
L |
S |
| 8 |
DEBBIE |
Mandibular fractures |
R |
S,B |
| 9 |
DEBBIE |
Cloudy maxillary sinus |
L |
N |
| 10 |
DEBBIE |
Fracture of nasal bones
with mild displacement |
N/A |
H |
Note: An axial duct is seen above. It is filled by a
polycarbonate rod to assemble the head and neck to T1. When
assembled, the duct artifact is barely visible.
Anatomic and mechanical necks are interchangeable between
WILLY and DEBBIE.
Heads are interchangeable between WILLY and DEBBIE
| Number |
WILLY/DEBBIE |
Description |
Side |
External Marking |
| 11,12 |
WILLY |
Displacement fracture of
mandibular condyle |
L&R |
S |

Traumas and pathologies are listed below. External markings
are: N (none), O (open wound), S (swelling), H (bullet or
foreign body hole), B (bruise), Side (R.L.), E (WILLY or
DEBBIE).

Among the “trade-offs” required in these phantoms is that
between anatomic fidelity and the ability to move the head
into a broad range of views is required in radiography. No
mechanism can be designed for intervertebral motion without
artifacts obliterating the radiographs.
This problem has been solved by the use of two necks. One is a
multi-articulated polycarbonate assembly which provides for
nearly all commonly used views. There is no attempt at
radiographic realism in this neck. An alternate,
fully-realistic neck is interchangeable with the mechanical
neck. The cervical spine of this neck contains traumas.
| Number |
WILLY/DEBBIE |
Description |
Side |
External Marking |
| 13 |
E |
C4, C5 Compression
fracture |
N/A |
N |
| 14 |
E |
C7 Fractured by bullet |
N/A |
H |
| 15 |
E |
C-spine bullet anterior
to trachea shadow |
N/A |
H |

Traumas and pathologies are listed below. External markings
are: N (none), O (open wound), S (swelling), H (bullet or
foreign body hole), B (bruise), Side (R.L.), E (WILLY or
DEBBIE).
| Number |
WILLY/DEBBIE |
Description |
Side |
External Marking |
| 16 |
WILLY |
Fracture of lateral ribs
6 & 7 |
R |
N |
| 17 |
WILLY |
Mediolateral fracture of
ribs 8 & 9 |
L |
N |
| 18 |
WILLY |
Multiple rib fractures,
four metallic fragments visible |
R |
N |
| 19 |
WILLY |
12th rib frature |
R |
N |
| 20 |
WILLY |
Bullet in hemothorax
overlaying 8th rib |
L |
H |
| 21 |
WILLY |
Bullet overlying heart
shadow |
N/A |
H |
| 22 |
WILLY |
2 cm metallic fragment
in mid chest |
R |
N |
| 23 |
WILLY |
Bullet visible below
costal margin under 11th rib |
L |
H |
| 24 |
WILLY |
2 bullets in LUQ |
L |
H |
| 25,26 |
WILLY |
Shattered distal
scapulae |
L&R |
H |

Traumas and pathologies are listed below. External markings
are: N (none), O (open wound), S (swelling), H (bullet or
foreign body hole), B (bruise), Side (R.L.), E (WILLY or
DEBBIE).
| Number |
WILLY/DEBBIE |
Description |
Side |
External Marking |
| 27 |
DEBBIE |
Widened mediastinum and
pleural effusion |
N/A |
N |
| 28 |
DEBBIE |
Chest tube, lung
inflated |
L |
Tube |
| 29 |
DEBBIE |
Infiltrate |
N/A |
N |

Traumas and pathologies are listed below. External markings
are: N (none), O (open wound), S (swelling), H (bullet or
foreign body hole), B (bruise), Side (R.L.), E (WILLY or
DEBBIE).

| Number |
WILLY/DEBBIE |
Description |
Side |
External Marking |
| 30 |
DEBBIE |
Bullet in mid-abdomen |
N/A |
H |
| 31 |
WILLY |
Unstable fracture of L1 |
N/A |
N |
| 32 |
WILLY |
Compression fracture of
L5 |
N/A |
N |
| 33 |
DEBBIE |
Metallic foreign body
lateral to PSOAS |
R |
N |
| 34 |
DEBBIE |
Compression fracture of
L4 |
N/A |
H |
| 35 |
DEBBIE |
Metallic fragments – 2
mid-abdomen, 1 each in RLQ and LLQ |
N/A |
H |
| 36 |
DEBBIE |
Bullet in mid-abdomen |
N/A |
H |
| 37 |
DEBBIE |
Metallic fragments – 2
mid-abdomen
1 each: RLQ and LLQ |
N/A |
N |
| 38 |
WILLY |
ILIAC crest comminuted
fracture with metallic fragments |
R |
B |

Traumas and pathologies are listed below. External markings
are: N (none), O (open wound), S (swelling), H (bullet or
foreign body hole), B (bruise), Side (R.L.), E (WILLY or
DEBBIE).
| Number |
WILLY/DEBBIE |
Description |
Side |
External Marking |
| 39 |
DEBBIE |
Displaced fracture of
pubic ramus |
L |
N |
| 40 |
DEBBIE |
Sacroiliac disruption,
acetabular fracture |
L |
N |
| 41 |
DEBBIE |
Foreign body lateral to
PSOAS |
R |
N |
| 42 |
WILLY |
Non-displaced pubic
ramus fracture |
N/A |
N |
| 43 |
WILLY |
Superior and inferior
pubic ramus fracture |
R |
N |
| 44 |
WILLY |
Pelvis fracture with
symphysis diastasis and sacroiliac joint disruption |
N/A |
N |
| 45 |
WILLY |
Bullet in sacrum |
N/A |
N |

Traumas and pathologies are listed below. External markings
are: N (none), O (open wound), S (swelling), H (bullet or
foreign body hole), B (bruise), Side (R.L.), E (WILLY or
DEBBIE).
| Number |
WILLY/DEBBIE |
Description |
Side |
External Marking |
| 46 |
WILLY |
Shattered acetabulum |
L |
Latex
"shorts" |
| 47 |
WILLY |
Shattered femoral head |
L |
Latex
"shorts" |
| 48 |
WILLY |
Comminuted midshaft
fracture |
L |
S |
| 49 |
WILLY |
Left femur comminuted
fracture 12 cm above knee |
L |
S |

Traumas and pathologies are listed below. External markings
are: N (none), O (open wound), S (swelling), H (bullet or
foreign body hole), B (bruise), Side (R.L.), E (WILLY or
DEBBIE).
| Number |
WILLY/DEBBIE |
Description |
Side |
External Marking |
| 50 |
DEBBIE |
Proximal tibia fracture |
L |
S |
| 51 |
WILLY |
Comminuted fracture of
tibia and fibula |
R |
S |
| 52 |
WILLY |
Displaced ankle fracture |
R |
S |
| 53 |
DEBBIE |
Minimally displaced
distal tibia fracture |
R |
S |
| 54 |
DEBBIE |
Displaced fracture of
calcaneus bone |
R |
N |

Traumas and pathologies are listed below. External markings
are: N (none), O (open wound), S (swelling), H (bullet or
foreign body hole), B (bruise), Side (R.L.), E (WILLY or
DEBBIE).


Traumas and pathologies are listed below. External markings
are: N (none), O (open wound), S (swelling), H (bullet or
foreign body hole), B (bruise), Side (R.L.), E (WILLY or
DEBBIE).
| Number |
WILLY/DEBBIE |
Description |
Side |
External Marking |
| 55 |
WILLY |
Displaced fracture of
radius and ulna |
L |
|
| 56 |
DEBBIE |
Volar angulated distal
radius and ulna fracture |
R |
|
| 57 |
WILLY |
Angulated comminuted
fracture of midshaft radius and ulna |
R |
|
| 58 |
DEBBIE |
Minimally displaced
distal radius fracture not involving wrist, offset bone
ends |
|
|
| Number |
WILLY/DEBBIE |
Description |
Side |
External Marking |
| 59 |
DEBBIE |
3rd and 4th metacarpals
shattered |
L |
Thickened, back of hand |


Includes:
RS-601 WOUNDED WILLY
RS-602 DAMAGED DEBBIE
RS-603 ANATOMIC NECK
RS-604 MECHANICAL NECK WITH FOAM FLESH NECK/1 EA FOR WILLY &
DEBBIE
RS-605 TRAUMAS AND PATHOLOGIES (-01 TO -59)

Traumas and pathologies are divided between WILLY and DEBBIE
in a way that minimizes interference between them. Some
changes can be made in locations of each, or additional
traumas and/or pathologies can be added or substituted for
others.
Ask about special requirements and pricing of changes.
Changes cannot usually be retrofitted.
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