Laerdal ALS Simulator (SimPad capable) - Manuel (Page 3)

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English
Table of Contents
Introduction . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .1
Cautions and Warnings (Intended Use) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .1
Items Included . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2
Skills Taught . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2
Simulation Software . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2
Unpack . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3
Attaching the Legs . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3
SimPad and LLEAP Connections . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .4
Getting Started . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .4
Cricothyroid Membrane/Neck Skin Collar . . . . . . . . . . . . . . . . . . . . . . . . . . . .4
Pupil Replacement . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .4
In Use . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .4
Airway Management . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .4
Obstructed Airway . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .4
Tension Pneumothorax Decompression . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .4
IV Cannulation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .5
Intramuscular Injections . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .5
Urinary Catheterization . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .5
Simulator Functionalities . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .6
Cardiac Related Skills . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .6
Blood Pressure (BP) Arm . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .6
Heart, Breath and Bowel Sounds and Speech . . . . . . . . . . . . . . . . . . . . . . . . . .7
Spontaneous Breathing and Airway Closures . . . . . . . . . . . . . . . . . . . . . . . . . .7
Maintenance . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .7
Cricothyroid Membrane/Neck Skin Collar . . . . . . . . . . . . . . . . . . . . . . . . . . . .7
IV Cannulation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .7
Intramuscular Injections . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .7
Urinary Catheterization . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .7
Pneumothorax . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .7
A) Bilateral Mid Clavicular Sites . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .7
B) Mid Axillary Site (RIGHT) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .8
Chest Drain . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .8
Attaching/Removing Arms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .8
IV Arm Skin and Vein Replacement . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .8
After Use . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .9
Cleaning . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .9
Extend Cleanliness . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .9
Technical Data . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .9
General . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .9
ALS Simulator . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .9
Replacement Parts . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .9
Introduction
The Advanced Life Support (ALS) Simulator is a realistic interactive training
simulator for simulating a wide range of advanced life saving skills in pre-hospital
emergencies . The simulator responds to clinical intervention, instructor
control, and comprehensive pre-programmed scenarios for effective practice
of diagnosis and treatment of a patient . With spontaneous breathing, airway
control, voice, sounds, ECG, and many other clinical features, the ALS Simulator
is the fully functional pre-hospital simulator .
The manufacturing quality of this simulator should provide many sessions of
training when reasonable care and maintenance are practiced .
Laerdal Recommends
Endotracheal Tube – Size 7 .5
Laryngeal Mask Airway – # 4
Combitube- Large Adult or Trainer
KING LT – # 4
Needle or Catheter – Size 21-gauge or smaller
Cautions and Warnings
This product contains Natural Rubber latex which may cause
allergic reactions when in contact with humans.
Cautions and Warnings (Intended use)
• There are electronic components mounted inside the airway head . The
following techniques should not be performed on this simulator due to the
inability to properly sanitize the airway if they are performed:
• Mouth-to-mouth/Mouth-to-mask ventilation
• Insertion of simulated vomit for suctioning
• Lubricate the oral and nasal airways liberally with the lubricant provided prior
to inserting any instrument, tube or airway device into the airway . Additionally,
instruments and tubes should also be lubricated prior to use .
• Do not allow the simulator’s skin to come in direct contact with ink or
photocopied paper, as this can permanently stain the skin . Avoid using
colored plastic gloves when handling the simulator, as they may also cause
discoloration .
• Care should be taken when palpating the pulses to not use excessive force as
this will result in no pulse being felt . Only two individual pulses can be felt at
the same time .
• If a training session involves the administration of fluids and/or drugs into the
IV arm, empty the arm immediately following the training session .
• Defibrillation
• Only apply the defibrillator to a defibrillation post or zap plate which is
properly mounted on the simulator’s chest .
• Do not provide more than 2 x 360J defibrillator discharges per minute as
an average over a period of time to prevent overheating .
• The simulator chest must be kept dry . Special attention should be taken
when using IV Arm .
• Do not apply conductive gel or conductive defibrillation pads intended for
patient use to prevent chest skin pitting .
• Do not use cables or connectors with visible damage .
• Observe all normal safety precautions for use of defibrillators .
• Defibrillation must be performed over the two defibrillation connectors
only .
Air Tank Precautions: The right thigh of the ALS Simulator contains a com-
pressed air tank . Contents under pressure:
• Do not puncture
• Do not store in excessive heat
• Release pressure in air tank prior to shipment
Do not pressurize above 120 psi or remove any safety devices to increase
pressure . The tank is protected with safety devices not allowing the pressure
to exceed 150psi . Do not disassemble or attempt to repair the internal parts
of the right thigh . In the event of failure, contact the Laerdal Service Center
immediately for instructions .
This device generates, uses and possibly radiates radio-frequency energy . If it is
not installed and used in accordance with the instructions, it may cause harmful
interference to radio communications . In that case, the user is encouraged to
attempt correction of the interference by:
• Reorienting or relocating the receiving antenna
• Increasing the distance between the device and receiver
• Connecting the device to an outlet on a circuit different from that to which
the receiver is connected
• Consulting the dealer or an experienced radio/TV technician for help
Electromagnetic radiation from other radio transmitters or other electronic
equipment may cause noise in the head speaker . To eliminate this noise, move
simulator away from the radiation source or turn the head speaker volume to
zero .
English
Table of Contents
Items Included. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1
Skills Taught. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1
Teeth . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2
Carotid Pulse . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2
Tracheostomy Plug & Care. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2
NG Tube Placement . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2
Intubation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2
Lungs . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2
Stomach Reservoir . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2
Belly Plates. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2
Injection Pads . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3
Waist, Knee and Ankle Joints . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3
Arms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3
Legs . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3
IV Arm . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3
Replacing Skin & Vein System. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3
Blood Pressure Arm . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4
Auscultation of Heart, Breath, Bowel Sounds and Fetal Tones . . . . . . . . . . . . . . 4
Genitalia. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4
Colon Reservoir . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5
Urinary Catheterization and Enema Simulation . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5
Troubleshooting . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5
Attaching Nursing Anne Modules to Manikin . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5
SimPad Connection. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4
Care and Maintenance. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6
Replacement Parts . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6
Items Included:
(1) Full-Body Female Manikin
(1) Articulating Blood Pressure Training Arm (Nursing Anne SimPad)
(1) Articulating Female Multi-Venous IV Training Arm
(1) Hospital Gown
(1) Male Genitalia
(1) Female Genitalia
(3) Urinary Valves
(3) Anal Valves
(1) Simulated Blood Concentrate
(1) 100 cc Syringe
(1) Manikin Lubricant
(1) Assembly Tool Kit
Wig pictured on front cover, not included
Optional Accessories
Nursing Anne Modules:
(1) Breast Exam Module, with interchangeable abnormalities
(1) Mastectomy Module with staples and drain
(1) Fundus Module with interchangeable uteri
Wound Care & Assessment Set:
(1) Abdominal Incision Module with Painted Sutures
(1) Abdominal Incision Module with Staples and Penrose Drain
(1) Abdominal Incision Module with Nylon Sutures
and Penrose Drain
(1) Abdominal Subcutaneous Heparin and Insulin Injection Module
(1) Abdominal Packing Module
(1) Infected Colostomy Stoma
(1) Ventro-Gluteal and Gluteal Decubitus Ulcer Modules
(1) Below Knee Amputation Stump
(1) Thigh Packing and Irrigation Module
(1) Thigh Suture Module
(1) Thigh Debridement Module
(1) Varicose Vein Leg with Stasis Ulcer
(1) Diabetic Foot Module
Skills Taught:
• Basic patient handling
• Denture care
• Oral hygiene
•
• Eye andear irrigation
(simulated)
• NG Tube insertion, care medication administration and removal
• Tracheostomy care and suctioning
• Blood pressure skills (When
used with SimPad)
• IV care and management
• Subcutaneous and intramuscular injection
• Oxygen delivery procedures
• Ostomy irrigation and care
• Catheterization skills
• Enema simulation
• Colonic irrigation
• Wound assessment and care
• Bandaging and dressing
• Post-surgical mastectomy-care procedures
• Recognition of breast disorders, their sizes and relative locations
• Practice of fundus massage skills
• Auscultation and recognition of normal and abnormal heart,
breath and bowel sounds and fetal tones
(When used with SimPad)
Caution: Latex
This product contains Natural Rubber latex which may cause
allergic reactions when in contact with humans.
Please contact Laerdal Customer Service
for more information on Replacement Parts in other skin tones.
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Nursing Anne 1 Laerdal
The product, when carrying the CE-mark, is in
compliance with essential CE requirements and other
relevant provisions of council directive 1999/5/EC.
• Lavage/Gavage
Oral and nasal Intubation
.