Laerdal ALS Simulator (SimPad capable) - Manuel (Page 6)

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SimPad and LLEAP Connections
1 . Connect ALS Simulator to Link Box (Photo 6), via cable located on lower right
side of simulator .
2 . Connect the clear tubing exiting the simulators lower right side to the Link Box
3 . Attach blood pressure cuff to simulator’s left arm .
4 . Attach clear pneumatic tubing from blood pressure cuff (Photo 7) to
corresponding clear pneumatic tubing exiting the simulator’s left shoulder .
Getting Started
Cricothyroid Membrane/Neck Skin Collar:
1 . Cut a 5 cm (2 inch) strip of Cricothyroid Membrane Tape .
2 . Adhere tape to edges of cricoid opening, covering opening with tape, to create
actual membrane .
3 . Lay a Neck Skin Collar into molded track around neck area of simulator .
(Figure 1)
4 . Attach collar using Velcro ® strips .
Laerdal Recommends
A tight seal will enhance actual feel and sound of penetrating cricothyroid
membrane, and facilitate full rise and fall of the chest during bag valve mask
ventilation .
Pupil Replacement
ALS Simulator is delivered with a set of normal pupils mounted in the head . A
separate case contains 3 sets of plastic pupil inserts (normal, constricted and
dilated pupils) for use in simulating other conditions .
To change the pupils in the airway head:
1 . Open the eyelids wide, take care not to rip the face skin .
2 . Using the suction cup provided or the edge of your fingernail, remove the pupil
from the eye .
3 . Replace with the pupil of choice, using the small suction cup tool provided or
press into place with finger .
Filling the Thigh Air Tank
1 . Attach the provided air pump to the Schrader valve located laterally on the
posterior of the right thigh . (Photo 8)
2 . Fill the air container using the air pump to120 psi . NOTE: An over pressure
release valve is included inside the thigh and will be activated at pressure above
10 Bar (150 psi) . This valve has a built in reset mechanism .
3 . Detach air pump from the Schrader valve .
NOTE: Most products designed for automobile/bike tire inflation will be
sufficient to fill the thigh tank . i .e . electric pumps, air compressors, air tanks,
etc . Pressure limitations vary with each unit and should be considered prior to
purchase .
In Use
Laerdal Recommends
• Endotracheal tube - size 7,5
• LMA # 4
• Combitube Large Adult or Trainer
• KING LT – # 4
Airway Management:
1 . Spray inside of pharynx, nostrils and all intubation tubes with a liberal amount
of provided simulator lubricant or liquid soap . Sit the simulator upright to allow
lubricant to coat passages .
2 . Perform further intubation procedures as per your local training protocol .
NOTE: Should incorrect ventilation be performed, air will pass through
esophagus, causing distention of the abdomen .
Obstructed Airway
Obstructed Airway (Manual Inflation of Tongue):
1 . Locate inflation bulb at lower left side of torso labeled “tongue .”
2 . Tighten air release knob .
3 . Pump bulb several times to inflate tongue to desired size .
To deflate tongue, loosen air release knob .
Obstructed Airway (Right/Left/Both Lung Blockages):
See SimPad Directions for Use or LLEAP Help Files for complete
airway blockage functionality and operating information.
Tension Pneumothorax Decompression
(Manual Inflation of Pneumothorax):
1 . Locate inflation bulb which exits lower left side of simulator, labeled “pneumo .”
2 . Tighten air release knob so that as you pump the bulb, no air escapes .
3 . Pump bulb several times to prepare three (3) sites for decompression .
4 . Decompress the site, bilateral mid-clavicular or right side mid-axillary or per
your local training protocol .
When the site is “decompressed,” air can be heard/observed passing through
catheter .
Photo 6 Photo 7
Fig . 1
Photo 8