laerdal SimMan ALS User Manual
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laerdal SimMan ALS User Manual

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SimMan ALS
User Guide
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Summary of Contents for laerdal SimMan ALS

  • Page 1 SimMan ALS User Guide www.laerdal.com...
  • Page 3 Intended Use SimMan ALS is a realistic interactive Training Simulator for simulating a wide range of advanced life saving skills in pre-hospital emergencies. It is tetherless, Wifi operated, with a flexible control solution (SimPad PLUS or Laerdal Learning Application (LLEAP)) depending on training needs.

  • Page 4: Table Of Contents

    Intramuscular Injections Tibial IO IV Cannulation Changing IV Catheters Urinary Catheterization Cardiac Related Skills Defibrillation - SimMan ALS and ShockLink QCPR and SimMan ALS SonoSim Blood Pressure (BP) Arm Heart, Breath and Vocal Sounds Spontaneous Breathing and Airway Closures Tension Pneumothorax Decompression...
  • Page 5 Replacing the Lung Removing the Torso Skin Replacing the Torso Skin Cleaning Cleaning Simulator Cleaning Pads Software Compatibilities Simulation Software SimPad PLUS Laerdal Simulation Home LLEAP Voice Conference Application (VCA) Patient Monitor Session Viewer and SimView Server Other Applications SimDesigner Web Downloads...

  • Page 6: Overview

    Overview Microphone Microphone Cricothyroidotomy Pneumothorax ShockLink Area Blood Pressure Arm Chest Drain ShockLink Area IV Port Main Panel I/O Tibia Pulse ECG connectors Speakers SonoSim RFID Tags...
  • Page 7 Overview IM pad...

  • Page 8: Simman Als System Overview

    The SimMan ALS System Overview Airway and Breathing Features • Position the head to simulate opening the airway (neck tilt, jaw thrust) • Practice Bag Valve Mask (BVM) Ventilation • Identify spontaneous breathing (visible chest rise) • Identify unilateral chest rise •...

  • Page 9: Use

    Eyelid setting The eyelids can be manually set to the following positions: Open Half open Closed...

  • Page 10: Pupil Replacement

    Pupil Replacement SimMan ALS is supplied 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.

  • Page 11: Changing The Upper Dentures

    Changing the Upper Dentures SimMan ALS comes with a set of soft upper teeth as default. The soft set may be replaced with a hard set of teeth for enhanced realism while practicing intubations.

  • Page 12: Airway Management

    If the tongue fallback feature is enabled, head tilt is required to open the airway. Once initiated the simulator will begin to spontaneously breathe. Artificial respiration of the SimMan ALS can be achieved by the following methods: • Bag-mask ventilation •...

  • Page 13: Intramuscular Injections

    Intramuscular Injections Simulated medications can be administered via intramuscular injections in the right musculos gleteus maximus. Note Simulated medications may be administered via local protocol. All precautions and safety measures must be followed during training.

  • Page 14: Tibial Io

    Tibial IO Intraosseous access with needle insertion is possible through the left tibia. The IO pads may be punctured numerous times before being replaced.

  • Page 16: Iv Cannulation

    IV Cannulation The right IV arm comes with a US catheter (4A) type as default. This can be replaced with an international catheter type (4B) with an extra flush port. Prime the IV arm before each session to prevent backflow. Inject purified water in a continuous stream into the IV system.

  • Page 17: Urinary Catheterization

    Urinary Catheterization SimMan ALS is fitted with neutral genitalia. It can be replaced by the supplied male or female genitalia to simulate catheterization.

  • Page 18: Cardiac Related Skills

    Cardiac Related Skills SimMan ALS, when used with SimPad or a LLEAP PC, features an extensive library of ECG variations. See SimPad PLUS User Guide or LLEAP Help Files. Defibrillation - SimMan ALS and ShockLink SimMan ALS comes ShockLink prepared. ShockLink allows connection with a live defibrillator allowing the following procedures to be performed: •...
  • Page 19 Pulse ECG connectors SonoSim RFID Tags ShockLink Area ShockLink Area...

  • Page 20: Sonosim

    Laerdal-SonoSim SimMan ALS is ultrasound ready and fitted with 3G Torso Skin with Ultrasound Live Scan (LS) tags that is used in conjunction with the Laerdal-Sonosim Ultrasound Solution (available seperately). The simulator comes with two additional LS groin tags that need to be applied to the groin.

  • Page 21: Blood Pressure (Bp) Arm

    The simulator is packaged with the left BP Arm attached and is designed to rotate approximately 220º. The specially adjusted blood pressure cuff measures BP manually by auscultation of Korotkoff sounds. Note Only use the Blood Pressure Cuff supplied with SimMan ALS. Caution To prevent damage, do not over rotate the left BP Arm.

  • Page 22: Heart, Breath And Vocal Sounds

    Heart, Breath and Vocal Sounds SimMan ALS has heart, breath and vocal sounds which are determined by the scenario used and controlled by the instructor. Note See SimPad PLUS User Guide or LLEAP Help files for complete heart and breath sound auscultation, speech functionality and operating information.

  • Page 23: Spontaneous Breathing And Airway Closures

    Spontaneous Breathing and Airway Closures The SimMan ALS has spontaneous breathing (visible chest rise and fall) with variable breathing rate. The left lung and right lung can be closed independently or together to create a partial or complete airway obstruction.

  • Page 24: Attaching An Additional External Battery

    Attaching an additional external battery If required an additional battery can be added externally to increase operating time if required for long simulations.

  • Page 25: Maintenance

    Maintenance Cricothyroid Membrane/Neck Skin After creating an emergency airway through the cricothyroid membrane, replace the perforated membrane before starting a new simulation session. Notes • Replace the neck skin when necessary. • If the used neck skin is in good condition, slide the skin along to position a new section over the cricothyroid membrane.

  • Page 26: Chest Drain

    Maintenance Chest Drain The chest drain module's pleura skin should be replaced after each use.

  • Page 27: Iv Arm

    Maintenance IV Arm After intrvascular injection is complete, use a syringe to remove any remaining fluid in the tubing/components from the IV arm before storage.

  • Page 28: Replacing Pneumothorax Bladders

    Maintenance Replacing Pneumothorax Bladders...
  • Page 29 Maintenance Note Be careful not to squeeze the small tube when closing the chest plate.

  • Page 30: Replacing The Chest Rise Bladders

    Maintenance Replacing the Chest Rise Bladders Replace the chest rise bladders if they leak or are damaged.
  • Page 31 Maintenance...

  • Page 32: Removing The Lung

    Maintenance Removing the Lung If leaking occurs, the lung bladders should be replaced.
  • Page 33 Maintenance...

  • Page 34: Replacing The Lung

    Maintenance Replacing the Lung...
  • Page 35 Maintenance...

  • Page 36: Removing The Torso Skin

    Maintenance Removing the Torso Skin...
  • Page 37 Maintenance...

  • Page 38: Replacing The Torso Skin

    Maintenance Replacing the Torso Skin...
  • Page 39 Maintenance...

  • Page 40: Cleaning

    Cleaning Cleaning Simulator 1. Clean with mild soap and water; do not submerge the simulator or parts in cleaning fluids or water. 2. Use only on clean surface. Avoid felt tipped markers, ink pens, acetone, iodine or other staining products and avoid placing the simulator on newsprint or inked lines of any kind.

  • Page 41: Software Compatibilities

    The help files are also opened from here.. Laerdal Simulation Home is located in the Laerdal Medical folder under the Windows start menu (Windows 7) and can be launched using the desktop shortcut on Windows 8.

  • Page 42: Voice Conference Application (Vca)

    LLEAP compatible file formats. • Network Selector in Laerdal Simulation Home helps users connect LLEAP and Patient monitor to a wireless network and even host a network (Windows Hosted Network). •...
  • Page 44 © 2018 Laerdal Medical AS. All rights reserved. Manufacturer: Laerdal Medical AS P.O. Box 377 Tanke Svilandsgate 30, 4002 Stavanger, Norway T: (+47) 51 51 17 00 Printed in Norway www.laerdal.com...

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