B/P ARM: If you cannot get a blood pressure, first check to make sure that the B/P tubing is
attached to the sphygmomanometer, by way of the T barbed connector, and the simulator's
left-shoulder, lateral port. Once that is connected, go to the iPad controller. Access the heart
screen and set the B/P volume to level four and the B/P systolic pressure above 100 mmHg. If
you are still unable to take a B/P, remove the chest overlay, pull the hairpins and washer off
both sides of the chest, gently lift the chest far enough to release the CPR wheel wire from the
eyelet screwed in the upper chest post on the superior side of the compression spring. Then
gently lift the chest enough to expose the left arm joint inside the torso. Follow the black wire
exiting the arm pipe to the opposite side of the simulator and make sure it is firmly seated in
the connector on the sloped area of the box that matches the black wire, white plastic,
connector. If these connections are solid, disconnect the speaker plug and test the speaker wire
for continuity. If that is negative, call the tech hot line. If the speaker wires have continuity, and
you still don't have a B/P, call the tech hot line.
HEART AND LUNG SOUNDS: If you cannot hear either heart or lung sounds at the speaker
positions, start at the iPad. Click the PEA button and listen for sounds and check for pulses. If
you have neither, click the PEA button again and check for sounds and pulses. If there is still no
sound, then go to both the heart and lung screens and make sure the volume controls are set
four
VF
Asystole
at level
, and check to see that the simulator is not in
or
. Listen again for
sounds at the speaker sites. If you still have no sounds, unplug the simulator and plug it back
in. If you still have no heart or lung sounds, use the iPad and tap Default Presets. If you still
don't have heart or lung sounds, remove the overlay from the chest, disconnect the pins from
the sides and top of the chest wall, and gently raise the rib section until you can unhook the
CPR wheel wire from the eyelet screwed in the upper chest post on the superior side of the
compression spring. Lift the entire chest plate a little further until you can reach the electronic
connections on the sloped, top, right side of the large white plastic box inside the simulator.
Gently push down on each connection to determine that they are fully seated and attached.
Check again for heart and lung sounds. Reassemble the unit in reverse order. If you still do not
have heart or lung sounds, call the tech support hot line. If you have one set of sounds, but not
the other after these steps, call the tech support hot line.
There is No Response to Rescue Ventilation When Simulator isn't spontaneously
breathing: If your simulator is not spontaneously breathing, you should be able to ventilate
the unit with a BVM and see the chest rise and hear lung sounds. Both of these responses to
ventilation occur when sufficient pressure builds up in the airway. Make sure your seal is good
around the mouth when ventilating. If the chest is not rising and the lung sounds are not
present, check to see that the cricoid membrane tape is securely fastened to the anatomy
under the neck skin, and that there are no holes in the membrane. Once the cric area is
secured, the simulator should ventilate with both chest rise and lung sounds appropriate to
ventilation skill.
Lung
If you expect the simulator to be spontaneously breathing and it is not, go to the
screen
Heart
and make sure that the breathing rate is set above zero and then go to the
screen and
VF
Asystole
make sure the simulator is not in
or
.
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