Page 1 CAEAthena Female Patient Simulator User Guide...
Page 3 The software you are about to access is provided to you pursuant to the purchase of the Product by the legal entity which employs you, or which you represent (the “licensee” or “You”), from CAE. This purchase of the Product is subject to CAE’s Healthcare Education Products General Terms and Conditions (the “HEPGTC”) and this End-User License agreement (“Licensee”).
Page 4 Product and components thereof shall remain with CAE and, if applicable, its suppliers. For clarification, Licensee agrees that the source code for the Software is a trade secret of CAE and only CAE shall have the right to alter, maintain, enhance or otherwise modify the Software.
Page 5 Product contained herein, or b) if required to be disclosed by law, and only to the extent of such disclosure and limited to the purpose requested, with prior notice to CAE to permit it to seek an appropriate remedy to prevent the disclosure, or alternatively to agree to the terms of such disclosure.
Page 6 6.1 Licensee acknowledges that the Software and Data constitute a special, irreplaceable asset of great value to CAE, and that a breach, in any way, of any of Licensee’s obligations under Sections 2 (License), and 5 (Non-Disclosure) hereof would cause serious and irreparable harm to CAE which may not be adequately compensated for in damages.
Page 7 Government, or any of its units or agencies shall be governed solely by the terms of this License and the HEPGTC. Any technical data provided by CAE with the Product that is not covered by the above provisions is deemed to be "technical data-commercial items" pursuant to DFAR Section 252.227.7015(a).
Page 8 Licensee hereby agrees that Licensee is solely responsible for reviewing its data that will be provided to CAE (or to which CAE will have access) to ensure that it does not contain Excluded Data. 10.5 No Waiver: No omission or delay by either party at any time to enforce a right or remedy...
Page 9: Müse System Requirements
Front Matter Müse System Requirements Operating System Support Müse 2.3 - 2.4 Supports Müse 2.6 Supports Müse 2.7 Supports Windows 7 and 8 Windows 7, 8, and 10 Windows 7, 8, and 10 Mac OS X 10.6 - 10.12 Mac OS X 10.6 - 10.12 Mac OS X 10.9.2 - 10.12 Minimum Requirements Any computer (Instructor Workstation) used to operate Müse or TouchPro must meet the...
Page 10 CAEAthena Front Matter IMPORTANT: If your Mac operating system has been updated after installing Müse, please download and run the Muse patch utility available here: www.caehealthcare.com/images/ uploads/documents/Muse-Patch-Utility.pdf Note: Mac is a registered trademark of Apple Inc. Windows is a registered trademarks of the Microsoft Corporation in the United States and/or other countries.
Page 11: Specifications
PECIFICATIONS All hardware and software needed for the operation of the simulator are offered with the simulator. If you wish to extend the Instructor Workstation to other computers, contact CAE. Size Manikin/Simulator: 69” H x 22” W x 15” D (175cm x 56cm x 38cm) Instructor Workstation - varies by device Mac laptop: 1”...
Page 12: Power
CAEAthena Front Matter Power Manikin/Simulator AC Input: AC 100 – 240VAC, 50/60Hz Consumption: Maximum 150W (Charging), 100W (charged), Typical 40W Internal Batteries: 14.4V 90-watt-hour lithium-ion, rechargeable Run Time: 4 hours (Typical) Instructor Workstation AC Input: AC 100 – 240VAC, 50/60Hz Run Time: 2 to 4 hours (Typical) TouchPro Computer (optional) Please see the product’s user guide for power specifications.
Page 13: Cautions And Warnings
Front Matter AUTIONS AND ARNINGS Please read and understand these cautions and warnings before you begin using the Athena CAE Maternal Fetal Simulator system. USE OF THIS EQUIPMENT IN AN UNSPECIFIED MANNER, MAY IMPAIR DESIGNED PROTECTION. Your safety is in your hands. Be sure to follow the instructions on the proper setup, breakdown and use of the simulator system.
Page 14: General Use Warnings
Failure to wrap the manikin in a sheet may result in permanent damage to the manikin skin • CAE is not responsible for damage to the manikin skin if the manikin is not wrapped in a sheet while using the stretcher...
Page 15: Table Of Contents
Table of Contents ABLE OF ONTENTS End User License Agreement For CAE Products ........i Müse System Requirements ..............vii Specifications.................... ix Size ......................... ix Weight ......................ix Environmental Requirements ..............ix Ambient Temperature Range ..............ix Maximum Altitude ................... x Power ......................x...
Page 16: Table Of Contents
Table of Contents Additional Accessories................5 Setup......................7 Before Beginning Setup ................7 Step 1: Place Manikin in the Work Area ............8 Step 2: Power on the Manikin ..............9 Power on the Instructor Workstation ............10 Step 4: Connect to the Wireless Network ..........10 A) Mac Laptop Instructor Workstation Option.........10 B) Windows Laptop or Tablet Instructor Workstation Option..12 Step 5: Connect a TouchPro™...
Page 17 Table of Contents Discrete Parameters ................38 Using Conditions, Medications and Interventions Palettes ....39 Using the Conditions Palette ..............39 Using the Medications Palette ..............40 Using the Interventions Palette ..............44 Transitioning Scenario States from the Run Screen ......46 Transitioning Scenario States from the Scenario Screen....47 SCE Time Controls..................48 Using Bookmarks ...................49 The CPR Monitor ..................49...
Page 18 Table of Contents Adding Scenario States................74 Modifying Scenario States..............75 Adding Conditions, Interventions and Parameters ......76 Adding Transitions .................78 ELSE Transitions ..................81 Deleting Scenario States ................82 Deleting Parameters and Transitions..........83 Saving the Scenario................84 Emptying the Trash ..................85 Saving States to the State Library..............86 Administrative Tools ................
Page 19 Right-Swipe and Left-Swipe ..............139 Pathways ....................140 Stopping An SCE..................142 Exiting Vïvo ....................143 Clearing the Data Cache on the Vïvo Tablet .......... 144 Using Athena ..................145 Neurological Features ................146 Eyes ......................148 Seizures ....................149 Respiratory Features ................150 xvii...
Page 20 Bowel Sounds ..................176 Breath Sounds ..................177 Heart Sounds ..................178 Audible Breathing Sounds ..............179 Care and Maintenance .................181 CAE Assurance Programs ................ 181 General Information ................181 Units Out of Plan ..................181 Plan Period....................181 Limitations of Plan ................182 Return Materials Authorization (RMA)..........182 Training for LifeTM................182...
Page 21 Table of Contents Step 1: Clean the Simulator and Fluid Systems........185 Step 2: Shut Down the Software ............186 Step 2: Power Off the Simulator............186 Maintenance Advice ................. 186 General Simulator Care ................187 Store the Simulator .................. 187 Care for Electronic Equipment..............187 Inspect the Airway ..................
Page 22 Table of Contents Intracranial Pressure (ICP) ..............200 Neuromuscular Blockade (NMB)............201 Temperature: Body................201 Temperature: Blood................201 Respiratory – Basic Parameters .............. 202 Bronchial Occlusion (Left and Right)..........202 Respiratory Rate...................203 Respiratory Rate Factor ...............203 EtCO2 .....................203 Shunt Fraction ..................204 SpO2 ......................204 Neuromuscular Blockade (NMB)............204 Tidal Volume ..................205 Intrapleural Volume (Vol): (Left and Right)........205 Fraction of Inspired O2 (FiO2) ............205...
Page 23 Table of Contents Distended Chest Wall Compliance Factor .........211 Functional Residual Capacity ..............211 Lung Compliance Factor: (Left and Right) .........212 Venous CO2 Shift .................212 Bronchial Resistance Factor (Left and Right) ........212 Alveolar Enflurane................212 Fraction of Inspired Enflurane............213 Alveolar Halothane ................213 Fraction of Inspired Halothane............213 Alveolar Isoflurane ................214 Fraction of Inspired Isoflurane ............214...
Page 24 Table of Contents Pacing Rate ...................224 Pacing Capture Threshold..............224 Cold Fluid Inject ..................224 Cardiovascular – Additional Parameters ..........225 Baroreceptor Maximum Pressure .............226 Baroreceptor Minimum Pressure ............226 Left Ventricle Contractility Factor............227 Right Ventricle Contractility Factor.............227 Systemic Vascular Resistance Factor ..........227 Venous Capacity Factor ...............227 Systemic Arteries Compliance Factor ..........228 Pulmonary Arteries Compliance Factor ..........228...
Page 25 Table of Contents How Wireless Voice Link Works .............. 236 Recommendations for Use..............237 Wireless Voice Link Devices..............237 Physical Features ..................238 Preparing the Base Station in the Simulator......... 239 Preparing the Handset for Use ............... 240 Selecting the Radio Frequency Channel ..........241 Powering Up the WVL Pair...............
Page 26 Table of Contents xxiv...
Page 27: Introduction
The simulator can be placed on a standard operating room table, on an ICU bed, on the ground, or even in a vehicle (in the case of a simulated accident). Athena can also be seated in an upright position.
Page 28: Contained In This User Guide
This User Guide has been designed for quick access to information on how to use and maintain the CAE Athena Simulator. Please be sure to read and follow the Cautions and Warnings on the pages preceding the Table of Contents. This is for the safety of users as well as for the protection of the simulator.
Page 29: Equipment Overview
Standard Equipment The standard equipment for Athena includes all the necessary equipment for basic use of the simulator. The items listed in the table below are shipped with the simulator. Table 1:...
Page 30: Gown
Simulated Clinical Experiences (SCEs) that meet their learning objectives, or on the fly with Vïvo. IMPORTANT: All CAE computer components are preconfigured for use with the Athena system. There are no software installation steps required. Only approved CAE applications should be installed or run on the Athena system.
Page 31: Additional Accessories
Equipment Overview Additional Accessories The following accessories are also available to customize the specific needs of a wide variety of education environments. • Arm skin • Hand skin (left or right) • Lubricant spray (cottonseed oil) • Vein tubing replacement kit •...
Page 32 CAEAthena Equipment Overview PN: 905K520652 v2.8...
Page 33: Setup
Setup ETUP Follow these steps to prepare for your simulation experience. Setting Up the Athena Simulator Place Manikin in the Work Area Power on the Manikin Power on the Instructor Workstation* Connect to the Wireless Network Connect the TouchPro Patient Monitor to the Wireless Network (optional) Start Müse...
Page 34: Step 1: Place Manikin In The Work Area
Failure to wrap the manikin in a sheet may result in permanent damage to the manikin skin. CAE is not responsible for damage to the manikin skin if the manikin is not wrapped in a sheet while using the stretcher.
Page 35: Step 2: Power On The Manikin
Step 2: Power on the Manikin To power on the manikin: a. Prior to powering on the simulator, ensure the Athena manikin has fully charged batteries inserted into the left side of the torso, or the power cord is attached on the right side of the torso b.
Page 36: Power On The Instructor Workstation
CAEAthena Setup Power on the Instructor Workstation To power on the instructor workstation a. Place the Laptop or Tablet Instructor Workstation near the manikin in a convenient location b. Connect the AC adapter to the Instructor Workstation and a surge-protected power outlet (optional) Note: If the Instructor Workstation is running on battery power, ensure the battery is fully charged.
Page 37 Setup TIP: Some previous versions of Mac refer to WiFi as Airport. The WiFi Icon 3. Select your simulator’s wireless network (for example, ATHXXXX, where XXXX is the serial number for the unit) and enter password The simulator WiFi connection The Simulator WiFi Connection The case-sensitive network password is caeadmin.
Page 38: B) Windows Laptop Or Tablet Instructor Workstation Option
CAEAthena Setup B) Windows Laptop or Tablet Instructor Workstation Option Once the manikin and Instructor Workstation are both powered on, they automatically establish a wireless connection and, when the browser is opened, the Müse software launches. If the auto-connect does not occur, perform the following steps: 1.
Page 39: Step 5: Connect A Touchpro™ Workstation To The Wireless Network (Optional)
Step 5: Connect a TouchPro™ Workstation to the Wireless Network (Optional) The CAE TouchPro workstation comes pre-configured for use with the simulator. If you wish to supply your own computer to run the TouchPro software, the computer must meet the system requirements and must join the simulator network prior to use.
Page 40: Step 6: Start Müse
CAEAthena Setup Step 6: Start Müse Open your web browser and, from the Müse Start screen, Müse and TouchPro can be launched. Click the Müse icon to launch Müse. For more information, see the Using Müse section of the User Guide.
Page 41: Using Muse
Using Müse SING The Müse software is a browser-based application that can communicate directly with the simulator. With the software, users can run SCEs, create scenarios and SCEs, import and export educational content and perform administrative functions. Note: For optimal Müse performance, no other software programs should be open while Müse is running.
Page 42 CAEAthena Using Müse 2. Select Müse Language icon The Info icon The Müse Login Screen The icons in the bottom left corner of the screen provide access to additional information about the software: Clicking the Info icon to access the Info menu. From the Info menu, users can select from the following options: Select About to access information about the Müse software version, the type of º...
Page 43: The Home Page Overview
Using Müse The Home Page Overview From the Home page, users can run, create, edit, search for and print SCEs. The Home page can be accessed by clicking the Home button in the upper right corner of the Müse software or, on any screen without a Home button, by clicking the Return button in the upper left or right corner of the screen.
Page 44: The Sce Library
CAEAthena Using Müse The SCE Library The SCE Library lists all SCEs available on your workstation. Access SCEs from your library by clicking the Open Library button at the bottom of the SCE Selection panel. The SCE Library appears. The Learning Modules icon The Learning Modules menu...
Page 45: Preconfigured Sces
Using Müse Preconfigured SCEs Preconfigured SCEs are training tools with scenarios and multiple states. They are intended to be used for learner education and training. There are five categories of preconfigured SCEs: Anesthesia, Obstetric, Allied Health, Advanced Cardiac Life Support (ACLS) and Advanced Life Support (ALS). To access a preconfigured SCE from the SCE Library, click Learning Modules, then click Preconfigured SCEs.
Page 46 CAEAthena Using Müse Allied Health • Angina with Cardiac Arrest • Asthmatic with Pneumothorax • Chronic Obstructive Pulmonary Disease (COPD) with Respiratory Failure • Heart Failure with Pulmonary Edema • Inferior Myocardial Infarction • Organophosphate Exposure • Pneumonia with Septic Shock •...
Page 47: The Sce Summary Panel
Using Müse The SCE Summary Panel The SCE Summary Panel provides information about the selected SCE. The View as PDF button The Add to Favorites button The SCE Content Summary The Review The Run button button The SCE Summary Panel The View as PDF button can be used to generate a printable PDF of the selected SCE.
Page 48: Printing Sces
CAEAthena Using Müse Printing SCEs To print an SCE: 1. From the Home page, select the SCE to print The View as PDF button The SCE Summary Panel 2. From the SCE summary panel, click the View as PDF button 3.
Page 49: Running An Sce
Using Müse Running an SCE To run an SCE, from the Home screen, select an SCE and click the Run button. The Run screen can also be accessed from the Scenario Designer or SCE Editor by clicking the Run button near the top of the screen.
Page 50: Monitor Signals
CAEAthena Using Müse Monitor Signals Lets the user control which vital sign signals are displayed on the patient monitor; including TouchPro and commercial monitors connected via VitalsBridge. The Monitor Signals Icon Monitor Signals Icon Monitor Signals Panel PN: 905K520652 v2.8...
Page 51 Using Müse The listed probes impact which vital sign signals are displayed on the patient monitor; including TouchPro and commercial monitors connected via VitalsBridge. By default they are all on. Turning probes off here will impact some of the graphs as follows: •...
Page 52 CAEAthena Using Müse Central Venous Placement PA Catheter Placement If the catheter placement is none, no graph is displayed vs a flat line when Atmosphere is selected. The associated widget is displayed and no alarm is generated. Catheters in Proper Locations PN: 905K520652 v2.8...
Page 53 Using Müse Catheters set at Atmosphere Catheters set at None PN: 905K520652 v2.8...
Page 54: Sce Information
CAEAthena Using Müse SCE Information The SCE Information is a drop-down menu which is accessed by clicking the SCE title in the upper left corner of the screen. The SCE Information drop-down menu The SCE Title and Patient Name The Run Screen Select SCE Details to access the SCE Editor screen where the baseline setup, SCE Content and Configuration Setup information can be viewed.
Page 55: Using The Patient Status Display
Using Müse Using the Patient Status Display On the Run screen, there are widgets that display the patient’s physiological status. The Patient Status Display widgets can be changed to reflect the user’s needs. The Mute All button The Configuration button Widgets The Patient Status Display Widgets Use the Mute All button to mute all Patient Status Display alarms.
Page 56 CAEAthena Using Müse The Widget Configuration Menu Adjust the Patient Status Display layout by dragging a widget type from the Widget Configuration Menu and dropping it over the Patient Status Display. The new widget type replaces the old. Note: The capnogram waveform is not displayed on the TouchPro software from the Instructor Workstation.
Page 57: The Event Logs
Using Müse The Event Logs During an SCE, all software operations sensed by the simulator or entered manually (e.g., virtual defibrillation, setting a physiological parameter value) are recorded by an event entry that appears on the screen. The event entry notes what occurred and the time it happened. The Event Logs PN: 905K520652 v2.8...
Page 58: Displaying Patient Records
CAEAthena Using Müse Displaying Patient Records Patient records can be uploaded to Müse and displayed in the TouchPro software while an SCE is running. To display an uploaded patient record: 1. From the Müse Run screen, click the Patient Records button The Patient Records Button Patient records The Start Displaying...
Page 59 Using Müse The Start Displaying button at the bottom of the Patient Records list changes to a red Stop Displaying button. Patient records The Stop Displaying button The Patient Records List To stop displaying a patient record, click Stop Displaying at the bottom of the Patient Records list. To close the Patient Records list, click the Patient Records button.
Page 60: Adding A Scenario To A Running Sce
CAEAthena Using Müse Adding a Scenario to a Running SCE SCEs incorporate scenarios that contain pre-programmed physiology and events. Scenarios can be added to SCEs to enhance patient physiology. To add a scenario to an SCE that is running: 1. Click the Add Scenario button on the Run screen The Add Scenario Button The Add The Search...
Page 61: Changing Physiology
Using Müse Changing Physiology The patient physiology can be adjusted while an SCE is running in two ways, by using one of the physiological views on the Run screen to modify parameters, or by using the Conditions, Interventions and Medications palettes. Using the Physiological Views From the Run screen, users can select from five different views representative of various body systems and features:...
Page 62 CAEAthena Using Müse From each view, various parameters can be viewed and adjusted. Brain Heart Lung Fluids icon Sound icon The Physiological Views To change a patient’s physiology using the physiological views: 1. Click the appropriate organ, icon or button from the homunculus to select the desired physiological view The associated parameters...
Page 63: Types Of Parameters
Using Müse 2. Locate the desired parameter Note: Some simulators have a Basic/Additional switch on the Respiratory and Cardiovascular views. Basic parameters are shown by default. The Basic/Additional switch can be toggled to show more parameters. 3. Select the parameter and set the new value Parameters have varying controls, such as sliders, switches and menus.
Page 64: Numeric Parameters
CAEAthena Using Müse Numeric Parameters Numeric parameters set either a measured value (e.g., 20 mL), a multiplied value called a factor (e.g., Heart Rate Factor 2.0 is two times the baseline Heart Rate) or a coefficient that affects a physiological value in a non-linear way (e.g., FHR Variability Coefficient).
Page 65: Using Conditions, Medications And Interventions Palettes
Using Müse Using Conditions, Medications and Interventions Palettes The Conditions, Medications and Interventions palettes on the Run screen enable the application of conditions, medications and interventions during simulation. Once applied, conditions are reflected in the patient’s physiology and logged. All medications and interventions are also logged, and most affect the patient’s physiology.
Page 66: Using The Medications Palette
CAEAthena Using Müse Using the Medications Palette There are two ways to administer medications using the Medications palette: using a Quick Link or using the Medications menu. Quick Links are preconfigured medications that are made accessible in the Medications palette for quick application. Quick Links can also be created for the Conditions and Interventions palettes.
Page 67 Using Müse The All Medications Menu The custom dose options predefined dose options The Medication Dose Menu 4. Select a dose option. This can be done one of two ways: PN: 905K520652 v2.8...
Page 68 CAEAthena Using Müse a. Choose a pre-defined dose predefined dose options The Medication Dose Menu b. Choose a route of administration to administer a custom dose The custom dose options The Medication Dose Menu Administer button The Custom Dose Administration Menu PN: 905K520652 v2.8...
Page 69 Using Müse 5. Enter the desired dose and click the Administer button Note: Not all medications affect the patient’s physiology, but all are logged. PN: 905K520652 v2.8...
Page 70: Using The Interventions Palette
CAEAthena Using Müse Using the Interventions Palette There are two ways to perform and/or administer interventions using the Interventions palette: using a Quick Link or using the complete Interventions menu. Quick Links are preconfigured interventions that are made accessible in the Interventions palette for quick application. Quick Links can also be created for the Conditions and Medications palettes.
Page 71 Using Müse To apply an intervention that has not been set up as a Quick Link in the Interventions palette: 1. Click the Interventions button The Interventions Menu Interventions are organized by type, or all available interventions are listed under ALL INTERVENTIONS.
Page 72: Transitioning Scenario States From The Run Screen
CAEAthena Using Müse Transitioning Scenario States from the Run Screen To move between scenario states from the Run screen: 1. Click the desired scenario A Scenario The Scenario Management pop-up menu appears, and all available states are listed. The Scenario Management Pop-Up Menu 2.
Page 73: Transitioning Scenario States From The Scenario Screen
Using Müse Transitioning Scenario States from the Scenario Screen To move between scenario states from the Scenario Screen: 1. From the Run screen, click the desired loaded scenario The Show Scenario option The Scenario Management Pop-Up Menu 2. From the menu, select Show Scenario The Jump to The Close State button...
Page 74: Sce Time Controls
CAEAthena Using Müse At the top of this screen, the Scenario Time and State Time are visible. Additionally, users can pause and continue playing the scenario by clicking the Scenario Pause and Play button on the top of the screen. 3.
Page 75: Using Bookmarks
Using Müse Using Bookmarks To create a bookmark, click the Bookmark button. A bookmark appears on the Timeline bar. A bookmark The Timeline bar The Timeline bar The Bookmark button The SCE Time Controls To return to a bookmarked time in the SCE: 1.
Page 76 CAEAthena Using Müse To use the CPR monitor, click the CPR Monitor button at the bottom of the Run screen. The CPR Monitor Button The Close button The CPR Summary button The CPR Monitor - Live Data View Click the CPR Summary button to display the summary view. The Close button The CPR Live...
Page 77: Using The Event Recorder To Save States
Using Müse Using the Event Recorder to Save States The Event Recorder displays all events that have occurred since the start of the SCE and can be used to save conditions, interventions and parameter changes as states. To save a state using the Event Recorder: 1.
Page 78 CAEAthena Using Müse A Delete button appears next to each recorded event Delete buttons Events The Done button The Save State button The Event Recorder b. Click the Delete button next to each event to be removed c. Click Done 4.
Page 79: Creating A New Patient
Using Müse Creating a New Patient When an additional patient with specific physiological characteristics is needed for repeated use, a new patient can be created from the Run screen. To create a new Patient: 1. From the Home page, run an SCE that has a Patient with the same gender as the Patient to be created 2.
Page 80 CAEAthena Using Müse Note: Overwriting a patient will only impact the running SCE, not the base patient library or any other SCE created with the same base patient. The New Patient Diagram PN: 905K520652 v2.8...
Page 81: Resetting A Patient
Using Müse Resetting a Patient Resetting a Patient brings the Patient back to its original physiological state before any scenarios were applied or modifications were made. Any running scenarios are paused. However, the SCE time is unaffected. Additionally, the reset appears in the Event Logs. To reset a patient: 1.
Page 82: The Medication Monitor
CAEAthena Using Müse The Medication Monitor The Medication Monitor tracks the infusion of medication administered for medications that affect patient physiology. To activate the Medication Monitor, from the Run screen, click the Medication Monitor button in the bottom, right portion of the screen. The Medication Monitor Button The Close button...
Page 83: Returning To The Home Page
Using Müse Returning to the Home Page To exit the SCE and return to the Home page, click the Return button in the upper-left of the run screen. The Return Button The SCE continues running and the Home page appears. To return to the SCE from the Home page, click the Continue button in the SCE summary panel of the running SCE.
Page 84: Stopping The Sce
CAEAthena Using Müse Stopping the SCE Running SCEs can be stopped from the Run screen or the Home page. To stop an SCE from the Run screen: 1. Click Stop in the upper right corner of the screen The Stop Button The Stop SCE button The Stop The SCE Dialog Box...
Page 85: Developing Sces
Using Müse Developing SCEs Creating and editing SCEs are similar processes. Once an SCE is created, the steps for modifying the SCE are the same as those for editing a previously-created SCE. The processes of creating and editing SCEs each begin with a unique button on the Home screen. Use the New SCE button to create a new SCE.
Page 86: Creating A New Sce
CAEAthena Using Müse Creating a New SCE Creating an SCE requires naming the SCE and selecting a Base Patient. To create a new SCE: 1. From the Home screen, click New SCE The New SCE Button The Create button The Patients Palette 2.
Page 87: The Sce Editor
Using Müse The SCE Editor The SCE Editor can be used to review preconfigured SCEs and to create or edit custom SCEs. To access the SCE Editor, click the Review button in the SCE Summary Panel or create a new SCE. The SCE Editor The buttons in the upper right corner of the SCE Editor provide options for running the SCE, generating a printable PDF, or returning to the Home page.
Page 88: Editing A Patient's Profile
CAEAthena Using Müse Editing a Patient’s Profile To edit the Patient Profile: 1. From the Profile section of the SCE Editor, click Edit The Edit button The SCE Editor Screen The Change Picture button The Save button The Profile Editor 2.
Page 89: Setting A Patient's Baseline
Using Müse Setting a Patient’s Baseline The patient baseline is the patient’s initial physiology at the beginning of an SCE. To set the Patient’s Baseline: 1. From the SCE Editor, click Baseline Baseline button The SCE Editor Screen Complete button The Patient Baseline Screen 2.
Page 90: Content Management
CAEAthena Using Müse Content Management SCE Content is entered from the SCE Editor using the Overview, Background, Preparation and Notes buttons under the Content Management heading. The Content Management Buttons Each button accesses a screen that allows users to enter information for the chosen section (Overview, Background, Preparation or Notes).
Page 91: Sce Configuration
Using Müse SCE Configuration Setting up the Conditions, the TouchPro software and the Patient Status Display is achieved by clicking the buttons under the SCE Configuration heading in the SCE Editor. The SCE Configuration Buttons Condition Setup Screen and Creating Quick Links Click Condition Setup to access the Condition Setup screen.
Page 92: Modifying The Touchpro Setup
CAEAthena Using Müse Modifying the TouchPro Setup Use the TouchPro Setup link to access the TouchPro Setup panel. From the TouchPro Setup panel, TouchPro layouts can be enabled or disabled for the selected SCE. When a layout is enabled, it is available to be used in the TouchPro software with the selected SCE. When a layout is disabled, it is unavailable to be used in the TouchPro software with this SCE.
Page 93: Patient Status Display
Using Müse Patient Status Display To configure the Patient Status Display displayed on the Run screen, click Patient Status Display under the SCE Configuration heading on the SCE Editor. Available Patient Status Widgets Display spaces panel The Patient Status Display Screen To modify the Patient Status Display, drag and drop the desired waveform, numeric or volume widgets from the Available Widgets panel to an available Patient Status Display space.
Page 94: Adding A Scenario From The Sce Editor
CAEAthena Using Müse Adding a Scenario from the SCE Editor SCEs incorporate scenarios that contain preprogrammed physiology. Scenarios can be added to SCEs to enhance patient physiology. When a scenario is added to an SCE from the SCE Editor, the scenario becomes associated with the SCE and begins automatically when the SCE is run.
Page 95: Developing Scenarios
Using Müse Developing Scenarios The Scenario Designer allows users to create and edit scenarios. Creating a New Scenario To create a new scenario: 1. From the SCE Editor, under the Pre-Loaded Scenarios heading, click the Add Scenario button The Add Scenario button The Pre-Loaded Scenarios Heading The New...
Page 96 CAEAthena Using Müse From the Scenario Designer, scenario states can be added, modified, and deleted. Scenario button The View buttons Canvas The New State button The Scenario Designer • The Scenario button is used to manage states and save the scenario •...
Page 97: Editing A Scenario
Using Müse Editing a Scenario To edit a scenario: 1. From the SCE Editor, under the Pre-Loaded Scenarios heading, click the Add Scenario button The Add Scenario button The Pre-Loaded Scenarios Heading Scenarios The Add The Search button field The Choose Scenario Dialog Box 2.
Page 98: Scenario Designer Views
CAEAthena Using Müse Scenario Designer Views The Scenario Designer has two views: the Graphical view and the List view. The Graphical view allows users to map out scenario states. The List view places the states and transitions into a linear format. Graphical The List View View button...
Page 99 Using Müse Click the List view button to utilize the List view. The Expand/ Collapse arrow An expanded state The List View From the List View, click the Expand/Contract arrow to the left of any state to expand it to view all of its components.
Page 100: Adding Scenario States
CAEAthena Using Müse Adding Scenario States When beginning to create a new scenario, the canvas is blank. Scenario states can be created by dragging and dropping conditions from their respective menus on the right side of the Scenario Designer to the canvas. Drag and drop a condition onto the canvas to create a state The Scenario Designer Canvas Or, a new, empty state can be added using the New State button.
Page 101: Modifying Scenario States
Using Müse The State The Save Name field button The Rename State Window 4. Enter a new state name Note: When naming a Scenario State, the state name may NOT exceed 127 characters Additionally, scenario file and state names CANNOT contain any special characters, such as ( ‘...
Page 102: Adding Conditions, Interventions And Parameters
CAEAthena Using Müse Adding Conditions, Interventions and Parameters Conditions can be added to states by dragging and dropping them from the Conditions menu to the desired state. The Conditions menu Adding a condition to a state The Scenario Designer To add parameters to a state, click the Parameters button within the state. PN: 905K520652 v2.8...
Page 103 Using Müse Parameters button A State The State Parameters panel Complete Complete button button The State Parameters Screen Click the various organs to change the views, and then select the desired parameter. Once a parameter has been selected, it appears in the State Parameters panel on the right side of the screen.
Page 104: Adding Transitions
CAEAthena Using Müse Adding Transitions To add a transition, the scenario must have both an original state and a state that results from the transition. To add a transition: 1. Click the Create button in the original state The Create button A State The Transitions Window...
Page 105 Using Müse Follow the same steps to make selections from similar menus for the Assessment, Intervention, Physiology, Scenario, Vitals, and variable types. Comparison type Transition value The Accept button The Medication Transition Window 3. Once the variable values (e.g., comparison type and transition value) have been selected, click Accept The selected transition variable is listed beneath the original state on the Scenario Designer.
Page 106 CAEAthena Using Müse An orange connector line appears, indicating that the states are now linked by a transition. The orange connector line The Scenario Designer PN: 905K520652 v2.8...
Page 107: Else Transitions
Using Müse ELSE Transitions An ELSE transition is used to transition to a state automatically when none of the other programmed transitions occur. Before specifying an ELSE transition from a state, the state must first contain at least one other transition.
Page 108: Deleting Scenario States
CAEAthena Using Müse Deleting Scenario States To delete a state, drag and drop the state into the Trash. A dragged state The Trash The Scenario Designer States can be dragged and dropped to the Trash from the Graphical view or the Line Item view. Deleted states remain in the Trash until you log out of the software or the Trash is cleared.
Page 109: Deleting Parameters And Transitions
Using Müse Deleting Parameters and Transitions To delete a parameter or transition, from an active state, drag and drop the desired parameter or transition into the Trash. To drag a parameter, click anywhere within the parameter. To drag a transition, click the yellow selection bar to the left of the transition.
Page 110: Saving The Scenario
CAEAthena Using Müse Saving the Scenario At any time during scenario creation or modification, the scenario can be saved. To save a scenario: 1. Click the Scenario button in the upper left of the Scenario Designer The Scenario Drop-Down Menu 2.
Page 111: Emptying The Trash
Using Müse Emptying the Trash To empty the Trash, click the Trash icon in the lower left corner of the Scenario Designer. The Trash icon The Scenario Designer The Empty Trash button The Trash List Click Empty Trash to empty the Trash. If you do not wish to delete the items listed, they can be dragged back into the scenario, at which time they are removed from the Trash.
Page 112: Saving States To The State Library
CAEAthena Using Müse Saving States to the State Library Users can save states to the State Library for later use. To access the State Library, click the States button in the bottom right corner of the Scenario Designer. The States button The States Button The State Library To save a state, drag and drop the state into the States Library.
Page 113 Using Müse To exit the State Library, click Conditions. The Conditions button The Conditions Button PN: 905K520652 v2.8...
Page 114: Administrative Tools
CAEAthena Using Müse DMINISTRATIVE OOLS The Müse software has administrative tools that allow users to manage logs, stored content, users and system settings. The administrative tools are accessed via the Administrative Tools buttons, located on the Home page. The History button The System The Account Profile Administration...
Page 115: System Administration
Using Müse System Administration From the System Administration screen, users can control and access Content Management, User Accounts, Groups, Maintenance and System Settings. To access the System Administration screen, click the System Administration button from the Home page. The System Administration Button The System Administration Screen PN: 905K520652 v2.8...
Page 116: Content Management
CAEAthena Using Müse Content Management To access the Content Management options, from the System Administration screen, click Content Management. From the Content Management options, users can manage learning modules, SCEs, Base Patients, Scenarios, Conditions, Patient Records, and Vocalization List. The Content Management button The Content...
Page 117 Using Müse Learning Modules From the Learning Modules panel, learning modules can be installed or deleted. When the Content Management button is selected, the Learning Modules panel appears by default. If another panel has been selected, return to the Learning Modules panel by clicking the Learning Modules link.
Page 118 On the SCEs panel, users can review, copy, delete, import and export the SCEs they have created. Note: SCEs purchased from CAE CANNOT be exported. Click Import SCE to import an SCE from an external device or the hard drive location where the SCE file is saved.
Page 119 • The Export button next to each patient can be used to export the Patient file to an external device Note: The Patient file extension is pat. Note: Preconfigured CAE Base Patients have a lock symbol in the upper-left corner of the picture and CANNOT be renamed, deleted, or exported. PN: 905K520652 v2.8...
Page 120 Click Import to import a scenario file from an external device or the hard drive location where the file is saved. Click Export to export a scenario file to an external device. Note: The scenario file extension is mss. Note: Locked CAE scenarios CANNOT be exported, deleted, or renamed. PN: 905K520652 v2.8...
Page 121 New condition categories and groups can also be added by clicking the Add button in the Condition Categories and Condition Groups panels. Use the Delete and Rename buttons in each panel to delete or rename a Condition, group or category. Note: CAE conditions, groups and categories cannot be deleted or renamed. PN: 905K520652 v2.8...
Page 122 CAEAthena Using Müse Patient Records Patient records can be uploaded to Müse for display in the TouchPro software. Once uploaded, a patient record is available for use with any SCE. Patient Records are managed from the Patient Records panel on the Content Management tab of the System Administration screen.
Page 123 Using Müse To delete a patient record: 1. From the Patient Records panel, select the patient record to delete 2. Click Delete The patient record is deleted and is no longer available to display in the TouchPro software. Individual patient records can also be previewed, renamed or exported by selecting the record and clicking Rename, Export or Preview.
Page 124: User Accounts
CAEAthena Using Müse User Accounts To access the User Accounts panel, from the System Administration screen, click the User Accounts button. The User Accounts panel appears. From the User Accounts panel, users can create, edit and delete users. The User Accounts button The user list...
Page 125: Deleting A User
Using Müse Deleting a User To permanently delete a user, from the User Accounts panel, select a user and click Delete. When the User Deletion Warning box appears, click Yes. The user account and the data associated with it are deleted. However, the administrative user deleting the account becomes the owner of any SCEs, scenarios or patients created by the user being deleted (i.e., the SCEs, scenarios and patients created by the deleted user are moved to the deleting user’s account).
Page 126: Privilege System
CAEAthena Using Müse Privilege System The Müse software has three different privileges: • System Management • User Management • Content Management User Management and Content Management can be assigned independently or combined. The System Management privilege contains all privileges. System Management Users with the System Management privilege have access to all features of the Müse software, including the benefits of the User Management and Content Management privileges, listed below.
Page 127: Providing Access To Content Only
Using Müse Providing Access to Content Only To provide users with the ability to create and manage SCEs, but NOT the ability to manage users or groups: 1. Create a new group called Content Only 2. Assign the group the Content Management privilege. Do NOT assign any other privileges to the group 3.
Page 128 CAEAthena Using Müse Data Management The Data Management feature allows users to back up data to an external device. Users can also restore the backup data. Backing Up Data Users should back up data frequently to protect and store content and user data. To back up data: 1.
Page 129 Using Müse Product Licensing To view product licensing information for your simulator or to enter a license key to activate your software, click License Manager. Language To change the language of the Müse software: 1. From the System Settings panel, under the Localization heading, Click Change Language 2.
Page 130: Error Log
CAEAthena Using Müse Performance Metrics Acceptable limits for fetal traction and key CPR parameters can be set from the System Settings panel. To set the maximum acceptable fetal traction: 1. From the System Settings panel, under the Performance Metrics heading, Click Fetal Traction 2.
Page 131: Account Profile
Using Müse Account Profile From the Account Profile screen, users can view, update and reset personal profile information. Users can also view and add favorite SCEs from this screen. Click the Account Profile button to access the Account Profile features. The Account Profile Button The Account Profile Screen PN: 905K520652 v2.8...
Page 132: Profile Information
CAEAthena Using Müse Profile Information From the Account Profile screen, the Profile Information panel appears by default. If another panel has been selected, click Profile Information to return to the Profile Information panel. From the Profile Information panel, users can change their profile information and reset their passwords.
Page 133: Favorite Sces
Using Müse Favorite SCEs To access the Favorite SCEs panel, click Favorite SCEs from the Account Profile screen. All of the logged-in user’s favorite SCEs appear in the Favorite SCEs panel. The Favorite SCEs link The Favorite SCEs panel The Add Favorites button The Account Profile Screen...
Page 134: Medication Preferences
CAEAthena Using Müse Medication Preferences From the Medication Preferences panel, users can import customized medication response files created in the Pharmacology Editor software. To access Medication Preferences, click Medication Preferences on the Account Profile screen. The Medication Preferences panel appears. The Medication Preferences link...
Page 135: Profile Preferences
Using Müse Profile Preferences From the Profile Preferences panel, users can change the font size used in the software. To access Profile Preferences, click Profile Preferences on the Account Profile screen. Font size menu The Profile The Profile Preferences Preferences panel link The Account Profile Screen...
Page 136 CAEAthena Using Müse PN: 905K520652 v2.8...
Page 137: Using The Touchpro Patient Monitor
Using the TouchPro Patient Monitor SING OUCH ATIENT ONITOR In this section, you will learn how to use the TouchPro software, which enables users to view the patient’s physiology, expressed in waveforms and numeric values. The TouchPro Patient Monitor software enables users to view patient physiology. The software can be used from the Instructor Workstation or on another computer provided the computer has joined the simulator’s wireless network.
Page 138: Accessing The Touchpro Patient Monitor Software
CAEAthena Using the TouchPro Patient Monitor Accessing the TouchPro Patient Monitor Software Like the Müse software, the TouchPro Patient Monitor software is compatible with computers that have touch-screen capabilities. To run the TouchPro Patient Monitor software, the Instructor Workstation must be connected to the simulator’s network.
Page 139 Using the TouchPro Patient Monitor Note: The capnogram waveform is not displayed on the TouchPro Patient Monitor software from the Instructor Workstation. Capnogram information can be found on the clinical patient monitor if one is connected to the simulator. PN: 905K520652 v2.8...
Page 140: Modifying The Touchpro Patient Monitor Display
Selecting a Preconfigured Layout There are five preconfigured CAE Layouts: • ICU-Arterial Line Only - preconfigured with waveform and numeric readouts for ECG Lead II, ECG Lead V, ABP, Pleth, and a numeric readout for Body Temperature •...
Page 141 Using the TouchPro Patient Monitor To select a preconfigured layout: 1. Click the Settings button in the bottom right corner of the display The Settings Button The Close Settings button The Layouts panel The TouchPro Settings Menu 2. Select a layout from the Layouts panel 3.
Page 142: Changing A Waveform Or Numeric Display
CAEAthena Using the TouchPro Patient Monitor Changing a Waveform or Numeric Display Waveforms and numeric displays can be changed to suit the user’s needs. To change a waveform or numeric display: 1. Click the waveform or numeric to be changed The Wave Vital Selection Menu 2.
Page 143: Adding A Waveform
Using the TouchPro Patient Monitor Adding a Waveform The TouchPro software supports up to six waveforms. To add a waveform: 1. Click the Settings button in the bottom right corner of the TouchPro display The Settings Button The Add Waveform An empty and Remove waveform...
Page 144: Adding A Numeric Display
CAEAthena Using the TouchPro Patient Monitor Adding a Numeric Display The TouchPro software contains four numeric display fields. All four numeric display fields are located on one row beneath the waveform displays. When fewer than four numeric readouts are being displayed, the remaining fields are blank. To add or change a numeric display field: 1.
Page 145: Moving A Waveform Or Numeric Display
Using the TouchPro Patient Monitor Moving a Waveform or Numeric Display Waveforms and numerics can be moved on the screen to suit the user’s needs. To move a waveform or numeric, click the desired waveform or numeric and drag and drop the display to a desired location.
Page 146: Saving A Layout
CAEAthena Using the TouchPro Patient Monitor Saving a Layout Once a layout has been configured, it can be saved and reused. To save a layout: 1. Ensure the desired waveforms and numerics are in place 2. Click Settings 3. Click Save As 4.
Page 147: Sounds
Using the TouchPro Patient Monitor Sounds All sounds can be silenced by clicking the Mute button in the bottom left corner of the TouchPro display. The Mute Button To set up the audio for the TouchPro: 1. Click the Settings button in the bottom right corner of the TouchPro display The Settings Button 2.
Page 148: 12-Lead Ecg
CAEAthena Using the TouchPro Patient Monitor 12-Lead ECG To view a 12-lead ECG report, click the 12-Lead ECG button at the bottom of the TouchPro screen. The 12-Lead ECG Button The Close button The Print button A 12-Lead ECG Report The report can be printed or saved by clicking the Print button in the bottom right corner of the 12- lead ECG report.
Page 149 Using the TouchPro Patient Monitor 5. From the Print window, click the PDF drop-down menu in the lower left corner 6. From the drop-down menu, select the Save as PDF option 7. In the Title field, enter the 12-lead report title 8.
Page 150: Snapshot
CAEAthena Using the TouchPro Patient Monitor Snapshot A vital signs history window can be displayed using the Snapshot button. To capture the vital signs history: 1. Click the Snapshot button on the bottom of the TouchPro display The Snapshot Button The Capture Snapshot (refresh) button The Snapshot Window...
Page 151: Nibp Cycling And Manual Nibp
Using the TouchPro Patient Monitor NIBP Cycling and Manual NIBP When non-invasive blood pressure (NIBP) is displayed, the patient’s NIBP can be updated at specified intervals using NIBP Cycling, or the current NIBP can be displayed immediately using the Manual NIBP button.
Page 152 CAEAthena Using the TouchPro Patient Monitor To display the patient’s current NIBP, click the Manual NIBP button. The Manual NIBP button The TouchPro Display Note: Manual NIBP can be used at any time during cycling. However, this turns off auto-cycling. PN: 905K520652 v2.8...
Page 153: Configuring The Touchpro Software
Using the TouchPro Patient Monitor Configuring the TouchPro Software The background color and alarm suspension time can be set from the TouchPro Configure panel. To access the Configure panel: 1. Click the Settings button in the bottom, right corner of the TouchPro screen The Settings Button 2.
Page 154: Changing The Touchpro Language
CAEAthena Using the TouchPro Patient Monitor Changing the TouchPro Language To change the language of the TouchPro software: 1. Click the Settings button in the bottom, right corner of the TouchPro screen The Settings Button 2. From the Settings menu, click the Language Selection button 3.
Page 155: Exiting The Touchpro Software
Using the TouchPro Patient Monitor Exiting the TouchPro Software To exit TouchPro: 1. Click the Settings button from the bottom, right corner of the TouchPro screen The Settings Button 2. From the Settings menu, click Shutdown 3. Click Shutdown PN: 905K520652 v2.8...
Page 156 CAEAthena Using the TouchPro Patient Monitor PN: 905K520652 v2.8...
Page 157: Using Vïvo
Using Vivo SING ÏVO Vïvo is the facilitator-driven software that puts you in full control of your simulations. This information will help you get started using the Vïvo tablet with the simulator. IMPORTANT: Before running Vïvo, make sure that no application of Müse is open for the simulator using Vïvo.
Page 158: Tablet Setup
CAEAthena Using Vivo Tablet Setup 1. Power on the simulator first, and wait at least 3 minutes while the simulator establishes a wireless network Note: The power light will turn solid when ready. TIP: It is recommended to wait 2 minutes after the manikin power light is solid, before starting the tablet.
Page 159: Tablet Tips
Using Vivo Tablet Tips • A touch screen stylus may be helpful while using the tablet • The tablet must have a WiFi connection to the simulator in order to run Vïvo. To verify the Vïvo tablet is connected to the simulator WiFi, swipe down from the top of the tablet screen to access the menu heading.
Page 160: Using Vïvo
CAEAthena Using Vivo Using Vïvo The Run Screen When an SCE is running, Vïvo is facilitator-driven and fully adjustable. The top toolbar shows the play/ pause/stop buttons, identifies what SCE is running, and shows the SCE clock. The tile rows show the parameters and headers. Tile rows can be viewed or collapsed by tapping on the black header bar or on the dropdown of each row.
Page 161: Tiles And Windows
Using Vivo Tiles and Windows Tap on a tile to adjust the parameters. The parameters window will open and can be applied as desired. Buttons, dropdowns, scroll lists, and slider bars are available based on each parameter. The Tile and Parameter Window Examples •...
Page 162 CAEAthena Using Vivo • The automated changes can be overridden, thereby making the orange highlights disappear • The automated changes will return to the previous values when the associated control has been removed orange highlight The Tiles With Automated Physiology Highlight •...
Page 163 Using Vivo Refer to the Right-Swipe and Left-Swipe section for more information on the data capture window. The notes icon The Tile With Notes Icon • Tap on the Eyes tile to open the parameters windows and control the eyes independently or together The Eyes Tile Note: The blink speed can be adjusted, however the Vïvo tablet tile does not display the...
Page 164 CAEAthena Using Vivo The Eyes Parameter Window • Tap on the CPR tile to open the parameters window The CPR Tile PN: 905K520652 v2.8...
Page 165: Right-Swipe And Left-Swipe
Using Vivo The CPR parameters window displays the results when chest compression or ventilation is performed. Tap Start/Stop Timer to use the timer º Tap Change User to reset the timer º The CPR Parameter Window Right-Swipe and Left-Swipe Swipe right on the Run screen to open the Medications window. Then, tap ADD MEDICATION to select the drug, amount, and type.
Page 166: Pathways
CAEAthena Using Vivo The Data Capture Window Depending on the previous action, swiping left opens the data capture/checklist window for the most recently accessed data. For example: • If no right-swipe has been made, then the Patient Management window will open with a left-swipe •...
Page 167 Using Vivo Preconfigured and saved SCEs IMPORTANT: Vïvo starts with a base patient. Tap on the Play/Next icon to begin the SCE. Then select a state in the Next state dropdown to queue up the next state. Tap on the Play/Next icon to play that next state.
Page 168: Stopping An Sce
CAEAthena Using Vivo Stopping An SCE To stop an SCE, tap on the stop button. Then tap OK on the verification popup. The stop button The Stop Button The Session Debriefing window will appear. The Debriefing Window When finished debriefing, select Exit To Start Screen or Start Next Session. IMPORTANT: Be sure to complete debriefing before exiting the debriefing window.
Page 169: Exiting Vïvo
Using Vivo Exiting Vïvo IMPORTANT: Stop the running SCE and return to the Start screen prior to exiting Vïvo. To exit Vïvo on the Vïvo tablet, tap the tablet square to shrink the window. It may be necessary to first swipe up from the bottom of the tablet screen to show the tablet square The tablet square The Tablet Swipe the Vïvo window right or left (off the screen) to exit.
Page 170: Clearing The Data Cache On The Vïvo Tablet
CAEAthena Using Vivo Clearing the Data Cache on the Vïvo Tablet For optimal performance, it may be necessary to occasionally clear the data cache on the Vïvo tablet. To clear the data cache and reset Vïvo to the default state: 1.
Page 171: Using Athena
SING THENA Once Athena has been set up, the software and an SCE started, the simulator is ready for learner interventions. From the Run screen, the features of Athena can be accessed. They are broken down into the following categories: Neurological, Respiratory, Cardiovascular, Fluids, and Sounds.
Page 172: Neurological Features
Using Athena Neurological Features Athena can simulate a variety of neurological clinical indicators, such as seizures and reactive eyes. Neurological features are controlled from the Neurological view in Müse. To access the Neurological view, from the Run screen, click the brain on the homunculus. The Neurological parameters appear.
Page 173 Using Athena Neurological Features Anatomy, Physiol- ogy and Clinical Description Software Control Manual Control Signs Seizures The manikin can The response to None required. simulate seizures clinical intervention with rhythmic must be controlled movement of the by the instructor. arms and rapid blinking.
Page 174: Eyes
CAEAthena Using Athena Eyes Each eye has reactive pupils and eyelids that blink and close. The settings for pupil diameter, light reactivity and blinking are located on the Neurological view. The Apply to Both Eyes The Pupil Diameter menus option...
Page 175: Seizures
Using Athena Seizures The female manikin simulates seizure activity when the feature is activated in Müse. To activate seizures, from the Neurological view, set the Seizures option to On. To deactivate seizures, set the Seizures option to Off. Seizures Note: If eyes have been set to Closed or if neuromuscular blockage is set to greater than 30%, the eyes will remain closed when seizures are activated.
Page 176: Respiratory Features
CAEAthena Using Athena Respiratory Features Athena has an anatomically realistic upper airway that supports endotracheal tube placement, right mainstem intubation, laryngoscopy, airway adjuncts, positive pressure ventilation, mechanical ventilation and a variety of other airway management techniques. The simulator also demonstrates exhalation and chest excursion.
Page 177 Using Athena Respiratory Features Anatomy, Physiol- ogy and Clinical Description Software Control Manual Control Signs Arterial Blood Gases , PaCO and pH None required, but None required. adjustable are continuously calculated and VIEW: Respiratory displayed when selected for the PARAMETER(S): O...
Page 178 CAEAthena Using Athena Respiratory Features Anatomy, Physiol- ogy and Clinical Description Software Control Manual Control Signs Realistic Upper Allows direct None required. None required. Airway laryngoscopy, oral intubation and use of specialty airway devices. Detects right mainstem intubation. Spontaneous, Normal tidal None required, but None required.
Page 179: Realistic Upper Airway
Using Athena Realistic Upper Airway The upper airway of the manikin is designed to allow for intubation and laryngoscopy. Oral intubation can be performed using a variety of airway devices, including LMAs, endotracheal tubes and oropharyngeal airways. Sensors detect right mainstem intubation, and the action is recorded in the Events log of the Simulation Session.
Page 180: Cardiovascular Features
Using Athena Cardiovascular Features Athena produces realistic heart sounds and a wide range of pathophysiologic conditions synchronized to the QRS complex of the ECG and audible with a standard stethoscope. Cardiovascular features are controlled from the Cardiovascular view in Müse. To access the Cardiovascular view, from the Run screen, click the heart on the human form.
Page 181 Using Athena Cardiovascular Features Anatomy, Physiol- ogy and Clinical Description Software Control Manual Control Signs Baroreceptor Reflex Cardiovascular None required, but None required. system automati- adjustable. cally compensates for changing VIEW: Cardiovascular hemodynamic conditions. PARAMETER(S): Baroreceptor Maximum Pressure, Baroreceptor Minimum Pressure...
Page 182 CAEAthena Using Athena Cardiovascular Features Anatomy, Physiol- ogy and Clinical Description Software Control Manual Control Signs Circulation Normal and abnor- None required, but None required. mal circulation (e.g. adjustable. hypovolemia, hypervolemia and VIEW: Cardiovascular right/left heart failure) can be PARAMETER(S): adjusted.
Page 183 Using Athena Cardiovascular Features Anatomy, Physiol- ogy and Clinical Description Software Control Manual Control Signs Palpable Pulses Carotid, brachial, None required, but None required. radial and dorsalis adjustable. pedis pulses can be palpated bilaterally VIEW: Cardiovascular and are synchronous with PARAMETER(S): Pulse the cardiac cycle.
Page 184: Pulses
CAEAthena Using Athena Pulses Eight pulse locations are activated, through sensors, by touch: • Carotid (2) • Brachial (2) • Radial (2) • Dorsalis Pedis (2) Pulse palpation is recorded in the Events Log. Note: Always ensure the skin is covering the pulse site(s) when using the manikin.
Page 185 Using Athena A Pulse Menu 2. Click the Pulse Enable switch to turn the pulse Off 3. Click Accept The pulse can be enabled again by accessing the pulse menu and clicking the Pulse Enable switch to turn the pulse On.
Page 186: 4-Lead Ecg
CAEAthena Using Athena 4-Lead ECG A 3-lead or 4-lead ECG is emitted from the appropriate positions for display on a standard monitor. A contact is available on the manikin’s chest for each of four cables. Lead port Lead port Lead port...
Page 187: Manual Blood Pressure
Using Athena Manual Blood Pressure Blood pressure can be taken manually on either arm. Non-invasive blood pressure monitoring techniques can be used by attaching a standard cuff that has been modified with a T-fitting and adapters. To modify a standard cuff for use with the manikin: 1.
Page 188 CAEAthena Using Athena 5. Locate and connect the other end of the T-fitting to the NIBP port located on either side of the manikin’s torso The NIBP port The Battery Compartment and Ports The NIBP port The Ports Non-invasive blood pressure may now be taken using the return-to-flow technique.
Page 189: Korotkoff Sounds
Using Athena Korotkoff Sounds Korotkoff sounds can be auscultated on either arm. To auscultate Korotkoff sounds, 1. Wrap the sphygmomanometer cuff around the arm on the same side as the connected NIBP port 2. Place the stethoscope just above the brachial pulse 3.
Page 190: Defibrillation And Cardioversion
CAEAthena Using Athena Defibrillation and Cardioversion The female manikin is designed to safely absorb the energy discharged from manual and automatic defibrillators. Standard defibrillation energy levels should be used for positive learning reinforcement and to avoid negative training transfer. However, use of a defibrillator for training purposes represents an operational hazard equivalent to use of a defibrillator on a real patient.
Page 191: Cardiac Pacing
Using Athena • For paddle placement on the chest, the simulator comes with two anterior defibrillation disks (provided with accessories). Screw the disks onto the threaded connections or leave the threaded connections, as required. The right defibrillation connection The left...
Page 192: Fluids
Using Athena Fluids Athena is capable of IV fluid administration and urine output. IMPORTANT: Use only clear distilled water, distilled water tinted with food coloring, or distilled water mixed with white vinegar (50/50) inside the manikin. Administration of any other type of fluid is NOT supported and may damage the system.
Page 193 Using Athena Fluids Anatomy, Physiol- ogy and Clinical Description Software Control Manual Control Signs IV Access The simulator’s right None required. See Medication and and left hands and Fluid Administration arms provide on the following intravenous access pages. locations. IV Medication...
Page 194: Hematology Model
CAEAthena Using Athena Hematology Model The physiological model calculates hematocrit values (i.e. percentage of total blood hemoglobin) dynamically and continuously, taking into account blood and fluid losses, as well as the intravenous infusion of fluids such as whole blood, packed red blood cells, colloids and crystalloids.
Page 195: The Genitourinary System
Using Athena The Genitourinary System The simulator allows for the insertion of a 16 Fr urinary catheter and excretion of urine. The genitourinary (GU) system must be primed prior to use. IMPORTANT: Use only clear distilled water, distilled water tinted with food coloring, or distilled water mixed with white vinegar (50/50) inside the manikin.
Page 196 CAEAthena Using Athena Priming the Genitourinary System Prior to catheterizing the simulator, the genitourinary (GU) system must be primed. To prime the GU system: 1. Fill a syringe with distilled water (and clinically appropriate food coloring if desired) 2. Connect the syringe to the GU filling tool 3.
Page 197 Using Athena 10. Plug the GU filling tool into the Urinary port (colored yellow) located on the torso baffle inside the manikin The Urinary port The Speaker connection The Urinary Port 11. Slowly push in the distilled water until fluid drains into the overflow reservoir on the GU filling tool (approximately 70 mL +/- 10 mL) 12.
Page 198: Inserting A Urinary Catheter
CAEAthena Using Athena Inserting a Urinary Catheter Once the GU system has been primed, catheterize the simulator using a standard 16 Fr urinary catheter lubricated with cottonseed oil spray. When the catheter is inserted, simulated urine begins to flow until the internal bladder is empty.
Page 199: Administering Suppositories
Using Athena The IV FILL port The Ports 4. Depress the syringe until no water remains in the syringe and disconnect from the IV FILL port WARNING: If a flashback does not occur, do NOT inject any fluid and remove the needle immediately.
Page 200: Sounds
CAEAthena Using Athena Sounds A variety of simulated sounds are available to enhance realism. A patient must be running in Müse for any sounds to be available. Patient Speech Patient speech can be achieved using the Speech Sounds feature in Müse or by using an external Wireless Voice Link (WVL).
Page 201 Using Athena To replay the last vocalization, click the Play button in the Speech balloon. The Play button The Speech Balloon with Play Button Wireless Voice Capability In addition to the pre-programmed speech, any response can be transmitted through the manikin speakers using the Wireless Voice Link.
Page 202: Bowel Sounds
CAEAthena Using Athena Bowel Sounds The Bowel Sounds menu can be used to control bowel sounds. The bowel sounds can be adjusted by clicking the Sound Control icon on the Run screen. When the Sounds panel appears, select Bowel Sounds. The Bowel Sounds menu appears.
Page 203: Breath Sounds
Using Athena Breath Sounds Breath sounds are independently synchronized with ventilation of the left and right lungs. Fourteen speakers, eight anterior and six posterior, provide breath sounds that can be auscultated. Anterior and posterior sounds and each of the four quadrants of the torso can be set independently to...
Page 204: Heart Sounds
CAEAthena Using Athena Heart Sounds Heart sounds emanate from four speakers and are synchronized with the cardiac cycle. Heart sounds can be auscultated over the left and right sternal border, right lower sternal boarder and apex. By default, heart sounds are set to the Normal sound.
Page 205: Audible Breathing Sounds
Using Athena Audible Breathing Sounds Audible breathing sounds, such as wheezing and gasping, can be heard without the use of a stethoscope. Audible breathing sounds can be adjusted by clicking the Sound Control icon on the Run screen. When the Sounds panel appears, select Audible Breathing Sounds. The Audible Breathing Sounds menu appears.
Page 206 CAEAthena Using Athena PN: 905K520652 v2.8...
Page 207: Care And Maintenance
CAE patient simulator products come with a one-year Assurance support and maintenance plan. All plans begin at the date of shipment or CAE installation. You may upgrade your first-year plan to an enhanced plan and receive remedial and planned maintenance. To prevent equipment downtime and delays after the plan expires, CAE encourages customers to purchase extended Assurance plans for all subsequent years.
Page 208: Limitations Of Plan
Return Materials Authorization (RMA) No product may be returned directly to CAE without first contacting CAE for an RMA number. If it is determined that the product may be defective, the customer will be given an RMA number and instructions for returning the product.
Page 209: System Software Upgrade Support
Care & Maintenance System Software Upgrade Support Customers with current support and maintenance plans are entitled to receive updates and upgrades to applications software previously purchased. Installation of the system software is the user’s responsibility. The System Software Upgrade Support includes software upgrades for base software and purchased optional learning modules.
Page 210: How To Contact Customer Service
Care & Maintenance How to Contact Customer Service For customer service, please contact CAE. CAE Customer Service Headquarters - United States and Latin America Monday - Friday from 7:00 a.m. to 6:00 p.m. ET Toll Free:+1 (866) 462-7920 24-hour Hotline:+1 (941) 342-5605 Fax:+1 (941) 342-5600 Email:customerservice@caehealthcare.com...
Page 211: Breakdown
Care & Maintenance Breakdown After each use, the simulator should be properly disassembled and stored in a secure place. To ensure that the simulator remains in good working condition, follow the prescribed CAE breakdown procedures below. Breakdown Steps Clean the Simulator and Fluid Systems...
Page 212: Step 2: Shut Down The Software
CAEAthena Care & Maintenance Step 2: Shut Down the Software To shut down the Müse software: 1. Stop any running SCEs 2. Click the Account Name in the lower, right-hand corner of the screen The Logout dialog box appears. 3. Click Logout to exit the software To shut down the TouchPro Patient Monitor software: 1.
Page 213: General Simulator Care
Do NOT use ABRASIVE soaps or pads. • Prior to using moulage of any kind, CAE suggests the application of a very light coating of petroleum jelly, followed by a light dusting of baby powder to the simulator’s skin. This application makes cleaning the skin easier.
Page 214: Inspect The Airway
If damage to the airway is found, small cuts or tears may be reparable. However, for permanent repair of damaged simulators contact CAE Customer Service. Charging the Batteries To charge the simulator batteries using the AC adapter: 1.
Page 215 Care & Maintenance Three manikin battery indicator lights are located on the left side of the manikin. • All three indicator lights are illuminated and not blinking: The manikin’s batteries are fully charged • Two indicator lights are illuminated and not blinking: The manikin’s batteries have less than 50% power remaining •...
Page 216: Clean The Internal Systems
IV system during use, the cleaning procedure is complete. IMPORTANT: If colored fluid was injected in the IV system, complete the Priming the IV System instructions in the Using Athena section with clear fluids and complete the Cleaning the IV system instructions for a second time.
Page 217: Cleaning The Genitourinary System
Care & Maintenance Cleaning the Genitourinary System To clean the genitourinary system: Use only the lift straps attached to the abdomen (tucked under skin) to lift and remove the abdomen from the manikin’s torso. Note: The speaker cable will be connected to the manikin torso and may be removed for easier access.
Page 218: Draining Condensation From The Simulator
CAEAthena Care & Maintenance Draining Condensation from the Simulator As part of a regular preventive maintenance schedule, condensation should be drained from the simulator. Depending on environmental conditions, moisture may condense inside the compressed air lines and tanks within the simulator. It is recommended that this fluid be drained every 40 hours of operation.
Page 219: Condition Guidelines For Programming Hps
Condition Guidelines for Programming ONDITION UIDELINES FOR ROGRAMMING This section is intended to help you select Müse conditions to achieve desired vital signs within each programmed state. All four conditions should be programmed into each state in the order presented below: •...
Page 220: Cardiovascular: Blood Pressure
CAEAthena Condition Guidelines for Programming Cardiovascular: Blood Pressure Hypertension Hypotension Reset 110s/70s Reset 110s/70s Increased 120s/80s Decreased 100s/70s Pre-Borderline 130s/80s Pre-Borderline 100s/60s Borderline 140s/90s Borderline 90s/50s Mild 150s/90s Mild 80s/40s Moderate 160s/100s Moderate 70s/40s Severe 170s/100s Severe 60s/30s Profound 190s/110s Profound 50s/30s Extreme...
Page 221: Respiratory: Respiratory Rate
Condition Guidelines for Programming Respiratory: Respiratory Rate Tachypnea Bradypnea Reset Reset Increased Increased Elevated Intermediate Borderline Mild Intermediate Moderate Mild Severe Moderate Profound Severe Extreme Profound Extreme PN: 905K520652 v2.8...
Page 222 CAEAthena Condition Guidelines for Programming PN: 905K520652 v2.8...
Page 223: Müse Parameter Descriptions
Müse Parameter Descriptions ÜSE ARAMETER ESCRIPTIONS Neurological - Parameters The Athena simulator can simulate a variety of neurological clinical indicators. Neurological Parameters Apply to Both Eyes Eyes: Pupil Control Eyes: Blinking Eyes: Blink Speed Reactive Pupils Light Reactivity Speed Eyes: Consensual Pupil Response...
Page 224: Eyes: Pupil Control
CAEAthena Müse Parameter Descriptions Eyes: Pupil Control The pupil control parameters are used to control the diameter of the pupils in the eyes. Each eye has reactive pupils and functional eyelids that blink. Currently, there are four pupil options that are used to control the diameter of the pupils in both eyes: Modeled, Reactive, Blown or a Fixed Pupil Size (2 mm to 8 mm).
Page 225: Reactive Pupils
Müse Parameter Descriptions Default: Normal Reactive Pupils The Reactive pupils parameter determines whether pupils re-size in response to changes in light. When Reactive is selected, pupils re-size in response to changes in light. Reactive Options: • Reactive • Modeled • 2 mm •...
Page 226: Eyes: Consensual Pupil Response
CAEAthena Müse Parameter Descriptions Eyes: Consensual Pupil Response Setting the Consensual Pupil Response option to Yes enables synchronized pupil reactivity between both eyes. When enabled (default action), shining a light in either eye will cause the opposite eye to also react. When disabled, only the pupil of the eye where light is shined will react. Default: Yes Eyes: Condition Eight (8) eye Conditions are available for selection in the neurological patient controls window in...
Page 227: Neuromuscular Blockade (Nmb)
Müse Parameter Descriptions Neuromuscular Blockade (NMB) The pharmacokinetic and pharmacodynamic models based on the neuromuscular blocking agents administered and the time course of their injection automatically determines the degree of NMB. For some educational applications, however, the instructor may wish to set a fixed degree of neuromuscular blockade that remains stable for an indefinite period.
Page 228: Respiratory - Basic Parameters
CAEAthena Müse Parameter Descriptions Respiratory – Basic Parameters Respiratory Parameters – Basic Swollen Tongue Airway Occluder Laryngospasm Upper Airway Obstruction Needle Decompression Bronchial Occlusion (Left and Right) Respiratory Rate Respiratory Rate Factor Shunt Fraction EtCO Tidal Volume Flail Chest Intrapleural Volume: Left Intrapleural Volume: Right Trismus Fraction of Inspired O...
Page 229: Respiratory Rate
Müse Parameter Descriptions Respiratory Rate The Respiratory Rate parameter is used to set the respiratory rate to a given number of breaths per minute. Once set, arterial oxygen and carbon dioxide values have no effect on the resulting respiratory rate, but continue to influence other components of the physiological models. The patient continues to breathe at the set number of breaths per minute, regardless of the arterial oxygen or carbon dioxide levels.
Page 230: Shunt Fraction
CAEAthena Müse Parameter Descriptions Shunt Fraction The Shunt Fraction parameter is frequently used to assist in desaturating a patient. This parameter creates a physiologic “bypass” of the normal pulmonary circulation, resulting in changes in O , CO and anesthetic gases at the alveolar level. Typically, values of 0.1 to 0.4 are needed to create large alveolar-arterial oxygen gradients sufficient to cause arterial hypoxemia.
Page 231: Tidal Volume
Müse Parameter Descriptions Tidal Volume The Tidal Volume parameter is used to set the tidal volume to a given volume per breath. Once Tidal Volume is set to a numeric value, arterial oxygen and carbon dioxide values have no effect on the tidal volume, but continue to influence other components of the physiological models.
Page 232: Respiratory - Additional Parameters
CAEAthena Müse Parameter Descriptions Respiratory – Additional Parameters Respiratory Parameters – Additional Respiratory Rate Tidal Volume Tidal Volume Factor pH Shift PEEP Consumption Production Factor PaCO Set-point Set-point I to E Ratio (1:X) PetCO -PaCO Factor Respiratory Gain Factor Respiratory Quotient Volume/Rate Control Factor Chest Wall Capacity Chest Wall Compliance Factor...
Page 233: Respiratory Rate
Müse Parameter Descriptions Respiratory Parameters – Additional Fraction of Inspired Nitrous Oxide Alveolar Sevoflurane Fraction of Inspired Sevoflurane Respiratory Rate The Respiratory Rate parameter is used to set the respiratory rate to a given number of breaths per minute. Once set, arterial oxygen and carbon dioxide values have no effect on the resulting respiratory rate, but continue to influence other components of the physiological models.
Page 234: Ph Shift
CAEAthena Müse Parameter Descriptions pH Shift The pH Shift parameter is used to create a metabolic acidosis or metabolic alkalosis under script control. The default pH value displayed on the Patient Status Display or TouchPro software is dependent on respiratory arterial CO values.
Page 235: Paco2 Set-Point
Müse Parameter Descriptions PaCO Set-point The PaCO Set-point parameter is a set-point for PaCO . The control-of-breathing model adjusts tidal volume and respiratory rate in order to bring the PaCO toward this set-point. Factors that influence the success of this control effort include baseline tidal volume, baseline respiratory rate, respiratory gain, O consumption, respiratory quotient, lung compliances, chest wall compliance, bronchial resistances, the presence of artificial airways in the simulator and the inspired gas mixture.
Page 236: Petco2 - Paco2 Factor
CAEAthena Müse Parameter Descriptions PetCO - PaCO Factor The PetCO - PaCO Factor adjusts the end-tidal CO relative to the PaCO . At the default value of 1, PetCO very closely approximates PaCO . When PetCO - PaCO Factor is set at a value of 2, PetCO is approximately one half of PaCO .
Page 237: Chest Wall Capacity
Müse Parameter Descriptions Chest Wall Capacity The Chest Wall Capacity parameter sets the total (combined) intrapleural and lung volumes at which the chest wall is considered distended. Also, see Chest Wall Compliance Factor and Distended Chest Wall Compliance Factor. Default: 3900 Range: 1500 - 3900 Chest Wall Compliance Factor The Chest Wall Compliance Factor parameter describes the interaction of the chest wall with the...
Page 238: Lung Compliance Factor: (Left And Right)
CAEAthena Müse Parameter Descriptions Lung Compliance Factor: (Left and Right) These two parameters independently set the left and right lung compliance. Lung Compliance Factor determines how easily the lungs inflate. Low compliance factors (less than 1) create “stiff” lungs (such as in acute respiratory distress syndrome or pulmonary edema) requiring more pressure for expansion.
Page 239: Fraction Of Inspired Enflurane
Müse Parameter Descriptions Fraction of Inspired Enflurane The Fraction of Inspired Enflurane parameter is used to simulate the amount of enflurane set in the anesthetic vaporizer and is used to calculate alveolar enflurane. This parameter has a faster effect on physiology than anesthesia machine settings, because mixing in the breathing circuit is not simulated.
Page 240: Alveolar Isoflurane
CAEAthena Müse Parameter Descriptions Alveolar Isoflurane The Alveolar Isoflurane parameter is used to simulate the presence of isoflurane in the alveolar space without using real anesthetic vapors. The isoflurane percentage is input to the drug models to achieve the expected pharmacodynamic effects (e.g., respiratory depression). Using this parameter bypasses pharmacokinetics, real and instructor-specified inspired fractions, venous content, lung perfusion and ventilation.
Page 241: Fraction Of Inspired Nitrous Oxide
Müse Parameter Descriptions Fraction of Inspired Nitrous Oxide The Fraction of Inspired Nitrous Oxide parameter is used to simulate the amount of nitrous oxide set in the anesthetic vaporizer and is used to calculate alveolar nitrous oxide. This parameter has a faster effect on physiology than anesthesia machine settings, because mixing in the breathing circuit is not simulated.
Page 242: Cardiovascular - Basic Parameters
CAEAthena Müse Parameter Descriptions Cardiovascular – Basic Parameters Cardiovascular Parameters – Basic Blood Pressure PCWP (Pulmonary Capillary Wedge Pressure) Heart Rate Heart Rate Factor Cardiac Output Cardiac Rhythm Pulseless Electrical Activity PVC Probability Arterial Catheter Central Venous Catheter PA Catheter PA Balloon Defib Pacing Current...
Page 243: Central Venous Pressure (Cvp)
Müse Parameter Descriptions Central Venous Pressure (CVP) The CVP parameter is used to set the CVP baseline and atrial contraction amplitude to fixed numeric values, thereby overriding the physiologic modeling for central venous pressure. Once set, intravascular volume changes have no effect on the CVP. In addition, once an override is applied, changes in tidal volume have no effect on the CVP waveform with the exception of an apneic patient where the minimum and maximum would be the same value since there is no inspiration or expiration.
Page 244: Heart Rate
CAEAthena Müse Parameter Descriptions Heart Rate The Heart Rate parameter is used to set the heart rate to a given (fixed) number of beats per minute. Once the heart rate is set to a numeric value, administered drugs or intravascular volume changes have no effect on the heart rate, but continue to influence other components of the physiological models.
Page 245: Cardiac Rhythm
Müse Parameter Descriptions Cardiac Rhythm The Cardiac Rhythm parameter is used to change the patient’s underlying cardiac rhythm displayed on the Patient Status Display or TouchPro patient monitor. To change the cardiac rhythm, click the Cardiac Rhythm parameter and select the desired rhythm from the available list. If a number appears following the cardiac rhythm on the list, this overrides the heart rate to the rate indicated.
Page 246 CAEAthena Müse Parameter Descriptions Hypertrophy, Biventricular Hypertrophy, Left Ventricular Hypertrophy, Right Ventricular Hypocalcemia Hypokalemia Hypothermia Junctional Junctional: HR 50 Long QT Syndrome Mobitz Type I: Wenckebach Mobitz Type II Modeled STEMI Anterior STEMI Anterolateral STEMI Inferior STEMI Lateral STEMI Posterior STEMI Septal STEMI LBB Myocardial Ischemia, Mild...
Page 247 Müse Parameter Descriptions Normal Junctional Normal Junctional: HR 50 NSTEMI NSTEMI with PVCs 10% NSTEMI with PVCs 25% Paroxysmal Junctional Tachycardia Paroxysmal Junctional Tachycardia: HR 130 PEA: Pulseless Electrical Activity Pericarditis Premature Atrial Contraction Premature Ventricular Contraction 10% Premature Ventricular Contraction 25% Sinus Sinus Bradycardia Sinus Bradycardia: HR 40...
Page 248: Pulseless Electrical Activity
CAEAthena Müse Parameter Descriptions Ventricular Fibrillation, Coarse Ventricular Fibrillation, Fine Ventricular Tachycardia Ventricular Tachycardia: HR 151 Ventricular Tachycardia, Pulseless Ventricular Tachycardia, Pulseless: HR 151 Wellen's Syndrome WPW Syndrome, Left Lateral Pathway Pulseless Electrical Activity The Pulseless Electrical Activity parameter triggers a clinical condition characterized by unresponsiveness and lack of palpable pulse in the presence of organized cardiac electrical activity.
Page 249: Central Venous Catheter
Müse Parameter Descriptions Central Venous Catheter The venous pressure displayed on the Patient Status Display or TouchPro software is set using this parameter. A non-pulsatile, “zero” pressure signal is emitted when the Atmosphere position is selected and can be used to simulate zeroing a pressure transducer. This may also be used to remove the central venous pressure waveform, if desired (e.g., beginning of an SCE with an “unmonitored”...
Page 250: Defibrillation (Defib)
CAEAthena Müse Parameter Descriptions Defibrillation (Defib) The Defib parameter is used to simulate a specified amount of energy discharged via an external cardiac defibrillator. Setting this parameter results in the characteristic spike in the ECG, followed by a return to the pre-defibrillation rhythm. Defib has no direct effect on the electrical conduction system of the heart.
Page 251: Cardiovascular - Additional Parameters
Müse Parameter Descriptions Cardiovascular – Additional Parameters Cardiovascular Parameters – Additional Baroreceptor Maximum Pressure Baroreceptor Minimum Pressure Left Ventricle Contractility Factor Right Ventricle Contractility Factor Systemic Vascular Resistance Factor Venous Capacity Factor Systemic Arteries Compliance Factor Pulmonary Arteries Compliance Factor Pulmonary Vasculature Resistance Factor Venous Return Resistance Factor Baroreceptor Gain (Overall) Factor...
Page 252: Baroreceptor Maximum Pressure
CAEAthena Müse Parameter Descriptions Baroreceptor Maximum Pressure Baroreceptor maximum pressure defines the mean arterial pressure (MAP) at which the baroreceptor inhibitory activity on the heart and systemic vasculature is maximal. When a simulated patient’s MAP increases above baseline pressure, the baroreceptor response exerts greater inhibitory controls on the MAP (e.g., reduction in heart rate) in an attempt to return the MAP to the patient’s baseline pressure.
Page 253: Left Ventricle Contractility Factor
Müse Parameter Descriptions Left Ventricle Contractility Factor The Left Ventricle Contractility Factor parameter adjusts the contractility of the left ventricle and has a direct effect on cardiac output and blood pressure. Use this parameter to raise or lower the cardiac output. Default: 1 Range: 0 - 10.00 Right Ventricle Contractility Factor...
Page 254: Systemic Arteries Compliance Factor
CAEAthena Müse Parameter Descriptions Systemic Arteries Compliance Factor The Systemic Arteries Compliance Factor parameter adjusts the pulse pressure (difference between systolic and diastolic pressures) of the simulated patient’s systemic blood pressure. Increases in the compliance factor result in a decreased (narrower) pulse pressure, while smaller values increase the pulse pressure.
Page 255: Baroreceptor Gain (Overall) Factor
Müse Parameter Descriptions Baroreceptor Gain (Overall) Factor The Baroreceptor Gain (Overall) Factor parameter adjusts the influence of mean arterial pressure (MAP) on heart rate, contractility, systemic vascular resistance and venous capacity. Use this parameter to adjust how vigorously the heart and vasculature respond to blood pressure changes. The degree of increase in heart rate or vascular response is influenced by the baroreceptor gain (overall) factor.
Page 256: Chest Compression Efficacy
CAEAthena Müse Parameter Descriptions Chest Compression Efficacy The Chest Compression Efficacy parameter is used to determine the effectiveness of chest compressions administered by the caregiver. The 100% setting indicates that chest compressions are completely effective, while the 0% setting prevents them from having any effect on intrathoracic pressure.
Page 257: Ischemic Index Averaging
Müse Parameter Descriptions Ischemic Index Averaging Ischemic index averaging determines how quickly myocardial ischemia develops in the presence of an unfavorable oxygen supply/demand ratio or how rapidly it resolves when myocardial oxygenation becomes favorable. By decreasing the averaging time (i.e., value toward 0.5), ischemia has a faster onset if there is a poor oxygen supply to the heart or a faster resolution with favorable oxygenation.
Page 258 CAEAthena Müse Parameter Descriptions PN: 905K520652 v2.8...
Page 259: Wireless Voice Link
• includes speaker volume and microphone mute controls integrated into the USB cable Additional headsets are available for purchase from CAE. The capability to use your own headset is also supported. This includes wireless models. If you have questions regarding the compatibility of your headset please contact CAER Healthcare customer service.
Page 260: Voice Communications Controls In Müse
CAEProduct Chapter Heading Voice Communications Controls in Müse The voice communications controls are located in a supplemental toolbar at the top of the Müse software. To speak as the manikin, click and hold down the Speak as Manikin button. This can also be achieved by holding down the spacebar on the computer keyboard.
Page 261: Advanced Controls Tool
Chapter Heading Advanced Controls Tool The Advanced Controls The Call Sign Name Tool button The Your Controls The Adjust Mic section Volume button The Mute Incoming The Manikin Manikin Controls section Communications button The Participant Controls section The Prevent The Mute Incoming Participant Participant from Communications button Hearing You button...
Page 262: Cautions And Warnings
2. Cet appareil doit accepter toute interférence, y compris les interférences pouvant provoquer un fonctionnement indésirable de l’appareil Any modifications made to this device without the express approval of CAE could void the user’s authority to operate this equipment. What’s Included The WVL package includes the following items: •...
Page 263: Recommendations For Use
Chapter Heading Recommendations for Use To receive the best sound quality from the WVL, please note the following recommendations: • Do not separate the WVL pair with more than two walls • Use channels 0 through 11 for the best sound quality •...
Page 264: Physical Features
CAEProduct Chapter Heading Physical Features The following features are located on the top of the WVL devices: • Headphone jack: Used to plug in headphones or an iPhone compatible headphone/ microphone combination • Microphone jack: Used to plug in a standalone microphone •...
Page 265: Preparing The Base Station In The Simulator
Chapter Heading Preparing the Base Station in the Simulator When using the base station in the simulator, ensure the batteries are removed and the following items are attached: • Power cable • Line out cable The DIP switch is located in the battery compartment of the base station. DIP switch settings Dip Switch Settings The base station should come already connected and installed inside the simulator.
Page 266: Preparing The Handset For Use
CAEProduct Chapter Heading Preparing the Handset for Use To prepare the handset for use: 1. Insert two AAA batteries into the battery compartment 2. Set the handset DIP switch positions 6 and 7 to OFF and position 8 to ON 3.
Page 267: Selecting The Radio Frequency Channel
Chapter Heading Selecting the Radio Frequency Channel There are two ways to configure the radio frequency (RF) channel spacing. The first method reduces channel-to-channel interference, but allows only 12 channels to operate simultaneously. The second method increases the number of channels that can be used simultaneously to 20 channels. However, this method diminishes the channel-to-channel noise immunity.
Page 268: Powering Up The Wvl Pair
DIP switch position 6 on the handset determines if the iPhone microphone input or the standalone microphone input is enabled. When DIP switch position 6 is set to the OFF position, the standalone microphone jack is enabled for the standalone microphone, provided by CAE. Handset and CAE -provided Microphone To use a microphone compatible with an iPhone (three-pole jack), set DIP switch position 6 to ON.
Page 269: Special Handset Settings
Chapter Heading Special Handset Settings Advanced settings for the handset DIP switch are available. iPhone microphone enable Base station volume control enable Noise reduction enable (default) Noise reduction disable Microphone gain control enable (default) Standalone microphone enable (default) Advanced DIP Switch Settings DIP switch settings are only refreshed when the handset is powered on.
Page 270: Troubleshooting
Chapter Heading Troubleshooting CAE Customer Service is available to help with issues, should they arise. However, sometimes you can speed up the customer service process by performing diagnostics before calling, and eliminating some problems on your own with the help of the following instructions.
Page 271 Chapter Heading Audio Problems The sound output from the simulator is low when using a microphone on my lapel. • Increase the microphone gain on the handset by moving the dial towards the plus sign Note: DIP switch 7 must be in the OFF position for this to work. I’m hearing feedback from the microphone when I am close to the simulator.
Page 272 CAEProduct Chapter Heading RF Channel Initial Operating Frequencies RF Channel Frequency 1 (GHz) Frequency 2 (GHz) 2.402 2.480 2.405 2.477 2.408 2.474 2.411 2.471 2.414 2.468 2.417 2.465 2.420 2.462 2.423 2.459 2.426 2.456 2.429 2.453 2.432 2.450 2.435 2.447 2.402 2.480 2.404...
Page 273 Recommended Supply Sizes & Ischemic Index Recommended Clinical Supply Sizes The following clinical supply sizes are recommended for use with the female simulator. Other sizes may cause damage to simulator and should not be used. Recommended Clinical Supply Sizes Combitube 41 Fr Endotracheal (ETT) 6.5 - 7.5 mm...
Page 274: The Ischemic Index (Death Spiral)
CAEAthena Recommended Supply Sizes & Ischemic Index SCHEMIC NDEX EATH PIRAL The Ischemic Index is a measure of the myocardial ischemia modeled using classical determinants. When an unfavorable oxygen supply/demand ratio occurs, myocardial ischemia follows. The lower the Ischemic Index, the greater the myocardial ischemia. The Ischemic Index is derived through the underlying physiological models and cannot be measured clinically.
Page 275: Parameter Display Definitions
Parameter Display Definitions ARAMETER ISPLAY EFINITIONS The various patient displays and feedback windows in Müse and the TouchPro Patient Monitor use abbreviations to refer to the parameters displayed. The following is a list of parameters available for display and their abbreviations. Müse Patient Status Display The Müse Patient Status Display consists of waveform, numeric, and volume widgets, along with other special widgets for the simulator.
Page 276: Waveform Widget Displays
CAEAthena Parameter Display Definitions Waveform Widget Displays Display Physiological Variable Arterial Blood Pressure Capnogram Central Venous Pressure ECG aVF ECG Lead aVF ECG aVL ECG Lead aVL ECG aVR ECG Lead aVR ECG I ECG Lead I ECG II ECG Lead II ECG III ECG Lead III ECG V1...
Page 277 Parameter Display Definitions Display Physiological Variable EtCO2 End Tidal Carbon Dioxide FHR/IUP Fetal Heart Rate / Intrauterine Pressure FHR/TUA Fetal Heart Rate / Transabdominal Uterine Activity Fluid Balance* Fluid Balance Hemoglobin Hematocrit Hematocrit Heart Rate Intracranial Pressure Ischemic Index Ischemic Index Mean Arterial Pressure PACO2 Alveolar Partial Pressure Carbon Dioxide...
Page 278: Volume Widget Displays
CAEAthena Parameter Display Definitions Volume Widget Displays Display Physiological Variable Intrapleural Vol Intrapleural Volume Lung Volume Lung Volume CPR Monitor The following definitions apply to the parameters in the Müse CPR Monitor window. Display Definition Hand Position Hand position Chest Compression Compression Depth Compression Depth (%) Compression Rate...
Page 279: Touchpro Patient Monitor
Parameter Display Definitions Display Definition Chest Compression Rate Compression Rate (per minute) Chest Compression Depth Average Compression Depth Average (%) Chest Compression Depth Variability Standard Deviation of Compression Depth (%) Chest Compression Recoil Compression Release (%) Chest Compression Fraction Proportion of time in which chest compressions are performed (%) Ventilation Volume Average Ventilation Volume Average (L/min)
Page 280: Waveform Widget Displays
CAEAthena Parameter Display Definitions Waveform Widget Displays Display Physiological Variable ECG I ECG Lead I ECG II ECG Lead II ECG III ECG Lead III ECG V1 ECG Lead V1 ECG V2 ECG Lead V2 ECG V3 ECG Lead V3 ECG V4 ECG Lead V4 ECG V5...
Page 281: Numeric Widget Displays
Parameter Display Definitions Numeric Widget Displays Display Physiological Variable Arterial Blood Pressure TAxilla Axillary Temperature TBlood Blood Temperature TBody Body Temperature Central Venous Pressure C.O. Continuous Cardiac Output EtCO2 End Tidal Carbon Dioxide Heart Rate Intracranial Pressure Mean Arterial Pressure NIBP Non Invasive Blood Pressure PACO2...
Page 282: 12-Lead Ecg Report Parameters
CAEAthena Parameter Display Definitions 12-Lead ECG Report Parameters Parameter Physiological Variable ECG Lead I ECG Lead II ECG Lead III ECG Lead aVR ECG Lead aVL ECG Lead aVF ECG Lead V1 ECG Lead V2 ECG Lead V3 ECG Lead V4 ECG Lead V5 ECG Lead V6 PN: 905K520652 v2.8...
Page 283: Video Tutorials
The video tutorials section on caehealthcare.com provides answers to many frequently asked questions and demonstrate a number of useful procedures that will help get the most out of your CAE simulator. Scan or Click For Access To Video Tutorials PN: 905K520652 v2.8...
Page 284 For more information about CAE products, contact your regional sales manager or the CAE distributor in your country, or visit caehealthcare.com. Tel +1 941-377-5562 or 866-233-6384 For customer service, please contact CAE. Customer Service Headquarters - United States and Latin America Monday - Friday from 7:00 a.m.

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