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MedVision LEONARDO HF User Manual

Adult patient simulator
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USER
MANUAL
Simulator PS.A.HF
Adult Patient Simulator
LEONARDO HF

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Summary of Contents for MedVision LEONARDO HF

  • Page 1 USER MANUAL Simulator PS.A.HF Adult Patient Simulator LEONARDO HF...

  • Page 5: Table Of Contents

    CONTENTS Contents Introduction 1 Setting Up 1.1 Simulator charge ..... . 1.2 Smartscope charging ....1.3 Defibrillator/ECG charging .
  • Page 6 CONTENTS 3.6 Triggers ......4 Authentication 5 Instructor Software main menu 6 Exercise selection and launch 6.1 Exercise selection and search .
  • Page 7 CONTENTS 9 Exercise finish 10 Students and study groups 10.1 Student account creation and settings ..10.2 Study group creation and settings ... . 101 11 Debriefing 11.1 Debriefing.

  • Page 8: Introduction

    Introduction Introduction The Adult Patient Simulator is a human patient sumulator of a male adult. It was designed to meet the most difficult tasks in professional training: vital signs, realistic feel and feedback. Features and advantages The patient simulator is a model of a real human. The neck and arms have a realistic mobility in all their joints.
  • Page 9 Introduction • IO and IV injection simulation (automatic injected drug and dose recognition) • Noise/sound imitation: – Lung auscultation – Unilaterally configurable breathing sounds – Heart sounds auscultation – The simulator can produce sounds that mimic cough, cry and normal breathing •...
  • Page 10 Introduction – Lung ventilation with BVM or restored spontaneous breathing imitation returns the simulator to normal respiratory rate – Imitation of difficult airway for intubation – Tongue Edema imitation • CPR features detailed assessment: – Compression depth – Compression rate –...
  • Page 11 Introduction – Heart ausculation is performed in five points: aortic valve, pulmonary valve, tricuspidal valve, mitral valve and secondary aortic area...

  • Page 12: Setting Up

    1 SETTING UP 1 Setting Up 1.1 Simulator charge • Connect the adapter cord to the simulator charger. Figure 1.1 Charger assembly • Remove the silicone pad on the left shoulder of the simulator. • Insert the charger plug into the slot under the power button and turn the plug clockwise until it clicks...

  • Page 13: Smartscope Charging

    1 SETTING UP Figure 1.2 • Plug the charger into a power outlet (220 V) • Wait until the simulator is fully charged (may take up to six hours) • Running time is 4 hours 1.2 Smartscope charging • Take a smartscope •...
  • Page 14 1 SETTING UP Figure 1.3 Power connector • Plug the charger into a power outlet (220 V) • Wait until the smartscope is fully charged (may take up to 3 hours) • The smartscope running time is 5 hours, and up to 8 hours in the standby mode The LED located opposite to the port is used as a charge indicator (Figure 1.4).
  • Page 15 1 SETTING UP Figure 1.4 Charging indicator...

  • Page 16: Defibrillator/Ecg Charging

    1 SETTING UP 1.3 Defibrillator/ECG charging • Take a unit (Defibrillator/ECG) (Figure 1.5); Figure 1.5 Defibrillator/ECG units • Insert the charger connector into the charging port of the device (Figure 1.6); Figure 1.6 Power connector...

  • Page 17: Attaching Limb Modules (Trauma)

    1 SETTING UP • Plug the charger into a power outlet (220 V) • Wait until the simulator is fully charged (may take up to 3 hours) • Running time is 8 hours The Power LED is used as a charge indicator. While the unit battery is charging, the Power LED will be blinking green.
  • Page 18 1 SETTING UP Figure 1.7 Detaching limbs (leg) • Take the trauma module figref LegConnect of the required limb • Position the limb module following the internal mounting guides • Connect the interface connections...
  • Page 19 1 SETTING UP Figure 1.8 Attaching trauma modules • Carefully, to prevent damage to the connections, push the limb module all the way.

  • Page 20: Fillin In Secretion Fluid

    1 SETTING UP Figure 1.9 Trauma module Note: The trauma module is optional. Please check for the trauma module subject to the List of Equipment. 1.5 Fillin in secretion fluid • Remove the pad on the right (left — for blood) side of the simulator •...
  • Page 21 1 SETTING UP • Half­open the bottle for excess fluid and keep the bottle of filling fluid tightly closed • Turn on the switch next to the ports • Wait until bubble­free water flows through the hose of the bottle for excess liquid, and turn off the switch •...

  • Page 22: Io Injections Access Unit Change

    1 SETTING UP Warning: To fill the urine, tear, saliva and sweat tank, you can use distilled water only. The optimal volume of secretion liquid is 0.6 litres. 1.6 IO injections access unit change • Remove the silicone bandage located just below the left knee •...
  • Page 23 1 SETTING UP • Insert the new IO injection access unit into the port. Make sure the upper part of the IO injection access unit is against the foot Figure 1.12 Placing a new IO injection access unit • Using the key from the service kit, turn the IO injection access unit clockwise so that the upper part of the unit is against the thigh...

  • Page 24: Start­up

    2 START­UP 2 Start­up 2.1 Start­up sequence • Unpack the main components of the simulator and put them on the table • Plug the Wi­Fi router and all­in­one PC (bedside monitor) into a power outlet (220 V) • Press the power button (Power) on the router (the power button location depends on the router model).

  • Page 25: Wi­fi Router Setting Up And Connecting

    2 START­UP Figure 2.1 Power button If the Simulation Center software did not launched automatically, launch it manually by double clicking on the icon located on the tablet desktop. 2.2 Wi­Fi router setting up and connecting • Find and right click on the WiFi icon Wi­Fi in the bottom right­hand corner of the control panel, select Network and Sharing Center (Figure 2.2) and left click on it...
  • Page 26 2 START­UP Figure 2.2 Rightclick menu • In the Network and Sharing Center, select “Change adapter settings” (Figure 2.3) by left clicking on it Figure 2.3 Network and Sharing Center...
  • Page 27 2 START­UP • Right click on the active Wi­Fi adapter (Figure 2.4), connected to the tablet (USB Wi­Fi adapter) and select Properties Figure 2.4 Network connection...
  • Page 28 2 START­UP • In the Wireless Network Properties (Figure 2.5), left click on Internet Protocol Version (TСP/IРv4) Figure 2.5 Wireless Network Properties...
  • Page 29 2 START­UP • Enter a static IP address in the Internet Protocol Version (TСP/IРv4) box (Figure 2.6) and click OK Figure 2.6 Properties: Internet Protocol Version (TCP/IPv4)

  • Page 30: Connecting The Defibrillator/Ecg Unit

    2 START­UP 2.3 Connecting the Defibrillator/ECG unit To connect the Defibrillator/ECG unit: • Insert the charger connectors into the charging port of the device (Figure 1.6) • Press the switch button on the Defibrillator/ECG unit • After the Power indicator turns on, wait for the units to start up (takes about one minute) Figure 2.7 The Defibrillator/ECG units’...
  • Page 31 2 START­UP Figure 2.8 Connected units’ indication in the Connections section in the Instructor software...
  • Page 32 2 START­UP • Connect the defibrillator electrodes to the unit using the cable (Figure 2.9) Figure 2.9 Connecting the defibrillator electrodes to the unit...
  • Page 33 2 START­UP • Connect the defibrillator monitor cable to the unit (Figure 2.10) Figure 2.10 Connecting the defibrillator to the unit...
  • Page 34 2 START­UP • Connect the defibrillator display cable pinch grabbers to the unit (Figure 2.11) Figure 2.11 Connecting the monitor to the unit...
  • Page 35 2 START­UP • After you finish all the above steps, it is recommended to connect the ECG electrode cable (Figure 2.12). Figure 2.12 Connecting the ECG electrode cable...

  • Page 36: Connecting Spo2 Probe

    2 START­UP It is recommended to use AXION Defibrillator (Figure 2.13). Figure 2.13 AXION Defibrillator 2.4 Connecting SpO2 probe A pulse oximeter is a device used to measure the heart rate (HR) and monitor a person’s oxygen saturation. Take the SpO2 cable and connect it to the ECG Monitor Adapter.

  • Page 37: Turning On The Smartscope

    2 START­UP Figure 2.14 Connecting SpO2 probe 2.5 Turning on the smartscope • Do a short press on the power button once. The power button is located on the opposite side of the charging port • Wait until the smartscope is ready (takes about a minute)

  • Page 38: Switching On The All­in­one Pc (Bedside Monitor)

    2 START­UP • Check the smartscope’s connection status in the software (the Connections section in the Instructor software) Figure 2.15 The smartscope power button 2.6 Switching on the all­in­one PC (bedside monitor) • Press the power button on the bedside monitor (the power button location depends on the bedside monitor model) •...

  • Page 39: Connections

    2 START­UP If the bedside monitor did not launched automatically, go to Settings­> Network & Internet and check for connections to the Wi­Fi network of the simulator. If there are no problems with Wi­Fi connection, disable the firewall of the all­in­one PC and the instructor’s laptop and restart the devices.
  • Page 40 2 START­UP Figure 2.16 The Connections tab in the Instructor Software...

  • Page 41: Scenario Constructor

    3 SCENARIO CONSTRUCTOR 3 Scenario Constructor The Scenario Constructor Software is used to create new training scenarios or edit the existing ones. To start running the Scenario Constructor: • Turn on the instructor tablet • Wait for the Simulation Center software to launch •...

  • Page 42: Creating New Scenario

    3 SCENARIO CONSTRUCTOR • Scenario info. To open/close the scenario general information (in the right part of the screen) • Configuration. To display information on the current software version and to change the interface language. Figure 3.1 The Scenario Constructor control bar To close the Scenario Constructor and return to the Simulation Center, click on in the upper right corner.

  • Page 43: General Procedure For Creating A New Scenario

    3 SCENARIO CONSTRUCTOR 3.3 General procedure for creating a new scenario The general procedure for creating a new scenario or editing the existing one: • Turn on the instructor tablet • Wait for the Simulation Center software to launch • In the Simulation Center software, launch the Scenario Constructor software •...
  • Page 44 3 SCENARIO CONSTRUCTOR control panel at the top of the window, a field with general information about the scenario — is displayed. The information contains a brief description, patient data, medical history, major learning objectives, etc. The patient states (scenario stages) are shown in the black field of the screen.

  • Page 45: Configuring Scenario Stages

    3 SCENARIO CONSTRUCTOR • Case history Describes the medical history of the patient for a particular scenario. To add, delete or edit the text, tap the square button next to the Case history field and enter the text in the window that opens. •...
  • Page 46 3 SCENARIO CONSTRUCTOR • Vital signs. The patient’s vital signs to be displayed on the all­ in­one PC. To set a vital sign, select it from the general field and follow the instructions in the pop­up dialog box • Patient state menu. Select one of the icons around the patient body and make necessary settings in the pop­up dialog box.

  • Page 47: Triggers

    3 SCENARIO CONSTRUCTOR • Tap the , icon in the upper right corner • Tap the Load button in the new menu 3.6 Triggers To configure the sequence of the scenario stages, you can use the Add a new state button. Tap the first state and, pressing and holding the mouse key (sliding your finger across the touch screen), draw a line to the second (required) state.
  • Page 48 3 SCENARIO CONSTRUCTOR to the first action, i.e. tap Add, then tap Select and select an action from the list. Once an action or the sequence of actions has been defined, tap OK to finish creating the trigger. Warning: If the trigger includes several actions, each of them must be successfully completed.

  • Page 49: Authentication

    4 AUTHENTICATION 4 Authentication Authentication in the Instructor Software The Simulation Center software runs automatically after the instructor’s tablet is turned on and when the simulator starts up. After launching the Simulation Center software, go to the Instructor section. If for some reason the Simulation Center software did not start automatically, launch the software manually by clicking on the relevant icon on the desktop.
  • Page 50 4 AUTHENTICATION In the authentication menu (Figure 4.1) you can change the software interface language. The available languages are represented as icons of flags located under the Accept button. To change the software interface language, click on the relevant flag icon.

  • Page 51: Instructor Software Main Menu

    5 INSTRUCTOR SOFTWARE MAIN MENU 5 Instructor Software main menu To open the Instructor software sections list, click on Figure 5.1 Instructor Software main menu The following sections (Figure 5.1) are available in the program main menu: • Automated Scenarios Contains a list of all available automatic scenarios (cannot be changed).
  • Page 52 5 INSTRUCTOR SOFTWARE MAIN MENU • Students Contains a general list of students and study groups. Creating student profiles and study groups. • Debriefing Contains a list and review of all completed exercises. • Connections Shows the connection status of all simulator elements and battery charge levels.

  • Page 53: Exercise Selection And Launch

    6 EXERCISE SELECTION AND LAUNCH 6 Exercise selection and launch Training scenario tabs are found in the software main menu. To open the tab of the required mode, click on its name in the list. After that, the general menu will appear on the right side of the screen containing a list of all exercises available for this mode and the general information for each of the exercises.
  • Page 54 6 EXERCISE SELECTION AND LAUNCH Figure 6.2 The exercise start menu for the Manual mode The patient data includes: • Name • Age • Sex • Height • Weight...

  • Page 55: Exercise Selection And Search

    6 EXERCISE SELECTION AND LAUNCH Training materials include: • Case history: the patient’s disease/state records as at the beginning of the scenario. • Description: methodological description of the disease or physical state. • Learning objectives: a list of basic skills that the exercise is intended to practice.
  • Page 56 6 EXERCISE SELECTION AND LAUNCH Figure 6.3 List of scenarios (example) To select an exercise from the list, click on its name. The color of scenario name changes, information window (Figure 6.1)/(Figure 6.2) opens in the field to the right. Use a search bar located at the top of the main list to find the required exercise.

  • Page 57: Start­up

    6 EXERCISE SELECTION AND LAUNCH Figure 6.4 Example of a closed (A) and opened (B) group of scenarios 6.2 Start­up To run an exercise: • Turn on the instructor’s tablet (see the Start­Up section) • Wait for the Simulation Center Software to launch. If the Simulation Center did not start automatically, launch the program manually by clicking the icon on the desktop...
  • Page 58 6 EXERCISE SELECTION AND LAUNCH • Press the Start button Figure 6.5 The Start button • In the new window, press Start to activate the scenario • Click on Change Parameters to re­set the initial settings of the selected scenario...

  • Page 59: Imitation Of Life Processes

    7 IMITATION OF LIFE PROCESSES 7 Imitation of life processes 7.1 Simulator body The body has realistic mobility in the spine, neck, lumbar sections and main joints. The mobility is achieved by the imitation of the human musculoskeletal system, which includes: •...
  • Page 60 7 IMITATION OF LIFE PROCESSES Figure 7.1 Programmable blinking • Automatic pupillary light response reflecting the patient physiological status (Figure 7.2);...
  • Page 61 7 IMITATION OF LIFE PROCESSES Figure 7.2 Pupillary light reflex • Tonic and clonic convulsions • Bendable & flexible lumbar region • Mobility in all joints • Head tilt angle control • Jaw thrust control • Automated touch­induced pupillary response •...

  • Page 62: Respiratory System

    7 IMITATION OF LIFE PROCESSES The silicon skin of the simulator is realistic in appearance and feel. There are interchangeable models of «wounded» arms and legs to support modular training. 7.2 Respiratory system The respiratory system of the simulator includes the entirely independent right and left lungs.

  • Page 63: Auscultation And Palpation

    7 IMITATION OF LIFE PROCESSES Figure 7.3 Orotracheal intubation 7.3 Auscultation and palpation Auscultation, anterior and posterior, includes heart, breathing, bowel and Korotkoff sounds auscultation. Breathing sounds are independent and are not generated by either lung ventilation in case of spontaneous or mechanical ventilation Speech imitation with pre­recorded sounds includes «yes», «no», certain words, coughs and other sounds.
  • Page 64 7 IMITATION OF LIFE PROCESSES the lungs). You can use the Instructor software to configure breathing sounds. Breathing sounds are independent and are not generated by either lung ventilation in case of spontaneous ventilation. Heart sounds auscultation is performed in 5 points: aortic valve, pulmonary valve, tricuspidal valve, mitral valve and secondary aortic area.

  • Page 65: Secretion

    7 IMITATION OF LIFE PROCESSES Figure 7.5 Pulse palpation 7.4 Secretion The secretion of fluids includes imitation of sweat on the forehead (diaphoresis), imitation of tears, imitation of discharge from ears and mouth and imitation of urine and bleeding. Secretion confiduration is available to indicate the symptoms of various pre­set diseases.

  • Page 66: Tank

    7 IMITATION OF LIFE PROCESSES 7.4.1 Tank To fill in the secretion fluid tank, do the following: • Turn off the patient simulator. Disconnect it from the charger, if necessary • Find the tab on the left or right side of the body •...
  • Page 67 7 IMITATION OF LIFE PROCESSES Figure 7.6 Simulation of intravenous injections To simulate an injection, select one of the syringe imitators (with necessary medicine), pull the plunger back to the line for the dose. Then insert the syringe into the catheter imitator and push the plunger.

  • Page 68: Defibrillation And Ecg

    7 IMITATION OF LIFE PROCESSES 7.6 Defibrillation and ECG According to the list of equipment, a customized defibrillator or defibrillator and ECG adapters are used to perform a defibrillation and ECG: • If a customized DFB unit is used, the charge power is set on the front panel of the customized defibrillator.
  • Page 69 7 IMITATION OF LIFE PROCESSES Figure 7.7 ECG monitoring...

  • Page 70: Exercise Menu

    8 EXERCISE MENU 8 Exercise menu 8.1 Automated scenarios. List of actions The main distinctive feature of the Automated Scenarios section is a pre­installed, invariable sequence of actions and the virtual patient’s vital signs. Figure 8.1 The Automated Scenarios simulation menu The list of the patient’s conditions and basic actions (Figure 8.2) to be performed to successfully complete the exercise is located on the left side of the screen.
  • Page 71 8 EXERCISE MENU If the action or the sequence of actions is not completed within a specified period of time, they are considered to be failed and, depending on the course of the exercise, this can also mean the death of the patient and the end of the exercise. Figure 8.2 List of actions Transitions between patient states are indicated by dashed lines and arrows.

  • Page 72: Patient States.manual Mode And Themes Sections

    8 EXERCISE MENU manually marked , by the user after their completion (Figure 8.3). Such actions include elements of teamwork (calling for help), the patient’s body manipulation (bringing the patient to a sitting position), etc. To mark an action as completed, click on the box next to it successfully completed action will be marked with a tick (Fig.

  • Page 73: Patient State Settings

    8 EXERCISE MENU Figure 8.4 The Manual mode and Themes exercise menu The Manual mode and Themes exercise menu contains the Initial State section. The section includes a brief description of the patient’s case history at the beginning of the exercise and the vital signs. This section remains unchanged and serves as a source of information.
  • Page 74 8 EXERCISE MENU the student) and speaker for two­way communication with the student). Figure 8.5 The launched exercise control bar Vital signs control menu To set a parameter, select its value/type from the drop­down menu or set the parameter using a slider on the scale. Open the required parameter menu by clicking on the icon of the relevant system and follow the instructions on the screen.
  • Page 75 8 EXERCISE MENU Figure 8.7 The More Sounds window Icon description: Open lock. Change the settings of the selected menu individually. Open close Change all the settings of the selected menu at a time. Active lungs Spontaneous breathing is on. Inactive lungs.
  • Page 76 8 EXERCISE MENU Settings for the following functions are available: Patient words A set of pre­recorded words and short phrases that the patient can say. To activate a word or phrase, click on the Patient Words icon and select a word/phrase from the list in the new window. After that, the patient will pronounce the selected word/phrase.
  • Page 77 8 EXERCISE MENU pupillary light reflex switching on/off. The “lock” icon allows determining whether the changes will apply to both eyes or to only one. If the “lock” is closed, the changes will apply to both eyes; if the “lock” is open ­ only to a selected one.
  • Page 78 8 EXERCISE MENU Figure 8.8 Vital signs and prediction graphs settings The instructor presets the patient’s vital signs values and changes the values using the bedside monitor settings menu (Figure 8.12) from the Manual mode and Themes sections while running an exercise (you can’t do that in the Automated Scenarios section).
  • Page 79 8 EXERCISE MENU Figure 8.9 The patient state prediction graphs The patient state prediction graphs are plotted and vary depending on the student’s actions. Using this scale, the instructor can foresee the effect of the student’s actions. The software initially sets the following parameters by default: •...
  • Page 80 8 EXERCISE MENU Figure 8.10 Action log The instructor can add notes to the Action log by selecting them from a ready­made list or by adding personal notes (Figure 8.11). To add a remark, click on the button in the bottom right corner. Figure 8.11 Adding notes and comments to the Action log CPR data bar Graphical and statistical presentation of CPR parameters and...

  • Page 81: Bedside Monitor Settings

    8 EXERCISE MENU their frequency, bag­valve­mask ventilations quantity (mechanical manual device to perform temporary mechanical lung ventilation. Provides a simple and reliable way to ventilate a patient with room air or oxygen), defibrillator discharges quantity and the correctness of the hands positioning in the course chest compressions.
  • Page 82 8 EXERCISE MENU • Reanimatology • Anesthesiology • Neonatology • Transport • Cardiosurgery • Custom (customization and parameter selection) • Default Figure 8.12 Bedside monitor type selection menu Use the following algorithm to select the monitor type (Anesthesiology, Reanimatology, Neonatology, Transport, Cardiosurgery and Custom):...
  • Page 83 8 EXERCISE MENU • Touch any of the bedside monitor graphs and hold your finger for a while or hover the cursor over it and click the middle button (or the wheel) of the mouse • Click on the arrow icon to open the drop­down list of the bedside monitors’...
  • Page 84 8 EXERCISE MENU Figure 8.13 Bedside monitor settings menu 1 To discard the changes made without closing the setting menu, press the Clear button located under the name of the selected monitor type. To increase the number of displayed parameters, use the Row count menu.

  • Page 85: Ecg Rhythm Editing

    8 EXERCISE MENU Figure 8.14 Bedside monitor settings menu 2 8.5 ECG rhythm editing When running exercises from the Automated Scenarios, Manual mode and Themes sections, you can edit the ECG rhythm. To open the rhythm settings menu, click once on the ECG graph. At the top of the menu window, there is a graph of the current ECG rhythm, and the selected ECG lead (to change the lead, click on the arrow icon and select the desired ECG lead in the drop­down list).
  • Page 86 8 EXERCISE MENU Figure 8.15 Rhythm Setting Menu The left side of the menu window contains a list of available ECG rhythm types: • Sinus rhythm • Sinus arrythmia • Sinus rhythm with prolongation of the QT interval • Sinus rhythm during ischemia...
  • Page 87 8 EXERCISE MENU • Sinus rhythm after ischemia • Wellens syndrome • Sinus rhythm during inferior MI • Sinus rhythm during anterior MI • Sinus rhythm during lateral MI • Sinus rhythm during posterior MI • Sinus rhythm during anteroseptal MI •...
  • Page 88 8 EXERCISE MENU • Sinus rhythm during biatrial enlargement • Sinoatrial block • 1◦ AV Block • 2◦ AV Block Mobitz I • 2◦ AV Block Mobitz II • 2◦ AV Block Mobitz II with RBBB • 3◦ AV Block •...
  • Page 89 8 EXERCISE MENU • Sinus rhythm with WPW syndrome (left lateral) • Sinus rhythm with WPW syndrome (right lateral) • Sinus rhythm during pericarditis • Atrial flutter • Atrial fibrillation • Torsades de pointes • Venticular flutter • Venticular tachycardia •...

  • Page 90: Cpr Activation

    8 EXERCISE MENU 8.6 CPR Activation To initialize the CPR, open the ECG rhythm editing menu window by single­clicking on the ECG graph, select the Asystole, Ventricular Fibrillation or Ventricular Tachycardia (with missing pulse) rhythm types and press Apply. Then proceed to the CPR performance. The screen contains the required parameters for performing a single CPR cycle: Figure 8.16 Cardiopulmonary resuscitation (CPR)
  • Page 91 8 EXERCISE MENU Figure 8.17 Graph Figure 8.18 BVM ventilation and hand positioning If the hands are placed incorrectly during chest compressions, the icon will turn red (Figure 8.19).
  • Page 92 8 EXERCISE MENU Figure 8.19 Wrong imposition of hands Defibrillation Figure 8.20 Defibrillation...
  • Page 93 8 EXERCISE MENU When running an exercise in the Manual mode and Themes sections, in the lower right corner, in addition to the CPR and Action log tabs, there is a Cardiac Control tab, indicated by the icon Using this tab, you can set the current and expected rhythms. To do this, click on the window with the name of the current/expected rhythm, the rhythm editing menu will open, select the desired rhythm type from the list in the left part of the window and press Apply.

  • Page 94: List Of Auscultation Sounds

    8 EXERCISE MENU 8.7 List of auscultation sounds The total list of the heart sounds (Fig. 8.6) available for selection and setting in the patient menu while running an exercise from the Manual mode and Themes sections and when creating or editing training scenarios: •...
  • Page 95 8 EXERCISE MENU • Pericardial friction rub • Still’s murmur • Aortic valve regurgitation • Aortic valve stenosis • Aortic valve stenosis and regurgitation • Mitral valve regurgitation • Mitral valve stenosis • Mitral valve prolapse • Mitral valve stenosis and regurgitation •...
  • Page 96 8 EXERCISE MENU • Acute myocardial infarction • Congestive heart failure • Systemic hypertension • Acute pericarditis • Dilated cardiomyopathy • Pulmonary hypertension • Tetrology of Fallot • Ventricular aneurysm The total list of the lung anterior and posterior sounds (Fig. 8.6) available for selection and setting in the patient menu while с...
  • Page 97 8 EXERCISE MENU Manual mode and Themes sections and when creating or editing training scenarios: • Normal bowel sound • Normal bowel sound • Hypoactive sounds • Constipation • Hyperactive sounds • Ulcerative colitis • Borborygmus • Irritable bowel • Capotement •...
  • Page 98 8 EXERCISE MENU – Feel realy bad – I have a fever – Feel very dizzy – Sometimes – Feel really bad – leg hurts – I’m fine – High blood pressure – I’m hungry – Dull pain – I’m so sick –...
  • Page 99 8 EXERCISE MENU – I am short of breath – I am cold – Tightness in my chest – Arm hurts – Throbbing headache – Eyes are watering – I have diabetes – Since this morning – Don’t touch me –...

  • Page 100: Ecg Graph Library

    8 EXERCISE MENU 8.8 ECG graph library The basic* ECG graphs available for selection and use in the ECG constructor when creating or editing training scenarios and CPR settings (see the list in section 8.5 Exercise Menu. Rhythm Setting Menu) can be extended by the user.

  • Page 101: Exercise Finish

    9 EXERCISE FINISH 9 Exercise finish To complete an exercise, press the Stop button on the control bar. Figure 9.1 The launched exercise control bar After that, the exercise completion menu with the following available functions will open: • Go to Debriefing — complete the exercise and go to the exercise debriefing window (See Section 11 ”Debriefing”) •...
  • Page 102 9 EXERCISE FINISH Figure 9.2 Exercise completion menu...

  • Page 103: Students And Study Groups

    10 STUDENTS AND STUDY GROUPS 10 Students and study groups The Students section is divided into two parts: List of Groups and List of Students. Figure 10.1 The Students menu 10.1 Student account creation and settings In the List of Students field you can select, create, edit and delete student accounts.
  • Page 104 10 STUDENTS AND STUDY GROUPS Figure 10.2 Student account settings menu • To create a new student account, press Create, enter the first and last names of the student, select the desired group and press Save. • To select a student account, select a group from the list on the left by left­clicking on its name.

  • Page 105: Study Group Creation And Settings

    10 STUDENTS AND STUDY GROUPS • To delete a student account, select it from the list by clicking on the first and last names, press the Delete button and confirm your action. 10.2 Study group creation and settings In the List of Groups field, you can select, create, edit and delete study groups Figure 10.3 Study group settings menu •...

  • Page 106: Debriefing

    11 DEBRIEFING 11 Debriefing You can view the results and details of a completed (or interrupted) exercise in the Debriefing section. The debriefing window for the completed exercise can be opened immediately after the completion (or interruption — by pressing the corresponding key) of the exercise (Figure 9.2) or later from the main menu (Figure 5.1) when switching to the Debriefing section.

  • Page 107: Debriefing. The Exercise Tab

    11 DEBRIEFING 11.1 Debriefing. The Exercise tab The Exercise tab (Fig. 11.1) contains a video of the exercise*. Press Start button to start playing the video of the exercise and Pause — to pause it. To rewind the video of the exercise, left­click on the state prediction graph or the timeline located at the bottom of the screen.

  • Page 108: Debriefing. Cpr Tab

    11 DEBRIEFING To switch between them, use the Change lines button. When using the CPR performance graph, you can zoom out the scale using the slider next to Zoom 11.2 Debriefing. CPR tab The CPR tab (Figure 11.2) contains detailed statistical information about the performed CPR actions, their quantity and quality.
  • Page 109 11 DEBRIEFING • Defibrillation Statistics on the performed defibrillation and its performance quality score (the score is repeated in the Overall score field). • Decompression Elimination of compression of the spinal cord or brain, its roots and blood vessels. Figure 11.2 Debriefing menu. CPR tab To print the CPR performance report click the icon in the left upper corner, select Print in the drop­down list.

  • Page 110: Safety Precautions

    12 SAFETY PRECAUTIONS 12 Safety precautions Before starting a session, carefully inspect the simulator and the power cable for tears, cracks, burned or scorched areas, etc. If any damage is found, wait until the failure is fixed. In case of burning smell, smoke or sparks, immediately stop using the simulator and inform the person responsible for safe operation.

  • Page 111: Cleaning And Maintenance

    13 CLEANING AND MAINTENANCE 13 Cleaning and maintenance • Use wet wipes to gently remove dirt • Do not allow liquid leak inside the simulator. Clean the monitor screen, use special cleaning cloth • Do not forget to perform regular dry and wet cleaning of the facility housing the simulator •...

  • Page 112: Definitions

    14 DEFINITIONS 14 Definitions • ECG unit is a unit simulating the heart activity and hemodynamics. It is connected to a real ECG device or patient monitor. • ECG electrodes are cables imitating real ECG electrodes, allowing monitoring the correct installation on the patient’s body. They are connected to the ECG unit.
  • Page 113 14 DEFINITIONS Figure 14.1 Syringes with RFID tags • BP cuff is a modified real BP cuff used in measuring blood pressure, which can be connected to the simulator. • Adam’s apple (Thyroid cartilage) imitates the prominence of anterior upper part of the thyroid cartilage. •...

  • Page 114: Malfunctions

    15 MALFUNCTIONS 15 Malfunctions PROBLEM CAUSE SOLUTION positive Air leakage during Make sure that the mask of reaction when the ventilatio the bag­valve­mask is tightly performing pressed against the face of bag­valve­mask the simulator ventilation...
  • Page 115 15 MALFUNCTIONS The instructor’s Failure 1. Go to Settings­>Network tablet does not automatic Wi­Fi and Internet, check your connect to the connection. Wi­Fi connection. Wi­Fi router 2. IP failure To configure IP, go to the network and sharing Center> Change adapter settings.
  • Page 116 15 MALFUNCTIONS bedside Automated Wi­Fi Go to Parameters >Network monitor imitator connection Internet check does failed Wi­Fi connection and IP. To connect configure IP, go to Network system and Sharing Center> Change within 5 minutes adapter settings. Find the desired Wi­Fi network in the general list and select ”Properties”.
  • Page 117 15 MALFUNCTIONS Graphics in the 1. System failure. Physically restartthe Instructor 2. Low battery system (laptop,patient software simulator,bedside monitor. delayed Check the battery level during in the Connections menu. If performance the battery level is lower than 15%, connect the charger ECG graphs are 1.The Check ECG adapter...

  • Page 118: Information To Be Presented To The Service Centre

    16 INFORMATION TO BE PRESENTED TO THE SERVICE CENTRE 16 Information to be presented to the Service Centre In case of any other malfunction, please contact our Service Centre. Please attach the following information to the letter: • The simulator full model name and serial number •...

  • Page 119: Questions & Answers

    17 QUESTIONS & ANSWERS 17 Questions & Answers • How long does it take to fully charge a simulator? – Up to 6 hours. • What languages does the simulator speak? – English and Russian. • What liquid is recommended to use when working with a simulator? –...
  • Page 120 17 QUESTIONS & ANSWERS – If heating radiators are on in the facility, make sure the simulator’s body is not in its proximity. – If there is no need to work with the simulator for a long time, cover it with a cloth to avoid dust accumulation on the nodes and elements.
  • Page 121 17 QUESTIONS & ANSWERS – Seated backward bending (bed). • What sounds are available for auscultation? – Breath sounds – Bowel sounds – Korotkoff sounds. • If any defects are found, where should we e­mail our request to? – In case of any malfunction, please contact our Service Centre.

  • Page 122: Acknowledgement Table

    Acknowledgement table Acknowledgement table I have read and understood the manual: Date Name Signature Stamp...

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