D) Intramuscular Injections; E) Urinary Catheterization; Vitalsim Functionalities - Laerdal MegaCode Kelly Advanced Instrucciones De Utilizacion

IV Cannulation:
Laerdal Recommends
Use a 21G or smaller catheter for IV cannulation to extend the
life of your manikin's IV arm.
1. Attach an IV bag with tubing. Note: Make sure the clamp is closed.
2. Use a syringe to inject blood concentrate and 500cc of water into an IV
bag with tubing. Note: Make sure the clamp is closed. This will serve as
the "blood source" bag. (Photo 3)
3. Attach the "blood source" bag with IV tubing to one of the latex tubes
exiting the manikin's right IV arm.
4. Attach an empty bag with IV tubing to the second latex tube exiting the
manikin's right IV arm. This bag will serve as the collection reservoir.
5. Control flow of blood from arm, via clamp on collection reservoir tubing.
Put collection bag on floor to allow the now closed system to gravity
feed.
6. Hang "blood source" bag from IV pole and open clamp to allow
concentrate to flow through arm. Note:A blood pressure cuff can be
used as a pressure infuser. This will allow the blood bag to be placed on
the floor or between the mattress and frame. (Photo 4)
7. When the "blood source" bag is empty, switch the "blood source" bag
and reservoir. Hang the now full reservoir and place empty reservoir bag
on floor to reverse flow of concentrate. NOTE: Be sure to adjust the
flow regulator.The collection reservoir clamp should always be used to
control flow rate.
The arm is now ready for cannulation. Train per local protocol.
NOTE: Do not use iodine as this will permanently stain the manikin
Laerdal Recommends
When using a catheter or other venipuncture device, spray with
lubricant spray for easier insertion.
Intramuscular Injections:
Medications can be administered via intramuscular injections bilaterally in
the deltoids and thighs and in the gluteal and ventro-gluteal locations.
Laerdal Recommends
Medications may be administered via local protocol. All precautions
and safety measures must be followed during training.
Laerdal
Photo 3
Photo 4
Urinary Catheterization: (Genitalia Kit Optional)
1. Remove blank genitalia from the manikin.
2. Lift and rotate the pelvic pin to one side. NOTE: Failure to replace the
pelvic pin will result in pelvic spread.
3. Lift the urinary reservoir.
4. Using the urinary valves provided, attach threaded end of the connector
valve to the corresponding threaded urinary connector on the genitalia
(Photo 5-7).
5. Place the C Clamp over the valve, leaving loose.
6. Slide the smooth end of valve the to meet the ridge on the connector.
7. Move the C Clamp over the connector and the valve.
Photo 6
8. Squeeze to tighten the C Clamp. This will lock the C Clamp in place.
Photo 7
9. Replace the genitalia assembly into the manikin torso.
10. Replace Pelvic Pin NOTE: Failure to replace the pelvic pin will result
in pelvic spread.
11. Remove plug in urinary reservoir.
12. Using a 100cc syringe, fill reservoir with colored water.
13. Perform urinary catheterization as per your local training protocol.
VitalSim Manikin Functionalities:
(VitalSim capable manikins only.)
Cardiac Related Skills: (VitalSim capable manikins only)
MegaCode Kelly, when used with VitalSim, has over 1100 rhythms variations.
External pacing with or without capture, defibrillation and synchronized
cardioversion can also be performed.
NOTE: Prior to training, ensure the 37 pin connector cable exiting the
manikin's right side is attached to the VitalSim Control Unit.
1. Compressions may be performed with one or two hands.
2. For monitoring purposes, lead placement snaps are located on manikin as
follows:
i. RA (Right Arm)
ii. LA (Left Arm)
iii. LL (Left Leg)
iv. RL (Right Leg)
4
Photo 5
(Slide tube to meet ridge on connector.)
(Area where clamp is placed.)
(Apply clamp and squeeze to tighten.)
MegaCode Kelly