Functionalities; Cardiac Related Skills; Blood Pressure Arm - Laerdal ALS Simulator Instrucciones De Utilizacion

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 .
Manikin Functionalities

Cardiac Related Skills:

ALS Simulator, when used with SimPad, has over 1100 rhythms variations.
External pacing with or without capture, defibrillation and synchronized
cardioversion can also be performed . See SimPad DFU
NOTE: Prior to training, ensure the manikin cable exiting the manikin' s right
side is attached to the Link Box .
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)
NOTE: If the ECG snaps/ defibrillation connectors do not attach to the clinical
monitor/ defibrillator/ external pacer used by your institution, additional ECG
snaps and or defibrillation/pacing cables are available for purchase. Please
contact you representative for correct adaptor.
3 . Two (2) Zap Plates (discs) and two (2) hands free adapters have been
designed for use with defibrillators. Screw discs or hands free adaptors into
post sockets located on apex and sternum of manikin . Rhythm may be read
from manikin using a monitor by applying paddles to discs with firm pressure.
(Do not use gel or hands free self adhesive pads.)
4. For manual defibrillation, place paddles on zap plates and press down firmly
for good contact. NOTE: Monophasic and Biphasic defibrillators may be used.
Laerdal Recommends
Caution: Follow defibrillation protocol by avoiding contact between the
paddle and any of the electrode sites while defibrillating. A load of up to 360
joules can be delivered .
See SimPad DFU for complete cardiac functionality and operating
information.
Safety Precautions used during Defibrillation of a Patient/Trainer
1 . Read and follow all safety and operating instructions provided with your
defibrillator and associated equipment.
2 . This trainer can be shocked with actual voltages and current used on a
live patient . All precautions and safety measures must be used during
the defibrillation and pacing phases of training. Failure to follow safety
measures could result in injury or death to operators, students or
onlookers not heeding these warnings .

Blood Pressure Arm:

Left Arm Installation
The manikin is packaged with the left BP Arm attached (ALS Simulator
and MegaCode Kelly Advanced only) . The BP Arm is designed to rotate
approximately 220º.
Caution: To prevent damage, do not over rotate the left BP Arm.
ALS Simulator
Photo 1
Photo 3
Photo 5 – Outside View Left
Shoulder Standard or Wound Arm
To detach the BP Arm:
STEP 1 Detach the chest skin, lift the chest plate and push it aside to remove
the stopper screw (photo 1) and release the BP Arm . STEP 2 Take out
the arm stopper, disconnect the BP cables and remove the BP Arm . NOTE
Properly store the BP Arm and the attachment accessories for future use .
To install the Left Arm (standard or wound model):
The manikin includes the necessary arm hardware (photo 2 ) STEP 1
Select the replacement arm, remove the deltoid pad STEP 2 Insert the arm
adapter (photo 3) located inside the torso on the left side STEP 3 Pass the
small washer over the bolt, thread the bold and washer assembly through the
openings of the arm shoulder, torso and arm adapter (photo 4 & 5) Note:
Tighten the wing nut as desired to simulate Range of Motion STEP 4 Replace
the chest plate, the chest skin and the shoulder deltoid pad .
To re-attach the BP Arm, reverse the processes . Properly store the arm, the
adapter and the hardware set for future use .
The blood pressure arm can be used to auscultate and palpate blood pressure .
Korotkoff sound volume can be controlled, an auscultatory gap heard and
pressure set in steps of 2 mmHg .
1 . Place the supplied Blood Pressure cuff on Blood Pressure arm (LEFT) .
2 . Attach clear tubing on cuff to matching clear pneumatic tubing exiting
underneath the manikin' s left arm. (Photo 10)
Photo 10
3 . Ensure that the manikin cable and the clear pneumatic tubing, both exiting
the manikin' s right side is attached to the Link box.
See SimPad DFU for complete Blood Pressure Arm functionality
and operating information.
5
Photo 2
Photo 4 – Inside View
Torso Left Side
Laerdal