Simpad And Lleap Connections; Getting Started; Cricothyroid Membrane/Neck Skin Collar; Pupil Replacement - Laerdal ALS Simulator Manual Del Usuario

SimPad and LLEAP Connections

1 . Connect ALS Simulator to Link Box (Photo 6), via cable located on lower right
side of simulator .
2 . Connect the clear tubing exiting the simulators lower right side to the Link Box
3 . Attach blood pressure cuff to simulator' s left arm .
4 . Attach clear pneumatic tubing from blood pressure cuff (Photo 7) to
corresponding clear pneumatic tubing exiting the simulator' s left shoulder .
Photo 6 Photo 7

Getting Started

Cricothyroid Membrane/Neck Skin Collar:

1 . Cut a 5 cm (2 inch) strip of Cricothyroid Membrane Tape .
2 . Adhere tape to edges of cricoid opening, covering opening with tape, to create
actual membrane .
3 . Lay a Neck Skin Collar into molded track around neck area of simulator .
(Figure 1)
4 . Attach collar using Velcro ® strips .
Laerdal Recommends
A tight seal will enhance actual feel and sound of penetrating cricothyroid
membrane, and facilitate full rise and fall of the chest during bag valve mask

Pupil Replacement

ALS Simulator is delivered with a set of normal pupils mounted in the head . A
separate case contains 3 sets of plastic pupil inserts (normal, constricted and
dilated pupils) for use in simulating other conditions .
To change the pupils in the airway head:
1 . Open the eyelids wide, take care not to rip the face skin .
2 . Using the suction cup provided or the edge of your fingernail, remove the pupil
from the eye .
3 . Replace with the pupil of choice, using the small suction cup tool provided or
press into place with finger .
Filling the Thigh Air Tank
1 . Attach the provided air pump to the Schrader valve located laterally on the
posterior of the right thigh . (Photo 8)
2 . Fill the air container using the air pump to120 psi . NOTE: An over pressure
Photo 8
Fig . 1
ventilation .
release valve is included inside the thigh and will be activated at pressure above
10 Bar (150 psi) . This valve has a built in reset mechanism .
3 . Detach air pump from the Schrader valve .
NOTE: Most products designed for automobile/bike tire inflation will be
sufficient to fill the thigh tank . i . e . electric pumps, air compressors, air tanks,
etc . Pressure limitations vary with each unit and should be considered prior to
purchase .

In Use

Laerdal Recommends
• Endotracheal tube - size 7,5
• LMA # 4
• Combitube Large Adult or Trainer
• KING LT – # 4

Airway Management:

1 . Spray inside of pharynx, nostrils and all intubation tubes with a liberal amount
of provided simulator lubricant or liquid soap . Sit the simulator upright to allow
lubricant to coat passages .
2 . Perform further intubation procedures as per your local training protocol .
NOTE: Should incorrect ventilation be performed, air will pass through
esophagus, causing distention of the abdomen .

Obstructed Airway

Obstructed Airway (Manual Inflation of Tongue):
1 . Locate inflation bulb at lower left side of torso labeled "tongue . "
2 . Tighten air release knob .
3 . Pump bulb several times to inflate tongue to desired size .
To deflate tongue, loosen air release knob .
Obstructed Airway (Right/Left/Both Lung Blockages):
See SimPad Directions for Use or LLEAP Help Files for complete
airway blockage functionality and operating information.

Tension Pneumothorax Decompression

(Manual Inflation of Pneumothorax):
1 . Locate inflation bulb which exits lower left side of simulator, labeled "pneumo . "
2 . Tighten air release knob so that as you pump the bulb, no air escapes .
3 . Pump bulb several times to prepare three (3) sites for decompression .
4 . Decompress the site, bilateral mid-clavicular or right side mid-axillary or per
your local training protocol .
When the site is "decompressed, " air can be heard/observed passing through
catheter .
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