Iv Cannulation; Laerdal Recommends; Intramuscular Injections; Urinary Catheterization - Laerdal ALS Simulator Manual Del Usuario

IV Cannulation:

Laerdal Recommends

Use a 21G or smaller catheter for IV cannulation to extend the life of your
simulator' s IV Arm . When using a catheter or other venipuncture device,
spray with lubricant spray for easier insertion .
NOTE: Do not use iodine as this will permanently stain the simulator .
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 9)
3 . Attach the "blood source" bag with IV tubing to one of the latex tubes exiting
the simulator' s right IV Arm .
4 . Attach an empty bag with IV tubing to the second latex tube exiting the
simulator' s IV Arm . This bag will serve as the collection reservoir . (Photo 10)
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 10)
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 as per your local protocol .
Photo 9
Photo 10

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 .
Urinary Catheterization (with genitalia upgrade kit):
1 . Remove blank genitalia from the simulator .
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 11-13) .
5 . Place the C Clamp over the valve, leaving loose .
6 . Install the valve onto the black connector of the reservoir . Ensure that it sits
flush to the reservoir .
7 . Move the C Clamp over the connector and the valve .
8 . Squeeze to tighten the C Clamp . This will lock the C Clamp in place .
9 . Replace the genitalia assembly into the simulator 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 .
5
Photo 11
(Clamp not yet in place . )
Photo 12
(Area where clamp is placed . )
Photo 13
(Apply clamp and squeeze to tighten . )