Heart, Breath And Bowel Sounds And Speech; Spontaneous Breathing And Airway Closures; Maintenance; Cricothyroid Membrane/Neck Skin Collar - Laerdal ALS Simulator Manual Del Usuario

Laerdal Recommends
Do not insert needles into the BP Arm .

Heart, Breath and Bowel Sounds and Speech

The ALS Simulator has heart, breath and bowel sounds, both normal and
abnormal, with adjustable instructor controlled volume .
Ensure that the ALS Simulator is connected to the Link Box via the simulator
cable located on lower left side of simulator .
See SimPad Directions for Use or LLEAP Help Files for complete
Heart, Breath and Bowel Sound Auscultation and Speech
functionality and operating information.

Spontaneous Breathing and Airway Closures

The ALS Simulator has spontaneous breathing (visible chest rise and fall) with
variable breathing rate . The breathing is generated via an enclosed air tank in
the right thigh that is pressurized using a standard air pump . (See "Filling the
Thigh Air Tank" located in the "Getting Started" section of the DFU for
more information) .
The left lung and right lung can be closed independently or together to create a
partial or complete airway obstruction .
See SimPad Directions for Use or LLEAP Help Files for complete
breathing and airway blockage functionality and operating
information.

Maintenance:

Cricothyroid Membrane/Neck Skin Collar:

1 . Remove neck skin collar, by detaching Velcro
2 . Remove used Cricothyroid Membrane Tape from cricoid opening .
3 . Cut a 2 inch/ 5 cm strip of Cricothyroid Membrane Tape .
Fig . 2
4 . Adhere tape to edges of cricoid opening, covering the opening with tape, to
create the actual membrane .
5 . Lay a Neck Skin Collar into molded track around neck area of the simulator .
(Figure 2) NOTE: If the used collar is still in good repair simply slide the
collar in either direction for a fresh site . If the collar is showing wear, discard
and replace with a new one .
6 . Attach collar using Velcro strips .
®
Laerdal Recommends
The neck skin collar is designed to provide multiple sites for needle and
surgical techniques . When a fresh site is needed, slide the collar in either
direction . If the neck skin collar is showing wear, discard and replace with a
new collar .

IV Cannulation

After IV training is complete:
1 . Close both clamps on IV tubing and detach bag tubing from arm tubing . Fill a
100cc syringe with water . Flush IV Arm with syringe .
NOTE: This should be done over a basin to catch any fluid .
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2 . Using the empty syringe, push air through venous system to remove excess
water .

Intramuscular Injections

After intramuscular injection training is complete:
1 . Remove sponge from inside of injection pad skin .
NOTE: Do not store wet foam pads in skin . This will cause shrinkage of
injection pad skin .
2 . Rinse sponge with water, allowing it to dry overnight .
3 . Insert sponge back into injection pad skin . NOTE: A small amount of powder
applied to sponge will ease insertion .
4 . Replace the pad in the simulator .
Urinary Catheterization (with genitalia upgrade kit):
After urinary catheterization is complete:
1 . Remove complete genitalia assembly
2 . Disassemble the genitalia assembly
3 . Working over a basin empty the reservoir
4 . Rinse parts and reservoirs thoroughly and allow to dry overnight

Pneumothorax:

(A) Bilateral Mid Clavicular Sites:
1 . Detach the chest skin from torso from tabs at the shoulder and back and
remove .
2 . Remove the hard chest plate from the torso .
3 . Disconnect bladder hose from Y connector, located on the underside of the
chest plate . (Photo 20)
Photo 20
4 . Remove the bladder by pulling it through the opening between the 2nd and
3rd intercostal spaces on the top side of the hard chest plate . (Photo 21)
Photo 21
5 . Trim bladder tubing to match original tubing length to fit this simulator style .
6 . Insert the new pneumothorax bladder into the top side of the chest plate
though the 2nd and 3rd intercostal space opening with the bladder tubing
exiting though the back side of the chest plate . NOTE: The narrow edge of
the bladder should be inserted closest to the sternum . (Photo 22)
Photo 22
7 . Reconnect hose to Y hose connector .
8 . Return chest plate to proper position on torso .
9 . Replace Chest Skin over torso, being sure to secure skin at shoulders and
back .
10 . Fill puncture marks on the exterior of the Chest Skin with the wax included
in the Bladder Replacement Kit .