Laerdal Sim-Man

 The following information is provided by Laerdal, Inc. 

The Laerdal SimMan simulator offers you the ability to provide simulation education to challenge and test your students’ clinical and decision making skills during realistic patient care scenarios.

Features:

Airway Features

-         Realistic Life-Size intubation head with a flexible tongue, arytenoid cartilage, epiglottis, vallecula, vocal cords, trachea, bronchial tree, esophagus, and simulated lungs for spontaneous breathing and realistic chest rise and fall

-         Bronchial tree is anatomically accurate in size, color and texture and features the accurate anatomical landmarks necessary to facilitate realistic fiber optic bronchoscopy

-         Tracheal Access Through the Neck – The trachea may be accessed through the neck (i.e. transtracheal jet ventilation, needle or surgical cricothyrotomy)

-         The neck collar is replaceable

Standard ALS Airway Skills:

-         Bag/Valve Mask ventilation

-         Combitube plac em ent

-         Retrograde intubation

-         Light Wand Intubation

-         Needle cricothyrotomy

-         Oropharyngeal and Nasopharyngeal airway plac em ent

-         Endotracheal tube intubation

-         LMA plac em ent

-         Fiber optic intubation

-         Trans-tracheal jet ventilation

-         Surgical cricothyrotomy

-         Oropharyngeal and nasopharyngeal airway plac em ent

-         Exhaled CO2 Flow – To confirm plac em ent of airway devices within the trachea

Signs of Spontaneous Respiration:

-         Chest rise and fall

-         Exhalation of air from mouth

-         Breathing sound from mouth

-         CO2 detection

-         Variable Respiratory Rate – The operator is able to create a spontaneously breathing patient and is able to adjust the rate

-         Pharyngeal Obstruction – The posterior pharyngeal surface swells into the anterior pharyngeal cavity

-         Tongue Ed em a – Tongue becomes severely enlarged. When used in concert with pharyngeal obstruction, it is very difficult to advance a laryngoscope blade

-         Trismus – Clenches the teeth together, severely limiting mandibular mov em ent

-         Laryngospasm – Closes the vocal cords completely

-         Decreased Cervical Range of Motion – The operator can restrict the motion of the neck

-         Decreased Lung Compliance – Variable lung compliance to the point of no air entry possible

-         Stomach Decompression – Stomach distension occurs as a result of over inflation or intubation of the esophagus with ventilations given. Gastric tube causes decompression

-         Pneumothorax Decompression at 3 sites; Left and Right midclavicular and right mid-axillary. Insertion of catheter allows air to flow out accompanied by “hissing” of air as chest is decompressed

-         NEW Chest Tube Insertion

-         Cannot Intubate, Can Ventilate; with this feature intubation is not possible but the manikin can be ventilated with a BVM device

-         Cannot Intubate; Cannot Ventilate; with this feature the manikin cannot be ventilated by any method other than needle or surgical airway

Circulatory Skills and IV Drug Administration

-         Right IV training arm with replaceable skin and veins  

-         IV insertion into peripheral veins of forearm, antecubital fossa and the dorsum of the hand

-         Simulated blood flashback on cannulation 

-         IV Bolus or infusion 

-         Sites for subcutaneous and intramuscular injections

Pulses

-         Bilateral Carotid Pulse

-         Brachial and Radial Pulses in the BP arm

-         Bilateral F em oral Pulse

-         Synchronized with ECG or compressions

-         Pulse strength dependent on BP selected and anatomical position

Cardiac Functions

-         The SimMan software has an ECG Library of over 2,500 cardiac rhythm variants:

-         6 Extra systole types

-         Variable rate of extra systoles

-         Compression Artifacts on ECG

Defibrillation:

-         Automated External Defibrillators (AED) or manual defibrillators may be used

-         AEDs are connected by adapters provided with the simulator Cardiac Monitoring

-         3 or 4 lead ECG monitoring or via the defib paddles

-         External Pacing – with variable pacing threshold

CPR

ABC Check:

-         Exhaled air from the mouth

-         Breathing sound on exhalation

-         Chest rise

-         Palpable pulses

-         Ventilation

-         Chest Compression

-         Compression Artifacts on ECG

-         ECG and Heart rate can be displayed on the simulated monitor

Blood Pressure

-         Can be taken automatically, auscultated or palpated

-         Blood Pressure Arm (left) with Korotkoff sounds synchronized with pulse for auscultation and palpation

-         Easily varied BP: Systolic and diastolic can be set independently

-         Adjustable volume

-         BP can be displayed on the simulated monitor

Genitalia for Urinary Catheterization

-         Male or f em ale genitalia can be added to the simulator for urinary catheterization procedures

Sounds

-         Simulator "speaking" through instructor microphone

-         Heart Sounds Synchronized with ECG

-         Independent left and right lung sounds

-         Bowel Sounds

-         Heart, lung and bowel sounds auscultated with a stethoscope

-         Cough, vomiting, moaning or user-programmed sounds

-         Independent volume adjustment

Instructor control

-         Wireless r em ote control(s)

-         R em ote control with cable connection and LED feedback

-         Software controls via mouse and PC of all airway manag em ent, cardiac functions, CPR, pulse, blood pressure and sounds

-         The lungs have individual volume controls on the r em ote control

-         Each of the airway manag em ent functions may be controlled individually from r em ote control or set as a group

Event log

-         Automatic Log Syst em with Stopwatch Function

-         Manikin sensors generate automatic entries

Manual Logging Functions:

-         ABC actions and treatments

-         Miscellaneous actions and treatments

-         Medication given

-         Define your own entries

-         Event Log can be saved or printed

Scenarios

-         Standard validated scenarios included

-         Scenario editor to design, run and save your own scenarios

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