laerdal ALS Simulator Bedienungsanleitung Seite 8

Simulator Functionalities
Cardiac Related Skills:
ALS Simulator, when used with SimPad, features an extensive library of
ECG variations . External pacing with or without capture, defibrillation and
synchronized cardioversion can also be performed . See SimPad Directions
for Use or LLEAP Help Files
NOTE: Prior to training, ensure the simulator cable exiting the simulator' 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 simulator 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 your representative for correct adaptor.
3 . Two Zap Plates (discs) and two 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 simulator . Rhythm may be read from
simulator 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 Directions for Use or LLEAP Help Files 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 (BP) Arm:
Left Arm Installation
The simulator is packaged with the left BP Arm attached . The BP Arm is
designed to rotate approximately 220º .
Caution: To prevent damage, do not over rotate the left BP Arm.
Photo 14
Photo 16
Photo 18 – Outside View Left
Shoulder Standard or Wound Arm
To detach the BP Arm:
1 . Detach the chest skin, lift the chest plate and push it aside to remove the
stopper screw (photo 14) and release the BP Arm .
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):
1 . The simulator includes the necessary arm hardware (photo 15 ) Select the
replacement arm, remove the deltoid pad
2 . Insert the arm adapter (photo 16) located inside the torso on the left side
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
17 & 18) NOTE: Tighten the wing nut as desired to simulate range of
motion
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 .
Auscultating and palpating blood pressure:
1 . Place the supplied Blood Pressure cuff on the BP Arm (left) .
2 . Attach clear tubing on cuff to matching clear pneumatic tubing exiting
underneath the simulator' s left arm . (Photo 19)
Photo 19
3 . Ensure that the simulator cable and the clear pneumatic tubing, both exiting
the simulator' s right side are attached to the Link box .
Korotkoff sound volume can be controlled, an auscultatory gap heard and
pressure set in steps of 2 mmHg .
See SimPad Directions for Use or LLEAP Help Files for complete
Blood Pressure Arm functionality and operating information.
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Photo 15
Photo 17 – Inside View
Torso Left Side