Intubation; Carotid Pulse; Tracheostomy Plug; Tracheostomy Care - laerdal VitalSim Gebrauchsanweisung

Intubation -

The following equipment is recommended:
a. Endotracheal tube size 4 or 5, cuffed or uncuffed
b. Manikin lubricant or liquid soap for lubrication
c. Laryngoscope blade, size 2 straight or curved blade
d. Laryngoscope handle
Remove trach plug prior to insertion of intubation tubes.
Laerdal Recommends
Intubation tubes and airway passages should be sprayed with manikin
lubricant or lubricate with liquid soap prior to intubation.

Carotid Pulse -

Carotid Pulse is manually generated with the red bulb. Pulse rate is
controlled by squeezing bulb.

Tracheostomy Plug -

The tracheostomy plug may be removed by grasping firmly, then lifting up
and out.To replace, press into hole.
Laerdal Recommends
We recommend a size 4 tracheostomy tube. Opening will accommodate
other sizes, but a size 4 is usually most suitable.

Tracheostomy Care -

1. Mix solution of ½ cup mild liquid detergent and ½ cup water.
2. Remove lungs and trachea.
3. Pour mixture into simulated lungs.
4. Fill lungs to a level where suction catheter will pick up mixture.
5. Reattach lungs at connector.
Be careful not to introduce fluids into speaker ports or near electronics in
manikin's chest.
The consistency of the solution approximates the mucus normally
suctioned in a tracheostomy patient.
Drain and air dry lungs immediately after each use.

Lungs -

Lungs may be detached from the bronchial tubes by removing bands and
pulling them off. To replace, reverse the procedure.
Spreading the bands with forceps and slipping them over the "Y" connector
may aid in reconnecting the lungs.
NG Tube Placement -
This manikin features an esophagus and stomach reservoir for practice of
NG tube insertion and skills such as lavage and gavage.
Laerdal Recommends
For best results, lubricate tube with either manikin lubricant
or liquid detergent prior to NG or OG tube insertion.
Nursing Kid VitalSim™

Stomach Reservoir -

1. Remove belly plate.
2. Unscrew black screw connector connecting reservoir to esophagus.
3. Fill reservoir with fluid for lavage simulation.
4. Replace in manikin.

Chest Plate -

Laerdal Recommends
Dusting with talcum powder is helpful in replacing chest and belly plates.
To remove:
1.Apply pressure to center of plate.
2.Work your fingers under edge of plate while lifting.
3. Disconnect heart sound speaker connector to release plate.
To insert:
1. Position plate over cavity.
2. Reconnect heart sound speaker.
3.Work plate edges into groove on torso cavity.

Belly Plate with Sounds -

Laerdal Recommends
Dusting with talcum powder is helpful in replacing belly plates.
To remove:
1.Apply pressure to center of plate.
2.Work your fingers under edge of plate while lifting.
3. Disconnect bowel sound speaker connector to release plate.
To insert:
1. Position plate over cavity.
2. Reconnect bowel sound speaker.
3.Work plate edges into groove on pelvis cavity.

Injection Pads -

A.To remove, squeeze pad with fingers and pull.
B.To replace, squeeze pad and insert in opening.
Injection pads may be injected with water. Immediately following training,
foam must be removed, liquid squeezed out and air dried.
Laerdal Recommends
Dusting pads with talcum powder will assist reinsertion into skins and
injections sites.
4 Laerdal