B) Blood Pressure Arm; C) Heart, Breath And Bowel Sounds And Speech; After Use; A) Cricothyroid Membrane/ Neck Skin Collars - laerdal MegaCode Kelly Advanced Gebrauchsanweisung

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 you representative for correct adaptor.
3. Two (2) Zap Plates (discs) and two (2) 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 manikin. Rhythm may
be read from manikin 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 VitalSim DFU 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 Arm – (VitalSim Advanced)
Left Arm Installation
The manikin is packaged with the left BP Arm attached (ALS Simulator
and MegaCode Kelly Advanced only). The BP Arm is designed to rotate
approximately 220º.
Caution: To prevent damage, do not over rotate the left BP Arm.
Photo 1
Photo 3
Photo 5 – Outside View Left
Shoulder Standard or Wound Arm
To detach the BP Arm:
STEP 1 Detach the chest skin, lift the chest plate and push it aside to
MegaCode Kelly
Photo 2 Photo 2
Photo 4 – Inside View
Photo 4 - Inside View
Torso Left Side
Torso Left Side
remove the stopper screw (photo 1) and release the BP Arm. STEP 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):
The manikin includes the necessary arm hardware (photo 2 )
STEP 1 Select the replacement arm, remove the deltoid pad STEP 2
Insert the arm adapter (photo 3) located inside the torso on the left side
SPEP 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 4 & 5) Note: Tighten the wing nut as desired to simulate Range of
Motion STEP 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.
The blood pressure arm, when used with VitalSim, can be used to ausculate
and palpate blood pressure. Korotkoff sound volume can be controlled, an
auscultatory gap heard and pressure set in steps of 2 mmHg.
1. Place the supplied Blood Pressure cuff on Blood Pressure are (LEFT).
2. Attach clear tubing on cuff to matching clear pneumatic tubing exiting
underneath the manikin's left arm. (Photo 8)
Photo 8
3. Ensure that the 37 pin connector cable and the clear pneumatic tubing,
both exiting the manikin's right side is attached to the VitalSim Control
Unit.
See VitalSim DFU for complete Blood Pressure Arm functionality
and operating information.
Laerdal Recommends
Do not insert needles into blood pressure arm.
Heart, Breath and Bowel Sounds and Speech (VitalSim Advanced)
MegaCode Kelly when used with VitalSim, has heart, breath and bowel
sounds, both normal and abnormal with adjustable instructor controlled
volume. VitalSim also allows the use of the pre-recorded vocal sounds, and
live voice through the use of a wireless microphone.
1. Ensure that the MegaCode Kelly VitalSim Advanced is connected to the
VitalSim Control Unit, via 37 pin cable located on lower left side of
manikin.
See VitalSim DFU for complete Heart, Breath and Bowel Sound
Auscultation and Speech functionality and operating information.

After Use:

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 two (2) inch strip of Cricothyroid Membrane Tape.
4. Adhere tape to edges of cricoid opening, covering the opening with tape,
to create the actual membrane.
5
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Laerdal