Laerdal Resusci Anne CPR-D - Manual (Page 9)

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Resusci Anne
9
Early defibrillation training
To use the CPR-D manikin you need a semi-automatic
defibrillator in addition to the manikin. The CPR-D manikin is
a SkillReporter manikin but has in addition a MicroHeartsim to
simulate rhythms, a defibrillation chest skin with loadbox, and an
ôautomaticö pulse device. Training type electrode pads are also
included.
MicroHeartsim
Instructor sets the scenario by selecting
and activating one of the following
rhythms via the MicroHeartsim key-
board:
Normal Sinus Rhythm (“NSR”),
Ventricular Fibrillation (“V.fib”), fast
Ventricular Tachycardia (“VT.fast”),
slow Ventricular Tachycardia (“VT.
slow”) or “Asystole”. At start-up of
the Micro-Heartsim “NSR” is the
presenting rhythm. Presenting rhythm
is shown at the keyboard by a steady
light next to the actual rhythm.
Waiting rhythm may then be prese-
lected to follow a defibrillatory shock
released to the manikin or as a result of
pressing the “Change rhythm” button.
The waiting rhythm is shown by a blin-
king light next to the actual rhythm.
By pressing “Ignore shock” button, the
waiting rhythm will not be activated after
the first shock.This is shown by a steady light next to
“Ignore shock” button. Repress to nullify.
Pulse feature
The CPR-D manikin provides a palpable pulse in carotid arte-
ries only when the “NSR” button on the MicroHeartsim is
selected and activated, and the PEA (Pulseless Electrical Activity
or Electromechanical Dissociation) function is not activated.
Impulses are produced by an asynchronous pulse generator
inside the manikin and are not synchronized with the
QRS complexes
SkillReporter
When log function is activated, the following CPR-D data will be
logged in the manikin, in addition to what is described above:
Call for help If the “Call help” button is pressed on the
MicroHeartsim, this will be shown as a “phone symbol” on the
long print format.
Check breathing If the “Check breathing” button is pressed on
the MicroHeartsim, this will be shown as a “b” on the long print
format.
Arrival defib. If the “Arrival defib.” button is pressed on the
MicroHeartsim, this will be shown as a “d” on the long print
format.
Cardiac rhythm Presenting rhythm is shown on the long print
format as “NSR”,”VTs”, “VTf”, “VF” or “Asy”.
Defibrillation shock A defibrillation shock is shown by a “lightning
symbol” on the long print format.
On the short print format (statistical data) “time from scenario
start to first shock”, “time from call for help to first shock” and
“time from arrival of defibrillator to first shock” will be shown.
Cautions
1 Only apply the defibrillator to a defibrillation chest skin which
is properly mounted on the manikin’s chest.
2 Do not provide more than 2 x 360J defibrillator discharges
per minute as an average over a period of time to prevent
overheating.
3 Do not apply conductive gel or conductive defibrillation pads
intended for patient use to prevent chest skin pitting.
4 Do not use cables or connectors with visible damage.
5 Observe all normal safety precautions for use of defibrillators.
MAINTENANCE
Preventive maintenance is the best method of ensuring long and
trouble free operation.
A general inspection should be conducted at regular intervals.
Periodic cleaning
Periodically wash all skin parts that are not regularly sanitized
during and after each class, using warm soapy water or Virkon.
Outer skin and moulded hair
A factory applied protective coating on the neck and chest skin
helps retard, but does not prevent staining. Most stains can be
removed with alcohol or warm water and soap. However, the
older the stains are, the more difficult they are to remove.
Non-abrasive household cleaners that are safe for plastics may
produce desirable results. It is wise to test other cleaning agents
on a non-critical area, e.g., under the chest cover, before general
use. Note that pigments from lipstick and ballpoint pens quickly
travel into the plastic skin. Such stains may be impossible to
remove.
Clothes
Hand or machine wash with soap or laundry detergent in
warm water, max. 40°C (100°F). Iron with warm iron.
May be dry cleaned. Please note that hot air dryer may cause
garment shrinkage.
V.fib
VT.fast
NSR
Change
rhythm
Ignore
shock
Asystole
VT.slow
PEA
Call
help
Check
breathing
Arrival
defib.