Laerdal ALS Simulator (SimPad capable) - Manual (Page 6)

Laerdal 4 ALS Simulator
Obstructed Airway (Manual Inflation of Tongue):
1. Locate inflation bulb at lower left side of torso labeled “tongue.”
2 . Tighten air release knob .
3. Pump bulb several times to inflate tongue to desired size.
To deflate tongue, loosen air release knob.
Obstructed Airway
Right/ Left/ Both Lung Blockages:
See SimPad DFU for complete airway blockage functionality and
operating information.
Tension Pneumothorax Decompression
(Manual Inflation of Pneumothorax):
1. Locate inflation bulb which exits lower left side of manikin, labeled “pneumo.”
2 . Tighten air release knob so that as you pump the bulb, no air escapes .
3 . Pump bulb several times to prepare three (3) sites for decompression .
4 . Decompress the site, bilateral mid-clavicular or right side mid-axillary or per
your local training protocol .
When the site is “decompressed,” air can be heard/observed passing through
catheter .
IV Cannulation:
Laerdal Recommends
Use a 21G or smaller catheter for IV cannulation to extend the life of your
manikin’s IV arm.
1 . Attach an IV bag with tubing . Note: Make sure the clamp is closed .
2. Use a syringe to inject blood concentrate and 500cc of water into an IV bag
with tubing. Note: Make sure the clamp is closed. This will serve as the “blood
source” bag. (Photo 5)
3. Attach the “blood source” bag with IV tubing to one of the latex tubes exiting
the manikin’s right IV arm.
4 . Attach an empty bag with IV tubing to the second latex tube exiting the
manikin’s right IV arm. This bag will serve as the collection reservoir.
5. Control flow of blood from arm, via clamp on collection reservoir tubing. Put
collection bag on floor to allow the now closed system to gravity feed.
6. Hang “blood source“ bag from IV pole and open clamp to allow concentrate
to flow through arm. Note: A blood pressure cuff can be used as a pressure
infuser. This will allow the blood bag to be placed on the floor or between
the mattress and frame . (Photo 6)
7. When the “blood source” bag is empty, switch the “blood source“ bag and
reservoir. Hang the now full reservoir and place empty reservoir bag on floor
to reverse flow of concentrate. NOTE: Be sure to adjust the flow regulator.
The collection reservoir clamp should always be used to control flow rate.
The arm is now ready for cannulation . Train per local protocol .
NOTE: Do not use iodine as this will permanently stain the manikin .
Laerdal Recommends
When using a catheter or other venipuncture device, spray with lubricant
spray for easier insertion .
Intramuscular Injections:
Medications can be administered via intramuscular injections bilaterally in the
deltoids and thighs and in the gluteal and ventro-gluteal locations .
Laerdal Recommends
Medications may be administered via local protocol . All precautions and safety
measures must be followed during training .
Urinary Catheterization (if genitalia upgrade kit purchased):
1 . Remove blank genitalia from the manikin .
2 . Lift and rotate the pelvic pin to one side . NOTE: Failure to replace the pelvic
pin will result in pelvic spread .
3 . Lift the urinary reservoir .
4 . Using the urinary valves provided, attach threaded end of the connector valve
to the corresponding threaded urinary connector on the genitalia
(Photo 7-9) .
5 . Place the C Clamp over the valve, leaving loose .
6 . Slide the smooth end of valve the to meet the ridge on the connector .
7 . Move the C Clamp over the connector and the valve .
8 . Squeeze to tighten the C Clamp . This will lock the C Clamp in place .
9 . Replace the genitalia assembly into the manikin torso .
10.
Replace Pelvic Pin. NOTE: Failure to replace the pelvic pin will result in
pelvic spread .
Photo 5
Photo 6
Photo 7 (Slide tube to meet ridge on connector .)
Photo 9 (Apply clamp and squeeze to tighten .)
Photo 8 (Area where clamp is placed .)