Laerdal SimMan Essential - Manual (Page 8)

8
FEATURES
Other Applications
There are also other programs that are used in conjunction with
the simulation sessions, for example License Manager for handling
program licenses and Simulator Firmware & Network Fixer for
updating the firmware of the simulators or troubleshooting network
problems.
SimDesigner
The SimDesigner application allows you to configure your own
preprogrammed scenarios. It can also be used to analyze and print
out a graphical representation of a scenario.
SimDesigner must be installed to allow conversion of legacy
instructor application files to LLEAP compatible file formats.
For a full overview of all applications and their help files, start LLEAP
Home.
Web Downloads
Visit www.laerdal.com/download to download the latest User Guide
and Software.
Airway Features
The airway is anatomically modeled as far as the bronchia.
The airways can be manipulated by a learner:
− Head tilt/Chin lift
− Jaw thrust w/articulated jaw
− Cricoid pressure and manipulation
− Suctioning (oral & nasopharyngeal)
If the tongue fallback feature is enabled, head tilt is required to open
the airways for mask ventilations.
The Patient Simulator may be ventilated by normal and
emergency methods:
− Bag-mask ventilation
− Orotracheal intubation
− Nasotracheal intubation
− Transtracheal intubation
Prior to using airway adjuncts, apply a small amount of Laerdal
Airway Lubricant to the equipment. Do not spray lubricant directly
into the airway,
The following equipment or methods are suitable to secure
the Patient Simulator’s airway:
− Laryngeal mask airways: The airways are designed for use with
size #4, but size #5 may also seal correctly.
− Endotracheal tube intubation, Size ID 7.5 - 8.5 is suitable, but
using the smaller size reduces wear of the Patient Simulator’s
airways.
Use of a malleable stylet is recommended - make sure it does not
extend beyond the ET tube.
Recommended styles:
− i-Gel
− Fiberoptic intubation
− Combitube (size small adult is suitable)
− Retrograde intubation
− Needle cricothyrotomy
− Surgical cricothyrotomy
The following Patient Simulator features indicate incorrect
tube placement:
− Right main stem intubation – unilateral chest rise
− Stomach distention
− Lack of chest sounds, CO
2
exhalation (see Breathing Features
section)
Configurable Airway Features
Patient Simulator features may be configured to present various
airway scenarios:
− There are two settings of airway resistance: On/Off
− Tongue edema - multiple levels
− Pharyngeal swelling
− Laryngospasm
− Decreased cervical range of motion
− Trismus
− Teeth - soft upper dentures may be replaced with a hard set of
teeth for enhanced realism while practicing intubations.
During simulation, the following conditions can be set:
− Can’t intubate/can ventilate
− Can’t intubate/can’t ventilate
The following information is automatically registered in the
SimMan Essential simulation session:
− Detection of proper head position.
− Jaw Thrust
− Pneumothorax decompression
− Ventilations
− Stomach distension
Note: In LLEAP the airway and breathing status for the current
simulator is shown in a window. Settings for lung resistance can be
made. See LLEAP Help for further information.