Laerdal SimMan Essential Bleeding - Manual (Page 40)

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Airway Contamination
Problem
– Simulator airways have become contaminated from mouth-to-
mouth rescue breathing
Solution
– Clean the outside of the Patient Simulator with Manikin Wipes.
Clean the inside of the oral cavity with Manikin Wipes. Change
the Lung Bladders; see: Maintenance - Replacing Lung Bladders.
Note: The Patient Simulator airways are not designed for
mouth to mouth rescue breathing or to be disinfected.
Chest Movement
Problem
– No chest rise on Patient Simulator.
Solution
– Check that Patient Simulator is switched ON.
– Check that Patient Simulator is not in sleep mode due to
inactivity. Reactivate the Patient Simulator.
– Check that awRR is not set to zero in LLEAP (Patient Case or
scenario)
– Check that airway complications like maximum air resistance or
laryngospasm are not set.
– Check if the internal compressor is switched off. See: Turning the
Internal Compressor Off/On.
– Check that any external compressed air source is switched off
and that the air tube is disconnected from the Patient Simulator.
– The internal compressor may have overheated. Wait
approximately 20 minutes for it to cool down. Remove blankets
or covers from the Patient Simulator, open the Torso Skin to
facilitate cooling.
– Chest Rise is set to bilateral (for example if ET-tube is inserted
too far into the bronchia).
– Chest Rise Bladder is leaking or tubing to Chest Rise Bladder is
twisted, kinked or disconnected. Replace Chest Rise Bladder if it
is leaking, see Maintenance: Replacing Chest Rise Bladders.
– Check air tubing for leakage; check that all connections are intact.
Replacing tubing if necessary.
– Shallow chest movements and the internal compressor runs
continuously. The internal compressor may be worn - contact
Laerdal Technical Service.
Blood System
Problem
– No blood flow.
Solution
– Make sure that the internal reservoir is filled with fluid.
Problem
– Too low flow.
Solution
– Clean the blood system.
– Check the flow setting in LLEAP.
– The blood system may need to be re-calibrated. Contact your
local service representative.
– Replace filter in pelvis.
Problem
– Air when bleeding
Solution
– Bleed the blood reservoir empty, then refill.
Problem
– Simulated blood is leaking from the back of the right leg during
filling or when the Patient Simulator is turned off.
Solution
– The internal reservoir may need to be replaced. Contact your
local service representative.
Problem
– Can’t fill the blood reservoir.
Solution
– The filter inside the fill bottle may be clogged. If so, order a new
fill bottle
Troubleshooting the IV Arm
Problem
– Veins do not energize.
Solution:
– Ensure Patient Simulator is powered on and IV Arm cable and air
tube are connected to the Patient Simulator.
– Ensure the blood reservoir is filled, see Filling and priming the
system.
– Ensure the tourniquet area is activated (depressed).
– Look for a leak between the IV Arm pad and the IV Arm chassis.
– If the tourniquet area has been activated several times within a
short period of time, internal pressure in the IV Arm may drop.
Wait 30 seconds to let pressure rebuild and try again.
Problem
– When injecting more than 40ml fluid and prime switch is
depressed, no fluid is visible in the drain tube.
Solution
– Leak inside IV Arm. Contact Laerdal Technical Service.
TROUBLESHOOTING