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Using Ares

CAE

Ares

Tracheostomy Tube Placement

The following instructions provide steps for adequate tracheostomy tube placement.

Learners can:

• Clean the tracheostomy site.

• Replace the tube.

Note:

The tracheostomy site is closed with a plug.

To place a tracheostomy tube:

1. Remove the neck skin band by detaching the velcro strips. Set it aside.

2. Remove the tracheal plug.

3. Prime the airway reservoir using silicone oil spray.

4. Place the tracheostomy tube into the tracheostomy site and secure it in place.

5. After the simulation, remove the tracheostomy tube and replace the plug.

Chest Excursion

The Live and Advanced configurations include spontaneous chest excursion that simulates a patient
breathing without the required external ventilation. The following chest excursion parameters can be
modified in Maestro:

•

Respiratory Rate:

Defines the number of excursions (chest rise) in one minute.

•

Apnea:

Disable the spontaneous chest excursion but still allows for excursion during

external ventilation.

•

Tidal Volume:

Changes the height of chest excursions.

•

Intrapleural Volume:

Disables chest excursion on the affected side but still allows for

excursion on the unaffected side.

Содержание Ares

Страница 1: ...User Guide Your worldwide training partner of choice...

Страница 2: ...pollo Ares AresAR Aria Athena BabySIM BluePhantom Caesar CathLabVR EndoVR HPS ICCU InfantSIM iStan Juno LapVR LearningSpace Lucina LucinaAR Luna Maestro METIman M se NeuroVR PediaSIM SimEquip Simulex...

Страница 3: ...res 5 Transport Information 5 Specifications 7 Size and Weight 7 Ambient Temperature Range 7 Maximum Altitude 7 Battery 8 Power 8 Communications 8 System Requirements 9 Software and Hardware 9 CAEMaes...

Страница 4: ...ikin 31 Setup Preparation 31 Setup Procedure 32 Step 1 Place Ares Manikin in the Work Area 33 Step 2 Prepare Ares for Legs 33 Step 3 Attach Ares Legs 33 Step 4 Install Ares IO Leg Optional 36 Step 5 P...

Страница 5: ...on Software 56 System Tools 56 Using Ares 57 Neurologic System 57 Neurologic System Controls 57 Eyes 58 Respiratory System 60 Respiratory System Controls 60 Nasal Packing 61 Airway Management 62 Intub...

Страница 6: ...inistration 88 Simulated Medication 88 Intravenous Intramuscular Subcutaneous and Intraosseous Medication 88 Sounds 88 Auscultated Sounds 88 Using the StethoSym 89 Speech 91 Microphones 91 Care and Ma...

Страница 7: ...ys use the supplied power cords Do not substitute Always use the supplied power adapter to run the simulator from AC Operate the system from a power source with the following ratings Do not allow exce...

Страница 8: ...l solvents Do not immerse the manikin in liquid or use abundant liquid to wash the manikin For more information see the Care and Maintenance section Do not place foreign substances into the airway wit...

Страница 9: ...cement If a simulator battery needs to be replaced immediately remove the old battery from the equipment to ensure no damage occurs Before disposing of a simulator battery apply vinyl tape to its posi...

Страница 10: ...eneral if liquid leaks from the battery or foul odor is detected DO NOT use the battery and keep it away from heat or flame Avoid short circuiting the battery Do not store with coins screws or other s...

Страница 11: ...react with alkaline basic materials and present a flammability hazard Safety Measures Only trained personnel familiar with the battery safety information should handle the simulator batteries Should e...

Страница 12: ...atteries Shipped Independent of the Manikin Tablet and Laptop Batteries contained in or packed with the Manikin StethoSym Tablet Laptop and HoloLens UN No 3480N No 33480480 3481 UN Shipping Name Lithi...

Страница 13: ...2 kg Instructor Tablets Galaxy S3 9 34 H x 6 65 W x 0 24 D 2 4 cm x 32 5 cm x 22 7 cm Galaxy S3 15 1 oz 429 g Surface Go 9 65 x 6 9 x 0 33 24 5 cm x 17 5 cm x 0 83 cm Surface Go 1 15 lb 522g Item Oper...

Страница 14: ...Typical 13 W Manikin Simulator Internal Batteries Rechargeable Run Time 4 hours typical Instructor Tablet DAC Input 5 V Non removable Battery 6000 mAh battery Run Time 2 to 4 hours typical Patient Mo...

Страница 15: ...owing identifies the software version associated with the release of this user guide Note There are periodic system updates for Maestro that can be downloaded from any device with an Internet connecti...

Страница 16: ...msung Galaxy Tab S3 SM T820 9 7 in Software Android version 7 0 Chrome version 60 or higher Hardware 2 15 GHz Quad Core 4 GB LPDDR4 RAM 10 GB Hard Drive space available 2048 x 1536 screen resolution U...

Страница 17: ...learning scenarios For more information see Optional Equipment in this user guide Standard Equipment Ares comes with standard equipment for each of the three configurations Base Configuration Equipmen...

Страница 18: ...ion pad which can be interchanged with an IO deltoid pad IV IO Arm NIBP and Pulse Arm The non invasive blood pressure and pulse arm allows users to perform blood pressure readings using a modified blo...

Страница 19: ...nd Female Genitalia and Chest Skins All Ares configurations come with interchangeable male and female genitalia and chest skins This also includes gender specific torso skins breasts and wigs Female a...

Страница 20: ...res StethoSym The CAE StethoSym assembly attaches to a stethoscope and pairs with the manikin via Bluetooth technology This device allows users to auscultate heart lung and bowel sounds One StethoSym...

Страница 21: ...2021 CAE 905K640152 v1 2 15 Equipment Overview Tools and Supplies Additional supplies are included with the simulator IO Pad Gown and Arm Sleeves Screwdriver Tape Laryngospasm Assembly and Lubricant...

Страница 22: ...urface Go tablet comes equipped with pre installed CAE Maestro instructor software to control the manikin s physiological activity during simulations Surface Go Tablet Tablet Carrying Case The Surface...

Страница 23: ...alistic blinking eye panning and light reactive pupils Additional conditions can be selected to be displayed in the eyes such as jaundice and hemorrhage SymDefib The CAE SymDefib box connects with a r...

Страница 24: ...figurations Articulated Arm The articulated arm comes with a removable deltoid injection pad for IM injections and can be interchanged with an IO deltoid pad Articulated Arm IO Leg The Ares IO leg acc...

Страница 25: ...ion Module The optional Breast Examination module includes Two breasts with configurable nodule inserts Small 10 mm hard with peg 6 Small 10 mm hard with longer peg 2 Medium 15 mm hard 2 Medium 15 mm...

Страница 26: ...Mastectomy Module This optional module allows for the practice of post mastectomy care Post Mastectomy Wound Kit The kit includes Post operative left total mastectomy incision with staples Opening for...

Страница 27: ...ure Thigh bite wound Thigh debridement Lower leg with varicose veins and stasis ulcer Below knee amputation stump Foot with skin tear Diabetic foot with toe infection and heel ulcer Upper Leg Wounds T...

Страница 28: ...res Lower Leg Wound The lower leg wound can replace the lower leg that comes on Ares Varicose Veins with Stasis Ulcer Upper Leg Amputation Wound The upper leg amputation wound can replace the right le...

Страница 29: ...zable wound patterns support a full range of injury types that can be applied to any anatomical area of the Ares manikin The HRMK includes Wound application and removal supplies Materials to produce u...

Страница 30: ...multaneous venous and or arterial bleeds The Basic BPS model includes One femoral sleeve with shorts and protective guard One brachial sleeve without bone and protective guard Blood concentrate 2 5 ga...

Страница 31: ...raining with a durable self sealing design A standard IV cannulation module is located in the hand space The training module includes One ultrasound IV PICC arm One bottle of blue fluid CAE Blue Phant...

Страница 32: ...Equipment Overview 26 2021 CAE 905K640152 v1 2 CAEAres THIS PAGE INTENTIONALLY LEFT BLANK...

Страница 33: ...ator is mobile lightweight easy to use and anatomically accurate for better skills proficiency and clinical assessment Ares configurations come with interchangeable male and female chest skins wigs an...

Страница 34: ...tion Needle and surgical cricothyrotomy Pre made tracheostomy Stomach distention with esophageal intubation Laryngospasms Breathing Spontaneous breathing with unilateral and bilateral movement of the...

Страница 35: ...Ares Base Continued Urinary Interchangeable genitalia Urinary catheterization without fluids Software and Tablet CAE Maestro software Surface Go Tablet Ares Advanced Base features SymEyes Ares Complet...

Страница 36: ...Meet Ares 30 2021 CAE 905K640152 v1 2 CAEAres THIS PAGE INTENTIONALLY LEFT BLANK...

Страница 37: ...ection of this user guide Read and understand the Cautions and Warnings located in the beginning of this user guide Follow the sequence of the steps carefully Complete all steps in order Do not power...

Страница 38: ...ucted to do so in the Setup Procedure section of this guide Setup Procedure After reviewing the guidelines for unpacking the manikin and setup preparation proceed to the setup procedure steps Setup Pr...

Страница 39: ...TION Never lift the manikin by the limbs Support the manikin s head and lift it from the torso Step 2 Prepare Ares for Legs To prepare Ares for attaching the legs a Reach under Ares buttocks and pull...

Страница 40: ...o the hip joint hole Ares Leg b Place the spring over the end of the knurled nut c Place a metal washer on top of the spring d Through the hole in the metal frame where the genitalia was located faste...

Страница 41: ...l washer is against the simulator s body The metal washer prevents the spring from damaging the plastic Attaching Ares Legs f Ensure that the leg moves freely g Repeat steps a through f for the second...

Страница 42: ...t leg and foot from Ares at the knee joint using the Phillips screwdriver that came with Ares and a 7 16 wrench b Attach the left or right IO leg and foot to Ares thigh at the knee joint using the Phi...

Страница 43: ...skin wrap over the tibial tuberosity area matching up the indentation in the skin with the bony prominence Skin Wrap Indentation e Wrap the skin around the leg and secure the hook and loop fasteners...

Страница 44: ...iver Two 2 arm screws Two 2 joint spheres To prepare for the arms a Remove the IM IO pads from both arms and set them aside b Insert a screw into the flat side of a joint sphere Repeat for the other j...

Страница 45: ...ols and hardware are included One 1 Phillips screwdriver The IV arm To attach the IV arm a Attach the mounting screw to the hole in the shoulder mount b Use the screwdriver to tighten the mounting scr...

Страница 46: ...ing tools and hardware are included One 1 2 Phillips screwdriver NIPB Arm To attach the NIBP arm a Align the NIBP arm with the torso so the mounting screw is inserted into the joint sphere shoulder mo...

Страница 47: ...e 1 Standard Adult Blood Pressure Cuff Scissors T shaped blood pressure adapter included Cable Ties included Modified Blood Pressure Cuff To modify a standard blood pressure cuff a Cut the tubing atta...

Страница 48: ...Attach the blood pressure cuff to the manikin s arm The blood pressure is ready to be auscultated with a stethoscope Step 9 Place Ares Wig To place the wig on Ares head a Remove the wig from the packa...

Страница 49: ...en the wig by moving the adjustment hooks to loops further from the center Step10 Charge the StethoSym To charge the StethoSym connect the power supply adapter to the USB cable and plug the micro USB...

Страница 50: ...ablet To power on the instructor tablet press and hold the Power button located on the top of the tablet Step 13 Connect to Simulator s Network Optional If the instructor tablet does not automatically...

Страница 51: ...For Ares the network name is ARE00XXXX where XXXX is the last 4 digits of Ares serial number ARE00XXXX WiFi Network Note Ares serial number is located on the right side of the torso by the power butt...

Страница 52: ...ck OK The tablet is connected to the simulator s network To connect to the simulator s network on the Windows Surface Go tablet a From the home screen tap the Network icon located in the lower right c...

Страница 53: ...Setup c In the Network window locate the simulator network from the list of available networks For Ares the network name is ARE00XXXX where XXXX is the last 4 digits of Ares serial number The Network...

Страница 54: ...2021 CAE 905K640152 v1 2 CAEAres d Tap the simulator network The connection options appear The Network Window e Check the Connect automatically box f Tap Connect The Simulator Network Tap the simulato...

Страница 55: ...From the Enter a network security key window tap Next The Connecting message appears then disappears when the tablet is finished connecting to the simulator network Step 14 Set Up the Patient Monitor...

Страница 56: ...Setup 50 2021 CAE 905K640152 v1 2 CAEAres THIS PAGE INTENTIONALLY LEFT BLANK...

Страница 57: ...Features Ares presents patient reactions based on complex neurological cardiovascular gastrointenstinal genitourinary respiratory and pharmacological models The manikin allows for the physical assessm...

Страница 58: ...and unilateral which are appropriately synchronized with the respective phases of respiration Breath sounds are audible over the apex of each lung with the use of standard stethoscope and StethoSym In...

Страница 59: ...ate patient response The ECG can be monitored via the defibrillator contacts The simulated patient can be defibrillated or cardioverted using the simulated functions via the Maestro software The instr...

Страница 60: ...nikin features optional accessories for practicing clinical care skills Medication Administration The Ares manikin features Medication Administration capabilities for practicing emergency care skills...

Страница 61: ...linical simulations that cover a range of events and crises Cardiopulmonary Arrest Closed Head Injury and Pneumothorax Heroin Overdose Inferior Posterior Myocardial Infarction Sepsis with Hypotension...

Страница 62: ...and reactions by providing a flexible set of tools that adjust to the instructor s needs Application Software CAE Maestro software is the application that provides the instructor a means to control al...

Страница 63: ...n be controlled from the Neurologic view are Blood temperature Body temperature Loss of consciousness Users can also control the eyes and speech from the instructor led software For more information s...

Страница 64: ...r s eyes can be controlled from the software From the Run Screen tap on the eyes or Eyes button to open the Eyes state screen Eye states can be adjusted from the Eyes state menu by tapping the drop bo...

Страница 65: ...Off Normal Jaundice Bloodshot Hemorrhage Keyhole Pupil Droopy Eyelids Cataracts Panning and Consensual Pupil Response can be toggled on or off Default On For more information on how to control the Sym...

Страница 66: ...ic states Respiratory System Controls Anatomy Physiology and Clinical Signs Clinical Interventions Patient Monitoring and Scenarios Software Control Manual Control Pneumothorax or Hemothorax Increase...

Страница 67: ...he second intercostal space The instructor must adjust the amount of physiologic intrapleural air present From the Run Screen tap Respiratory and adjust Intrapleural Vol Right and or Intrapleural Vol...

Страница 68: ...tubes nasopharyngeal airways and oropharyngeal airways CAUTION Airways can be damaged by improper insertion of an airway adjunct such as endotracheal tube To protect the airway lubricate the adjunct p...

Страница 69: ...bly To replicate laryngospasm 1 Attach the yellow tubing to the port on Ares left side labeled LARYNGO 2 Pull back syringe plunger and fill syringe with 50 ml of air 3 Attach syringe to stopcock and i...

Страница 70: ...stomy site and secure it in place 5 After the simulation remove the tracheostomy tube and replace the plug Chest Excursion The Live and Advanced configurations include spontaneous chest excursion that...

Страница 71: ...monstrate chest rise and fall Manual Bag Valve Mask BVM Ventilation Pneumothorax Needle Decompression By inserting a needle into the second intercostal space mid clavicular line the sound of air being...

Страница 72: ...lar System Controls Anatomy Physiology and Clinical Signs Clinical Interventions Patient Monitoring and Scenarios Software Control Manual Control Heart Sounds Normal and abnormal heart sounds are sync...

Страница 73: ...ystolic arterial blood pressure falls below specified thresholds None required but adjustable VIEW From the Run screen tap Pulse and tap on the pulse location desired to change intensity and or pulse...

Страница 74: ...Cannulation feature are located in the dorsum of the hands and antecubital fossa region of the arms IV Arms To simulate realistic flashback the system must be primed prior to use Ensure all fluids ha...

Страница 75: ...o IV sites on Ares left arm dorsum of the hand and antecubital fossa Each IV site has an insert with a loop of tubing The sites are filled and drained through tubing running from the IV site up to the...

Страница 76: ...prepare the IV site for flashback and aspiration identify the ports that prime and drain the IV site on the left side of the manikin One tube will be for priming the other for drainage The yellow tubi...

Страница 77: ...luid comes out of the drain tubing This will prime that IV site for flashback and venipuncture 7 Close the clamp on the drain tubing 8 Perform venipunture and confirm flashback Additional red color fl...

Страница 78: ...deltoid Bilateral vastus lateralis To perform an IM SQ injection learners will need IM SQ injection pad Standard IM SQ injection device see Recommended Clinical Supplies Alcohol pads Sharps container...

Страница 79: ...ne with the IO needle drill 3 Once access has been achieved up to 100 mL of fluid can be instilled Note The IO leg does not currently support aspiration of fluids after IO device placement Chest Compr...

Страница 80: ...Torso The simulator generates a normal sinus ECG as well as a broad range of abnormalities such as Myocardial ischemia Sinus tachycardia and bradycardia Ventricular fibrillation and asystole The hemod...

Страница 81: ...LLOWED as if the simulator were a patient Consult the specific defibrillator s user manual for further information The following cautions should be observed Defibrillation should be performed on the d...

Страница 82: ...real defibrillator monitor and allows for use of real electrical therapy for defibrillation cardioversion and pacing To defibrillate using SymDefib 1 Connect the SymDefib cable to the defibrillator us...

Страница 83: ...ocedure will vary depending upon the brand of defibrillator that is being used However the setup steps for the defibrillator will be the same as that described in the preceding section Refer to defibr...

Страница 84: ...r panel select the parameter of desired blood pressure 2 Set the pressure by moving the blue slider left or right or by typing in a value 3 Select Accept to exit and save the changes The switch is now...

Страница 85: ...e reading 1 Connect the extension from the T fitting on the blood pressure cuff adapter to either of the NIBP port on Ares right side 2 Ensure the electronics tether from the NIBP arm is connected to...

Страница 86: ...oduces realistic bowel sounds Auscultation of normal and abnormal bowel sounds can be performed with the StethoSym utilizing the RFID tags For further information see Using the StethoSym in this guide...

Страница 87: ...side 2 Detach the skin from the lower torso skin attachment pegs by gently pulling the skin tabs up and over the attachment pegs Left Skin Detached From Attachment Pegs 3 Repeat the procedure for bot...

Страница 88: ...nsert upward to remove it Removing the Genitalia 8 Place the new genital insert into position by flexing the bottom of the genitalia and directing it under the metal frame into the cut out area 9 Posi...

Страница 89: ...in tabs to the upper skin anchors Note If converting from male to female place and align the breast foam inserts on the female s chest prior to placing the chest skin Use the breast foam alignment gui...

Страница 90: ...d with silicone spray Both female and male genitalia can be catheterized Note Ares does not have a urinary fluid reservoir so there will not be any fluid output Reproductive System The Ares manikin al...

Страница 91: ...on the manikin during clinical scenarios Wound kits are also available for purchase with the manikin for learners to practice basic and advanced wound care with enhanced realism during simulations Leg...

Страница 92: ...n Wound The upper leg amputation wound provides an example of a below the knee leg amputation To replace the standard right leg on Ares use the tools that are provided in the wound kit 1 Remove the ri...

Страница 93: ...wound kit 1 Remove the female skin from Ares 2 Replace with the post mastectomy skin 3 Place the end of a drainage system through the hole and underneath the skin 4 Moulage the drainage Post Mastectom...

Страница 94: ...o locate a stethoscope and set up the StethoSym prior to beginning a simulation Note A patient must be running in the software for any sounds to be available By default Normal sounds are selected To c...

Страница 95: ...m s speaker module to the diaphragm of the stethoscope with the two elastic bands StethoSym Speaker Module Connected to Diaphragm 2 Pull back the lever on the StethoSym module to open the clamp and at...

Страница 96: ...e power button Up to eight 8 StethoSyms may be used with a single simulator and with different manikins To pair a StethoSym with a new manikin place a powered StethoSym speaker module over a sound loc...

Страница 97: ...e after selecting None The Speech Sounds buttons contain predefined phrases presented in a female or male voice depending on the gender associated with the scenario A patient must be running for the S...

Страница 98: ...Using Ares 92 2021 CAE 905K640152 v1 2 CAEAres THIS PAGE INTENTIONALLY LEFT BLANK...

Страница 99: ...n or on the skin A mild detergent and warm water will remove most marks and stains Gently rub the soiled area with a soft cloth DO NOT use ABRASIVE soaps or pads Lubricate airway adjuncts urinary cath...

Страница 100: ...Healthcare Customer Service immediately for a repair Prompt repair prevents expansion of the damaged area Step 2 Draining and Flushing the IV If the simulation included use of optional IV administrat...

Страница 101: ...with air until air flows from the IV drain tubing h Disconnect syringe from IV prime port i Disconnect the IV tubing and bag from the IV drain port j Empty the IV bag k Reconnect the IV tubing and em...

Страница 102: ...Ares b Remove the sponge from inside the pad Remove the Sponge from the IM Pad c Squeeze all the fluid from the sponge and let air dry Squeezing Fluids from the Sponge d When dry replace sponge back i...

Страница 103: ...ervoir drain port and empty the fluids IO Tibia Bone Module and Reservoir with Drain Port d Replace the cap on the drain port Step 5 Power off the Instructor Tablet To power off the Windows Surface Go...

Страница 104: ...p the red X in the upper right corner of the screen to exit Maestro The tablet desktop screen appears d Press and hold the power button on the side of the tablet until the Power options menu appears e...

Страница 105: ...guide Refer to the following short term and long term storage instructions for additional details Short Term Storage Follow these guidelines for short term storage less than two months Store the mani...

Страница 106: ...imulator for a month or two Longer than that it would be wise to disconnect the battery Follow the Battery Safety Information detailed in this User Guide Using a screwdriver disconnect the batteries f...

Страница 107: ...linical Supplies Size Urinary Catheter 16 Fr Nasogastric Tube Insertion 14 Fr ETT 7 mm Oropharyngeal Airway 100 mm Nasal Pharyngeal Airway 28 Fr Tracheostomy Tube 6 mm IV Cannula 20 g LMA 4 5 King LTS...

Страница 108: ...8 00 a m to 5 00 p m ET Phone 1 877 223 6273 Email can service cae com Customer Service Europe Middle East and Africa Monday Friday from 8 00 a m to 5 00 p m CET Phone 49 0 6131 4950354 Email interna...

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