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PEDIATRIC HAL®

User Guide

Working with Pediatric HAL | 29

Heart Sounds

•

Pediatric HAL generates audible heart sounds (normal, distant, systolic murmur,
S3, and S4) synchronized with the heart rate and selectable rhythms.

•

The software controls allow the user to change the heart sound type and
adjust the volume level to auscultate with a stethoscope.

Changing the Heart Sound

Select the Heart Sound feature in the
UNI under the Cardiac section.

Select the desired heart sound and move the
gray slide bar to adjust the heart sound volume.

Содержание PEDIATRIC HAL S3004

Страница 1: ...sist a certified instructor It is not a substitute for a comprehensive understanding of the subject matter and not intended for clinical decision making User Guide 18 7 1 Gaumard Scientific Company 20...

Страница 2: ......

Страница 3: ...TERY 12 3 4 S3005 HAL 5 YEAR S BATTERY 15 3 5 INITIALIZING THE SIMULATOR WITH UNI 16 4 WORKING WITH PEDIATRIC HAL 18 4 1 NEUROLOGICAL 18 4 2 RECOMMENDED DEVICE SIZES 20 4 3 AIRWAY 20 4 4 BREATHING 24...

Страница 4: ...T DETECTED 73 8 APPENDIX 76 8 1 SPARE PARTS LIST 76 8 2 EXCLUSIVE ONE YEAR LIMITED WARRANTY 77 8 3 EXTENDED WARRANTY 77 8 4 GAUMARD SALES TERMS AND CONDITIONS 78 8 5 END USER LICENSE AGREEMENT 81 8 6...

Страница 5: ...annot be removed Do not use povidone iodine on the simulator Replacement parts are available from Gaumard Scientific or from your distributor Please refer to the Appendix for Gaumard s Sales Terms and...

Страница 6: ...damage the skin CAUTION To avoid damage to the simulator store and ship it in the clear poly bag provided Procedures Do not attempt to intubate without lubricating the airway adjunct with mineral oil...

Страница 7: ...sidues after every use Failure to do so will leave behind a film of electrode gel that hardens causing arcing and pitting To aid removal of ECG gel sprinkle baby powder on the residual ECG gel to dry...

Страница 8: ...tion Improper esophageal intubation causes visible gastric distension Breathing Programmable spontaneous breathing Independent left or right lung sounds synchronized with breathing Bilateral lung expa...

Страница 9: ...t rates Perform measure and log CPR and depth of chest compressions in the software Circulation Bilateral pulses carotid brachial radial and femoral depend on blood pressure and are synchronized with...

Страница 10: ...der A person participating in the simulation as a healthcare provider Scenario A saved sequence of physiological states like a play list Scenarios provide a level of automation that unburdens the faci...

Страница 11: ...e weight of a real patient It is recommended that HAL s head rest flat on the bed or on a thin pillow to prevent the face skin from shifting 3 2 PACKAGE CONTENTS 1 Carrying Case 2 Neck Brace 3 Short 4...

Страница 12: ...ery Recharge the battery at the end of every simulation session If the simulator will not be used for an extended period re charge the battery at least once every 30 days Doing so will prevent damagin...

Страница 13: ...rve Use the power supply for simulation sessions lasting 2 hours or more If simulation sessions are shorter than 2 hours using the simulator s battery reserve is recommended CAUTION The power supply a...

Страница 14: ...s battery using the battery charger adapter 2 Disconnect the charger and connect the power supply adapter 3 When connecting the power supply to the simulator s port make sure the pins on the power sup...

Страница 15: ...volumes and seizures Charging the S3005 HAL Battery 1 Close the UNI software to turn the simulator off 2 Connect the adapter labeled Pediatric 5 Year HAL Charger to the battery port located on the sim...

Страница 16: ...the simulator will not be used for an extended period re charge the battery at least once every 30 days Doing so will prevent damaging the battery due to discharging 3 5 INITIALIZING THE SIMULATOR WIT...

Страница 17: ...lator will establish communication and turn on 7 To turn off the simulator close the UNI software Adding a Serial Number to the Profile 1 Select the desired profile 2 Click the button to the right of...

Страница 18: ...only if needed Reactive Eyes The simulator has programmable blinking eyes and pupils that dilate Use the software controls to change the blinking rate and to enable or disable pupil reaction 1 Click...

Страница 19: ...n you may click Increase or Decrease to adjust pupil s sensitivity to light 4 Once finished adjusting pupil sensitivity click Finish Seizures The simulator is capable of convulsing to simulate none mi...

Страница 20: ...ubes and Laryngeal Mask Airways LMA 4 2 RECOMMENDED DEVICE SIZES Procedure S3005 5 Year S3004 1 Year Intubation Blade size Miller 2 or MAC 3 MIller1 LMA Size 2 2 25 Size 1 5 2 Nasal Intubation 12 Fr c...

Страница 21: ...PEDIATRIC HAL User Guide Working with Pediatric HAL 21 Intubation 1 Set the simulator s respiratory rate to 0 2 Lubricate the ET tube or airway adjunct with mineral oil 3 Intubate the simulator...

Страница 22: ...the esophagus will lead to visible gastric distension To relieve the gastric distension gently press down on the stomach Airway Sounds The simulator produces audible throat sounds Locate the Throat So...

Страница 23: ...bolts located on either side of the midsection 3 Gently slide the skin off each bolt and lift the chest skin to expose the airway 4 Remove the punctured cricoid tape from the airway and clean away an...

Страница 24: ...he breathing rate Adjust the virtual inspiratory percentage Lung Sounds The simulator generates anterior and posterior sounds Available lung sounds include normal none wheezing inspiratory squeaks cra...

Страница 25: ...me bar Ventilation Complete the ventilation calibration process before using the ventilation feature for the first time 2 Ventilate the simulator using a standard bag valve mask BVM 3 Open the CPR win...

Страница 26: ...process 1 Click the blue gear icon in the upper right hand corner of the UNI software then click Setup Calibration Ventilations and click Next 2 After clicking Next on the Calibration window select t...

Страница 27: ...you would with a human patient The simulator s ECG sites can generate detectable waveforms using real medical equipment and standard electrodes Real automated external defibrillators can detect the si...

Страница 28: ...WARNING Defibrillation pacing and cardioversion is only supported on the large sternum and apex sites defib posts circled RED Do not deliver a shock to ECG electrode sites on the shoulders or waist ci...

Страница 29: ...ed with the heart rate and selectable rhythms The software controls allow the user to change the heart sound type and adjust the volume level to auscultate with a stethoscope Changing the Heart Sound...

Страница 30: ...the UNI software under the Cardiac section 2 Move the gray slide bar or type in the desired rate to adjust heart rate Chest Compressions Set the simulator in a heart rhythm that requires chest compre...

Страница 31: ...Perform the actions requested by the calibration wizard emulating the most current CPR guidelines 1 To calibrate the compression performance benchmark click the blue gear icon in the upper right hand...

Страница 32: ...compression when prompted for a total of five 5 compressions A green oval will indicate that the compression was successfully recorded 6 Follow the cues on the calibration window After performing the...

Страница 33: ...lses The simulator s palpable pulses are blood pressure dependent to simulate life like responses Use the software controls to independently disable radial pulses Disable Radial Pulse 1 Select the Pul...

Страница 34: ...empt to fill IV system without the drain connector in place Always leave the drain port connected when injecting fluids into the system Use only Gaumard s artificial blood concentrate or clean water t...

Страница 35: ...h the desired fluid water or simulated blood 4 Connect the fill syringe to the other port 5 Push fluid into the system until the fluid exits through the drainage tube into the receptacle and all the a...

Страница 36: ...rm S3004 One Year Old HAL 1 To prime the IV arm locate the fill syringe kit and port adapters Fill the syringe with fluid 2 Connect the fill kit adapters to the forearm 3 Connect the drain tube to one...

Страница 37: ...diatric HAL 37 6 Disconnect the fill syringe from the port and screw in a closed capped adapter The IV arm is now ready for use 5 Push the fluid through the system until there are no air bubbles then...

Страница 38: ...atient with no accessible peripheral IV sites connect the fill syringe to one of the arm ports 3 Disconnect the fill syringe from the port while maintaining suction This will cause the port to seal an...

Страница 39: ...ollow bones allow for aspiration and infusion of fluid using real medical devices Model Maximum Infusion Volume mL S3004 HAL 1 Year Old 8 S3005 HAL 5 Year Old 18 2 Remove the tibia insert 3 Remove the...

Страница 40: ...caps 5 Use the fill kit syringe to fill the bone reservoir with fluid 6 Insert the tibia bone in the leg and attach the skin cover NOTE Intraosseous access is only supported on the hollow tibia inser...

Страница 41: ...der Before using the blood pressure feature for the first time place the modified cuff on the left arm and calibrate it using the calibration wizard Blood Pressure Calibration 1 Place the blood pressu...

Страница 42: ...select Blood Pressure Cuff and click Next 5 Set the pressure on the cuff to 0 mmHg Then click the OK button NOTE After clicking OK the calibration window will prompt for the blood pressure cuff to be...

Страница 43: ...While adjusting the cyanosis the Hypoxia tab monitors treatment of cyanosis to show either improvement or deterioration of the condition Adjusting Cyanosis Intensity 1 Under the Cephalic section in t...

Страница 44: ...ation exercises Model Max Infusion Volume mL Catheter Size S3004 HAL 1 Year 48 8 Fr S3005 HAL 5 Year 90 8 10 Fr Straight Rigid Filling the Bladder 1 Place the simulator face down to reveal the bladder...

Страница 45: ...ean the reservoir with a water and isopropyl alcohol 70 30 ratio mixture to prevent mold from forming 4 7 GASTRIC Pediatric HAL simulates normal hyperactive or no bowel sounds The bowel sounds may be...

Страница 46: ...Select either Upper Right Lower Right Upper Left or Lower Left 4 Once the desired bowel location is selected a pop up menu will prompt you to enable or disable the bowel sound for the specific locatio...

Страница 47: ...included with the CO2 cartridge package Never point a CO cartridge at yourself or others Do not use damaged CO cartridges Do not puncture the cartridge CO seal manually Do not expose the CO cartridges...

Страница 48: ...de already please refer to the Removing the Cartridge section below 3 Align and insert the new cartridge into its slot on the bottom half of the protective case ensuring that the threads are aligned 4...

Страница 49: ...t it back on firmly WARNING Hand tighten ONLY Do NOT over tighten Connecting the Cartridge to the Simulator 1 Secure the cartridge to the simulator by using the Velcro strap 2 Bring the CO2 connecting...

Страница 50: ...he UNI software to increase or decrease the volume of exhaled CO2 3 Ensure the connections are firmly secured and locked in place before proceeding with use NOTE If needed the cartridge may be placed...

Страница 51: ...d Activating CO2 Output 1 Under the Breathing section select Lung CO2 2 Use the gray slide bar that ranges from 0 10 or type in the value to adjust the level of CO2 exhaled To deplete the CO2 cartridg...

Страница 52: ...en the top comes off of the protective casing you will see the cartridge 6 With the cartridge completely spent twist the cartridge counter clockwise to unfasten it for removal 7 Remove the cartridge W...

Страница 53: ...can bleed real fluid through a precut opening on the fingertip The feature allows participants to practice finger stick technique and collect simulated blood samples CAUTION Use only Gaumard s provide...

Страница 54: ...ith Pediatric HAL Instructions for Use 1 Power the simulator ON and locate the black port on the simulator s right forearm 2 Fill the syringe with up to 2 CCs of fluid 3 Connect the syringe to the bla...

Страница 55: ...PEDIATRIC HAL User Guide Working with Pediatric HAL 55 5 Remove the fill syringe 6 Enable the feature in the UNI software...

Страница 56: ...opropyl alcohol 2 Locate the black port on the right forearm of the simulator an connect the syringe to the black port 3 Inject 2CC of the water and isopropyl alcohol mix 4 Enable the feature in the U...

Страница 57: ...tware The UNI control elements and scenario programming procedures are consistent throughout the Gaumard family of high fidelity simulators Some software controls and features covered in this guide ma...

Страница 58: ...components The simulator will not initialize until it has been recharged Before the simulator shuts off due to a depleted battery a message will pop up on the screen to notify the user of the low batt...

Страница 59: ...button is located on the bottom right corner of the UNI software Use the stand by feature to conserve battery Quick Launch The UNI interface opens to the quick launch page listing the scenarios This p...

Страница 60: ...ay be categorized by clinical conditions on the left of the Quick Launch page i e asthma intoxication etc Selecting a Scenario 1 Click on one of the scenarios listed to highlight it then click Start S...

Страница 61: ...tar icon 2 Select the desired categories or scenario types Once the category or scenario is selected it will appear highlighted with a check in the box to the left of the title Status Details Controls...

Страница 62: ...PEDIATRIC HAL User Guide 62 Working with UNI Systems List View The vital signs controls are divided into separate categories Cephalic Airway Breathing Cardiac Circulation Bowel...

Страница 63: ...he slider control 3 To change patterns sounds and rhythms click on the specific control to display the library e g EKG rhythms heart and lung sounds respiratory patterns etc 4 Click the slider control...

Страница 64: ...r the list of changes is created click NOW to update the vital signs instantly You may also click a trending time to update numerical vital sign parameters e g heart rate blood pressure gradually Enab...

Страница 65: ...ed to update all the cardiac parameters to a healthy state 1 To create a new palette item set the values for the desired vital signs parameters using the Details control panel and click Save 2 Enter a...

Страница 66: ...amically in response to effective ventilations The model also responds to the administration of virtual drugs Hypoxia Model State The hypoxia model options improve or deteriorate the cardiac and respi...

Страница 67: ...c and vital signs are rapidly worsening Modeled Therapy The modeled therapy menu provides additional intervention options Improve Gain Adjust the slider to increase or decrease the cyanotic response t...

Страница 68: ...he blood pressure automatically The Automatic Mode includes the following built in profiles Default Modeling Includes one palette with healthy vital signs Meds Profile This profile includes a virtual...

Страница 69: ...C HAL User Guide Working with UNI 69 Switching to Automatic Mode 1 Click the gear icon in the upper right hand corner of the UNI software then File Profile 2 Under Running Mode select Automatic and cl...

Страница 70: ...nvironmental noise to improve audio quality Activate Streaming Audio Select the duplex streaming audio icon located on the bottom right of the UNI software to activate the simultaneous listening and s...

Страница 71: ...i icon The wireless network name is configured at the factory and may differ from the one seen here Be sure both the control computer that runs UNI and the virtual monitor that runs Gaumard Monitors a...

Страница 72: ...ratio and connect the fill syringe and the drain tube to the arm 2 Push the water and isopropyl alcohol mixture until the fluid that exits the drain tube is clear 3 Once the fluid runs clear fill the...

Страница 73: ...tor not connecting Check that both computers tablets are connected to the same wifi network check that firewalls are turned off on both computers tablets check that the IP Port numbers match from the...

Страница 74: ...ftware to control and display vitals signs consider checking the IP address for the software Checking the IP address 1 Open and load UNI on the control PC then click the gear icon in the upper right c...

Страница 75: ...In the upper left hand corner click the signal icon that is next to the V icon 5 The Wireless Communication Setup pop up window will appear Click Stop 6 Enter the IP address and port number from the...

Страница 76: ...trate Simulated blood S3005 181 Mineral oil Oil based mineral lubricant S3005 082 Trachea Tape Trachea tape pink S3004 Pediatric HAL 1 Year S3004 Part ID Name Description S3004 010 Battery Rechargeabl...

Страница 77: ...oduced by Gaumard This limited warranty does not apply to any products provided along with the Gaumard product that are manufactured by third parties For example third party products such as computers...

Страница 78: ...shipped F O B Origin regardless of any provisions for payments of freight insurance the form of shipping documents or selection of carrier by Gaumard F O B Origin means title to the Products passes t...

Страница 79: ...e of any U S origin goods or technology obtained from Gaumard except as U S laws and regulations expressly permit 11 Indemnity a Gaumard agrees to indemnify defend and hold Customer its officers direc...

Страница 80: ...by applicable bankruptcy laws a Party to this Agreement may elect to terminate this Agreement including any Purchase Orders if any of the following situations arise 1 the other Party becomes insolven...

Страница 81: ...h notice period without liability arising from such termination The parties agree that all information needed for interoperability is available from Gaumard in accordance with applicable government di...

Страница 82: ...r obligations under this EULA without the prior written consent of the other party except that either party may assign this Agreement to any entity controlled by controlling or under common control wi...

Страница 83: ...o the simulator for possible troubleshooting as needed Technical Support Email support gaumard com USA 800 882 6655 INT 01 305 971 3790 8 7 GENERAL INFORMATION Sales and Customer Service E mail sales...

Страница 84: ...Appendix 84 PEDIATRIC HAL User Guide...

Страница 85: ...e Krash Kids Premie UNI Omni Omni 2 SmartSkin are trademarks of Gaumard Scientific Company Always dispose of this product and its components in compliance with local laws and regulations www gaumard c...

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