ALS Simulator
7
Laerdal
(B) Mid-Axillary Site (RIGHT):
1 . Remove chest skin from tabs at the shoulder and back .
2 . Remove pneumo bladder box from right side of torso . (Figure 4)
3 . Disconnect bladder hose from inline hose connector, being sure hose does
not fall through hole and into torso .
4 . Remove bladder from pneumo pad and discard .
5. Trim bladder tubing to match original tubing length to fit this manikin style.
Connect new bladder hose to inline hose connector .
6 . Fold and insert new pneumo bladder into pneumo box .
7 . Replace chest skin over torso, being sure to secure skin at shoulder and back
tabs .
8 . Fill puncture marks on exterior of chest skin with the Bladder Replacement
Kit .
NOTE:
Bladders can be repaired using vulcanized or contact cement glue (not
provided) . Cover punctured surface of pneumothorax bladders with glue . Allow
bladders to air dry completely overnight before replacing in the chest plate .
Chest Drain:
Mid Axillary Site (LEFT)
1 . Remove chest skin from tabs at shoulders and back .
2 . Remove the chest tube drain module from the left mid-axillary site of the
manikin . (Photo 14)
3 . Insert a new chest drain module .
4 . Replace the chest skin over the torso being sure to secure the skin at the
shoulders and both sides .
Maintenance:
Cleaning
1 . Clean with mild soap and water; do not submerse the manikin or parts in
cleaning fluids or water.
2 . Use only on clean surface . Avoid felt tipped markers, ink pens, acetone, iodine
or other staining products and avoid placing the manikin on newsprint or
inked lines of any kind .
3 . To ensure longevity, each manikin should be cleaned after each training
session and a general inspection should be conducted regularly .
4 . Modules and all other parts should be drained and air-dried thoroughly
before storage and disinfected when needed . After use of injection pads (use
water only), accumulated water should be squeezed out .
Do not store wet
foam pads in the skin.
To prevent mildew or mold, pads can be soaked in
a mild solution of disinfectant and water or bleach and water . Squeeze excess
solution from pads, allow them to dry, then store or reinsert in manikin .
5. Articulating parts will benefit from a light application of talcum powder prior
to training sessions .
To extend the cleanliness of your manikin:
1 . Use a small towel and lightly dust the manikin head and chest with a small
amount of powder (provided) . Wipe away any excess .
2 . Use gloves when handling the manikin .
3 . Avoid felt tipped markers, ink pens, iodine and newsprint, these will stain the
manikin .
Laerdal Recommends
Use only on clean surface . Avoid felt tipped markers, ink pens, acetone, iodine
or other staining products and avoid placing the manikin on newsprint or
inked lines of any kind . These will stain the manikin .
Attaching/Removing arms:
1 . Remove deltoid injection pad from upper arm .
2 . Detach chest skin from tabs at shoulders and back .
3 . Remove skin to reveal internal portion of upper chest .
4 . Lift hard chest plate to reveal inside sockets for arm connections .
5. Place one washer on threaded 4 ½” bolt.
6 . Insert threaded bolt through upper arm and through torso so that it is visible
in chest cavity . (Figure 5)
7 . From inside of chest area, slip a washer, a spring and another washer on bolt .
8 . Screw a wing nut on bolt and tighten until desired articulation is achieved .
9 . Replace hard chest plate .
10. Pull chest skin back onto shoulder area.
11 . Connect chest skin to torso at shoulder and back tabs .
12 . Replace deltoid injection pad on upper arm .
To remove arms(s), reverse procedure .
IV Arm:
Replacing Skin and Veins:
Laerdal Recommends
When excessive leaking occurs at the puncture sites, either a new vein
system or skin should be installed to reduce loss of fluid.
We recommend working at a basin when replacing skin and veins .
Replacing skin:
1 . Cut off skin . This can be done with a sharp knife or scalpel . (Figure 6)
2 . Discard skin .
Replacing veins: (Keeping skin)
1. Lubricate inside of skin with liquid detergent; let it flow down into the finger
area .
2 . Begin at top of arm and slowly pull skin down and remove from arm . Do not
roll, as that will cause skin to bind . Thumb will detach with skin .
3 . Remove tubing from track in mandrel . Glue may need to be scraped away .
4 . Rinse and dry vein grooves well and swab with alcohol . Be sure to remove
any excess glue .
English
Fig . 4
Photo 14
Fig . 5
Fig . 6
