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laerdal SimMom Скачать руководство пользователя страница 30

30

Performing Simulations

3. Remove the reservoir cover and attach the air supply tube from

the boggy uterus (green Luer connector) to green air outlet on
the pelvic bulkhead (3/4 turn).

Caution:

Do not activate boggy uterus until abdominal skin is

fastened in position. The bag will over inflate if it is activated
with the skin off.

4. Replace the reservoir cover and ensure the tubing is routed

through the slot of the reservoir cover. Replace abdominal skin.

Uterine Inversion Installation

1. Fold back or remove abdominal skin (see Maintenance section

page 37, “Abdominal Skin Replacement”).

Caution:

Folding the skin downward without support

underneath it may cause the skin to tear.

2. Remove pelvic ring clamp and cervix (see Maintenance section

page 39, Cervix Replacement).

3. Lubricate the inside of the uterus.

4. Position the uterus on the pelvic clamping face. The umbilical cord

should pass through the birth canal.

5. Ensure holes on uterus flange locate with pins on clamping face,

and that notch for urinary connector locates with corresponding
notch on pubis.

6. Fit indwelling catheterization bladder.

7. Push pubic ring clamp over uterus and align with locating pins on

clamping face.

8. Ensure that all holes and notches are aligned, and that the blood

feed tube passes through the pelvic ring cleanly and without kinks.

9. Fit and tighten the three thumbscrews.

10. Connect the blood feed tube (red Luer connector) to the blood

pump outlet (red) on the pelvic bulkhead.

11. Position support foam behind uterus.

12. Replace skin.

13. A few minutes prior to the scenario, pull back abdominal skin and

lubricate the outside of the uterus.

14. Replace skin and lubricate the birth canal and inside of the uterus.

Note:

Ensure that both the inside and outside of uterus are

lubricated. The degree of lubrication will dictate the ease with
which the uterus can be pulled out and pushed back in.

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Содержание SimMom

Страница 1: ...SimMom Directions for Use www laerdal com www limbsandthings com ...

Страница 2: ......

Страница 3: ...imulations 23 Birthing Positions 23 Preparing Baby for Delivery 23 DeliveryTechniques 24 Deliveries 25 Pelvic Components 25 Modular Components 26 Catheter Installation 30 Filling Blood and Urine Reservoirs 31 Cleaning Blood and Urine Reservoirs 32 Performing Hybrid Simulations 32 Using the Bed Strap 32 Maintenance 33 Pupil Replacement 33 Eyelash Replacement 33 Wig Care and Upkeep 33 Neck Collar Cr...

Страница 4: ...es the use of fluids in the IV arm or blood and urine bags drain the arm immediately following the training session Use only Laerdal Airway Lubricant for airway lubrication and apply liberally Use only SimMom PROMPT Birthing Lubricant Laerdal Catalogue No 377 18850 to lubricate baby cervix birth canal and modules Do not use any other lubricant Do not use PROMPT Birthing Lubricant Laerdal Catalogue...

Страница 5: ...se a shock hazard Allow the manikin to acclimate before defibrillating Using a defibrillator in temperatures over 35 C 95 F may cause manikin to overheat Do not provide more than 2 x 360J defibrillator discharges per minute After 30 minutes cease all shocking for at least 15 minutes before starting a new sequence The manikin must not come into contact with electrically conductive surfaces or objec...

Страница 6: ...osis and treatment of the mother and fetus SimMom can be used to teach skills such as airway management CPR heart and lung sound auscultation and blood pressure auscultation SimMom can also simulate the following delivery scenarios Normal delivery Breech presentation Assisted deliveries Forceps Vacuum Shoulder dystocia Cord prolapse Eclampsia pre eclampsia Maternal collapse Postpartum Hemorrhage P...

Страница 7: ... IV Access IV Fluid Connection IV Fluid Connection BP Tubing External Air Connection Intramuscular Injection Site Intramuscular Injection Site Intramuscular Injection Site Intramuscular Injection Site 37 Pin Serial Cable Manikin toVitalSim Cable Apex Defib Plate Blood Pressure Arm Right Arm ECG Lead Right Leg ECG Lead Left Arm ECG Lead Left Leg ECG Lead ...

Страница 8: ...stic vulva and anus for digital exams Realistic at term abdominal skin Pre incised C section skin Fluids e g blood stained amniotic fluid and urine Urine catheterization instillation Pelvic floor Birth canal Breathing Features Simulated spontaneous breathing Variable respiratory rates 0 60 bpm Bilateral and unilateral chest rise and fall Normal and abnormal lung sounds 4 anterior auscultation site...

Страница 9: ...ator is steady green if the base unit has contact with the manikin If there is no contact with the manikin the indicator will blink green If the battery needs replacement the indicator will blink alternating between green and orange B DC Power supply input Used for stationary training and to limit battery consumption C Manikin connector Connects the base unit to the manikin D Microphone input Exte...

Страница 10: ...on the hip is reached Do not over tighten the adjustment screw because this may damage the jaws Note Legs can be removed by loosening the adjustment screw and pulling them free of the hip ball Gown Features The SimMom gown has two flaps that provide access to the abdomen during birthing simulations The gown also has holes through which the manikin s wires can pass Configuring System The Instructor...

Страница 11: ...box that appears If target indicators first appear on the Instructor PC screen press Esc or wait until they appear on the Patient Monitor When the target indicator appears on the Patient Monitor touch each target as it changes position and follow the arrow with your finger When the ELOTouchscreen dialog box appears touch the green check box button Click OK 8 Connect the USB Camera to the USB hub 9...

Страница 12: ...mother board may render the license invalid Please contact your local Laerdal support for assistance with re activating the license User Interface The graphical user interface for SimMom is controlled by the Instructor PC It is highly configurable and easy to operate It controls the maternal and fetal vital signs and can utilize custom or prepackaged scenarios Instructor PC Application Screen Over...

Страница 13: ...not intubate cannot ventilate 4 Defibrillation and Pacing Control View and control shocks to conversion and pacing threshold Select and exchange running and waiting rhythms Click the Extrasystole button to insert an extra systole into the running rhythm 5 Debrief Log Session Log Shows all activities performed during the simulation 6 Scenario Control To start pause or halt scenarios This section al...

Страница 14: ... and set lungs heart bowels and fetal heart sounds Set vocal sounds View sound volume by clicking on the speakers displayed next to the area you want to configure Set seizure Set lung resistance function on off Set pneumothorax Set tongue edema Set boggy uterus and bleeding uterus Set pulse strength Pressurize urine bladder Editing Monitor Setup To edit the monitor setup 1 Click Edit in the Progra...

Страница 15: ...r Click Debrief to start the Debrief Viewer For more information see The Laerdal Debrief Viewer section of this manual Changing SimMom Settings During Simulation By accessing the SimMom Dialog Menu you can adjust the Seizure Boggy uterus and Uterus bleeding settings during the simulation Any changes made in this window will not effect the default settings of the manikin 1 In the Instructor Applica...

Страница 16: ...k To scroll back left click and hold on the EFM display and then move the mouse to the right Adjust Fetal Heart and Uterine Activity Parameters During Simulation To adjust fetal heart parameters and uterine activity parameters click the EFM display to open the Fetal simulation setup window Under the Select preset tab the user can perform the following functions Increase or decrease the fetal heart...

Страница 17: ...or the preset and enter it into the Pattern name dialogue box 3 Select one of the four pattern types from the Pattern type pull down menu Note The pattern types correspond to the menus under the Select preset tab 4 Set preset parameters by sliding toggles and or entering numbers into dialogue boxes Note For greater detail on creating a composite fetal heart rate pattern proceed to the Creating A C...

Страница 18: ... Patient Monitor The optional Patient Monitor has aTouchscreen display and is used to simulate a real patient telemetry monitor Video capture from the patient monitor display and the web camera can be stored for use in the DebriefViewer The Patient Monitor must remain connected throughout the simulation in order to record video of the patient monitor for debrief files Patient Monitor Interface 1 T...

Страница 19: ...ack or forward and view additional activity touch and drag the EFM interface To change the volume for fetal tone click or touch anywhere in the EFM display a speaker should appear Click or touch the speaker icon to access the volume control and then adjust to desired level To close volume control click or touch away from icon ImportingVocal Sounds During a session the SimMom software can play audi...

Страница 20: ...from a web camera connected either to the Instructor s computer or the Patient Monitor computer Microphone inputs Voice and sound recording from the web camera s built in microphone is recorded Review comments Comments can be edited or added to the Session Log during review in the DebriefViewer Note The sources are all recorded to the same time line and are always played back simultaneously Access...

Страница 21: ...the handler and close the Handler Editor 9 To start the Handler click Start Stop in theTrends and Handlers Control area Select the handler from the left side of the window and press Start Close the window 10 Your simulation is now running the newly created handler Note This handler can also be added to a scenario in the Scenario Editor Simply click the Handler icon in the Actions menu and then cli...

Страница 22: ...ncluded Defibrillation Studs To prepare the manikin for defibrillation using paddles 1 Unscrew and remove defibrillation studs 2 Screw adapter plates into post sockets located on apex and sternum of manikin Note Place paddles firmly against zap plates to read rhythm on a monitor 3 For hands free defibrillation attach adhesive pads to adapter plates For manual defibrillation place defibrillator pad...

Страница 23: ...ethanol Intramuscular Injection IM Site Use and Care There are four sites for intramuscular injections They are located on the left and right deltoid and thigh The IM pads are foam filled and can be injected with fluids Using a 22 gauge needle increases the longevity of the skins Immediately after use the IM pads must be removed from the manikin and allowed to air dry The IM pads can be squeezed l...

Страница 24: ... to the following areas using hands to distribute evenly 1 Inside the vagina and around the edge of the perineum 2 The surface of the cervix 3 To the baby s head shoulders body and limbs Ensure the baby is well covered Delivery Techniques When simulating deliveries one person must serve as the puppeteer The puppeteer stands to one side of the mother s abdomen and pushes the baby through the birthi...

Страница 25: ...Coordinate the trainees so that they only pull on the forceps when the puppeteer is simulating the mother s expulsive effort Otherwise the forceps may slip off the head 4 During the rotational part of forceps delivery coordinate the actions of the puppeteer and trainee so that the rotation of the baby s body follows the rotation of the forceps Otherwise the forceps may slip off the scalp Suction D...

Страница 26: ...Note When removing pelvic ring clamp lift so that it remains parallel with the pelvis until it is clear of the screws 3 Remove current cervix module if necessary and set aside 4 Place new cervix module in position at pelvic inlet with flange lying on top of birth canal flange 5 Carefully align holes on cervix module with locating pins on clamping face Ensure that urinary connector is aligned with ...

Страница 27: ... 20 30 microns Thickness above 30 microns may damage the manikin 4 Thread main part of bag through pelvic ring clamp 5 Position bag flange on top of cervix flange on pelvic clamping face 6 Ensure holes align with pins and urinary connector notches are aligned 7 Position pelvic ring clamp over flange 8 Recheck position of pins and notches and that blood feed tube is not caught under ring 9 Fit and ...

Страница 28: ...may cause the skin to tear 2 Install the indwelling catheterization bag as described on page 31 steps 5 8 3 Push pelvic ring clamp over cervix and flange of PPH uterus 4 Locate flange on pelvic clamping face Align holes on flange with pins on clamping face Align notch for urinary connectors with similar notch on pubis 5 Push pelvic ring clamp into position over locating pins 6 Ensure flange holes ...

Страница 29: ...a so that the round prominence sits snugly into the corresponding cavity in the uterus on the manikin s left Ensure the fragment remains aligned with the placenta 6 Fit the connector on vacuum pump hose to the quick fit connector on one side of the back of the uterus 7 Pump until dial reads 0 8 0 9 bar 25 mmHg approximately 8 10 strokes of pump 8 Disconnect 9 Repeat for second connector to secure ...

Страница 30: ...pelvic clamping face The umbilical cord should pass through the birth canal 5 Ensure holes on uterus flange locate with pins on clamping face and that notch for urinary connector locates with corresponding notch on pubis 6 Fit indwelling catheterization bladder 7 Push pubic ring clamp over uterus and align with locating pins on clamping face 8 Ensure that all holes and notches are aligned and that...

Страница 31: ...sure that the connector tube is pointing to the manikin s right side 6 Push the connector tube into the groove toward the pelvic ring 7 Connect the white Luer to the urine reservoir outlet tube 8 For cord prolapse scenarios use the indwelling catheterization bladder Push hole on the flap of the bladder over the retaining lug on the inside of the abdominal skin For PPH scenarios fold flap back and ...

Страница 32: ... 5 Drain and rinse out bags with water 6 Flush pump with tap water 7 Let air dry 8 Replace reservoirs Performing Hybrid Simulations SimMom can be used for hybrid simulations which involve disconnecting the manikin s pelvis from its torso To perform hybrid simulations consult the Pelvis Replacement section on page 41 in the Maintenance Section Using the Bed Strap SimMom packaging includes a bed str...

Страница 33: ...Replacement To replace manikin eyelashes 1 Remove pupils See Pupil Replacement page 33 Note If you fail to remove the pupils you may accidently drip glue on them This causes them to become cloudy 2 Using a toothpick gently place the eyelash across the edge of the manikin s eyelid starting at the corner nearest the nose Note Only place the toothpick between the lashes along the white rim of the eye...

Страница 34: ...To attach cricothyroid membrane 1 Remove Neck Skin Collar by undoing Velcro strips on the back of neck 2 Cut a two inch strip of Cricothyroid MembraneTape 3 Adhere tape to edges of cricoid opening Ensure that tape covers and seals the opening 4 Place a Neck Skin Collar into molded track around neck area of manikin Arm Replacement To remove left manikin arm 1 Remove deltoid injection pad from upper...

Страница 35: ... skin to reveal internal upper chest area 4 Lift chest plate to reveal inside sockets for arm connections 5 Follow the cables exiting the shoulder to the black connector and disconnect 6 Use a Phillips head screw driver to unscrew and remove the retaining screw 7 Slide the stopper off of the pivot arm 8 Remove arm 9 Insert new arm 10 Thread cables through the stopper 11 Secure the stopper to pivot...

Страница 36: ...dder to match original tubing length 6 Insert new pneumothorax bladder into the top side of chest plate through the second and third intercostal space openings The bladder tubing exits through the back side of the chest plate Ensure the narrow edge of the bladder is closest to the sternum 7 Reconnect hose toY hose connector 8 Return chest plate to proper position on torso 9 Replace chest skin over...

Страница 37: ...tesis module on the manikin 1 Remove chest skin from tabs at shoulders and back 2 Remove the thoracentesis module from the midaxillary site of the manikin left 3 Insert a new thoracentesis module 4 Replace the chest skin over the torso Secure the skin at the shoulders and both sides Abdominal Skin Replacement SimMom is delivered with two abdominal skins normal and C section deliveries To replace a...

Страница 38: ...emove abdominal skin as described on page 37 steps 1 4 2 Remove pelvic clamp by unscrewing the three black thumbscrews 3 Remove cervix by disengaging the holes on the flange from locating pins on pelvic clamping face 4 Remove urinary connector translucent or black and urinary valve grey and push the birth canal down into the pelvis 5 Remove retaining screws on lower pubic clamping plate behind upp...

Страница 39: ... birth canal skin 17 Push the pubic clamp into position on the pubis 18 Insert and tighten the two retaining screws 19 Pull birth canal up out of pelvis 20 Locate holes in birth canal flange on corresponding pins on pelvic clamping face 21 Replace urinary valve urinary connector and pelvic ring clamp Cervix Replacement To replace the cervix 1 Remove the three black thumbscrews on the pelvic ring c...

Страница 40: ...h canal cervix and pelvic ring Caution Do not overtighten screws This may damage the manikin Urine Reservoir Replacement The urine reservoir is located in the reservoir bay above the blood reservoir The color coded connectors for fluid and compressed air are located on the pelvic bulkhead at the bottom of the bay Blue denotes blood and amniotic fluid carried from blood reservoir to pump Red denote...

Страница 41: ...ir 2 Clamp blood outlet with clamp 3 Undo blue Luer connector from the blue bulkhead fitting 4 Remove blood reservoir 5 Lay new reservoir in position in reservoir bay with red filler cap to the manikin s right facing upwards 6 Connect blue Luer connector to blue blood pump inlet bulkhead fitting 7 Ensure slide clamp is open 8 Replace urine reservoir 9 Replace reservoir lid Pelvis Replacement To de...

Страница 42: ... reversing steps Loop tubing in a counterclockwise motion before reconnecting Replacing Baby Limbs To replace baby limbs use a screwdriver to unscrew the limb where it connects to the torso VitalSim Battery Replacement The VitalSim unit holds 6 replaceable C cell batteries To replace the batteries 1 Pull out the battery pack located on the bottom of the unit 2 Remove the panel on top of the batter...

Страница 43: ...Introduction Setup Software Maintenance Spare Parts Specifications 43 Maintenance Performing Simulations ...

Страница 44: ...44 44 Notes ...

Страница 45: ...pneumothorax bladders Metal components Aluminum Brass Steel Caution Latex This product contains Natural Rubber latex which may cause allergic reactions when in contact with humans Minimum Computer Requirements Core 2 Duo or better 1 GB RAM 2 GB recommended 1GB hard disk space 1024x768 1280x800 1280x1024 or better 16bit color resolution or better 100 DPI required Optical drive required for installa...

Страница 46: ...46 46 Notes ...

Страница 47: ...iotic Bag Module 377 16550 Large Uterus PPH Module 377 16650 Large Uterus Support PPH Module 377 16750 Boggy Uterus Bag PPH Module 377 16850 Small Placenta with Retained Fragments 377 16950 Hand Pump 377 17050 2 Part Nylon Sealing Clamp 377 17150 Indwelling Catheterization Bag 2 377 17250 Indwelling Intermittent CatheterizationTube 377 17350 Blood Reservoir Bag 2 377 17450 Urine Reservoir Bag 2 So...

Страница 48: ...48 Notes 48 ...

Страница 49: ......

Страница 50: ... 2012 Laerdal Medical All rights reserved 20 05176 Rev B Printed in USA ...

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