MegaCode Kid Advanced
ECG Kid
ENGLISH Directions for Use
www.laerdal.com
E NGLISH
Table of Contents
Items Included ....................................................................................................... 1
Skills Taught ............................................................................................................ 1
Introduction .............................................................................................................1
Laerdal Recommends ............................................................................................1
SimPad Connection.............................................................................................. 2
Intubation ............................................................................................................... 2
Cardiac Related Skills .......................................................................................... 2
Safety Precautions ................................................................................................ 2
Auscultation of Heart, Breath & Bowel Sounds ............................................ 2
Carotid Pulse ......................................................................................................... 2
IV Infusion .............................................................................................................. 3
Multi-Venous IV Arm ........................................................................................... 3
Intraosseous Infusion Skills................................................................................. 3
Care and Maintenance ......................................................................................... 4
Replacement Parts ............................................................................................... 4
Items Included
(1) Full-body Pediatric Manikin
(1) IV Bag Set
(1) Manikin Lubricant
(1) Set of Defibrillation Posts
(1) Jacket
(1) Pants
(1) Carry Case
(1) Direction for Use
(1) Laerdal Global Warranty Booklet
Introduction
MegaCode Kid is a full-body, lifelike manikin, which realistically
simulates a 6-year-old patient. It is specifically designed for training
professionals in the practice of emergency care, patient handling and the
transportation of the sick and injured.
As a result of quality construction and the ease of replacing individual parts,
this simulator should provide many sessions of training when reasonable
care and maintenance are practiced.
Laerdal Recommends
Endotracheal Stylet
Endotracheal tube - Size 5.0 to 5.5
Manikin Lubricant
Laryngoscope blade - Miller Size 1 or Mac Size 2
IV Injection - 22-gauge needle or smaller
Caution: Latex
This product contains Natural Rubber latex which may cause
allergic reactions when in contact with humans.
E NGLISH
Skills Taught
Airway Management Skills:
• Oral intubation
• Nasal intubation
• Digital intubation
• Bag/Valve Mask Ventilation
Cardiac Related Skills:
• Closed chest compressions
• 3-4 lead ECG, pacing and defibrillation
IV Drug Administration:
• IV insertion into the peripheral veins of forearm, hand and
antecubital area - Accessible veins include: median, basilic
and cephalic
• Intraosseous infusion at both Tibial Tuberosity
and Medial Malleolus sites
Multi-Sounds Auscultation and Recognition Skills:
• Seven auscultation sites for auscultation and recognition of
heart, breath and bowel sounds.
The product, when carrying the CE-mark, is in
compliance with essential CE requirements and other
relevant provisions of council directive 1999/5/EC.
MegaCode Kid 1 Laerdal
Intubation
For intubation of the MegaCode Kid , the following equipment is
recommended:
• Endotracheal stylet
• Endotracheal tube - size 5.0 to 5.5
• Manikin lubricant or liquid soap
• Laryngoscope blade - Miller size 1 or Mac size 2
Prior to airway insertion, all intubation devices and airway passages
must be sprayed with manikin lubricant or liquid soap.
SimPad Connection
1. Connect MegaCode Kid to Link Box, via cable located
on back of manikin. For some manikins the adapter cable
supplied with SimPad may have to be used.
Caution:
the paddle and any of the electrode sites while defibrillating.
A load of up to 300 joules can be delivered.
Photo 3
LL ECG Lead Apex Zap Plate
Caution:
Safety precautions should be exercised in using SimPad around water.
Use same caution as with any defibrillation exercise.
See SimPad DFU for complete cardiac operating instructions.
Safety Precautions used during Defibrillation
of a Patient/Trainer
Photo 1
Cardiac Related Skills
1. Compressions on MegaCode Kid can be performed with one or
two hands, according to AHA guidelines on patient age.
Carotid Pulse Bulb IV Arm Zap Plates
A
D
C
Photo 2
2. For monitoring purposes, lead placement snaps are located on manikin as
follows: (Photo 2) (A, B, C, D)
3. Two Zap Plates (discs) have been designed for use with external paddles.
Screw discs into post sockets located on apex and sternum of manikin.
Rhythm may be read from monitor by applying paddles to discs with firm
pressure. (Do not use gel.)
4.
down firmly for good contact.
B
ECG Leads
1. Read and follow all safety and operating instructions provided with
your defibrillator and associated equipment.
2. This trainer can be shocked with actual voltages and current used
on a live patient. All precautions and safety measures must be used
during the defibrillation and pacing phases of training. Failure to
follow safety measures could result in injury or death to operators,
students or onlookers not heeding these warnings.
Auscultation of Heart, Breath and Bowel Sounds
See SimPad DFU for complete Heart, Breath, and Bowel Sound
Auscultation.
Carotid Pulse
Carotid Pulse is manually generated with a red bulb. Pulse rate is controlled
by squeezing bulb.
Laerdal 2 MegaCode Kid
IV Infusion Skills
Pediatric IV Arm is designed for practicing venipuncture and injection
techniques.
We recommend nothing larger than a 22-gauge needle to extend life of
arm. Spray catheter with manikin lubricant for easier insertion.
En g l i s h
Figure1
Equipment Needed:
• 500cc uid bag
• Simulated blood or food coloring with water
• Administration Set
• IV catheter
Instructions for Use:
1. Add simulated blood or a few drops of red food coloring mixed with
water to uid bag.
2. Attach administration set.
3. Attach end of IV Arm tubing to end of administration set.
4. Place other end of IV Arm tubing in a container and allow uid to ow
through entire tubing until all air bubbles are ushed.
5. Clamp or tie second tubing and remove from container.
6. Insert catheter into vein. There should be a ashback if catheter has
actually entered a vein.
7. Open clamp of administration set.
8. To infuse uid, second tubing of IV arm must be unclamped and the uid
allowed to ow.
Before Storing: Drain, clean and dry all material prior to storing. Tubing
can be sanitized by ushing with 50cc of water mixed with household
bleach.
Multi-Venous IV Arm
Multiple Venipuncture Sites:
• Dorsal Veins of Hand (3)
• Antecubital
- Cephalic Vein
- Median Vein
- Basilic Vein
Replacing veins: (Keeping skin)
1. Lubricate inside of skin with liquid detergent; let it ow down into the
finger area.
2. Begin at top of arm and slowly pull skin down and off of arm. Do not roll,
as that will cause skin to bind.
3. Remove tubing from track in mandrel. Glue may need to be scraped away
to allow removal.
4. Rinse and dry vein grooves well and swab with alcohol. Be sure to
remove any excess glue.
5. Place new veins along grooves, (Figure 2) spot gluing as needed. (We
recommend a fast-drying glue.)
Figure 2
6. Generously lather arm mandrel with liquid soap.
7. Slide hand into skin.
Heat arms skins before replacing on mandrel.
This can be done with a blow-dryer.
8. Work skin over ngers, as with a glove.
9. Work arm skin up, over mandrel. (Figure 3)
Instructions for Use:
1. Attach IV Bag to IV tubing.
2. Attach IV tubing to either latex vein.
3. Allow uid to ow through arm and out other latex vein.
4. Clamp off ow of water.
Figure 3
The arm is now ready to practice venipuncture.
Intraosseous (IO) Infusion Skills
Replacing Skin and Veins
When excessive leaking occurs at puncture sites, either a new multi-vein
system or skin should be installed to reduce loss of uid. We recommend
working at a sink.
To replace skin and veins:
1. Cut off skin. This can be done with a sharp knife or scalpel.
(Figure1)
2. Discard skin.
MegaCode Kid 3 Laerdal
Pediatric IO Leg is designed for perfecting skills required in successful
intraosseous infusion. Anatomy of IO Leg includes knee, tibia, tibial
tuberosity site and medial malleolus site. IO Leg is provided with one IV
tubing and one IV bag for use as reservoir during infusion.
Additional equipment needed:
• IV bag
• IV administration set
• Simulated blood concentrate
• 35cc syringe
• Jem Shidi needle
Instructions for Use:
1. Attach tubing connector to IV bag. (Use valve to open or close line as
2. Turn leg upside down.
3. Remove plug from heel.
4. With a syringe, fill the bone with approximately 120cc of simulated blood.
5. Attach tubing and reservoir bag.
6. Close off tubing that runs into reservoir bag so that simulated blood will
remain in bone for aspiration.
7.
Before Storing: Detach IV line and reservoir at bottom of the foot. Allow
Store leg unplugged to allow it to air dry.
Do not use saline solution. It leads to deterioration of leg.
Care and Maintenance
1.
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 and module 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.
prior to training sessions.
6. Store properly between teaching sessions.
Replacement Parts
Product Number: Description:
380410 ..................................
231-00101 ............................ Leg, Pediatric-Intraosseous
231-00250 ............................ Head Assembly, MegaCode Kid
231-00350 ............................ Lung Bag, MegaCode Kid Intubation Head
231-00450 ............................ Arm Assembly, Pediatric Left 1 Piece
231-00550 ............................ Skin, Torso MegaCode Kid
231-00650 ............................ Insert Assembly, MegaCode Kid
231-00750 ............................ Leg Assembly, Pediatric-Right W/
Intraosseous Leg
231-00850 ............................ Leg Assembly, Pediatric-Left
231-00950 ............................ Jacket, Pediatric
231-01050 ............................ Pants, Pediatric
231-01150 ............................ Case, Carry-Pediatric Full Body
231-01250 ............................ Plug, Arm-Pediatric
250-21050 ............................ Airway Lubricant
300-00750 ............................ Blood, Concentrate-4 oz Red
375-70150 ............................ Kit, Skin Assembly Vein-Pediatric IV Arm
375-71001 ............................ Arm, Pediatric Multi-Venous Training
Please contact Laerdal Customer Service
for more information on Replacement Parts in other skin tones.
Laerdal 4 MegaCode Kid
© 2012 Laerdal Medical. All rights reserved
20-05827 rev B Printed in US
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