laerdal SimMan ALS User Manual

SimMan ALS

User Guide

www.laerdal.com

EN

Intended Use

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SimMan ALS is a realistic interactive Training Simulator for simulating a wide range of
advanced life saving skills in pre-hospital emergencies. It is tetherless, Wifi operated,
with a flexible control solution (SimPad PLUS or Laerdal Learning Application (LLEAP))
depending on training needs. The simulator responds to clinical intervention, instructor
control, and pre-programmed scenarios for effective practice of diagnostic skills and
patient treatment.

With spontaneous breathing, airway control, voice, sounds, ECG and many other clinical
features, the SimMan ALS is the fully functional pre-hospital simulator.

Caution

The following techniques should not be performed on this simulator due to the inability to
properly sanitize the airway if they are performed:

• Mouth-to-mouth/Mouth-to-mask ventilation

• Insertion of simulated vomit for suctioning

For information on how to connect to SimPad PLUS or LLEAP refer to the Quick Set Up
Guide.

Read the enclosed Important Product Information booklet before use.

Refer to the Laerdal Global Warranty for terms and conditions. For more information
visit www.laerdal.com.

Contents

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Overview

SimMan ALS System Overview

Use

Eyelid setting

Pupil Replacement

Changing the Upper Dentures

Airway Management

Intramuscular Injections

Tibial IO

IV Cannulation

Changing IV Catheters

Urinary Catheterization

Cardiac Related Skills

Defibrillation - SimMan ALS and ShockLink

QCPR and SimMan ALS

SonoSim

Blood Pressure (BP) Arm

Heart, Breath and Vocal Sounds

Spontaneous Breathing and Airway Closures

Tension Pneumothorax Decompression

Attaching an additional external battery

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Contents

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Maintenance

Cricothyroid Membrane/Neck Skin

Chest Drain

IV Arm

Replacing Pneumothorax Bladders

Replacing the Chest Rise Bladders

Removing the Lung

Replacing the Lung

Removing the Torso Skin

Replacing the Torso Skin

Cleaning

Cleaning Simulator

Cleaning Pads

Software Compatibilities

Simulation Software

SimPad PLUS

Laerdal Simulation Home

LLEAP

Voice Conference Application (VCA)

Patient Monitor

Session Viewer and SimView Server

Other Applications

SimDesigner

Web Downloads

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Overview

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Pulse

ECG connectors

Speakers

SonoSim RFID Tags

Blood Pressure Arm

Cricothyroidotomy

Microphone

ShockLink AreaChest Drain

ShockLink Area

IV Port

Pneumothorax

Microphone

Main Panel

I/O Tibia

Overview

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IM pad

The SimMan ALS System Overview

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Airway and Breathing Features

• Position the head to simulate opening the airway (neck tilt, jaw thrust)

• Practice Bag Valve Mask (BVM) Ventilation

• Identify spontaneous breathing (visible chest rise)

• Identify unilateral chest rise

• Perform Endotracheal (ET) Tube intubation

• Visualize Right Main stem Intubation

• Use supraglottic devices like Laryngeal Mask Airway (LMA), King Laryngeal Tube (LT)
and Combitube

• Insert an Oropharyngeal Airway (OPA) and Nasopharyngeal Airway (NPA)

• Identify a tongue oedema

• Identify cyanosis (linked to SPO2)

• Nasal Cannulation

• Perform chest (bi-lateral) needle decompression

• Perform bi-lateral chest drainage

• Perform needle and surgical cricothyroidotomy

• Identify stomach distension

• Perform the Sellick Maneuver

• Auscultate the lungs (anterior/posterior)

• Break the teeth by wrong intubation techniques using a laryngoscope

Cardiac Features

• Perform manual chest compression following the latest ILCOR guidelines

• Use an extensive ECG library

• Perform defibrillation using ShockLink technology (sternum/apex)

• Perform external pacing

• Auscultate the Korotkoff sounds

Circulation Features

• Auscultate the heart sounds (anterior)

• Use the Patient Monitor with presentation of cardiac rhythms via 3-lead, 5-lead and
12-lead ECG monitoring

• View the SPO2 via Simulated Monitor

• View the Blood Pressure via Simulated Monitor

• Auscultate the blood pressure via the BP cuff

• Palpate the systolic blood pressure using the BP cuff

• View the heart rate via Simulated Monitor

• Palpate the left radial, carotid (bi-lateral) and femoral (bi-lateral) pulses

Vascular Features

• Use a pre-ported IV access in the right antecubical fossa

• Insert an IO in the left tibia

• Administer IM injections in the right musculus gluteus maximus

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Use

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Eyelid setting

The eyelids can be manually set to the following positions:

Open

Half open

Closed

Use

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Pupil Replacement

SimMan ALS is supplied with a set of normal pupils mounted in the head. A separate case
contains 3 sets of plastic pupil inserts (normal, constricted and dilated pupils) for use in
simulating other conditions.

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Use

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Changing the Upper Dentures

SimMan ALS comes with a set of soft upper teeth as default. The soft set may be
replaced with a hard set of teeth for enhanced realism while practicing intubations.

Use

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Airway Management

The airway is anatomically modeled as far as the bronchia and can be manipulated
by a learner:

• Head tilt/Chin lift

• Jaw thrust w/articulated jaw

• Cricoid pressure and manipulation

• Simulated suctioning (oral & nasopharyngeal)

If the tongue fallback feature is enabled, head tilt is required to open the airway.
Once initiated the simulator will begin to spontaneously breathe.

Artificial respiration of the SimMan ALS can be achieved by the following methods:

• Bag-mask ventilation

• Orotracheal intubation

• Nasotracheal intubation

• Transtracheal intubation

Recommended tube compatibility:

• ET Combitube (size small adult is suitable)

• Laryngeal mask airways: Size 4 and 5

• Endotracheal tube intubation: Size ID 7.5 - 8.5

Notes

• Do not spray lubricant directly into the airway.

• Use of smaller tube-type devices reduces wear of the Patient Simulator’s airways.

• Incorrect positioning will pass air through oesophagus, causing distention of the abdomen.

Use

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Intramuscular Injections

Simulated medications can be administered via intramuscular injections in the
right musculos gleteus maximus.

Note

Simulated medications may be administered via local protocol. All precautions and safety
measures must be followed during training.

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Use

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Tibial IO

Intraosseous access with needle insertion is possible through the left tibia. The IO pads
may be punctured numerous times before being replaced.

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