laerdal Resusci Anne Advanced SkillTrainer User manual

www.laerdal.com
Resusci Anne
Advanced Skill Trainer
User Guide
EN

2

Contents
3
Intended Use 4
System Overview & Setup 5
Items Included 6
Overview 8
Features 9
Charging 10
Power Panel 10
Preparing for Simulation
Connect Microphone 11
IV Arm 12
Lubrication 13
Change Eyes 14
Use
Defibrillation
• Resusci Anne Advanced Skill Trainer Link version 16
• Resusci Anne Advanced Skill Trainer Paddle version 17
Connect ECG Monitoring 18
Connections 19
Ventilation 20
Chest Compressions 21
IV Arm 22
Maintenance
General Cleaning 23
Stomach Replacement 24
Lung Replacement 26
Leg Replacement 28
Battery Replacement 30

4
Intended Use
The Resusci Anne Advanced SkillTrainer (RA AST) is designed to meet the core learning
objectives of intermediate to advanced healthcare.The manikin supports training for CPR,
defibrillation, IV therapy and basic to intermediate (supraglottic) airway management
procedures. Adding the optional first aid and rescue limbs also enables first aid and
extrication practice.
SimPad and SkillReporting software enables documentation of key events and
comprehensive instructor-to-student debriefing.
Read the Important Product Information booklet before use.
Refer to the Laerdal Global Warranty for terms and conditions. For more information
visit www.laerdal.com.
Note
Illustrations may vary from product.
RA AST AED
Cautions
• Defibrillation must be performed using ShockLink only. Refer to ShockLink Important
Product Information. Paddle adapters are not possible to use.
• When removing or replacing the chest skin, do not pull or damage the wires connecting
the chest skin to the battery box.
• To prevent skin pitting on the RA AST AED Link version, do not apply conductive gel or
conductive defibrillation pads intended for patient use.
• Do not provide artificial respiration to the patient simulator using oxygen enriched air or
flammable gases.
Warnings
• Observe all standard safety precautions for the use of defibrillators.
• Do not defibrillate in a flammable or oxygen-enriched atmosphere.
• Only defibrillate using ShockLink as described in ShockLink instructions.

5
To enable scenarios, real time feedback and debriefing, connect to SimPad PLUS or other
PC or Tablet applications.
Note
Visit www.laerdal.com to download SimPad PLUS User Guide.
Operating Systems
• SimPad PLUS
• LLEAP
Compatible systems
• Laerdal Simulation Home
• Voice Conference Application
• Patient Monitor
System Overview & Setup

6
Items Included
Resusci Anne Advanced
Skill Trainer
Paddle version
Resusci Anne Advanced
Skill Trainer
AED Link version

Items Included
7
Lubricant
3 eye sets
(normal, constricted,
dilated pupils)
LAN
cable
Microphone
extension cable
Trolley bag
AC adapter and
extention cable
USB
cable
Simulated
blood
Clothes Documents
ShockLink
included with the
AED Link version

8
Overview
IV arm
Main panel
Airway head
ECG connectors
Pulses
Vocal sounds
Note
IV arm can be reversed in alternative configuration; IV right and opposite.

9
Airway Features
Anatomically accurate, realistic airway including cricoid cartilage
Head tilt / chin lift
Jaw thrust
Bag Valve Mask (BVM) ventilation
Endotracheal Intubation (anatomically correct down to vocal chords)
Supraglottic intubation (iGel, Laryngeal Tube LTS, LMA and others)
Sellick maneuver
Tongue fall back
Stomach distension
Cardiovascular Features
Live defibrillation (AED Link version with use of ShockLink)
Defibrillation with paddles (paddle plate configuration)
Automatic rhythm change after defibrillation
ECG monitoring and extensive ECG library
QCPR live feedback
Pulses (carotid, bilateral)
Compression measurement and feedback
Vascular Features
Multivenous IV arm
Other Features
Interchangeable pupils
Log files for debriefing
Features

10
Charging
Manikin starting
Manikin is on
Manikin is visible for SimPad
Manikin is connected
to SimPad
Charge battery using AC adapter complete with extention cable.
Fully charge battery before first use. Use AC adaptor with extension cable to charge.
Power Panel

11
Preparing for Simulation - Connect Microphone
1
2
3
4

12
Preparing for Simulation - IV Arm
12
Attach IV tubing to IV bag. Allow fluid to flow through arm and out of other vein. Use
clamp to stop flow.

13
Preparing for Simulation - Lubrication
Lubrication
• Lubricate airway with two or three sprays prior to starting your training session
• Lubricate airway management tools liberally prior to starting intubations. Consider
whether additional lubrication is needed later in the session
• Use only Laerdal Airway Lubricant. Do not use silicon or other lubricant, as this may
damage manikin
• Lubricate the supraglottic or ET tubes before insertion
Note
Head contains electrical components. Due to inability to sanitize airway, mouth-to-mouth/
mouth-to-mask ventilation should not be performed.
Cautions
• Use only Laerdal Airway Lubricant. Other lubricant not approved by Laerdal can damage
the airway
• Lubricate instruments and tubes before insertion into the airway. Non-lubricated
instruments and tubes are difficult to insert and can also damage the airway
• The airways in the airway head cannot be completely sanitized, therefore, do not do:
mouth-to-mouth ventilation, mouth-to-mask ventilation, insertion of simulated vomit for
suctioning

14
Preparing for Simulation - Change Eyes
3 4
1 2
Use different pupils to simulate various patient conditions.

15
Preparing for Simulation - Change Eyes
7 8
5 6

16
Use - Defibrillation
Resusci Anne Advanced Skill Trainer Link version
Defibrillation using ShockLink and Training Pads.The SimPad PLUS (LLEAP) extensive
ECG library will override the internal ShockLink ECG library.
Caution
Defibrillation training must be performed using ShockLink only. Refer to ShockLink Important Product
Information. Paddle adapters are not possible to use.

17
Use - Defibrillation
Resusci Anne Advanced Skill Trainer Paddle version
The paddle plates are designed for use with manual defibrillators with paddles.The paddle
plates can be replaced with the peg set included.
Cautions
• Defibrillation must be performed over the two paddle plates only.Alternatively use with peg
set mounted and connect the defibrillator by HeartStart Defibrillator training cable
• To prevent overheating, provide maximum 2 x 360J discharges per minute
• Keep manikin chest dry. Ensure manikin remains dry when using IV arm
• To prevent chest pitting, do not apply conductive gel or conductive defibrillation pads
intended for patient use

18
Use - Connect ECG Monitoring
Monitoring ECG is provided over the four ECG connectors as illustrated. Monitoring
ECG can be selected in the SimPad PLUS (LLEAP) ECG library. The monitor defibrillator
ECG lead selector can determine the ECG lead(s) selected.
Caution
The ECG monitoring connectors are not designed for defibrillation or pacing energy.

19
Use - Connections
Connect SimPad to simulator
Refer to SimPad User Guide for instructions.Visit www.laerdal.com to download SimPad
User Guide. Connect to SimPad PLUS wirelessly or with a USB-C cable.
Connect PC to simulator (optional for SimPad Patient Monitor)

20
Note
Do not use simulated vomit for suctioning.
To deflate stomach,
press gently.
The manikin is equipped with one disposable
unilateral lung.
Use - Ventilation