laerdal SimBaby User manual

www.laerdal.com
SimBaby
User Guide
EN

Contents
2
Introduction 4
Items Included 5
System Overview & Setup 6
Features 7
Airway Features 7
Breathing Features 7
Cardiovascular Features 7
Vascular Features 7
Other Features 7
Power Panel 8
Power Indicator Status 8
Charge 9
Connect 10
Connect 11
Overview Pulses and Sounds 12
Overview - Capillary Rell 13
Preparing for Simulation - IV - Fluids / Medication Infusions 14
Preparing for Simulation - IO - Fluids / Medication Infusions 15
Preparing for Simulation - Chest Drain Module 16
Preparing for Simulation - Lubrication 17
Lubricate Tools 17
Use - Intubation 18
Use - Ventilation 19
Use - QCPR 20
Use - Debrillation and ECG Monitoring 21

Contents
3
Use - IV Arm 22
Use - IV Leg 23
Use - IO Leg 24
Care and Cleaning 25
General Care 25
Skin 25
Moulage 25
Maintenance - Changing the IO Leg 26
Maintenance - Changing the IV Port 27
Maintenance - Chest Drain Module 28
Maintenance - Needle Decompression Module 29

4
Introduction
SimBaby is a tetherless simulator designed to help healthcare providers effectively
recognize and respond to critically ill pediatric patients.The SimBaby simulator represents
a 9-month-old pediatric patient and provides a highly realistic manikin that meets specific
learning objectives focusing on initial assessment and treatment.
Read the enclosed Important Product Information booklet before use.
Refer to the Laerdal Global Warranty for terms and conditions.
Visit www.laerdal.com to download SimPad PLUS User Guide, software updates
and other product information.

5
Items Included
Items included may vary in appearance and are subject to change.
x 20
x 2
x 2
x 5
x 5

6
System Overview & Setup
SimPad PLUS Patient MonitorLLEAP
SimBaby is operated and controlled by LLEAP or SimPad PLUS. LLEAP is the instructor's
application found in Laerdal Simulation Home. SimPad PLUS is a wireless tablet. Both can
be run in Automatic Mode, with pre-programmed scenarios, or Manual Mode.When
using with either LLEAP or SimPad PLUS vital signs can be displayed on the optional
patient monitor.
For further information about SimPad PLUS and to access all product downloads visit
www.laerdal.com/SimPadPlus

7
Features
Airway Features
• Anatomically accurate, realistic airway
• Bag-Valve-Mask ventilation
• Intubation (Orotracheal and nasotracheal, Fiberoptic, Right mainstem)
• Insertion (LMA, Endotracheal tube, Gastric Tube)
• Sellick Maneuver
• Variable lung compliance and airway resistance
• Tongue edema
• Laryngospasm
• Pharyngeal swelling (partial and complete)
• Stomach distention
Breathing Features
• Spontaneous breathing with variable rate, depth and regularity
• Bilateral and unilateral chest rise and fall
• Normal and abnormal breath sounds
• Oxygen saturation on simulated Patient Monitor
• Breathing pattern (normal, retraction, see-saw)
• Pneumothorax
• Unilateral thoracentesis midclavicular
• Unilateral chest tube insertion midaxillary
Cardiovascular Features
• ECG monitoring and library
• QCPR
• Blood pressure (BP)
• Pulse strength variable with BP
• Pulses (bilateral brachial and bilateral femoral)
• Live defibrillation using ShockLink
Vascular Features
• Unilateral IV access antecubital fossae, dorsum of the hand
• Bilateral IV access long saphenous vein
• Bilateral tibial IO insertion
• IV bolus and infusion administration
Other Features
• Eyes - open, closed, and 50%
• Normal, blown and constricted pupils
• Capillary refill (Left palm, proximal sternum)
• Fontanelle (normal or bulging)
• Seizure - head, eyes and arms
• Sounds - vocal, lung, heart
• Liver palpation
• Cyanosis
• Arm movement and tone

5 64
1 32
8
Power Panel
Power Indicator Status
On
Simulator booting
Software updating
Battery charging
External Connection
to ASL 5000
External Power
Por t
WiFi / LAN
Indicator
Power
Indicator
On/Off
Button
Ethernet
Por t
Failure updating software
10 seconds - Battery low
Service required
Battery fully charged

9
Charge
Fully charge the battery before first use.
Battery charging
Battery fully charged
10 seconds - Battery low

10
Connect
Connect to LLEAP or SimPad PLUS with WiFi.
WiFi enabled
WiFi connected to device
No connection - Configure Network
with Ethernet cable
SimPad PLUS Patient MonitorLLEAP

11
Connect
Connect SimBaby with LAN cable to perform software updates,
or when WiFi is not available.

12
Overview Pulses and Sounds
Pulses and sounds are controlled in SimPad PLUS or LLEAP.
Pulses
Vocal Sounds
Lung Sounds
Heart Sounds

13
Overview - Capillary Refill
Capillary refill sensors are located under the skin on the left palm and on the proximal
sternum. Press and hold to activate. Capillary refill time can be controlled in SimPad PLUS
or LLEAP.

14
Preparing for Simulation - IV - Fluids / Medication Infusions
Connect empty drain bag to prepare for intravenous
large volume infusion of medication.

15
Preparing for Simulation - IO - Fluids / Medication Infusions
Connect empty drain bag to heel to prepare for
intraosseous large volume infusion of medication.

4,5 cm
1
4
2
4
5
2
2
6
3
16
Preparing for Simulation - Chest Drain Module
Replace tape after each use. Use standard surgical tape, do not use silicone tape.
Add additional layers of tape to increase resistance as required.

4,5 cm
1
4
2
4
5
2
2
6
3
17
Preparing for Simulation - Lubrication
Lubricate Tools
Lubricate laryngoscope blade and tubes prior to insertion into the airway.
Caution
Non-lubricated instruments and tubes may cause damage to the airway. Only use Silicone
Lubricant provided by Laerdal Medical.

18
Use - Intubation
Perform nasal or oral intubation.
Recommended adjunct sizes:
• ET Tube: 3.5mm (cuffed and uncuffed) /
4.0mm (uncuffed) - to mark 12
• LMA: Size 1.5
• Laryngoscope: Miller Blade Size 0 or 1
• OG / NG tube: 8 Fr
• Suction catheter: 8 Fr

19
Use - Ventilation
Perform ventilations with visual chest rise, and get feedback in SimPad PLUS or LLEAP.
Stomach distention and tongue fallback features are controlled in SimPad PLUS or LLEAP.

20
Use - QCPR
QCPR
• Compliant with 2015 AHA or ERC guidelines
• Compressions generate palpable pulses, blood pressure wave form and ECG artifacts
• Realistic compression depth and resistance
• Detection of depth, release and frequency of compressions
• QCPR is monitored with feedback via LLEAP and SimPad PLUS