MegaCode Kid VitalSim Directions for Use rev B April 2003

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Table of Contents Laerdal Recommends

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Items Included

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Skills Taught

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Intubation

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Cardiac Related Skills

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Safety Precautions

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Auscultation of Heart, Breath & Bowel Sounds

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Carotid Pulse

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IV Infusion

9

Multi-Venous IV Arm

10

Intraosseous Infusion Skills

12

Care and Maintenance

13

Warranty

13

Replacement Parts

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MegaCode Kid VitalSim 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 – 20-gauge needle or smaller

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Items Included: (1) Full-body pediatric manikin (1) VitalSim™ (w/231-00001) (1) IV Bag Set (1) Manikin Lubricant (1) 10 foot Manikin Connector Cable (1) Set of Defibrillation Posts (1) Jacket (1) Pants (1) Carry Case

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Skills Taught: Airway Management Skills: • Oral intubation • Nasal intubation • Digital intubation • Bag/Valve Mask Ventilation Cardiac Related Skills: • Closed chest compressions • Synchronized variable rate, rhythm, abnormalities and duration • Programmable waiting rhythms • Programmable scenario base algorithms for instructor control • 3 – 4 lead ECG, pacing and defibrillation capabilities (25 – 30 joules) 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 of heart, breath and bowel sounds. • Heart, breath and bowel sound auscultation and recognition

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Intubation: For intubation of the MegaCode Kid VitalSim, 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

Laerdal Recommends: Prior to airway insertion, all intubation devices and airway passages must be sprayed with manikin lubricant or liquid soap.

Cardiac Related Skills: 1. Compressions on MegaCode Kid VitalSim can be performed with one or two hands, according to AHA guidelines on patient age.

IV Arm

Zap Plates

Carotid Pulse Bulb ECG Leads

Photo 1 2. For monitoring purposes, lead placement snaps are located on manikin as follows: (Photo 1) a. RA (Right Arm) b. LA (Left Arm) c. LL (Left Leg) d. RL (Right Leg) 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. For manual defibrillation, place external paddles on zap plates and press down firmly for good contact.

Laerdal Recommends: Caution: Follow defibrillation protocol by avoiding contact between the paddle and any of the electrode sites while defibrillating. A load of up to 300 joules can be delivered. 231-00001

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LL ECG Lead

Apex Zap Plate

Photo 2

Caution: •

Safety precautions should be exercised in using VitalSim around water. Use same caution with VitalSim and MegaCode Kid VitalSim as with any defibrillation exercise.

See VitalSim DFU for complete cardiac operating instructions. Safety Precautions used during Defibrillation of a Patient/Trainer 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.

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Auscultation of Heart, Breath and Bowel Sounds: 1. Connect MegaCode Kid VitalSim to the VitalSim Unit, via cable located on back of manikin. (Photo 3) 2. See VitalSim DFU for complete Heart, Breath and Bowel Sound Auscultation.

Photo 3

Carotid Pulse: Carotid Pulse is manually generated with a red bulb. Pulse rate is controlled by squeezing bulb.

IV Infusion Skills: Pediatric IV Arm is designed for practicing venipuncture and injection techniques.

Laerdal Recommends: We recommend nothing larger than a 20-gauge needle to extend life of arm. Spray catheter with manikin lubricant for easier insertion. Equipment Needed: • 500cc fluid 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 fluid 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 fluid to flow through entire tubing until all air bubbles are flushed. 5. Clamp or tie second tubing and remove from container.

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6. Insert catheter into vein. There should be a flashback if catheter has actually entered a vein. 7. Open clamp of administration set 8. To infuse fluid, second tubing of IV arm must be unclamped and the fluid allowed to flow. Before Storing: Drain, clean and dry all material prior to storing. Tubing can be sanitized by flushing with 50cc of water mixed with household bleach.

Multi-Venous IV Arm: Multiple Venipuncture Sites: 1. Dorsal Veins of Hand (3) 2. Cephalic Vein 3. Median Vein 4. Basilic Vein Instructions for Use: 1. Attach IV Bag to IV tubing. 2. Attach IV tubing to either latex vein. 3. Allow fluid to flow through arm and out other latex vein. 4. Clamp off flow of water. The arm is now ready to practice venipuncture. 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 fluid. 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.

Fig. 1

Replacing veins: (Keeping skin) 1. Lubricate inside of skin with liquid detergent; let it flow down into the finger area.

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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. Thumb will detach with skin. 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.)

Fig. 2 6. Generously lather arm mandrel with liquid soap. 7. Slide hand into skin. Laerdal Recommends Heat arms skins before replacing on mandrel. This can be done with a blow-dryer. 8. Work skin over fingers, as with a glove. 9. Work arm skin up, over mandrel. (Figure 3)

Fig. 3

Intraosseous (IO) Infusion Skills: 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

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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

Fig. 4

Instructions for Use: 1. Attach tubing connector to IV bag. (Use valve to open or close line as needed in order to relieve pressure build-up as fluids are being infused.) 2. Turn leg upside down. 3. Remove plug from heel. (Figure 4) 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. When reservoir bag is filled, discontinue infusion and replace with empty bag. (This will help decrease amount of fluid in leg and minimize leakage.) Before Storing: Detach IV line and reservoir at bottom of the foot. Allow all fluid to drain. Leg may be squeezed to evacuate as much fluid as possible. Store leg unplugged to allow it to air dry.

Laerdal Recommends: Do not use saline solution. It leads to deterioration of leg.

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Care and Maintenance: 1. Clean with mild soap and water; do not submerse in cleaning fluids or 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 airdried 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. Articulating parts will benefit from a light application of talcum powder prior to training sessions. 6. Store properly between teaching sessions.

Warranty Laerdal Medical warrants to the purchaser that its products are free from defects in material and workmanship for a period of one (1) year from the date of purchase by the original user. During the designated one (1) year period, Laerdal Medical will, upon receipt of a product found to be defective due to materials or workmanship from the purchaser and notification in writing of the defect, at its option repair or replace any parts found to be defective or the entire product. Warranty period does not renew with replacement or repair of original product. Products found to be defective and notification of defects may also be sent to the authorized Laerdal Medical dealer from whom the product was purchased. All postage, shipping or handling charges shall be the sole responsibility of the purchaser. Laerdal Medical is responsible for the effects of safety, reliability and performance of its product(s) only if: – service, repair, readjustment or modification is carried out by Laerdal Medical or persons authorized by Laerdal Medical. – the electrical installation of the room where the product is used complies with pertinent equipment requirements.

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– the product is used in the proper manner in strict compliance with its Directions for Use. Laerdal Medical shall not be liable under this warranty for incidental or consequential damages, or in the event any unauthorized repairs or modifications have been made or attempted, or when the product, or any part thereof, has been damaged by accident, misuse or abuse. This warranty does not cover batteries, fuses, normal wear and tear, excessive use, staining, discoloration or other cosmetic irregularity which does not impede or degrade product performance. Some states in the USA do not allow the exclusion or limitation of incidental or consequential damages, so those limitations or exclusions may not apply to you. There are no other express or implied warranties, whether of merchantability, fitness or purpose, or otherwise, on the product, its parts and accessories.

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Replacement Parts: Product Number: 380410 231-00101

Description: Post Set, ECG/Defib Leg, PediatricIntraosseous Head Assembly, MegaCode Kid VitalSim Lung Bag, MegaCode Kid Intubation Head Arm Assembly, Pediatric Left 1 Piece Skin, Torso MegaCode Kid Insert Assembly, MegaCode Kid VitalSim Leg Assembly, PediatricRight W/Intraosseous Leg Leg Assembly, PediatricLeft Jacket, Pediatric Pants, Pediatric Case, Carry-Pediatric Full Body Plug, Arm-Pediatric Manikin Lubricant - 4 oz Bottle Blood, Concentrate-4 oz Red Kit, Skin Assembly VeinPediatric IV Arm Arm, Pediatric MultiVenous Training

231-00250 231-00350 231-00450 231-00550 231-00650 231-00750 231-00850 231-00950 231-01050 231-01150 231-01250 300-00650 300-00750 375-70150 375-71001

Please contact Customer Service Representatives for more information on Replacement Parts in other skin tones.

(C) Copyright Medical Plastics Laboratory, Inc., Gatesville TX Document #1005303 rev B April 24, 2003

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Norway: LAERDAL MEDICAL AS P.O. Box 377, N-4002 Stavanger Tel. +47 51 51 17 00, Fax +47 51 52 35 57 E-mail: [email protected]

Italy: LAERDAL ITALIA s.r.l. Via Piero Gobetti 52/2 int.Z, 40129 Bologna Tel. +39 051-355587, Fax +39 051-355598 E-mail: [email protected].

Australia: LAERDAL Pty. Ltd. (ABN 47 003 817 490) 23 Edward Street, Oakleigh, Victoria 3166 Tel. +61 3 9569 4055, Toll free 1800 331 565 Fax +61 3 9569 4028, Toll free 1800 635 835 E-mail: [email protected]

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Denmark: LAERDAL DANMARK Postbox 225, DK-8600 Silkeborg Tel. +45 80 333 112, Fax +45 80 333 555 E-mail: [email protected]

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United Kingdom: LAERDAL MEDICAL LTD. Laerdal House, Goodmead Road, Orpington, Kent BR6 0HX Tel. +44 (0)1689 876634, Fax +44 (0)1689 873800 E-mail: [email protected]

Far East: LAERDAL Singapore Pte Ltd No 1 Marine Parade Central #13-05, Parkway Centre Singapore 449408 Tel. +65 63464259, Fax +65 63467523 E-mail: [email protected]

USA LAERDAL MEDICAL CORPORATION 167 Myers Corners Road, P.O. Box 1840 Wappingers Falls, New York 12590-8840 Tel. (800) 431-1055, +1 (845) 297-7770 Fax (800) 227-1143, +1 (845) 298-4545 E-mail: [email protected]

Finland: LAERDAL OY Vattuniemenranta 2, 00210 HELSINKI Puhelin +358 (0)9-612 99 80, Telekopio +358 (0)9-692 77 99 E-mail: [email protected] France: LAERDAL MEDICAL FRANCE 1 rue des Vergers - Bâtiment n° 5 - 69578 Limonest Cedex Tél. +33 (0)4 72 52 02 52, Fax +33 (0)4 78 35 38 45 E-mail: [email protected] Germany: LAERDAL MEDICAL DEUTCHLAND GmbH Am Loferfeld 56, 81249 München Tel. +49 (0)89 / 864 954-0, Fax +49 (0)89 / 864 34 84 E-mail: [email protected]

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LAERDAL TEXAS P.O. Box 38, 226 FM 116 South Gatesville, Texas 76528-0038 Tel. (800) 433-5539, (254) 865-7221 Telefax (254) 865-8011 E-mail: [email protected]

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