Mid Axillary Site (Right); Chest Drain; Attaching/Removing Arms; Iv Arm Skin And Vein Replacement - Laerdal ALS Simulator Manual Del Usuario

(B) Mid Axillary Site (RIGHT):
1 . Remove Chest Skin from tabs at the shoulder and back .
2 . Remove pneumo bladder box from right side of torso . (Figure 3)
Fig . 3
3 . Disconnect bladder hose from inline hose connector, being sure hose does
not fall through hole and into torso .
4 . Remove bladder from pneumo pad and discard .
5 . Trim bladder tubing to match original tubing length to fit this simulator style .
Connect new bladder hose to inline hose connector .
6 . Fold and insert new pneumo bladder into pneumo box .
7 . Replace Chest Skin over torso, being sure to secure skin at shoulder and back
tabs .
8 . Fill puncture marks on exterior of Chest Skin with the modeling wax supplied
in the Bladder Replacement Kit .
NOTE: Bladders can be repaired using vulcanized or contact cement glue (not
provided) . Cover punctured surface of pneumothorax bladders with glue . Allow
bladders to air dry completely overnight before replacing in the chest plate .

Chest Drain:

Mid Axillary Site (LEFT)
1 . Remove Chest Skin from tabs at shoulders and back .
2 . Remove the Chest Tube Insertion Module from the left mid-axillary site of
the simulator . (Photo 23)
3 . Insert a new Chest Tube Insertion Module .
4 . Replace Chest Skin over the torso being sure to secure the skin at the
shoulders and both sides .

Attaching/Removing Arms:

1 . Remove Deltoid Injection Pad from upper arm .
2 . Detach Chest Skin from tabs at shoulders and back .
3 . Remove skin to reveal internal portion of upper chest .
4 . Lift hard chest plate to reveal inside sockets for arm connections .
5 . Place one washer on threaded 4 ½" bolt .
6 . Insert threaded bolt through upper arm and through torso so that it is visible
in chest cavity . (Figure 4)
7 . From inside of chest area, slip a washer, a spring and another washer on bolt .
8 . Screw a wing nut on bolt and tighten until desired articulation is achieved .
9 . Replace hard chest plate .
10 . Pull Chest Skin back onto shoulder area .
11 . Connect Chest Skin to torso at shoulder and back tabs .
12 . Replace Deltoid Injection Pad on upper arm .
To remove arms(s), reverse procedure .
Photo 23
Fig . 4

IV Arm Skin and Vein Replacement

Laerdal Recommends
When excessive leaking occurs at the puncture sites, a new vein system and
skin should be installed to reduce loss of fluid .
We recommend working at a basin when replacing skin and veins .
Replacing Skin and Veins:
1 . Cut off skin . This can be done with a sharp knife or scalpel . (Figure 5)
2 . Discard skin .
3 . Remove tubing from track in mandrel . Glue may need to be scraped away .
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 6) spot gluing as needed . (We
recommend a fast-drying glue applied sparingly every 2 to 3 inches . )
6 . Generously lather arm mandrel with liquid soap .
7 . Slide hand into skin . (Photo 24)
8 . Work skin over fingers, as with a glove . (Photo 25)
9 . Work arm skin up, over mandrel . (Photos 26 &27 . )
8
Fig . 5
Fig . 6
Photo 24
Photo 25
Photo 26