3B Scientific Resusci Anne CPR Torso - Manual (Page 10)

Early defibrillation training
To use the CPR-D manikin you need a semi-automatic
defibrillator in addition to the manikin. The CPR-D manikin is
a SkillReporter manikin but has in addition a MicroHeartsim to
simulate rhythms, and a defibrillation chest skin with loadbox.
Training type electrode pads are also included.
MicroHeartsim
Instructor sets the scenario by selecting and activating one of
the following rhythms via the MicroHeartsim keyboard:
Normal Sinus Rhythm ("NSR"),
Ventricular Fibrillation ("V.fib"), fast Ventricular
Tachycardia ("VT.fast"), slow Ventricular Tachycardia
("VT.slow") or "Asystole". At start-up of the Micro-
Heartsim "V.fib" is the presenting rhythm.
Presenting rhythm is shown at the keyboard by
a steady light next to the actual rhythm.
Waiting rhythm may then be preselected to follow
a defibrillatory shock released to the manikin or as
a result of pressing the "Change rhythm" button.
The waiting rhythm is shown by a blinking light next
to the actual rhythm.
By pressing "Ignore shock" button, the waiting
rhythm will not be activated after the first shock.
This is shown by a steady light next to "Ignore shock"
button. Repress to nullify.
Pulse feature
The CPR-D manikin provides a palpable pulse in carotid arteries
only when the "NSR" button on the MicroHeartsim is selected
and activated, and the PEA (Pulseless Electrical Activity or
Electromechanical Dissociation) function is not activated.
Impulses are produced by an asynchronous pulse generator
inside the manikin and are not synchronized with the QRS
complexes
SkillReporter
When log function is activated, the following CPR-D data will
be logged in the manikin, in addition to what is described
above:
Call for help
If the "Call help" button is pressed on the MicroHeartsim, this
will be shown as a "phone symbol" on the long print format.
Check breathing
If the "Check breathing" button is pressed on the
MicroHeartsim, this will be shown as a "b" on the long print
format.
Arrival defib.
If the "Arrival defib." button is pressed on the MicroHeartsim,
this will be shown as a "d" on the long print format.
Cardiac rhythm
Presenting rhythm is shown on the long print format as
"NSR","VTs", "VTf", "VF" or "Asy".
Defibrillation shock
A defibrillation shock is shown by a "lightning symbol" on the
long print format.
On the short print format (statistical data) "time from scenario
start to first shock", "time from call for help to first shock"
and "time from arrival of defibrillator to first shock" will be
shown.
Cautions
1 Only apply the defibrillator to a defibrillation
chest skin which is properly mounted on
the manikin's chest.
2 Do not provide more than 2 x 360J defibrillator
discharges per minute as an average over
a period of time to prevent overheating.
3 Do not apply conductive gel or conductive
defibrillation pads intended for patient use
to prevent chest skin pitting.
4 Do not use cables or connectors
with visible damage.
5 Observe all normal safety precautions
for use of defibrillators.
MAINTENANCE
Preventive maintenance is the best method of ensuring long
and trouble free operation.
A general inspection should be conducted at regular intervals.
Periodic cleaning
Periodically wash all skin parts that are not regularly sanitized
during and after each class, using warm soapy water or Virkon.
Outer skin and moulded hair
A factory applied protective coating on the neck and chest skin
helps retard, but does not prevent staining. Most stains can be
removed with alcohol or warm water and soap. However, the
older the stains are, the more difficult they are to remove. Non-
abrasive household cleaners that are safe for plastics may pro-
duce desirable results. It is wise to test other cleaning agents
on a non-critical area, e.g., under the chest cover, before gene-
ral use. Note that pigments from lipstick and ballpoint pens
quickly travel into the plastic skin. Such stains may be impos-
sible to remove.
Clothes
Hand or machine wash with soap or laundry detergent in
warm water, max. 40°C (100°F). Iron with warm iron. May be
dry cleaned. Please note that hot air dryer may cause garment
shrinkage.
Resusci Anne Modular System
12