Laerdal Intraosseous Trainer - Manual (Page 5)

Airway hygiene
Please note that if mouth-to-mouth or mouth-to-nose
ventilation has been performed, a thorough cleaning of the upper
airways, and a replacement of the lower airways are necessary.
See section "Cleaning upper airways".
However, we recommend that this manikin not be used for
mouth-to-mouth or mouth-to-nose ventilation.
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Intraosseous access via tibia bone
The left leg is designed with a recess that houses a replaceable
pad containing a simulated tibia with artificial bone marrow.
For pad placement, refer to section "Assembly - Getting Started".
With the pad in place, intraosseous access can be practised
according to clinical protocol.
To confirm that the needle is correctly inserted in the tibia bone,
simulated bone marrow can be aspirated into a syringe.
When the needle is withdrawn, the sleeve surrounding the tibia
bone will seal around the entrance point so that further
punctures can be performed without excessive leakage.
A permanent hole, however, will be left in the tibia bone after
each puncture. Up to 15 punctures can normally be performed
before pad replacement will be necessary. However, this will vary
depending on how densely the punctures are performed.
To replace an intraosseous pad, carefully bend the left foot
downward and release the lower part of the pad from the recess
in the foot.
Pull out the pad and discard.
Place a new pad as described in the section "Assembly -
Getting Started".
Vascular access
A pulse is simulated via a manually operated pulse bulb.
ECG can be monitored using the four ECG electrodes on the
chest skin if the manikin is connected to the 3-lead outlet of the
Laerdal Heartsim 200 or other simulator with compatible outlets.
Warning!
The Laerdal ALS Baby Trainer must not be defibrillated. The monitoring
electrodes are not designed to absorb high voltage / high energy
shocks. Application of such shocks may cause a potential shock
hazard to the operator and may also damage the connected cardiac
rhythm simulator.
Cardiac features
Laerdal ALS Baby direction for use rev E:Laerdal ALS Baby dire#88E7D.qxd 27.03.2009 12:14 Page 5