MegaCode Kid Advanced Directions for Use Rev B

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E NGLISH Introduction

Table of Contents

MegaCode Kid 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.

Items Included ... 1 Skills Taught ... 1 Introduction ...1 Laerdal Recommends ...1 SimPad Connection... 2 Intubation ... 2 Cardiac Related Skills ... 2 Safety Precautions ... 2 Auscultation of Heart, Breath & Bowel Sounds ... 2 Carotid Pulse ... 2 IV Infusion ... 3 Multi-Venous IV Arm ... 3 Intraosseous Infusion Skills... 3 Care and Maintenance... 4 Replacement Parts ... 4

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 - 22-gauge needle or smaller

Items Included

(1) Full-body Pediatric Manikin (1) IV Bag Set (1) Manikin Lubricant (1) Set of Defibrillation Posts (1) Jacket (1) Pants (1) Carry Case (1) Direction for Use (1) Laerdal Global Warranty Booklet

Caution: Latex This product contains Natural Rubber latex which may cause allergic reactions when in contact with humans.

The product, when carrying the CE-mark, is in compliance with essential CE requirements and other relevant provisions of council directive 1999/5/EC.

Skills Taught

Airway Management Skills: • Oral intubation • Nasal intubation • Digital intubation • Bag/Valve Mask Ventilation Cardiac Related Skills: • Closed chest compressions • 3-4 lead ECG, pacing and defibrillation 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 and recognition of heart, breath and bowel sounds.

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Intubation

For intubation of the MegaCode Kid, 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

Caution: the paddle and any of the electrode sites while defibrillating. A load of up to 300 joules can be delivered.

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

SimPad Connection 1. Connect MegaCode Kid to Link Box, via cable located on back of manikin. For some manikins the adapter cable supplied with SimPad may have to be used. LL ECG Lead

Apex Zap Plate

Photo 3

Caution: Safety precautions should be exercised in using SimPad around water. Use same caution as with any defibrillation exercise. See SimPad 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. Photo 1

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.

Cardiac Related Skills

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

Carotid Pulse Bulb

IV Arm

Zap Plates

Auscultation of Heart, Breath and Bowel Sounds

A D

C

See SimPad DFU for complete Heart, Breath, and Bowel Sound Auscultation.

B

Carotid Pulse

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

Photo 2

ECG Leads

2. For monitoring purposes, lead placement snaps are located on manikin as follows: (Photo 2) (A, B, C, D) 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. down firmly for good contact.

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IV Infusion Skills Pediatric IV Arm is designed for practicing venipuncture and injection techniques. We recommend nothing larger than a 22-gauge needle to extend life of arm. Spray catheter with manikin lubricant for easier insertion.

Figure1 Equipment Needed: • 500cc fluid bag • Simulated blood or food coloring with water • Administration Set • IV catheter

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

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. 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.

Figure 2

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.

6. Generously lather arm mandrel with liquid soap. 7. Slide hand into skin. Heat arms skins before replacing on mandrel. This can be done with a blow-dryer.

Multi-Venous IV Arm Multiple Venipuncture Sites: • Dorsal Veins of Hand (3) • Antecubital - Cephalic Vein - Median Vein - Basilic Vein

8. Work skin over fingers, as with a glove. 9. Work arm skin up, over mandrel. (Figure 3)

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.

Figure 3

The arm is now ready to practice venipuncture.

Intraosseous (IO) Infusion Skills

Replacing Skin and Veins

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 Leg is provided with one IV tubing and one IV bag for use as reservoir during infusion.

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.

Additional equipment needed: • IV bag • IV administration set • Simulated blood concentrate • 35cc syringe • Jem Shidi needle

To replace skin and veins: 1. Cut off skin. This can be done with a sharp knife or scalpel. (Figure1) 2. Discard skin.

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Replacement Parts

Instructions for Use: 1. Attach tubing connector to IV bag. (Use valve to open or close line as

Product Number: Description: 380410 ... 231-00101 ...Leg, Pediatric-Intraosseous 231-00250 ...Head Assembly, MegaCode Kid 231-00350 ...Lung Bag, MegaCode Kid Intubation Head 231-00450 ...Arm Assembly, Pediatric Left 1 Piece 231-00550 ...Skin, Torso MegaCode Kid 231-00650 ...Insert Assembly, MegaCode Kid 231-00750 ...Leg Assembly, Pediatric-Right W/ Intraosseous Leg 231-00850 ...Leg Assembly, Pediatric-Left 231-00950 ...Jacket, Pediatric 231-01050 ...Pants, Pediatric 231-01150 ...Case, Carry-Pediatric Full Body 231-01250 ...Plug, Arm-Pediatric 250-21050 ...Airway Lubricant 300-00750 ...Blood, Concentrate-4 oz Red 375-70150 ...Kit, Skin Assembly Vein-Pediatric IV Arm 375-71001 ...Arm, Pediatric Multi-Venous Training

2. Turn leg upside down. 3. Remove plug from heel. 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. Before Storing: Detach IV line and reservoir at bottom of the foot. Allow Store leg unplugged to allow it to air dry. Do not use saline solution. It leads to deterioration of leg.

Care and Maintenance 1.

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

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 air-dried 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. prior to training sessions. 6. Store properly between teaching sessions.

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