Orientation to SimMan the Human Patient Simulator

1
Orientation to SimMan the Human Patient Simulator

• By
• Gail Heimburger, M.Ed.
• Director
• Clinical Skills Laboratory
• University of Cincinnati, College of Medicine

2
FAQs for the first-time users

• How does the SimMan work?
• What procedures can I do?
• How will I be evaluated on my skills?
• Oooooooops.can I break the SimMan?

3
What is the SimMan?

• SimMan is a fully computer operated total body
  simulator
• SimMan is totally mobile and can be moved to
  many different locations

4
How does the SimMan operate?

• SimMan can be operated by
• using instructor generated cases
• teaching on the fly by the instructor
• utilizing standard cases from the simulation
  community
• individuals engaged in the practice of skills
  and/or procedures

5
What can I do on the SimMan?

• Check for radial pulse using the left arm
• Check for brachial pulse also on the left arm
• Pulses can demonstrate differences in strength
  and regularity

6
Carotid pulse points

• Carotid pulses are located on both sides of the
  neck
• Carotid pulses only last for about 10 beats
  before needing reactivation

7
Femoral pulse points

• Bilateral femoral pulses are palpable
• Do not use the femoral site for cannulation as
  this is an electronic pulse point only

8
Airway management

• Placement of endotracheal tubes
• Combitubes
• Laryngeal mask airways (LMA)
• Retrograde intubation
• Fiberoptic procedures
• Bronchoscopy

9
Airway management

• Bag-Valve-Mask devices
• Jet ventilation
• Standard ventilators
• Oral/nasal pharyngeal airways
• Light wand intubation

10
Airway complications

• Tongue edema
• Laryngospasms
• Posterior pharyngeal swelling

• Trismus
• Decreased cervical range of motion
• Decreased right and/or left lung compliance

11
Surgical procedures

• Needle cricothyroidotomy
• Surgical cricothyrodotomy
• Decompression of a tension pneumothorax
• Chest tube insertion

12
Features of the chest

• Bilateral lung sounds
• Featured sound include rales, rhonchi, wheezes,
  and pneumonia
• The chest rises and falls
• SimMan can exhale CO2

13
Cardiac Exam

• Cardiac auscultation is possible at several
  listening points
• Many different auscultatory events are
  represented

14
Blood Pressure

• Blood pressure can be measured on the left arm
  with either an aneroid or mercury
  sphygmomanometer
• Automated blood pressure is also displayed on the
  student monitor
• Korotkoff sounds are available

15
Other procedures

• SimMan can be defibrillated at 200J, 300J, and
  360J
• He can receive 3 stacked shocks without damage
• Be sure to yell CLEAR before defibrillation!

16
Other procedures

• SimMan can be used for SQ and IM injections
• Five injections sites are provided on the manikin

17
Other procedures

• Nasogastric tube placement

18
Other procedures

• Foley catheter placement

19
Drug theorapy

• The right arm provides sites for cannulations,
  IV infusions, phlebotomy and drug administration

20
Instructor monitor
All manikin functions are visually displayed
21
Student Monitor
All vital signs are visually displayed
22
Student evaluation

• A clinical log is recorded for every student
• The event log is time dated
• Instructors can use the log in debriefing
  sessions
• Log data can be used for self-reflection and
  evaluation of skill sets
• Log data may be used for grading purposes

23
Ooops.can I hurt the SimMan?

• Things do break under stress
• Treat the SimMan with the same care that you
  would use with a REAL patient
• The SimMan is quite hardy and will last many
  years with proper care

24
Enjoy using the SimMan throughout your medical
education experience