Multi-functional Comprehensive First Aid Training Simulator for Children KM/ACLS170A

First. Features
The main function of the Advanced Multi-functional Children's Comprehensive First Aid Training Simulator is to provide multimedia teaching materials for children's first aid, including Advanced Cardiac Life Support (ACLS), Cardiopulmonary Resuscitation (CPR), cardiopulmonary auscultation, defibrillation AED (Automated External Defibrillator), pacing and cardiac monitoring, as well as training on airway management and nursing operations for children. The program provides training in CPR (Cardiopulmonary Resuscitation), cardiopulmonary auscultation, AED (Automated External Defibrillator), pacing, and ECG monitoring, as well as children's airway management and nursing care operations. According to the children's anatomical characteristics, designed for children's clinical first aid and infant care training operation and practice requirements, by the expert seminar, and the latest products developed by our company. The product adopts imported environmentally friendly materials, made of mold casting process, soft and flexible skin, feel real, flexible joints, not easy to deform, with realistic image, real operation, easy to dismantle and install, reasonable structure and durability, etc., is the children's first aid and nursing teaching and training of a good helper. It is suitable for clinical teaching of children's first aid and nursing in higher medical schools, nursing schools, vocational health colleges and universities, clinical hospitals and grassroots health units, as well as practical training for trainees.
Second, the main function of the product
1、 Pupil observation: the pupil shows one side normal and one side dilated, which can be compared visually.
2、Simulation of vital signs: simulation of the right radial, brachial, femoral and left dorsalis pedis arteries.
3、Airway management techniques: realistic structures of the oral cavity, airway (nose, pharynx, larynx, trachea, etc.) and esophagus to practice oral tracheal intubation, sputum aspiration and oxygenation. Tracheotomy care.
4、Basic care: skin care (such as bathing, changing clothes), oral care, ear canal cleaning, bandage training.
5、Venipuncture and injection: right arm vein, right femoral vein and left saphenous vein, etc.
6、Bone marrow puncture: right tibia bone marrow puncture and intraosseous infusion.
7、Gastric tube insertion operation training: oral-nasal feeding method can be carried out gastric tube insertion operation training, but can not carry out gastric lavage operation to inject liquid, once the liquid into the trachea will affect the realization of cardiopulmonary resuscitation CPR blowing function.
8、Non invasive blood pressure measurement (Appendix blood pressure measurement manual)
9、cardiopulmonary resuscitation CPR (Cardiopulmonary Resuscitation) first aid training: support a variety of ventilation, electronic monitoring blowing, compression training.
10、auscultation function: can auscultate normal and abnormal heart sounds, respiratory sounds, vascular murmurs and intestinal sounds. (Appendix infant cardiopulmonary auscultation simulation kit)
11、defibrillation and pacing training: can be simulated cardiac defibrillation pacing function training, can also be used in conjunction with the self-provided real cardiac defibrillation pacemaker to realize the real defibrillation pacing. (Appendix Defibrillation and pacing training function instruction manual)
12、Cardiac monitoring function: It can be used to simulate cardiac monitoring function training, or used with self-provided real cardiac monitor to realize real cardiac monitoring.

Operating instructions
I. Radial artery pulse check operation method
Simulate the radial artery pulse measurement operation:
1、Assist the patient to take the supine position or sitting position, arm in a comfortable position, wrist extension.
2, will be installed in the simulator of the human body on the left side of the plastic catheter and rubber pressure ball connection, with manual pumping pressure rubber ball to simulate the radial artery pulse beat (pay attention to the pulse rate, rhythm, strength and weakness).
3, will show the finger, middle finger, ring finger end of the finger pressure on the surface of the radial artery, the size of the pressure to be able to clearly touch the pulse as appropriate.
4. Counting: Normal pulse is measured for 30s, and the pulse rate is multiplied by 2.
2) Operation steps
A Pre-intubation preparation: install the laryngoscope with the pre-lamp on; check the catheter and lubricate the head end of the catheter, the cuff and the surface of the endotracheal tube.
B. Endotracheal intubation under clear vision via the mouth.
1、Operator stands on the side of the head of the model, tilts the model's head back as far as possible, holds the laryngoscope in the left hand, and exposes the vocal folds.
2、Hold the tracheal tube in the right hand, align the anterior beveled port with the glottis, and gently insert the tube into the trachea in a smooth manner. The tube should be inserted through the glottis for about 1 cm, and then continue to rotate deeper into the trachea, about 2 cm.
3、Fix the tracheal tube and exit the laryngoscope.
Judge whether the catheter is correct:
 insertion of the catheter into the trachea will inflate both lungs when inflated;
 catheter is mistakenly inserted into the esophagus, which will inflate the stomach when inflated.
5、Inject the appropriate amount of air into the sleeve with a syringe.
6、You can connect the catheter with the resuscitator and squeeze the resuscitator airbag to blow air into the catheter.

7、Evacuate the sleeve with a syringe and pull out the catheter.

Three.Intravenous injection
Arm intravenous injection operation method
Installation method:
Put two rubber tube clamps into the two rubber tubes connected with the plastic upper limb model, one rubber tube up and through the connecting sleeve with the blood simulation fluid (Note: At the beginning, use water first, and then use the blood simulation fluid after getting familiar with it. Blood simulation fluid preparation method: it is recommended to use simulated blood powder 4 grams plus 100 ml of water preparation) of the infusion bag (bottle) connected. The other rubber tube is downward and inserted into the waste fluid bottle.
Arm vein puncture blood drawing, intravenous injection or intravenous infusion, intravenous blood transfusion training program:
1, through the elbow forearm vein puncture blood drawing
Venous phlebotomy operation training:
Step 1 200-300 ml of blood simulation fluid and plastic upper limb model of the upper position of the rubber tube
Connect 200-300 ml of blood simulating fluid with the upper rubber tube of the plastic upper limb model, so that the blood simulating fluid is injected into and fills the pipeline system of the plastic upper limb model, and the lower rubber tube clamp is clamped to block the lower rubber tube.
Step 2 Routinely sterilize the skin of the elbow and forearm.
Step 3 Select a suitable vein, puncture the vein with a 10-mL syringe, and draw 2 mL of venous blood (blood simulator).
2 ml of vein blood (blood simulating solution).
Intravenous injection or intravenous infusion through the forearm of the elbow
Intravenous injection or intravenous infusion training:
Step 1 Same as step 1 for venous blood sampling via the elbow forearm, using a syringe tray, suitable syringe, 6-8 gauge needle, medication,
sandbag, sterile gloves and sterile therapeutic towel. This method of injection is contraindicated in patients with hematologic disorders as it may cause excessive bleeding.
Step 2 Routinely disinfect the skin of the elbow and forearm with sterile gloves and sterile cavity towel.
Step 3 Fix the selected vein with the index and middle fingers of the left hand, hold a syringe (50 ml syringe, No. 6-8 needle) with the liquid extracted in the other hand, puncture the vein vertically or at an angle of 40° with the vein, and when red liquid enters into the syringe by retracting the needle, clamp the upper rubber tubing clip in order to block the upper rubber tubing, release the lower rubber tubing clip, and fix the puncture needle with the other hand. Puncture needle, at the same time with the other hand as fast as possible to push the injection of liquid, so that the liquid in the syringe flow through the pipeline system in the model, so that the liquid through the lower rubber tube into the waste liquid bottle. Remove the needle quickly when the injection is complete. Intravenous infusion when stabbing the vein back to see the red liquid into the syringe, then loosen the upper rubber clamp, adjust the drip speed of the intravenous infusion device, so that the infusion bottle of red blood simulation liquid flow through the model of the piping system and through the lower rubber tube into the waste liquid bottle, fixed puncture needle.
3、Trans-elbow forearm venous blood transfusion
Intravenous blood transfusion operation training:
Step 1 is the same as step 1 of venous blood sampling through the forearm of the elbow.
Step 2 Routinely sterilize the skin of elbow forearm.
Step 3 Choose the suitable vein, puncture the vein with a syringe needle, pump back to see the red liquid into the venous transfusion device, adjust the drip speed, so that the red blood simulation liquid in the transfusion bottle flows through the pipeline system in the model and through the lower rubber tube into the waste liquid bottle.

IV. Bone marrow aspiration and intraosseous infusion
Bone marrow puncture training:
Step 1 Place the model on top of the table, apply lubricating powder to lubricate the entire bone marrow puncture components, mount and slide the right tibial bone marrow puncture components, from the sole of the foot upward, into a fixed position on the tibia of the lower leg, and cover the lower leg with a skin jacket.
Step 2 Place a disposable waterproof dust cloth pad that absorbs fluid under the knee joint of the model, and attach the adjustable infusion frame, infusion bag and its
Connect the adjustable infusion stand, the infusion bag and its connecting tubes to the tibial bone marrow puncture parts, install and adjust them to become ready for infusion, and remove air bubbles in the tubes (start the operation with the infusion bag in the first place).
When operating, use pure water in the infusion bag first, and then use blood simulation fluid after skillful operation. Preparation of blood simulating fluid: it is recommended to use
(simulated blood powder 4 grams plus 100 ml of water configuration).
Step 3 (1) Check that the tibial bone marrow puncture component is filled with fluid. Prevent leakage of blood simulating solution during the procedure.
(2) For bone marrow aspiration, a special bone marrow aspiration needle should be used. After anesthetizing the skin to the periosteum, slowly pressurize the bone marrow by using the forearm and the bone marrow aspiration needle as an axis and turning it back to prevent excessive pressure, so that simulated bone marrow fluid can flow out when the puncture is done correctly. The sample can be taken with a 5 ml syringe. Bone marrow fluid extraction is generally 0.1-0.2 ml, and 1-2 ml of bone marrow fluid can be extracted if used for bacterial culture. (3) The tibial bone marrow puncture component is designed to puncture on all four sides, and the bone marrow puncture operation is followed by sealing the hole in the bone with a small piece of wax. After one side of the puncture component has been punctured, the component can be rotated 90° and reinserted into the tibia until all four sides of the tibial bone marrow puncture component have been punctured, at which point the component can be discarded.
Intraosseous Infusion:
Intraosseous Infusion (IOI): is the introduction of fluids, blood, or medications directly into the bone marrow of the tibia or into other bones. Intraosseous infusion is an ancient technology, in the clinical application of infant shock resuscitation, it has the characteristics of fast, simple, safe and effective, especially for the patients who can not establish the vascular access during the first aid (when severe dehydration, blood loss, peripheral veins can not be seen or touched, and can not establish the resuscitation channel). Intraosseous infusion is mostly used in the tibial position. Bone marrow aspiration in the right tibia of the simulator: Establishment of an inlet for intraosseous infusion requires asepsis. A bone marrow aspiration needle (16-gauge) is inserted 1 cm below the tibial tuberosity. Pressurization and back-and-forth rotation of the bone marrow aspiration needle penetrate 2-3 cm deep, and when the bone is penetrated into the bone cortex, there is a feeling of emptiness, and the core of the needle can be withdrawn to draw out the simulated bone marrow fluid with a syringe. The intraosseous inlet is connected to the intraosseous infusion channel with a needle connector, and the needle connector is clamped with hemostatic forceps and fixed to the leg. After stabilization, the intraosseous inlet can be used to inject fluids, blood, or drugs. It has been suggested in the literature that intraosseous infusions usually need to be performed for 1-2 hours until a safer venous access system has been established. Ensure that the tube is drained after each use. Use glue or sealant to close the needle hole after the intraosseous infusion puncture to prevent fluid leakage. The tibial module can also be inverted for puncture or replaced with a new tibial module.
V. Blood pressure measurement training (blood pressure measurement trainer)