Health Care Simulation | Patient Simulators

PediaSIM

HSPN 2013

Realistic physiology for practice of pediatric care 

— because children are not just small adults.

PediaSIM represents a six-year-old patient with a realistic airway, thorax and anatomical features to support a wide range of clinical interventions. PediaSIM is available on the HPS platform, which is designed for anesthesia, respiratory and critical care, or the ECS platform, for medicine, nursing and health sciences.

Key Features
Neurological
• Tri-state pupils and blinking eyes
• Automatic changes in blinking based on
inadequate respiratory and cardiovascular conditions

Airway
• Upper airway designed from CT scan data of a real human patient
• Articulating mandible
• Difficult airway features include tongue swelling with variation of swollen and semi-swollen, pharyngeal obstruction, laryngospasm, and bronchial occlusion
• Intubation: orotracheal and nasotracheal, with the detection of right mainstem intubation
• Accommodates gastric distention with esophageal intubation
• ET Tube, combitube, LMA and other airway adjunct placement
• Bag-valve-mask ventilation
• Various emergency airway procedures include
needle cricothyrotomy, transtracheal jet ventilation, retrograde wire techniques, and cricothyrotomy

Breathing
• Spontaneous breathing
• Bilateral and unilateral chest rise and fall
• Measures the presence or absence of carbon
dioxide exhalation
• Bilateral chest tube insertion with fluid output • Bilateral needle decompression
• Breath sounds are independently controlled and include normal, crackles, diminished, wheezing

Cardiac
• Defibrillation and cardioversion using live defibrillators, energy is automatically quantified and logged
• Pacing (use of hands-free pads), current is automatically quantified and logged
• 5-lead dynamic ECG display
• Cardiac sounds include:
– Normal
– S3, S4, S3 and S4
– Early Systolic Murmur, Mid Systolic Murmur, Late Systolic Murmur, Pan Systolic Murmur, Late Diastolic Murmur

CPR
• Correct hand placement, depth, and rate of compressions are reflected in physiological feedback rather than virtual target on instructor’s workstation
• Adequate chest compressions result in simulated circulation, cardiac output, central and peripheral blood pressures, carbon dioxide return
Trauma
• Secretions from eyes, ears and mouth
Urological
• Urine output
• Urinary catherization with instructor
controlled flow rate
• Interchangeable genitalia

Circulation
• Blood pressure measurement by auscultation and palpation
• Bilateral carotid, brachial, radial, femoral, popli- teal,
and dorsalis pedis pulses
• Pulse deficit automatically occurs if the systolic
arterial blood pressure falls be hold certain
thresholds
• Hemodynamic response to arrhythmias is
physiologically accurate
• Hemodynamic monitoring feature provides
the capability to measure and monitor the following:
– Arterial blood pressure
– Left ventricular pressure
– Central venous pressure
– Right atrial pressure
– Right ventricular pressure
– Pulmonary artery pressure
– Pulmonary artery occlusion (wedge) pressure – Thermodilution cardiac output

Metabolic System
Metabolic features are physiologically modeled within the software and the results are made available on the instructor workstation
• ABG data displayed corresponds accurately and dynamically to the alveolar concentration of CO2 and O2
• Instructor driven simulated metabolic acidosis and alkalosis

Vascular Access
• IV insertion supported in right arm including cephalic, basilic, and antibrachial veins
• IO site access on anterior tibia of right leg • Right jugular IV line supports infusions
Pharmacology System
• Pharmacology system models automatically calculate the pharmacokinetics and pharmacodynamics for 56 intravenous and inhaled medications
• All patient responses to drugs are automatic, dose dependent and follow appropriate time course

Sounds
Breath, cardiac, bowel and vocal sounds include: • Pre-recorded sounds and voices
• Customized sounds and voices via the
provided wireless microphone

Articulation
• Range of motion in the wrists, elbows, knees and ankles

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