BabySIM

Key Features
Airway
• An anatomically realistic upper airway (oropharynx, nasopharynx and larynx), representing that of a three-to six-month-old patient.
• Intubation: orotracheal, nasotracheal, detection and response to right mainstem
• ET Tube, LMA and Combitube
• Bag-valve-mask ventilation

Breathing
• Measures the presence or absence of carbon dioxide exhalation synchronized with programmed lung sounds. Lung sounds include normal, biphasic, wheeze bronchovescular, crackles, prolongation, rhonchi, stridor, wheezing
• Seesaw breathing
• Bilateral and unilateral chest rise and fall
• Spontaneous breathing
• Unilateral chest tube insertion with fluid output
• Unilateral needle decompression detected
• Adequate chest compressions result in simulated circulation, cardiac output, central and peripheral blood pressures, and carbon dioxide return

Vascular Access
• IV access supported via left femoral catheter • IO site on anterior tibia of right leg

Neurological
• Software driven tri-state pupils and blinking eyes
• Automatic changes in blinking based on inadequate respiratory and cardiovascular conditions
• Palpable anterior fontanel
• Bulging fontanel capability to simulate increased intracranial pressure

Urological
• Urine output with and without catheter insertion • Instructor controlled rate and flow of urine output
• Interchangeable genitalia

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

Pharmacology System
• Pharmacology system models automatically and calculates the pharmacokinetics and pharmacodynamics for six intravenous and inhaled medications
• All patient responses to drugs are automatic, dose dependent and follow appropriate time course

Trauma
• Secretions from eyes, ears and mouth

Sounds
• Crying/cooing, breath, heart and bowel sounds • Pre-recorded sounds and an be looped for
continuous replay
• Customized sounds and voices via the provided wireless microphone and generates changes in pulmonary mechanics and gas exchange
• Esophageal intubation is fully supported with gastric distension

Circulation
• Blood pressure measurement by auscultation and palpation
• Bilateral brachial and femoral pulses
• Automatic pulse deficit occurs with decreased systolic blood pressure
• Bilateral brachial and femoral pulses are synchronized with ECG
• Pulses are independently controllable by the instructor for presence/ absence in the case of trauma to a specific extremity

Cardiac
Accurately simulates a wide variety of hemodynamic conditions and responses
• Live defibrillation, pacing, and cardioversion
• Defibrillation and cardioversion using live defibrillators, energy is automatically quantified and logged
• Pacing (use of hands-free pads), current is automatically quantified and logged
• 3-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