1. Orientation to SimMan™ the Human Patient SimulatorBy
Gail Heimburger, M.Ed.
Director
Clinical Skills Laboratory
University of Cincinnati, College of Medicine

2. FAQ’s 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