Preparation For Training; Usage Of The Manikin - Ambu Man Advanced Mode D'emploi

An overview of the different LED status can be seen in the following table:
LED status LED Description
Green steady  System running
Green slow flashing System booting

Off  System off
4.2.3. Reset to default settings
To reset the manikin into the default settings press reset button (2.10) using a pin.

5. Preparation for training

The manikin is supplied in a portable suitcase. Open the suitcase and take out the
manikins and legs.
5.1. Mounting the legs on the torso ③
Pull down the trousers a little around the hips. Place the legs in a position so that the 2
dowels on the hip part can slide into the corresponding dents at the bottom of the
manikin's body, see 3.1.
Press the two Velcro straps firmly to the body, see 3.2.
To remove legs pull off the Velcro straps and the legs will be disengaged.
5.2. Monitoring Instrument
Activate the instrument by depressing the catch. In case the instrument is not activated
(pulled out), no damage is done to the manikin nor to the instrument during chest
compression.
5.3. Adjusting chest stiffness ④
The stiffness of the chest can be adjusted as required by loosening the thumb screw on
the back of the manikin: For reduced stiffness set to 'LOW' position, for increased stiffness
set to 'HIGH' position.
The values shown, approximately 6 N/mm (0,6 kg/mm) and 11 N/mm (1,1 kg/mm), indicate
the force, which must be applied to compress the chest by 1 mm.
Example: Compressing the chest by 40 mm at the 'LOW' setting, a force of approximately
240 Newton (24 kg) must be applied.
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The normal setting is 'MEDIUM' corresponding to approximately 8,5 N/mm (0,85 kg/mm).
5.4. Battery placement ⑤
The battery compartment is placed on the backside of the manikin. Depress the catch to
open (5.1) and remove the battery pack.
NOTE: Take care that the battery pack is place correctly in the battery compartment.
5.5. Power supply ⑤
The manikin can be powered using a universal external AC/DC adapter (output 12
V / 2,0 A) with a straight connection plug (5,5x2,1x12 mm). The connector can be
connected to the socket place inside the battery compartment, see 5.2.

6. Usage of the manikin

6.1. Ventilation ⑥
The manikin is not supplied with a hygienic system, as normally a resuscitator is used.
Mouth-to-mouth or mouth-to-nose ventilation must therefore not be performed.
Ventilation can be performed by using a resuscitator with mask (6.1), ventilation through
an endotracheal tube (6.2) or other modern airway management devices.
Correct ventilation makes the manikin's chest raise and fall. When doing bag/mask
ventilation there is a possibility for stomach inflation, which causes the manikin's stomach
to rise. This happens if the ventilation is too fast, the volume is too high or if the head is
not tilted correctly. As in real-life situations ventilating through the intubation tube
eliminates the risk of stomach inflation if the tube is correctly placed.
6.2. Intubation
The manikin can be intubated through the mouth (oral intubation). Intubation through
the nose (nasal intubation) is not possible.
The intubation can be performed with modern airway management devices like ET-tube
(8 mm I.D. endotracheal tube is recommended), supraglottic airway or CombitubeTM etc.
The insertion of the laryngoscope and endotracheal tube is to be made very carefully as if
it was a real patient. It is important to grease the tongue part from the oral cavity down to
the white stripes simulating the vocal chords using the accompanying water-soluble
lubricating gel and lubricate as often as the tongue part feels dry.
Do not pour lubricating gel down the tongue parts but grease the parts with a thin layer
of lubricating gel. Furthermore, it is important also to grease the tracheal tube and
laryngoscope well with lubricating gel.
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