ACLs Brian

■  This product is an advanced intelligent comprehensive simulation standardized patient simulation system that integrates teaching, training, and assessment, with strong physiological driving capabilities. This system can conduct situational teaching based on real clinical environments, effectively evaluating the clinical thinking and personal operational skills of students, and greatly improving their teamwork spirit.

Simulator characteristics
■  This system consists of an adult simulated patient, a computer, and a simulated monitor; Wireless or wired connection can be achieved between simulated patients, computers, and simulated monitors; Simulating that the patient's weight matches that of an average person is beneficial for students to learn systematically. Able to observe simulated humans and recognize most vital signs. It can achieve direct interaction with simulated humans and view the status of simulated patients on the simulated monitor.

Head and neck
■  The head is completely simulated, the material is soft and the feel is real; the anatomical structure of the mouth, airway and esophagus is complete; there are real hair planted, which can be customized for different genders.
■  The eyes can blink automatically, with three speed modes: slow, normal, and fast, which can be adjusted; The eye state can also be adjusted, with three modes: open, closed, and half open; Pupils can enlarge, shrink, or be out of sync between the two eyes; The pupil has a function of light reflection, which can be adjusted for synchronous or asynchronous reflection; Adjustable normal and slow reaction speed when reflecting light; Can automatically simulate the condition of unequal pupil size under nerve injury; The eye movement function can transmit data to the log through sensors.

Airway features
■  Airway management: realistic mouth, nose, tongue, gums, pharynx, esophagus, epiglottis, simulated removal of foreign bodies in the respiratory tract, and support for opening the airway in three ways: head-up and neck-lifting, head-up chin-lifting, and hands-jaw-lifting. Controlled manual or automatic airway opening/closing. The airway can be opened only when the forehead rest/jaw push-up is correct (it will be automatically sensed and recorded in the log).
■  The negative pressure suction device used in clinical use can be used for suction: oropharyngeal suction, nasopharyngeal suction, suction through tracheal intubation, and suction through tracheotomy can be performed respectively.
■  Endotracheal intubation can be performed, which will be automatically sensed and recorded in the log; oropharyngeal ventilation, nasopharyngeal ventilation intubation, laryngeal mask ventilation; fiberoptic bronchoscopy intubation; retrograde intubation; video laryngoscope tracheal intubation.
■  It can perform mouth-to-mouth artificial respiration, and can be used in conjunction with a balloon mask. The size of the blowing volume and the blowing speed can be displayed, recorded and evaluated in real time. Tracheal ventilation can be performed.
■  Left and right bronchial ventilation can be performed, which will be automatically sensed and recorded in the log.
■  Can produce flatulence.
■  The patient simulator can be configured to present various difficult airways:
﹡Tongue edema (3 degrees of swelling)  
﹡Pharyngeal enlargement  
﹡Laryngeal spasm  
﹡Trismus  
﹡Neck stiffness, etc
■  Monitoring of correct head position.
■  The function of "cannot be intubated/can be ventilated" can be selected.
■  The function of "cannot be intubated/cannot be ventilated" can be selected.
■  Can perform nasogastric intubation, gastrointestinal decompression and gastric lavage (will be automatically sensed and recorded in the log).
■  Can perform cricothyroid puncture and tracheotomy training.
■  Simulated voice: verbal communication can be realized between the operator and the simulated person (equipped with a wireless communication device); the patient's voice can be imitated through the system preset or user-defined voice file (reproduce the patient's groaning, coughing, and vomiting sounds). Wait).
■  The system has a built-in simulated secretion storage device, and the software has a secretion control platform, which can realistically simulate sweat, tears, saliva, foaming at the mouth, etc., so that it can automatically change from the simulated person's forehead, the corners of the eyes, and the corners of the mouth according to the changing conditions. , ears, nose, etc. Forehead sweat can show through inconspicuous pores.
■  Can simulate carotid pulse.
■  It can simulate cyanosis of the lips, and the severity of cyanosis is related to blood oxygen saturation.

Chest and abdomen
■  Obvious signs on the chest surface (sternal angle, xiphoid process, ribs, etc.) are beneficial to clinical operations.
■  It can realize spontaneous breathing, and the chest rises and falls when breathing. Various breathing modes can be set, unilateral or bilateral chest ups and downs can be simulated, the breathing rate can be adjusted.
■  It can simulate normal or abnormal breath sounds; it can simulate unilateral and lobar breath sounds.
■  When using the mask for ventilation, the ventilation volume will be displayed on the computer screen.
■  There are 5 heart sound auscultation areas, 5 lung sound auscultation areas and 4 abdominal auscultation areas in front of the simulated patient's body.
■  There are 6 auscultation areas behind the simulated patient's body.
■  Abdominal palpation can be performed. According to the needs of the disease, the abdominal pain site can be set in the medical record editing. When the abdomen is palpated, the patient will feel pain, accompanied by a moaning sound. , and corresponding display on the software.
■  It can simulate the function of flatulence.
■  Pleural puncture and placement of chest drains can be performed on both sides.
■  Sternal bone marrow puncture.
■  Built-in bleeding control system, which can simulate bleeding in many parts of the body, and can adjust the amount and speed of bleeding according to the location and size of the wound. The vital signs can automatically change with the severity of blood loss and treatment.
■  Catheterization function: catheterization training can be performed, and the urine volume can be automatically adjusted with the change of the condition; the system can control the urine output and the flow rate can be adjusted. Male and female genitalia are interchangeable.
■  Enema operation can be performed, and the operation record is displayed in the log.
■  CPR training implementation standard: 2020 American Heart Association Guidelines for CPR and Cardiovascular First Aid.
﹡ Press to automatically generate pulse, blood pressure waveform and electrocardiogram.
﹡ Real compression depth; it can provide immediate feedback on the quality of CPR, including compression depth, compression frequency, compression position information, whether the compression rebound is complete, ventilation tidal volume, ventilation frequency, etc. Graphical and text interface. Real-time feedback on the quality of cardiopulmonary resuscitation. It can display the situation of pressing and rebounding.
■  More than 100 kinds of electrocardiograms, vital signs can be changed automatically with the changes of heart waves and treatment.
■  The ECG waveform, basal heart rhythm and premature contraction can be adjusted arbitrarily.
■  The 12-lead ECG can be displayed on the monitor in real time, in line with the changes in vital signs. There is a separate icon on the monitor that, when clicked, displays a twelve-lead ECG.
■  Real electrical defibrillation and electrical cardioversion: Defibrillation and electrical cardioversion can be performed with real clinical defibrillators. The defibrillation effect and pacing threshold can be set and automatically displayed according to the needs of treatment and situation. After various treatments, the corresponding symptoms, signs and monitoring parameters of the simulated person will automatically change in accordance with the condition at that time. An optional analog defibrillator is also available (energy will be transmitted to the simulator during defibrillation, and the software has defibrillation records).

limbs
■  Non-invasive blood pressure measurement can be performed with a cuff-type sphygmomanometer and a monitor. The cuff-type sphygmomanometer needs to manually measure the blood pressure by auscultation of Korotkov sound, the volume can be adjusted, and the blood pressure reading must be consistent with the condition at the time.
■  When measuring blood pressure, it can automatically detect and record whether it touches the brachial artery, can automatically detect the cuff binding position (upper, correct, lower), and detect the drop speed of the mercury column or the drop value of the pressure gauge in real time (operation record). displayed in the log).
■  Can perform venipuncture training on the back of the hand and the arm, including the precious vein, median vein, and cephalic vein.
■  There is a sense of failure during puncture, and blood can be returned after correct puncture, and exercises such as infusion can be performed.
■  The pulse of carotid artery, femoral artery, brachial artery, radial artery, dorsal pedis artery, popliteal artery and posterior tibial artery can be palpated and automatically synchronized with electrocardiogram. The pulse will vary with the condition and with the treatment. Palpation pulses are automatically sensed and recorded. Pulse intensity varies with blood pressure.
■  Tibial bone marrow puncture, the puncture is correct, the fluid can be extracted, and the tibial puncture module can be replaced.
■  It can simulate the convulsion of the left hand, and the convulsion can be adjusted in intensity.
■  Peripheral fingers and toes can simulate four different degrees of cyanosis, and the severity of cyanosis is related to blood oxygen saturation.

Features of the software
■  Simulated human operation software can run, control, and monitor various aspects of learning, and can be operated in both automatic and manual modes.
■  The system conducts consultation, physical examination, auxiliary examination, operation, and medication treatment according to the steps of clinical thinking. The system presets over 80 consultation scenarios and can also preset multiple pathological signs, which can be identified through physical examination.
■  The system has three control modes: single mode, theme mode, and case mode.
■  Single mode: The mentor can precisely control each reaction of the simulated human on site.
■  Theme Mode and Case Mode: With a case editing platform, operators can freely develop cases, and all changes in simulated humans can be pre designed. During design, it is convenient to select the preset modules for patients to undergo physiological and pathological reactions to drugs and treatments, and the time and process can be controlled.

Monitoring function
■  Various monitoring waveforms and constants can be displayed through the monitor carried by itself; the corresponding monitoring parameters will appear after connecting with the simulator.
It can be connected to a clinical real monitor for ECG monitoring. ECG monitoring can automatically display the ECG waveform consistent with the condition at that time.
■  The patient simulator and monitor can be operated wirelessly.
■  Monitor and display the following parameters: heart rate (HR), pulse (P), blood pressure (BP), blood oxygen saturation (SPO2), non-invasive blood pressure (ABP), peripheral body temperature (PT), core body temperature (BT), Invasive Arterial Blood Pressure (NIBP), Pulmonary Arterial Pressure (PAWP), Carbon Dioxide (CO2), Oxygen (O2), Nitrous Oxide (N2O), Respiratory Rate (RR), Central Venous Pressure (CVP), Anesthetics (AGT), Fluorine Alkane (HAL), Isoflurane (ISO), Aminoflurane (ENF), Sevoflurane (SEV), Desflurane (DES).
■  Can display the following auxiliary diagnostic results: import X-ray films, biochemical test reports, real-time display of 12-lead ECG.
■  The following operations can be performed: the amplitude and speed of the waveform can be adjusted like the clinical monitor; the upper and lower alarm limits of various monitoring parameters can be adjusted like the clinical monitor, and the alarm will be issued when the parameters exceed the set upper and lower limits. Alarm sound.