Version 4 User Guide - iSimulate€¦ · ALSI USER GUIDE Version 4.5 August 2015 Page 2 Examples of how to use Quick Picks

Version 4 User Guide

ALSI USER GUIDE

Version 4.5 August 2015 Page 1

Contents Facilitator Screen overview ................................................................................................................................... 4

Monitor Screen overview ...................................................................................................................................... 5

Defibrillator Screen Overview .............................................................................................................................. 6

Basic Screen with Waveform Overview ............................................................................................................ 7

Basic Screen Overview ............................................................................................................................................ 8

AED Screen Overview ............................................................................................................................................. 9

Introduction............................................................................................................................................................. 10

Overview .............................................................................................................................................................. 10

System Organisation ....................................................................................................................................... 10

1. Quick Start ................................................................................................................................................. 10

2. Quick Picks ................................................................................................................................................. 10

3. Scenario Building ..................................................................................................................................... 10

The ALSi System .................................................................................................................................................... 11

Key features ........................................................................................................................................................ 11

Installing ALSi ..................................................................................................................................................... 12

Updating the system ....................................................................................................................................... 13

Exiting ALSi.......................................................................................................................................................... 13

Passwords ............................................................................................................................................................ 13

User Guides ......................................................................................................................................................... 14

Specifications (iPad Air 2) .............................................................................................................................. 14

iPad Operations ................................................................................................................................................. 14

Connecting your iPads to the network. ........................................................................................................ 15

Setting up your network ................................................................................................................................ 16

Connecting with Bluetooth ........................................................................................................................... 17

Quick Start ............................................................................................................................................................... 19

Facilitator iPad ................................................................................................................................................... 19

Monitor iPad ....................................................................................................................................................... 21

Quick Picks ............................................................................................................................................................... 24

What is a Quick Pick? ...................................................................................................................................... 24

Changing contents in the Quick Pick box ............................................................................................... 24

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Examples of how to use Quick Picks ......................................................................................................... 25

Changing Quick Pick parameters on the fly ........................................................................................... 25

Adding new Quick Picks or Investigations on the fly ......................................................................... 26

Reordering Quick Picks .................................................................................................................................. 27

Editing Investigations ...................................................................................................................................... 28

Building scenarios ................................................................................................................................................. 29

Activating Parameters ..................................................................................................................................... 33

Tools Menu ......................................................................................................................................................... 41

Scenario Functions ................................................................................................................................................ 42

Synchronising scenarios ..................................................................................................................................... 43

Editing Scenarios .............................................................................................................................................. 44

Duplicating Scenarios ..................................................................................................................................... 44

Emailing Scenarios ........................................................................................................................................... 44

Importing Scenarios and Terms .................................................................................................................. 44

Sounds .................................................................................................................................................................. 45

Changing Waveforms ..................................................................................................................................... 46

The PEA Button .................................................................................................................................................. 46

The Cardio-Pulmonary Resuscitation (CPR) Button ............................................................................. 46

Trending Function ............................................................................................................................................ 46

Virtual Time ......................................................................................................................................................... 47

Pacing & Shock Default ................................................................................................................................. 47

AED Mode - Pads Confirm ............................................................................................................................ 48

Measurement options..................................................................................................................................... 48

Custom Values ................................................................................................................................................... 48

Learner Screen Functions ................................................................................................................................... 50

Monitor Screen .................................................................................................................................................. 50

Basic Screen with Waveform ........................................................................................................................ 51

The Basic Screen ............................................................................................................................................... 52

Sounds ............................................................................................................................................................. 52

Alarms .............................................................................................................................................................. 52

Freeze screen ................................................................................................................................................. 52

Contrast ........................................................................................................................................................... 53

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NIBP................................................................................................................................................................... 53

Arterial Blood Pressure .............................................................................................................................. 53

Waveforms ...................................................................................................................................................... 53

Parameter values .......................................................................................................................................... 53

Recall investigations or other information ......................................................................................... 53

Defibrillator Screen .......................................................................................................................................... 53

Pacing Screen ..................................................................................................................................................... 55

Sync Screen ......................................................................................................................................................... 55

AED Screen .......................................................................................................................................................... 55

General Settings .................................................................................................................................................... 57

To change the colours of the values and waveforms ......................................................................... 57

To change other settings ............................................................................................................................... 58

To change language or terms used ........................................................................................................... 58

Tips and Tricks ........................................................................................................................................................ 59

Four-finger Swipe ............................................................................................................................................. 59

Apple TV ............................................................................................................................................................... 59

Connection .......................................................................................................................................................... 59

Bluetooth Speaker ............................................................................................................................................ 60

Trusting iSimulate and the ALSi app ......................................................................................................... 60

Troubleshooting .................................................................................................................................................... 61

Reference tables .................................................................................................................................................... 62

Facilitator Screen Quick Reference ................................................................................................................. 67

Learners Screen Quick Reference .................................................................................................................... 69

Facilitator Screen overview

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Monitor Screen overview

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Defibrillator Screen Overview

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Basic Screen with Waveform Overview

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Basic Screen Overview

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AED Screen Overview

Introduction

Overview

Welcome to the 4th generation of ALSi, the best in simulation technology.

ALSi allows simulation and scenario based education to be delivered quickly, easily and

intuitively. It is a hyper-flexible patient monitor simulator which uses 2 iPads connected

wirelessly. The system includes 5 modes which can be simulated using the touch screen of

an iPad:

1. Automated External Defibrillator (AED)

2. Basic Screen with waveform

3. Basic Screen without waveform

4. Multi-parameter patient monitor

5. Multi-parameter defibrillator

ALSi can be connected to any manikin and it can be used with standardized patients. It is

intrinsically safe, as it does not deliver any energy.

System Organisation

ALSi uses 2 iPads connected by Wi-Fi or Bluetooth to communicate. Wi-Fi can

be provided using the supplied Apple Airport Express, Mobile Wi-Fi (Mi-Fi) or

using the Personal Hotspot if one of the iPads has 3/4G capability. Bluetooth

is set within ALSi settings.

1. Quick Start

You will find a Quick Start section to get you up and running quickly.

2. Quick Picks

Read this section as it explain the importance of Quick Picks and will give you a great

understanding of how these work.

A Quick Pick is a box that contains all the information that you want to show on the

Learner Screen when selected. It can be a parameter, investigation, image, video or

simply turns something on. Quick picks are very powerful, but also simple to use. There is

no limit to the number of Quicks Picks you can create or use in a scenario.

3. Scenario Building

Building Scenarios is explained in detail.

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The ALSi System

Monitor Bag 2 iPads (16GB Wi-Fi)

(Optional iPad Mini option)

Smart Cover

(Colour Varies)

iPad Facilitator Case

Defibrillation Training

Pads

3/12 ECG Cables

(Varies by country)

SpO2 Cables NIBP Cuff

Apple Airport Express

Wi-Fi

4G Mi-Fi

(Varies by country)

EtCO2 Filter Set

(Varies by country)

Power System

(Varies by country)

Key features

Powerful facilitator screen

Smart and easy to use scenario builder

Make changes on the fly in response to learner actions

Sophisticated, realistic vitals monitor

75 ECG waveforms (Plus Brady/Tachy variations)

5 Arterial waveforms

8 CO2 waveforms

2 SpO2 waveforms

23 additional custom parameter settings

Send investigations to student screen

Send Images to student Screen (X-Ray, 12 Lead ECG etc.)

Recall of investigations and images (Student)

Realistic trending of vitals

Timed or action based changes to events

Virtual time and countdown timer

AED, Monitor (3) and Defibrillator modes

Pacing and Synchronised Cardioversion

Adjustable alarms

Freeze and Outdoor contrast mode

Instant CPR and PEA simulation

Auto NIBP

Intrinsically safe

http://upload.wikimedia.org/wikipedia/commons/a/a4/IPad_3.png

http://www.google.com.au/url?sa=i&rct=j&q=smartcover&source=images&cd=&cad=rja&docid=_FL7CpSF9w5l0M&tbnid=J9DmSPSpDs06_M:&ved=0CAUQjRw&url=http://www.cnet.com/2300-31747_7-10014416.html&ei=g6J5UY_CDKapiQK3uIGoCg&bvm=bv.45645796,d.cGE&psig=AFQjCNFWzZsvWIhtZ7yS30GAvD07VBDe5w&ust=1367012338091570

ALSI USER GUIDE


Installing ALSi

ALSi comes pre-installed on systems that are supplied. For users with their own iPads, these

instructions will assist with installing ALSi.

Monitor iPad

1. Connect to the internet on your Monitor

iPad

2. Go to

http://www.isimulateonline.com/update on

the iPad.

3. Login using the supplied details if required

4. Go to Downloads

a. Download ALSi Full on to your Monitor

iPad

5. Accept Install and installation will occur

6. Provide ‘trust’ permissions for ALSi (Pg. 51)

7. Enter Your Device Name. This is a unique

name that identifies the device if support is

needed. You can name it after your work

area, location or any other name that

ensures you know which unit we are

managing if you need support.

8. Enter Product ID (Licence Key) exactly as

provided

9. Press Submit

10. You will receive a Welcome to ALSi message

11. Disconnect iPad from internet and connect

to selected Wi-Fi

Facilitator iPad

1. Connect to the internet on your Facilitator

iPad

2. Go to http://www.isimulateonline.com/update

on the iPad.

3. Login using the supplied details if required

4. Go to Downloads

5. Download ALSi Facilitator on to your

Facilitator iPad

6. Accept Install and installation will occur

7. Provide ‘trust’ permissions for ALSi (Pg. 51)

8. Disconnect iPad from internet and connect to

selected Wi-Fi

http://www.isimulateonline.com/update

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Updating the system

Notifications of updates will be emailed to the specified contacts. Follow the instructions to

install new version.

You can check for new versions and update

ALSi from Settings on the iPads

Connect to the internet on both iPads. On

ALSi go to Settings > General Settings and

press on Software Updates.

If an update is available, it will be shown in

this area.

Press over the ALSi icon and follow the

prompts to update.

Exiting ALSi

To exit ALSi on the Learner Screen, double press

over the ALSi Icon on the bottom left of the

screen. Select Exit which will take you back to

the Start Screen.

To Exit from the Facilitator Screen, press over

Scenario and then select Exit to Menu.

Press the Home Button to completely exit.

Passwords

Unless changed, the default password for Apple

Accounts and Wi-Fi is iSimulate2012 (case

sensitive).

All passwords can be found on the provided

Wireless and Account Passwords Card.

The Apple account username can be found on the

iPad under Settings > Mail, Account, Calendars >

Accounts > iCloud.

The portable Wi-Fi password can be found on the provided Wireless Security Card or on the

display screen.

If the Wi-Fi has been reset back to the default the

password can be found under the battery of the

portable Wi-Fi device or will be defaulted to

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password. The login to Wi-Fi mobile devices is normally admin.

You may have one off the following Wi-Fi units:

Apple Airport Express

NetComm Mobile 3G - 3G24W

Telstra M60

Telstra M65

Telstra MF90

User Guides

User guides for all iPads and devices can be found on the website, under Resources.

Specifications (iPad Air 2)

iPad Weight 601 gms

LCD display 2048-by-1536 resolution at 264 pixels per inch (ppi)

Battery type Built-in 27.3-watt-hour rechargeable lithium-polymer battery

Battery time 4 - 5 hours continuous use with 100% display brightness

Battery charging Average 6 hours 0% to 100%

Communication Wi-Fi (802.11a/b/g/n/ac); dual channel (2.4GHz and 5GHz); HT80 with MIMO

Bluetooth 4.0 technology

Operating

Conditions

Operating ambient temperature: 0° to 35° C (32° to 95° F)

Non-operating temperature: –20° to 45° C (–4° to 113° F)

Relative humidity: 5% to 95% noncondensing

Operating altitude: tested up to 3,000 metres (10,000 feet)

iPad Operations

http://www.isimulate.com/resources/

http://www.isimulate.com/resources/

ALSI USER GUIDE


Connecting your iPads to the network. The supplied system has been preconfigured to connect automatically once you have

powered the system up.

Our systems use 2 iPads connected by primarily by Wi-Fi to communicate. If Wi-Fi is not

available you can use the in-built Bluetooth. Connectivity can be provided using the

following systems, in order of preference:

1. Apple Airport Express

2. Mobile Wi-Fi (Mi-Fi)

3. Personal Hotspot if one of the iPads has 3G/4G capability and subject to carrier

conditions.

4. Bluetooth using the in-built system within ALSi and CTGi

1. Apple Airport Express

This is the preferred Wi-Fi system and is

standard in all complete systems.

The AirPort Express supports simultaneous dual-

band 802.11n Wi-Fi. You can change your

wireless network quickly and easily using your

iPad and the Airport Utility.

2. Portable Wi-Fi (Mi-Fi)

If you need to be mobile, this is the Wi-Fi system

you can use and is included in all complete

systems. This is a mobile Wi-Fi router that

connects up to 5 Wi-Fi enabled devices to its

own Wi-Fi Network.

3. Personal Hotspot

If you need to be mobile and you have a 3G/4G

iPad, you may be able to use your Personal

Hotspot.

Personal Hotspot allows you to turn an iPhone

or cellular equipped iPad into a wireless router,

thereby sharing the devices internet connection

with other iPads.

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4. Bluetooth

Bluetooth connectivity is included within ALSi

and CTGi in the Settings >General area.

Bluetooth is a short-range wireless technology

that lets you connect iPads to each other.

Bluetooth technology eliminates the need for

the cables that connect devices together.

Bluetooth-enabled devices connect wirelessly

within a 10 m range.

Setting up your network

If you have not purchased a complete system, or are having connectivity issues you may

need to reset the network.

Follow these steps to connect to your chosen Wi-Fi network.

From the iPad's Homescreen, tap Settings.

(This assumes you didn't rearrange your apps.

If you did, find the Settings icon wherever you

put it.)

To start the iPad scanning for available wireless

networks, tap the Wi-Fi button and then slide

the slider to "on". In a few seconds, you'll see a

list of all the networks near you, whether

they're public or private (if you don’t see the

list, there may not be any within range).

The list of Wi-Fi networks you'll see will include

two kinds: public and private. Private networks

have a lock icon next to them; Public don’t. The

bars next to each network indicate the strength

of the connection – more bars means a faster

connection.

The supplied systems will have a network

called iSimulate.

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You the need a password. Tap the network

name and enter it the password field.

Now tap the "Join" button at the top right of

the screen. If your password is correct, you’ll

connect to the network.

If not, try entering it again as you may have

entered it incorrectly.

The “Tick” next to the selected network will

indicate that you have successfully connected.

Now repeat this process on the other iPad.

You are now connected on Wi-Fi.

Connecting with Bluetooth

Bluetooth is included as part of our system. The systems do not connect using the inbuilt

iPad Bluetooth. Follow these steps to connect to Bluetooth.

To ensure minimal interference we need to

turn off other competing systems.

Go to Settings on the iPad and turn off

Bluetooth and Wi-Fi.

Open ALSi or CTGi and select the Settings

Button.

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In Settings select General Settings and

turn Bluetooth on (Orange).

Repeat this process on the other iPad.

You are now connected with Bluetooth.

Start your ALSi Facilitator and Monitor

applications and the systems will communicate.

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Quick Start This section will show you how to start the system so you are ready to run a scenario.

Connect you iPads on the same network. If you instructions on how to connect the iPads on

a network, Click Here.

Facilitator iPad

Power up the Facilitator iPad and unlock the

screen

Find the application icon you require ALSi or

CTGi on the facilitator iPad and press on icon

to start application. Depending on what you

purchased, you may have one or both

applications available.

Accept the disclaimer

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Press the Facilitator Mode Button

Enter a unique system name to identify your

system

You can use any name as long as it is different

to others on the same network

Select ALSi – Welcome so we can walk through

this scenario

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This will bring up the start screen for the

Facilitator. Press Start Scenario to begin.

To show/hide the various parameters to the

learner you touch over the box at the top of

each parameter slide bar.

Blue – Show on monitor screen

Light blue – Numeric values only

Grey – Hide on monitor screen

When you have pressed Start Scenario on the

Facilitator Screen this will change this button

to Go and the Power Button will appear on the

monitor screen.

Monitor iPad

Power up the Monitor iPad and unlock the

screen. This is also known as the Learners,

Student or Candidate iPad.

Find the ALSi application icon on the facilitator

iPad and press on icon to start application.

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Accept the disclaimer

Press the Monitor Mode Button

Select the system you want to connect to, in

this case My System is the name

The ALSi Splash Screen indicates that the

system is ready to run

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The candidate presses the Power Button to

start the system

The display to the learner will show with the

scenario pre-sets active, which in this case

shows ECG and SpO2 waveforms.

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Quick Picks ALSi can be run using Quick Picks in pre-set scenario or running it on the fly by bring in

waveforms and making changes in response to the learner’s actions.

What is a Quick Pick?

Quick picks are very powerful, but also simple to use. There is no limit to the number of

Quicks Picks you can create or use in a scenario. You can change a Quick Pick on the fly by

using Pending Mode.

You will find Quick Picks on the Left Hand side

Facilitator Screen running vertically down the

screen. You do not have to press Go or Start to

activate a Quick Pick. Quick Picks are activated

when you select them.

A Quick Pick is a box that contains all the

information that you want to show on the

Learner Screen when selected. The active Quick

Pick has an Orange border.

A symbol indicates that the previous value

has not changed.

A Quick Pick can be a parameter or simply turn

something on or off.

Quick picks are pre-set, but can be changed on

the fly if required. Changes on the fly require

pressing Go to activate the changes.

Quick picks are best used moving from top to bottom. If you go backwards and have made

changes, these changes will not have be retained, unless you used Pending Mode to make

the changes.

Changing contents in the Quick Pick box

You can change any of the following in each Quick Pick box:

Change any or all parameters in each box.

Enable defibrillation in each box.

Allowed timed jumps to the next Quick Pick.

Turn on or off what is shown on the Learner Screen. For example, you may want to

show the ECG when the learner turns on the monitor.

Show numeric values only.

Add a trending time. Trending changes the values over the time allocated. It takes the

value in the previous Quick Pick and trends to the new value.

Add an image, video or investigation.

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Examples of how to use Quick Picks

Change from a perfusing rhythm to a non-perfusing rhythm.

Create an event that is linked to a treatment.

Create a series that has a patient deteriorating using trends.

Create a pre-defined scenario with shockable and not shockable parameters.

Add or change a waveform

Turn a parameter on or off.

Introduce a custom parameter, such as glucose.

Build Quicks Picks to respond to positive and negative actions.

Changing Quick Pick parameters on the fly

In the event that the learner does something unexpected you can change all the parameters

in a Quick Pick as required.

1. Press on the Quick Pick Box for 1 second to

put the Quick Pick in to Pending Mode.

2. Make all the changes you require, including

Waveforms.

3. Close the Grey box once you have made all

the changes by press on the X. All changes

will be made.

4. To activate the changes, press again on the

Quick Pick box.

Use this technique to change investigations on

the fly as well.

You can also now save these changes as a new

scenario when exiting the scenario.

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Adding new Quick Picks or Investigations on the fly

You can add additional Quick Picks or investigations into your scenario at any time.

1. Click on + next to the Scenario Name.

2. This will display a number of you can

select from:

Quick Picks

Investigations

Images

3. Select the option that you want to add.

4. The new option will appear at the

bottom of the Quick Picks ready for

activation.

5. You can add images to existing gallery

that you have in the scenario, or add a

completely new gallery of images.

Select “Add Image Gallery”

Name your image gallery

Add images to the gallery

6. These will appear at the bottom of your

Quick Picks list.

7. Reordering Quick Picks is covered in

the Reordering Quick Picks section.

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Reordering Quick Picks

You can change the order the Quick Picks are shown in the list.

1. Click on next to the Scenario Name.

2. This will display the Quick Picks in the

current order.

3. Find the Quick Pick you want to re-order by

scrolling down the list

4. Press and hold over the three stripes and

5. While continuing to press and hold, slide

the Quick Pick up to the new order.

6. Release in to the new place in the list.

7. Press anywhere outside the Reorder Box to

close the box.

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Editing Investigations

You can change the values of investigations on the fly.

1. Press and hold over the investigation you

want to edit.

2. The Edit Investigation screen will be shown.

3. Make the changes using the and to the

select values.

4. Press done when complete.

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Building scenarios This section will take you through the building of scenarios. Scenarios can be as simple or as

complex as you require. We will use the provided Welcome to ALSi scenario as a template for

this exercise.

Start ALSi and open up Settings from the

start screen.

In the Scenario Library you will see the ALSi

Welcome scenario.

Press the Duplicate Icon of the ALSi

Welcome scenario. This will create a copy of

this scenario which you can modify.

In the Scenario Library press the Edit

Icon of ALSi - Welcome Copy scenario.

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In the Scenario Settings area, you will find

the name of the scenario, Patient age,

gender and custom parameters. In this case

we have:

Name of the scenario – ALSi - Welcome

Patient age – 56

Patient Gender – Male

Custom value 1 – CVP

Add up to 3 from the scrollable list

Folder – Not assigned

Let’s amend these details to the following:

Name of the scenario – Your Name

Patient age – Your age

Patient Gender – Your gender

Custom value 1 – Glucose

Folder – Not assigned

This scenario has 4 Teaching Points at the

beginning of the scenario, the first one is

bold. Teaching points can be placed

throughout the scenario.

These boxes contain points that you would

use as a guide to running the scenario, or as

items that you require completed.

These could be items such as:

ABCDE assessment

provide oxygen

Call for help

Modify or delete the remaining Teaching

Points

Alternative way to add teaching points:

Let’s add some images as a way of showing

information about the scenario in an easy to

read format.

In this case we have used PowerPoint slides

to write the information and saved them

as .png files to get a small file size.

Images can be emailed to the iPad email

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account or placed in a Dropbox folder. The

images are added to your Photos on the

Facilitator iPad.

Let’s add one of the images that we created

in PowerPoint to the start of a scenario.

Press the + in the Scenario Items Panel.

Allow access to your photo library.

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Select the image that you want to import.

This will add the image to the gallery.

Enter a name for the Image Gallery.

Enter an optional description.

You can add a series of images that can be

scrolled through using the swipe gesture.

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Activating Parameters

To activate a parameter the facilitator touches the parameter boxes at the top of each slide

bar to activate that parameter. Box colours indicate the following:

Note: To activate a parameter the facilitator touches the parameter boxes at the top of each

slide bar to activate that parameter. Box colours indicate the following:

Blue – Shown Light Blue – Numeric only Grey - Hidden

Facilitator Screen Corresponding Learner Screen

Facilitator Start Screen.

Start Scenario Button has not been pushed.

The standby screen appears until Start

Scenario button is pressed.

The image box “Scenario Information” has

been activated and sent to the student

screen.

The information is provided to the student.

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An image of a simulate patient is sent to

student screen.

The information is provided to the student.

Start Scenario activated.

Elapsed time starts once Start Scenario is

activated.

Start Button becomes available for learner.

Blue parameters are shown. Grey are inactive. If the learner has not attached any leads no

waveforms or values should be activated by

the facilitator at this time.

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The Teaching Point has been Tapped to show

the task has been completed.

The learner has taken a BP by pushing the

NIBP Start.

The Teaching Point has been Pressed and

Held to make a comment.

The learner has set NIBP Auto Time a BP by

pushing the NIBP Auto Start and select the

time.

The Teaching Point has been Pressed and

Held to make a custom comment.

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The 2nd Quick Pick is activated. This has a 10

second Trend built in. The Orange bar show

the progress of the Trend.

Shows parameter changes.

3rd Quick Pick changes the waveform and

rate.

Shows parameter changes.

12 Lead ECG is requested by Student The information is provided to the student.

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4th Quick Pick activates a 3-second jump

through this Quick Pick.

Show asystole for 3 seconds.

Automatic Jump to Sinus after the 3 seconds. Shows reversion rhythm.

This Quick Pick activates additional

Waveforms.

Learner can see new waveforms.

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This Quick Pick changes Waveform type. Learner can see changes to waveforms.

The facilitator change the waveform to a

shockable rhythm.

VF Shown on learner screen.

Facilitator change mode to Defibrillator. Defibrillator is now available to learner.

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Learner charges Defibrillator.

Shock delivered.

Defibrillation enabled feature automatically

moves to next Quick Pick after shock.

CPR Activated

Shows underlying parameters before CPR

Rhythm Activated.

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Custom Value Activated. ROSC with Custom Value Activated.

EtCO2 value added. EtCO2 active.

Change EtCO2 waveform to normal.

Press Go to activate after selection.

New EtCO2 waveform updated.

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ABG Activated using button to send to

Learners Screen.

ABG shown on Learners Screen.

Tools Menu

The Tools button will allow you to:

Send the NIBP at any time to the student

screen.

Start the NIBP function

Enable Logging

Pause Scenario

Summary

This scenario is run by moving down through the Quick Picks from top to bottom. As the

learner applies sensors/leads or asks for information the appropriate parameter is activated.

The facilitator can make comments and sends information to the learner as required.

During the scenario the Defibrillator is also activated after the learner calls the team. In this

example you would also activate CPR on 1 occasion. At the end of the process a Log can be

saved and emailed.

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Scenario Functions

Select Scenario and then Pause Scenario to

pause the scenario. Press Resume to restart.

You can add or removing parameters from

this screen. You can also change threshold

values.

Selecting Sounds to send to Bluetooth

Speaker.

Student View allows you to visualise the

student screen values.

Turn off Alarms and Sounds from the sounds

menu.

View the event Log for debriefing.

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Synchronising scenarios This section will take you through the Synchronising of scenarios. You can make your

scenarios with images and videos run faster by Synchronising Scenarios to the student iPad,

this will eliminate any delay in showing the media on the student iPad by storing the images

and videos on both iPads. You will need to re-sync all scenarios that contain media if you

change the iPad to a new one.

1. Connect your iPads to your network and

enter Scenario Syncing on the Facilitator

iPad.

Select Media only if you have the

scenario on the other iPad already.

Select Scenario and Media if it is a new

scenario

2. Choose a scenario to Sync and press on the

scenario.

3. The Scenario Syncing prompt will be

displayed

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4. Now access Scenario Syncing on the

student iPad and accept the scenario by

pressing the Sync icon.

5. Once the synchronisation is complete you

will notified and the number of images or

videos synced will be shown.

6. Repeat the process to sync additional

scenarios.

Editing Scenarios

1. Press the Edit Icon.

2. Make the changes

3. Save the changes by using the Back Button and saving changes.

Duplicating Scenarios

4. Press Duplicate Icon.

5. Copy of Scenario will be displayed below original

Scenario.

6. Open Scenario using the Edit Icon.

7. Edit Scenario Name.

8. Make any other changes required.

9. Press Back and save changes.

10. Make any changes required.

11. Press Back and save changes.

Emailing Scenarios

12. Press the Email Icon.

13. Add Email Address.

14. Press Send.

Importing Scenarios and Terms

ALSI USER GUIDE


Scenarios and Terms can be imported from emails or cloud services like Dropbox. Items that

are imported must have been generated by ALSi and exported and emailed to be used.

To Export use the Export feature in the scenario and terms sections.

To import follow these steps:

From email

1. Open Email

2. Press and hold over ALSi attachment

3. Select Open in ALSi

4. Import will occur

5. Success message will appear

From Dropbox

1. Open Dropbox folder on iPad

2. Select ALSi scenario file

3. Press Open icon

4. Select Open in ALSi

5. Import will occur

6. Success message will appear.

Sounds

Sounds on the facilitator iPad are designed to be

sent to a Bluetooth speaker placed in or under a

manikin. You have lung, and voice sounds that you

can pick from different age and gender. The

default sound is a 50 year old male.

You can record your own sounds on the iPad in

the sounds setting area, or import using the same

method as scenarios.

ALSI USER GUIDE


Changing Waveforms

ECG, SpO2, EtCO2 and Invasive Blood Pressure (IBP) waveforms can be change by pressing

over the allocated boxes.

ECG – 50+ available see ECG Waveform List.

SaO2 – Normal and poor perfusion.

EtCO2 – Normal, Obstructive 1, Obstructive 2, Low Respiration Rate, Incomplete

Paralysis 1, Incomplete Paralysis 2, Incomplete Paralysis 3 and Rebreathing.

IBP – Normal, poor perfusion, under damped, over damped, poor perfusion and CPR.

The PEA Button

The PEA (Pulseless Electrical Activity) button immediately drops all parameter values to zero,

but leaves the ECG waveform as set.

To return to the previous values you can select the same Quick Pick or change to a new

Quick Pick. You can also manually adjust each parameter and then press Go to activate the

new values.

The Cardio-Pulmonary Resuscitation (CPR) Button

The CPR button mimics standard compressions at 100 compressions per minute. The CPR

function is designed to hide the underlying waveform and as a teaching tool to show a

perfect compression rate.

The CPR Button will flash Orange while active.

If you have the invasive blood pressure showing

you can adjust parameters during CPR. This is

done by selecting the parameter you require and

pressing Go.

Trending Function

Trending is changing parameter values over time.

You can choose to change a single parameter or

multiple parameters over various times, up to 15

Minutes.

ALSI USER GUIDE


You can also Trend each parameter differently. Trending can be incorporated in to a

predefined Quick Pick or activated on the fly using the slide bar on the bottom of the

Facilitators Screen.

A Trend is shown on the Facilitators similar to a

GPS system:

The start point of the Trend is shown as

Light Grey.

The current Trend position is shown in

Orange.

The end point of the Trend is the slide bar

button.

Adding a trend in a Quick Pick box can be done when creating or changing a Quick Pick in a

scenario or when creating a Quick Pick in Manage Quick Pick.

A trend will change the value in the Quick Pick that was active, to the values in selected

Quick Pick, over the time selected. This means that you can have quick pick designed to

respond to a variety of learner responses.

When changing a trend on the fly you select your new parameter value and the Trend time

using the slide bars. Once you are ready to start the trend you press Go. You can continue to

make changes and add further trends to other parameters and these will be independent of

any other trend running.

To cancel all trends, press and hold over the Go button until it flashes. You can also create a

new trend, which will override the current trend.

Trending time is synchronised with Virtual Time, so if you advance time it will also advance

the trend.

Virtual Time

Using the Virtual Time slider allow the forward movement of time if moved forward

or provide a delay in time if it is moved backwards. The Virtual Time bar can be

moved forward up to 2 minutes.

Virtual time is synchronised with trending time, so if you

advance time it will also advance the trend.

Pacing & Shock Default

You can change the pacing and shock default in the Options Screen

as required by using the slide bar to change the value at which

partial capture will occur and the shock will be delivered.

ALSI USER GUIDE


AED Mode - Pads Confirm

In AED Mode you will be asked to Confirm pads placement. This can be completed by the

Student touching the AED Pads lead plug or by the facilitator Pressing Confirm. Confirming

will start the analyse function.

Measurement options

You can a set the format that you want to display values on the learners screen in the

Options Screen.

Custom Values

You can have 3 custom values per scenario. Custom values are created when designing a

Quick Pick in Adding a Scenario or by adding on the fly.

To add on the fly the box must be available (not already allocated). Press and hold for 1

second over the available Custom Value and the selection box will be visible. Select value to

close.

Custom Value Name Standard Values

BIS BiSpectral Index 100

CO Cardiac Output 5 L/min

CVP Central venous pressure 10 mmHg

Carbon Monoxide Carbon Monoxide ppm

Des Desflurane 0%

FiO2 Fraction of Inspired Oxygen %

Frequency Frequency 12/min

GCS Glasgow Coma Scale 15

Glucose (mg/dL) Glucose (mg/dL) 100 mg/dL

Glucose (mmol/L) Glucose (mmol/L) 5.5 mmol/L

ICP Intracranial pressure 10mmHg

Iso Isoflurane 0%

MAC Minimum Alveolar Concentration 0

MV Minute Volume 6L/min

ALSI USER GUIDE


N2O Nitrous Oxide 0%

O2 Oxygen 21%

O2 Oxygen 5 L/min

PAP Pulmonary artery pressure 18mmHg

PCWP Pulmonary capillary wedge pressure 10mmHg

PEEP Positive end-expiratory pressure 5cmH20

PIinsp Inspired Pressure 15cmH20

Sevo Sevoflurane 0%

Tidal Vol Tidal Volume 500mls

ALSI USER GUIDE


Learner Screen Functions While not required to function, the Learner should attach the appropriate sensors or leads to

the Patient simulator before the facilitator activates the waveforms and numbered

parameters on the monitor.

Monitor Screen

This screen provides all the normal parameters on a standard monitor.

ALSI USER GUIDE


Basic Screen with Waveform

This screen provides all the normal parameters on a basic monitor. The waveform can be

changed by the student by touching the screen over the waveform.

This screen provides all the normal parameters on a basic monitor. The waveform can be

changed by the student by touching the screen over the waveform.

ALSI USER GUIDE


The Basic Screen

This screen provides all the normal parameters on a basic monitor.

Sounds

Monitor tones can be silenced by pressing over the speaker button.

Alarms

Alarm values can be set for every parameter or

turned off by pressing over the value and bring

up the Alarm Screen. The learner can silence

alarms by pressing the Alarm button. Selecting

the Silence alarm button turns active alarm

sounds to off.

Alarm minimum and maximum settings can be set

on the alarm screen for each parameter.

Freeze screen

The learner can freeze the monitor screen to

review information by pressing the Snowflake

ALSI USER GUIDE


button. The freeze screen button will flash when active, Press the Sun button to unfreeze.

Contrast

The Contrast function is used where the bright lighting may make seeing the screen difficult.

This will change the values and waveforms to a black and white format.

NIBP

Selecting the NBP Start button starts a simulated inflation of the blood pressure cuff. The

NBP details will be shown in the NBP section of the Monitor. The blood pressure cuff does

not have to be connected to the patient for this function to be available on the Monitor.

The NIBP reading is updated either manually when the NIBP Start button is pushed or when

the NIBP Auto Start is selected.

The NIBP can also be set to run automatically as set in the Setup NBP menu. To set the Auto

time the learner presses over the NIBP reading and selects the Auto time.

Arterial Blood Pressure

Arterial Blood Pressure and NIBP share the same values, but Arterial Blood Pressure changes

are immediately shown, whereas NIBP require the learner to take a new reading.

Waveforms

The waveform is displayed when the sensor or leads are registered as attached in the

simulation. Waveforms can be turned off to display the parameter value only.

Parameter values

The parameter value is displayed when the sensor

or leads are registered as attached in the

simulation.

Recall investigations or other information

The learner can recall any previously supplied

investigation or image by pressing the Checked

Note Icon.

Defibrillator Screen

The Defibrillation mode has all the same control of the monitor screen with the

ALSI USER GUIDE


addition of defibrillation, pacing and synchronised cardio-version capabilities.

Label Function Event

Energy Adjust the shock energy

Charge Starts the charge process Flashes Orange – Escalating sound

Pacer Enables Pacing mode

Energy Select Sets the energy level for DC Shock Also Dumps charge during shock

Disarm Dumps the charge

Charge Starts the charge process Flashes Orange – Escalating sound

Delivers the shock. Flashes Red – Ready sound

Sync Synchronises the shock to the R Wave. Press and hold to deliver shock

Pacer Enables Pacing mode

Rate Adjust Pacing rate Default 80

Output Adjust mA

ALSI USER GUIDE


Pacing Screen

Pacing On

Set at 50 mA

45 mA

No capture

50 mA

Partial Capture

55 mA

Full Capture

The Pacing function allows output and rate to be

set. Full capture is set at 5 mA over the threshold

set. The underlying rhythm can be viewed by

pressing and holding the Pause button.

You can adjust the Pacer Threshold in the

Parameters section.

Sync Screen

Synchronized cardioversion uses a sensor to deliver

electricity that is synchronized with the peak of the

QRS complex. A marker is shown about the “r”

Wave. When the “sync” option is engaged on a

defibrillator and the shock button pushed, there will

be a delay in the shock. The Shock button must be

pressed until the shock is delivered.

AED Screen

Attach Pads Prompt Analyse Prompt Analysing

ALSI USER GUIDE


No Shock Indicated Start CPR Prompt Continue CPR Prompt

The AED screen is designed to be used for basic training. The waveform can be turned off

using the HR box in the parameter section. The voice and verbal commands are:

Non -Shockable rhythm Shockable rhythm

Attach Pads Attach Pads

Press Analyze Press Analyze

Analyzing Analyzing

No Shock Advised Shock Advised

Start CPR Charging

Press Shock Button

Shock Delivered: (n)

Start CPR

ALSI USER GUIDE


General Settings The General Settings allows you to change the colour of waveforms and also the language of

ALSi.

To change the colours of the values and waveforms

1. From the selection screen select

Settings

2. Select General Settings

3. Press over colour boxes to bring up

colour picker

4. Using colour picker select the new

colour

5. The new colour is displayed

ALSI USER GUIDE


To change other settings

This section is used to change the following:

Measurement options

Quick Start Scenario – This will be

displayed as the Default Scenario

To change language or terms used

1. Go to:

CTGi - https://www.isimulateonline.com/Terms/ctgi

ALSi - https://www.isimulateonline.com/Terms/alsi

2. Make changes required.

3. Download.

4. Press and hold over the file on the iPad and Open in ALSi or CTGi.

https://www.isimulateonline.com/Terms/ctgi

https://www.isimulateonline.com/Terms/alsi

ALSI USER GUIDE


Tips and Tricks

Four-finger Swipe

Four-finger swipe left/right: Thanks to this gesture, you can have

relevant images and videos ready to go and swipe them in while

running ALSi. For example you would use a matching 12 lead ECG

and open it up in Photos first and then open ALSi Facilitator.

When you are ready to show the 12 Lead, you use the four-finger

swipe right to show the image and then use the four-finger swipe

left to return to ALSi Facilitator.

You can use this to show any image or video.

It is best that you remove any other non-required apps that are running so that you only

have ALSi and Photos active. To reveal the multitasking bar at the bottom of your iPad

screen, swipe up with four (or five) fingers at once, from the bottom of the iPad screen to the

top. This is the equivalent to double clicking the Home button.

You have to make sure that gestures are turned on for your iPad. Look in Settings, General,

Multitasking Gestures to set the slider to On if needed.

Apple TV

Apple TV and AirPlay Mirroring lets you show exactly what’s on

your iPad screen to everyone in the same room or a another

location. Show web pages, photos, videos, course material and

more on your HDTV via Apple TV. Zoom in and out and rotate

from portrait to landscape and your audience sees that too.

AirPlay does it all wirelessly, so you can work the room or sit

comfortably among the crowd.

If you see it, so can they, which is excellent for ECG tutorial or for other to follow the monitor

live in another room.

Connection

Turn off your iPads Cellular and Bluetooth function if not being used. iPads will default to the

strongest signal and this may occasionally cause the iPad to switch connections.

Use your Airport Express for a static environment and only use your Mobile Mi-Fi where you

have no power. In crowded environments, you may find a lag with Mi-Fi and connection

dropouts.

ALSI USER GUIDE


Bluetooth Speaker

Use a small Bluetooth speaker to send sounds to the manikin. The

best place for the speaker is inside the manikin as shown in the

image. This will make the sound like it coming out of the mouth.

Trusting iSimulate and the ALSi app

Changes in iOS 9 have seen a change in the way an app developer is

trusted. Previously a popup message would be shown when first

opening ALSi to provide the trust permissions. Users must now

follow the steps below on each iPad running ALSi:

1. Open Settings

2. On the “General” section, scroll down to “Profile”

3. Tap on iSimulate Pty Ltd

4. Tap on ALSi or ALSi Facilitator

5. Tap on Trust

ALSI USER GUIDE


Troubleshooting The main error will be caused by loss of Wi-Fi connectivity.

1. Generally to problem is caused by each iPad being connected to a different network.

a. Ensure that both iPads are connected to the same named network.

2. A firewall exists in the network that does not allow the iPads to see each other.

a. Use the Apple Airport Express WiFi device if supplied

b. Contact your IT Department

ALSi has been designed with a re-connection function that will constantly try to reconnect in

the event of loss on connectivity.

Both iPads must be on the same Wi-Fi network to connect to each other. Connection

between the iPads is completed using the bonjour service on port 5353. From there it creates

a TCP connection on a port which is assigned on a kernel level.

To assist with Wi-Fi connectivity we recommend the following:

1. Avoid using the 2.4Ghz band. Use high quality Wi-Fi system with 5GHz capabilities.

2.4GHz is the most widely used band in wireless networking and is crowded. Using

the 5GHz band means that if the interference is significant, you can switch to another

band and avoid all interference that 2.4GHz might have.

2. Reduce the number of mobile phones turned on in the training area.

3. Test your environment prior to use to minimise any issues that may occur. If you

continue to have wireless interference, you may wish to try moving your router closer

to the area where you will use your wireless devices the most.

4. Change channels. One of the easiest ways that you can help alleviate some of the

issues with Wi-Fi interference is by changing your router’s broadcast channel to one

not being used by surrounding routers.

5. Turn off the cellular function on the iPads as it may switch to that connection on the

iPad with cellular meaning that the iPads would be on different connections.

6. If not using Bluetooth, turn this function off to avoid any potential conflict.

ALSI USER GUIDE


Reference tables Custom Values

Value Name Standard Values

1. BIS BiSpectral Index 100

2. CO Cardiac Output 5 L/min

3. CVP Central venous pressure 10 mmHg

4. Carbon Monoxide Carbon Monoxide ppm

5. Des Desflurane 0%

6. FiO2 Fraction of Inspired Oxygen 5 L/min

7. Frequency Frequency 12/min

8. GCS Glasgow Coma Scale 15

9. Glucose (mg/dL) Glucose (mg/dL) 100 mg/dL

10. Glucose (mmol/L) Glucose (mmol/L) 5.5 mmol/L

11. ICP Intracranial pressure 10mmHg

12. Iso Isoflurane 0%

13. MAC Minimum Alveolar Concentration 0

14. MV Minute Volume 6L/min

15. N2O Nitrous Oxide 0%

16. O2 Oxygen 21%

17. O2 Oxygen L/Min

18. PAP Pulmonary artery pressure 18mmHg

19. PCWP Pulmonary capillary wedge pressure 10mmHg

20. PEEP Positive end-expiratory pressure 5cmH20

21. PIinsp Inspired Pressure 15cmH20

22. Sevo Sevoflurane 0%

23. Tidal Vol Tidal Volume 500mls

BP

1. Normal

2. Under damped

3. Over damped

4. Poor perfusion

5. CPR

SpO2

1. Normal

2. Poor perfusion

EtCO2

1. Normal

2. Obstructive 1

3. Obstructive 2

ALSI USER GUIDE


4. Low Respiratory Rate

5. Incomplete Paralysis 1



8. Rebreathing

ECG

Sinus Heart rate Default

1. Sinus Rhythm 0 - 258 78

2. Sinus 2 0 - 200 78

3. Sinus 3 0 – 220 78

4. Sinus P wave Inversion 0 - 258 78

Cardiac Arrest Heart rate Default

5. Agonal 0 - 20 17

6. Asystole 0 0

7. CPR 50 - 150 100

8. CPR 2 50 - 150 100

9. CPR Deep 50 - 150 100

10. CPR Shallow 50 - 150 100

11. P wave Asystole 0 0

12. Torsades NA 200

13. VF Ultra Fine NA 200

14. VF Fine NA 200

15. VF Medium NA 200

16. VF Coarse NA 200

Atrial Abnormalities Heart rate Default

17. AFBBB 100 - 300 150

18. Atrial Flutter 100 100

19. AF 20 - 258 75

20. Aflutter 2:1 150 150

21. Aflutter 3:1 100 100

ALSI USER GUIDE


22. Aflutter 4:1 75 75

23. Atrial Flutter Digoxin 0 - 200 90

24. Atrial Flutter Pause 300 300

25. AV NRT 1 150 - 300 225

26. AV NRT 2 100 - 300 150

27. Atrial Tachycardia 130 - 258 130

28. Fast AF 100 - 300 130

29. Idioventricular 0 - 50 33

30. WPW 0 - 200 78

Ventricular Abnormalities Heart rate Default

31. Multifocal 0 - 200 78

32. Mixed Multifocal 0 - 200 78

33. Mixed Unifocal 0 - 200 78

34. PVC 1 0 - 200 78

35. PVC 1 Couplet 0 - 200 78

36. PVC 1 Triplet 0 - 200 78

37. PVC 2 0 - 200 78

38. PVC 2 Couplet 0 - 200 78

39. PVC 2 Triplet 0 - 200 78

40. Torsades NA 200

41. VF Ultra Fine NA 200

42. VF Fine NA 200

43. VF Medium NA 200

44. VF Coarse NA 200

45. VT 1 0 - 300 180

46. VT 2 0 - 300 180

47. VT 3 0 - 300 180

Conduction Abnormalities Heart rate Default

ALSI USER GUIDE


48. 1o HB

0 - 258 78

49. 2o HB T1

10 - 120 60

50. 2o HB T2

10 - 120 60

51. 2o HB T2 2:1

0 - 150 52

52. 2o HB T2 3:1

0 - 150 50

53. 2o HB T2 4:1

0 - 150 50

54. 2o HB T2 3:2

0 - 150 50

55. 2o HB T2 4:3

0 - 150 50

56. 2o HB T2 V 1

0 - 150 40

57. 2o HB T2 V 2

0 - 150 20

58. 3o HB

0 - 80 40

59. Junctional 0 - 200 78

60. LBBB 0 - 200 78

61. RBBB 0 - 200 78

Ischaemia Heart rate Default

62. Inferior Infarct MI 0 - 200 78

63. Sinus with ST ↓ 0 – 258 78

64. Sinus with ST ↑ 0 - 258 78

65. Miscellaneous Heart rate Default

66. Electrical Alternans 0 - 200 150

67. Hypokalaemia 0 - 200 78

68. Hyperkalaemia Mild 0 - 200 78

69. Hyperkalaemia Severe 0 - 100 56

70. Hypothermia 0 - 100 39

71. Long QT 0 - 200 78

72. Low Voltage 0 - 200 78

73. Pericarditis 0 - 258 78

ALSI USER GUIDE


74. Dual Chamber Pacemaker 0 - 258 150

75. Single Chamber Pacemaker 0 - 258 150

76. Paediatric Heart rate Default

77. Neonatal 50 - 300 150

78. Young Child SR 0 - 200 125

ALSI USER GUIDE


Facilitator Screen Quick Reference

Name Function

Battery Meter Current charge of iPad

Connection status Strength of signal and number of monitors connected

Scenario Exit to splash screen. Details of current scenario. Pause and reset scenarios.

Countdown timer. Scenario list.

Sounds Provides available sound effects and speech via Bluetooth speaker. Sounds

based on age and sex of patient.

Options Parameters modes, On/Off/Numeric. Measurement options. Pacing and shock

defaults.

ECG Waveform List of available ECG’s waveforms.

NIBP List of available Invasive Blood Pressure waveforms.

SpO2 List of available Oxygen Saturations waveforms.

EtCO2 List of available End Tidal Carbon Dioxide waveforms.

HR Heart Rate with ECG.

BP Invasive Blood Pressure. Also provides measurement for NIBP.

SpO2 Oxygen Saturation value.

EtCO2 End tidal Carbon Dioxide value.

RR Respirator Rate.

Temp Temperature value.

Monitor Monitor mode.

AED AED Mode.

Defibrillator Defibrillator Mode.

Elapsed Elapsed time since start of scenario.

Countdown Adjustable timer to provide time remaining. Provides a 5 and 1 minute

remaining warning.

Student View Live View of current monitor parameters.

View Log Event log of events

Custom Value 1

Custom Value 2

Custom Value 3

ALSI USER GUIDE


PEA Pulseless Electrical Activity. Sets all value to zero.

CPR Mimics a CPR waveform.

Start/Go Starts scenario or activates a change in parameters.

Virtual Time Allows time to be moved forward or provides a temporary pause in elapsed

time.

Trend Time Adjust the amount of time that changes occur.

Quick Picks List of available pre-set events or actions.

Scenario Points Provide text of scenario objectives and events. Each point can be selected to

show which points where completed.

ALSI USER GUIDE


Learners Screen Quick Reference

Name Function

Battery Meter Current charge of iPad

Connection status Strength of signal and number of monitors connected

Shocks Number of shocks delivered

Elapsed Time Elapsed time since start of scenario.

Countdown Adjustable timer to provide time remaining. Provides a 5 and 1 minute

remaining warning.

Alarm Options Press and hold over each parameter value to set alarms.

Contrast Mode Changes the screen to Black & White for outside environment.

Freeze Screen Snowflake symbol () freezes the screen to allow for evaluation of waveforms.

Select Sun symbol () to unfreeze.

Recall Symbol recalls any supplied investigations or images

Speaker Turn sound on/off.

Alarms Silence alarm for 2 minutes, unless another alarm is activated.

ALSis Double press to exit Learner Screen.

HR Heart Rate.

BP Invasive Blood Pressure. Also provides measurement for NIBP.

SpO2 Oxygen Saturation value.

EtCo2 End tidal Carbon Dioxide value.

RR Respirator Rate.

Temp Temperature value.

ECG Waveform Current waveform.

Blood Pressure Blood Pressure waveform.

SpO2 SpO2 waveform.

Custom Values 3 customs values.

NIBP Auto Start Pre-set time to activate NIBP function.

NIBP Start Manually start NIBP.

Energy Set energy level for cardioversion (Default 200).

Charge Charge defibrillator.

Deliver shock.

Disarm Dump shock.

Sync Turn on Synchronized Cardioversion feature.

ALSI USER GUIDE


Pacer Turn on Pacer Function.

Rate Set pacer rate (Default 80).

Output Set pacer threshold (Default 50mA).

II Pause Pacing (Shows underlying rhythm)

ALSI USER GUIDE


Unit 17 Molonglo Mall

Fyshwick ACT 2609

Australia

Phone: +61 2 6129 8200 ~ Fax: +61 2 6129 8220

Web: www.isimulate.com Email: [email protected]

http://www.isimulatetechnoligise.com/

mailto:[email protected]

Documents

Version 4 User Guide - iSimulate€¦ · ALSI USER GUIDE Version 4.5 August 2015 Page 2 Examples of how to use Quick Picks