HPS. The Gold Standard for Medical Education Turns Platinum

Transcription

1 HPS The Gold Standard for Medical Education Turns Platinum

2 HPS with Müse The only simulator that truly breathes for anesthesia, respiratory, emergency and critical care. Designed to improve patient safety and outcomes, the HPS has set the standard in human patient simulation for a generation. With Müse, the world s most sophisticated patient simulator is now easier to operate, either on-the-fly or by choosing from more than 50 preconfigured scenarios. The HPS interfaces with real patient monitors, responds to mechanical ventilation and offers the most physiologically accurate lung model for anesthesia, respiratory and critical care. Variable lung and chest compliance Blinking Lungs respond automatically to mechanical ventilation Pneumothorax decompression Independent chest excursion Pericardiocentesis Palpable ribs Chest compression Convulsions ECG Airway management Variable airway resistance and compliance Voice Trachea with realistic anatomical landmarks carotid Improved heart and lung sounds Spontaneous respiration Breath sounds Chest tube Defibrillation Pacing Cardiac output Cardiac dysrhythmias IV arm radial Interchangeable genitalia and measured urinary output Urinary output Urinary catheterization femoral Automatically responds to oxygen therapy Supports real capnography Drug recognition identifies drug administered, concentration and dose Uptake and distribution of nitrous oxide and volatile anesthetics Interfaces with patient monitors to display invasive and non-invasive blood pressures, cardiac output, pulmonary artery catheter insertion, gas concentrations, fivelead ECG, temperatures and SpO 2 Thumb twitch linked to neuromuscular blocking agent response 1

3 What s new about Hpswith Müse? Quieter operation The new HPS has a sleeker rack with quieter operation and improved accessibility to the anesthesia subsystem Faster setup Lift-off panels for easy access 110/220-volt compatible 50 new Simulated Clinical Experiences 50 new SCEs add critical learning opportunities to real-life simulated environments for anesthesia, obstetrics, allied health and advanced cardiac life support. New SCEs include tension pneumothorax, COPD with respiratory failure and acute stroke. Open Müse and start an SCE with just two clicks. Nine new conditions allow complex changes in patient physiology with one click Anxiety/Pain/Stress Chronic Hypertension (based on AHA definition) Acute Ventricular Failure (left and right heart) Acute Ventricular Failure (left heart only) Acute Ventricular Failure (right heart only) Idiopathic Hypotension CO 2 Acute Hypercapnia COPD/Emphysema Tension Pneumothorax Left/Right Developed with leading academic partners The next generation HPS with Müse was developed with leading academic partners under the direction of CAE Healthcare s Willem van Meurs, Hugo Azevedo, Stefan Mönk and John Hardcastle. popliteal dorsalis pedis Academic development partners Dr. Christian Grass, Erasmus University Medical Center, Rotterdam, The Netherlands Dr. Hal Doerr, The University of Texas Health Science Center at Houston, Department of Anesthesiology, Houston, Texas Dr. Catherine Rodziewicz, Keck School of Medicine of University of Southern California Dr. Roseann Cannon-Diehl, CRNA, MHS, School of Nurse Anesthesia, Texas Christian University hps human PatiENT SimulATor 10 2

4 The HPS Difference What sets the HPS apart from other patient simulators? Physiology. The Hps combines the most sophisticated clinical features available today with simplicity of operation for training that offers exceptional preparation for real-life. Anesthesia and Intensive Care Uptake and distribution of nitrous oxide and volatile anesthetics Mechanical ventilation is fully supported with automatic responses to CPAP, PSV, PEEP, SIMV, assist control modes, and weaning protocols Patient can be configured to fight the ventilator Expired CO 2 automatically linked to patient condition and intervention Pulse oximetry correlates dynamically to ventilation, oxygenation and perfusion Simulated introduction and progressive insertion of a pulmonary artery catheter can be displayed on a patient monitor with appropriate waveforms Modeled arterial blood gases appropriately reflect pathophysiologies Thumb twitch with standard Peripheral Nerve Stimulator linked to automatic neuromuscular agent response Self-regulated spontaneous ventilation to appropriate PaCO 2 and PaO 2 Actual monitor agnostic capnography generated from modeled patient s physiology, including appropriate waveform Physiological Data Log The Physiological Data Log captures the patient s real-time clinical signs and learners interventions. Nursing Compatible with chest drainage system for chest tube management Catheterization with standard equipment and controllable urine flow Wide range of pathological heart sounds synchronized to the cardiac cycle Breath sounds (normal and abnormal) synchronized for inspiration and expiration ABP, PAP, PCWP, CVP and cardiac output monitoring with real hospital patient monitors 3

5 Emergency Medicine Chest tube placement with automatic resolution of physiology Realistic pericardiocentesis with actual withdrawal of fluid dynamically linked to cardiac performance and blood pressure Diagnostic peritoneal lavage Needle decompression of tension pneumothorax with automatic resolution of symptoms and physiology Defibrillation, cardioversion and pacing interface for live energy on actual equipment with automatic conversion Difficult airway with automatic response to ventilatory management Variable tongue swelling, pharyngeal obstruction, laryngospasm, bronchospasm Oral and nasal intubation, needle cricothyrotomy, transtracheal jet ventilation, retrograde wire techniques, tube cricothyrotomy, LMAs, combitubes, lighted stylets, fiber optic tubes and RSI techniques Realistic response to proper and improper intubation Medicine Invasive and non-invasive blood pressure monitoring Pharmacological modeling for cardiovascular agents, neuromuscular agents, ACLS drugs, narcotics, hypnotics, analgesics and more Hemodynamic responses to cardiac dysrhythmias Independent left and/or right cardiac parameters allow for single-side failure pathologies Adjustable or automatic myocardial oxygen balance and cardiac ischemia influence the cardiac rhythm with realistic responses to hypoxemia Advanced hemodynamic measurement and monitoring Modeled blood pressure control (baroreflex) Wide range of pathologies, including valvular diseases, myocardial infarction, systemic or pulmonary hypertension COPD and ARDS lung failure Pharmacology editor to adjust pharmacokinetics and pharmacodynamics of existing drugs, or to create new drug models Easy access to complex diseases, including AHA-defined chronic hypertension stages Easy development of additional conditions Adjustable metabolic parameters, including ph, temperature, O 2 consumption and CO 2 production Respiratory Care Self-regulated rate and tidal volume Adjustable target arterial CO 2 partial pressure Physical consumption of O 2 and production of appropriate levels of CO 2 Independent control of airway resistance, lung compliance and chest compliance Inspired and expired gas concentrations can be measured and displayed on standard respiratory gas monitors CPAP, PSV, PEEP, SIMV, assist control modes, and weaning protocols Modes can be superimposed, allowing the patient to fight the ventilator Modeled hemodynamics automatically reflect patient physiology, pathology and student intervention hps human PatiENT SimulATor 10 4

6 Anesthesia HPS-010 Standard Features The HPS-010 is CAE Healthcare s most advanced patient simulator, designed specifically to support anesthesia, critical care, emergency medicine and the most complex of clinical simulations. The Anesthesia HPS offers the most complete list of features. 5 Full-Body InstrumENTED Adult Mannequin Hps-010 includes: Breath and Heart Sounds; Airway Breath and Heart Sounds; Patient Voice Variable Airway Resistance; Variable Lung and Chest Wall Compliance; Two Compartment Lung Model; Variable Shunt Fraction, Oxygen Consumption and Control of Breathing; Difficult or Normal Airway; Variable O 2 Consumption, CO 2 Production; Volatile Agent Uptake and Distribution Model Carotid, Brachial, Radial, Femoral, Popliteal and Pedal Pulses; Variable Baroreceptor Reflex Model with Automatic Blood Pressure Control; Intravascular Volume Model; Hemodynamic Parameter Control with Vascular Resistances, Compliances and Cardiac Contractility, Ischemia and Disrhythmias; Cardiac Tamponade Genital/Urinary System; Neuromuscular Blockade Thumb Twitch; Reactive Eyes System Interfaces and Controls: Computer and Control Rack Drug Recognition System Instructor Remote Laptop Wireless System Software: Müse Four SCE Development Licenses Integrated Applications for Anesthesia, Ob/Gyn, Allied Health, ACLS and Pediatric Medicine (Pediatric HPS only) Preprogrammed Complex Pathologies Six Patient Profiles Physiological and Pharmacological Models Pharmacology Editor Pharmacology Library TouchPro Patient Monitor Software Trauma Features: Pneumothorax Needle Decompression Chest Tube Placement and Management Pericardiocentesis Diagnostic Peritoneal Lavage ACls Features: Chest Compression with Cardiac Output Defibrillation Transthoracic Cardiac Pacing 5-Lead ECG AED Integration Patient Monitoring: Full-Function Monitor Interface User Utility Software: Data Recorder Scenario Editor Patient Editor Support and Maintenance, Installation and Training: Basic System Support and Maintenance Orientation Training Course Two Seats at In-House Training Options: Anesthesia Delivery System TouchPro Patient Monitor Computer Trauma/Disaster Casualty Kit PediaSIM Plug and Play Pediatric Mannequin Moulage Kit METI FX Hands-Free Cable Kit Basic On-Site or In-House Training Advanced On-Site or In-House Training System Support and Maintenance (Extended, Premier or Premier Plus) * MOUnt SinAI SCHOOL of MEDICIne HELPS CenTEr, New York, New York At the Mount Sinai School of Medicine in New York City, Dr. Adam Levine directs simulation training for medical students, residents and physicians at all levels of practice in the Department of Anesthesiology s HELPS (Human Emulation, Education and Evaluation Lab for Patient Safety) Center. An early adopter of human patient simulation, the Department of Anesthesiology founded the lab in the spring of 1994 with the very first commercial METI (then Loral) HPS. We ve always been a very early adopter of technology, says Levine. We re proud of our innovation. Today, the HELPS Center is known for its leadingedge simulations for professional licensing, retraining and competency assessment. In addition to offering regular Maintenance of Certification in Anesthesiology (MOCA) courses, the HELPS Center has conducted high stakes competency assessment for medical licensing bodies based in Vermont, New Jersey and New York. Using HPS simulation, the staff has remediated physicians who have been remanded by the New York Office of Professional Medical Conduct due to bad outcomes. The center also retrains individual anesthesiologists who have been on prolonged hiatus or who want to expand their practices. The clinical staff creates the training and assessment scenarios on the HPS. There is no alternative for us, says Dr. Levine. With the types of simulation we do at Sinai, we would not feel comfortable or be capable of creating them with any simulator other than an HPS. It immediately lends the fidelity that we need.

7 Health Science HPS-020 Standard Features * HPS in Action Testimonials Fox VALLEY TECHnICAL COLLEGE Appleton, Wisconsin When a hospital in Appleton, Wisconsin closed its surgical unit, the surgical nursing staff retrained on CAE Healthcare s HPS. We worked with the all the nurses being transferred, says Barbar Tuchscherer, chairman of the Allied Health program at Fox Valley Technical College. They had to relearn cardiac and respiratory care. Because of the HPS physiology, we were able to use different medications they weren t familiar with or hadn t used in a long time. In addition to training nursing, EMS and allied health students, Fox Valley Technical College contracts its simulation training to hospitals and healthcare agencies year-round. The ThedaStar flight crew landed a helicopter on campus to practice for their intubation recertification on the HPS. With the HPS physiology, they could see gases declining and decide whether or not to do a needle tracheotomy, says EMS Trainer and Simulation Coordinator Bob Sternhagen. The HPS has also simulated a drug overdose, a head injury and a cardiac arrest in a refresher course for Wisconsin Department of Corrections nurses. The center is responsive to the changing healthcare climate, and can create HPS scenarios on short notice. For example, the center recently trained a hospital unit on new chest tube protocols and equipment. We contract with agencies to enhance their skills and bring new skills to their existing employees, Tuchscherer says. The HPS-020 was designed with nursing, respiratory therapy, and emergency medicine students in mind. The Health Science HPS suits community college-based programs exceptionally well, as these programs generally cover a broad range of educational endeavors. Full-Body InstrumENTED Adult Mannequin Hps-020 includes: Breath and Heart Sounds; Patient Voice Variable Airway Resistance; Variable Lung and Chest Wall Compliance; Two Compartment Lung Model; Variable Shunt Fraction, Oxygen Consumption and Control of Breathing; Difficult or Normal Airway; Variable O 2 Consumption, CO 2 Production; Volatile Agent Uptake and Distribution Model Carotid, Brachial, Radial, Femoral, Popliteal and Pedal Pulses; Variable Baroreceptor Reflex Model with Automatic Blood Pressure Control; Intravascular Volume Model; Hemodynamic Parameter Control with Vascular Resistances, Compliances and Cardiac Contractility, Ischemia and Disrhythmias; Cardiac Tamponade Genital/Urinary System; Neuromuscular Blockade Thumb Twitch; Reactive Eyes System Interfaces and Controls: Computer and Control Rack System Software: Müse Four SCE Development Licenses Integrated Applications for Anesthesia, Ob/Gyn, Allied Health, ACLS and Pediatric Medicine (Pediatric HPS only) Preprogrammed Complex Pathologies Six Patient Profiles Physiological and Pharmacological Models Pharmacology Library TouchPro Patient Monitor Software Trauma Features: Pneumothorax Needle Decompression Chest Tube Placement and Management ACls Features: Chest Compression with Cardiac Output Defibrillation Transthoracic Cardiac Pacing 5-Lead ECG AED Integration Patient Monitoring: TouchPro Patient Monitor Computer User Utility Software: Data Recorder Scenario Editor Patient Editor Support and Maintenance, Installation and Training: Basic System Support and Maintenance Orientation Training Course Two Seats at In-House Training Options: Enhanced Drug Recognition System Instructor Remote Laptop Wireless Full-Function Monitor Interface Pharmacology Editor Pericardiocentesis Trauma/Disaster Casualty Kit Diagnostic Peritoneal Lavage PediaSIM Plug and Play Pediatric Mannequin Moulage Kit METI FX Hands-Free Cable Kit Basic On-Site or In-House Training Advanced On-Site or In-House Training System Support and Maintenance Upgrade (Extended, Premier or Premier Plus) hps human PatiENT SimulATor 10 6

8 Müse and TouchPro With the Müse interface, the HPS is now easier to use to train physicians, students and healthcare teams. Simulated Clinical Experiences (SCEs) bundle ready-to-go patient, scenarios, educational content and setup preferences that automatically load together when you run a SCE. SCE timeline provides the ability to place bookmarks throughout a scenario and return to the patient s book-marked physiology at any point. Patient status display can be customized to show vital signs, cardiac output, respiratory signals and more, including Sp0 2, ECGs and capnogram. Recent Event Logs on the Run Screen keep you updated, while complete event and physiological data is logged in the SCE history. Scenarios automatically load as part of the SCE. Scenario states and progression can be controlled directly from the Run Screen. Controls allow you to operate on-the-fly by adjusting model parameters and using overrides. Patient reset button allows you to quickly save and return to the patient s original baseline physiology without having to restart the SCE. 7

9 You asked, and we listened. With Müse, you have more control over your patient s physiological parameters and more flexibility to create scenarios. Quick Links allow an instructor to instantly change a patient s physiology. Run the same scenario with a stable or unstable patient to challenge learners critical thinking skills. Layer conditions, administer medications and record interventions directly from the customizable Quick Link menus. Extensive drug library is integrated with physiology. TouchPro Simulated Patient Monitoring Software Müse comes with the TouchPro Patient Monitoring software thatsimulates a real-world patient monitor including touch-screen capability and capnography. Operates wirelessly or via wired Ethernet Can be run on a touch-screen computer or tablet Waveforms and numeric vitals can be changed with drag and drop simplicity Can display up to six waveform traces and four numeric vitals Web-based for PC or Mac Waveform Selection ECG Lead I ECG Lead II ECG Lead III ECG Lead V Arterial Blood Pressure Central Venous Pressure Pulse Oximetry Graph Capnogram Pulmonary Blood Pressure PCWP Navigate controls by clicking the patient diagram. Password protected multi-user system allows institutions to set privileges of users and operators. Medication Monitor shows current concentration of any administered medication in the patient. Administered drugs can be reset, immediately removing all effects of the medication from the patient for training purposes. Numeric Selection Heart Rate Pulse Arterial Blood Pressure MAP NIBP Pulmonary Artery Pressure PCWP Central Venous Pressure Continuous Cardiac Output Thermodilution Cardiac Output Respiratory Rate SpO 2 PAO 2 PaO 2 PACO 2 PaCO 2 EtCO 2 PvO 2 PvCO 2 ICP Body Temperature Blood Temperature Axillary Temperature Rectal Temperature hps human PatiENT SimulATor 8

10 PediaSIM with HPS The only pediatric simulator with true pulmonary gas exchange for risk free, critical care practice Drug recognition system Blinking Reactive pupils Realistic airway Variable airway resistance Voice needle decompression Heart/Breath sounds Independent bilateral chest excursion Chest compression ECG Defibrillation Pacing brachial Interchangeable genitalia Urinary output Urinary catheterization radial femoral popliteal Intraosseus insertion carotid Bowel sounds Uptake and distribution of nitrous oxide and volatile anesthetics Automatically responds to oxygen therapy Supports real capnography Interfaces with real clinical monitors 9

11 Advanced Features Airway features include upper airway obstruction, laryngospasm, esophageal, nasal and oral intubation and needle cricothyrotomy. Intraosseous and IV access sites Monitoring includes ECG, arterial pulmonary and central venous pressures, cardiac output, blood, body, rectal and axial temperatures and capnography. Drug recognition system uses barcode technology to accurately identify drug administered, concentration and dose. Jugular IV port Real oxygen consumption and gas exchange A complete reproduction of a six-year-old child, PediaSIM is available on the HPS platform, which is specifically designed for anesthesia, respiratory and critical care. With a pediatric drug library, and realistic airway, thorax and anatomical features, PediaSIM supports a wide range of clinical interventions. Standard Equipment PediaSIM HPS PediaSIM Mannequin Instructor s Desktop Workstation Control Rack HPS6 Software Pediatric Patient Profile Pharmacology Editor Drug Recognition Full-function Monitor Interface 13 Pediatric SCEs dorsalis pedis The physiology of the pediatric simulator plays a definitive part in the students assimilation of physiological changes in order for them to think critically to provide the care needed for their pediatric clients. Joy Thomason, RN, MSN, Assistant Professor at the Union University School of Nursing in Jackson, Tennessee Optional Equipment PediaSIM HPS Monitor Interface Kit Anesthesia Delivery System Remote Control Laptop Computer Bag Trauma/Disaster Casualty Kit (TDCK ) Hands-Free Cable Kit Gas Accessory Kit Waveform Display Monitor Preprogrammed Simulated Clinical Experiences (SCEs) Induction Routine Hypotension Hemorrhage Tachycardia & Hypertension Tachycardia & Hypotension Bradycardia & Normotension Bradycardia & Hypotension Epidural Intravascular Injection Epidural Sympathectomy Epidural High Spinal Difficult Airway Management Cannot Intubate, Cannot Ventilate Spontaneous Pneumothorax Near Drowning hps human PatiENT SimulATor 10

12 CAE Healthcare offers advanced patient, imaging, surgical and learning simulation-based solutions to improve patient safety and outcomes. Our leading-edge products and learning applications provide risk-free practice and professional development to physicians, nurses, EMS responders, military medics, students and allied health professionals around the world. caehealthcare.com For more information about CAE Healthcare products, contact your regional sales manager, the CAE Healthcare distributor in your country, or visit caehealthcare.com. Tel Toll-free in North America CAE Healthcare