CAE Healthcare Adult Patient Simulator: Apollo
Apollo, our adult patient simulator, joined the Falcon family in the fall of 2016. Apollo has aesthetically, realistic facial features to increase learner immersion into the simulation. The simulator has comprehensive, user-friendly MUSE software with integrated physiology that is based on validated models of cardiovascular and respiratory systems. It accurately mimics medical conditions and responds automatically to clinical interventions.
Apollo has heart sounds, lung sounds, bowel sounds, and palpable pulses that can be manipulated by the faculty facilitator so learners can assess the differences among the various health conditions in each scenario. Apollo has blinking eyes and pupils are reactive to light upon assessment. Pre-recorded speech and a microphone allow for communication during the experience. Cardiopulmonary resuscitation skills can be refined through kinesthetic activity with correct hand placement detection, compression depth, compression rate, chest recoil metrics available. This analysis is compliant with the American Heart Association guidelines. Both have the ability to have pacing, cardioversion, and defibrillation.
Apollo has the ability to have bilateral chest tube insertion with fluid output, tracheostomy suctioning of fluids, urinary catheterization with urinary output, nasogastric tube placement with gastric secretions, and IV placement the bilateral antecubital fossa and dorsum of the hands.
The integrated MUSE software comes with factory developed scenarios ranging from anaphylactic blood transfusion reaction and chest pain management to end of life care and cocaine overdose with cardiopulmonary resuscitation.
CAE Healthcare Birthing Simulator: Lucina
Lucina, our adult female human patient simulator, joined the Falcon family in the spring of 2019. She has user-friendly MUSE software that is similar to that of our adult male manikin, Apollo.
Lucina is as lifelike as it gets, responding physiologically just like a human would. She has heart sounds, lung sounds, palpable pulses, pupillary response, the ability to secrete fluids, and the ability to speak either through pre-recorded speech or through a 2-way microphone with an instructor becoming the patient. The SymEyes technology allows the display of various symptoms in the patient. Examples include jaundice, hemorrhage, keyhole pupils, cataract, and bloodshot or droopy eyelids. She also has a realistic, flexible airway that allows for emergency procedures and a respiratory system that allows for bag-valve-mask and mechanical ventilation along with ventilation volume and rate analysis. However, Lucina’s most unique feature is her ability to replicate realistic labor and delivery experiences as well as common complications that occur before, during, and after birth.
Prepartum, during pregnancy, Lucina has multiple cervixes that allow learners to practice realistic pelvic examinations for evaluation of the cervix for dilation and effacement, fetal station, and position. An epidural port is also in place for infusion and aspiration.
Intrapartum, during labor, Lucina has realistic contractions visible on the bedside monitor as well as palpable on the abdomen just like a real contraction would feel on a patient in labor. Fetal heart rate is also visible on the bedside monitor for evaluation throughout the delivery process. A simulated full-term, 5.5 pound fetus will descend and rotate through the birth canal. The fetus can have a programmable audible cry upon delivery as well as predicted 1-minute and 5-minute APGAR scores that are reflective of how well delivery process was managed. A realistic umbilical cord that can be cut and clamped as well as a complete or incomplete simulated placenta is also delivered. Lucina has articulating joints and a pelvic tilt which allow for various delivery positions and delivery maneuvers that are detected by the sensors in the simulator upon application of the correct maneuver.
Both Lucina and her baby can be controlled from the bedside or at a distance. Audio visual recordings of the simulated experience with real-time and recorded views of the maternal-fetal monitor display allows for a meaningful debriefing experience so students can develop clinical reasoning in realistic labor and delivery situations without fear of harming real mothers and babies. This provides an invaluable learning experience for students.
Lucina also has a non-gravid, non-pregnant abdomen that allows for her to become an aesthetically authentic, realistic female medical surgical patient that is not pregnant. Programmed scenarios include chronic heart failure exacerbation, acute respiratory distress syndrome, sepsis with hypotension, and motor vehicle collision with hypovolemic shock.
Gaumard Scientific Pediatric Simulator: Pediatric Hal S2225
Pediatric Hal, the newest member of the Falcon family, was purchased with the generous donations of the Carl Del Signore Foundaton, the Maier Foundation, and an anonymous donor in the spring 2020. Pediatric Hal is the world’s most advanced pediatric patient simulator. He is the first simulator capable of simulating lifelike emotions through dynamic facial expressions, movement, and speech. He can illustrate nearly a dozen facial expressions and simulate a variety of common emotional states to better approximate behavior. Examples include anger, transient pain, ongoing pain, amazed, worried, anxious, crying, yawning, and lethargic. Hal can be programmed to cry with real fluid released for tears. Faculty facilitators can create facial expressions and emotions to expand the scope of the learning experiences.
Pediatric Hal is equipped with interactive eyes and color-changing skin to help illustrate varying emotional states, trauma, and many other neurological diseases and conditions. He will automatically turn his head and eyes towards the approaching subject.
Hal also has high-fidelity heart, lung, bowel sounds, and palpable pulses that may be manipulated by the faculty facilitator. Pediatric Hal has bilateral forearm IV access that supports blood sampling and continuous infusion, urinary catheterization capabilities, nasogastric tube placement, and real glucose test readings via fingerstick.
Cardiopulmonary resuscitation skills can be refined through kinesthetic activity with time to CPR, compression depth/rate, compression interruptions, ventilation rate, excessive ventilation, and smart CPR voice coach. Effective chest compressions will generate palpable femoral pulses as a real patient would. Hal has the ability to have pacing, cardioversion, and defibrillation.
Pediatric Hal comes with UNI Interface software to allow for user-friendly ease of operation for the faculty facilitator during the experience.
Gaumard Scientific Newborn Simulator: Newborn Hal S3010
Newborn Hal joined the Falcon family in the fall 2011. His true-to-life physical and physiological features allow for ease-of-use when learners simulate how to provide safe and effective care to neonatal patients. Newborn Hal is a 5.5-pound neonate at 40 weeks gestational age that is tether less with wireless communication to an instructor tablet to allow for simulations in various settings. Hal will allow the faculty facilitator to program heart and lung sounds, color changes such as degrees of cyanosis, and various muscle tones ranging from active to reduced or limp. He also has the ability to visibly shake in a jittery state. He has a realistic umbilicus that can be catheterized and even has a pulse synchronized with a programmed heart rate. Palpable fontanelle and bilateral brachial pulses are present as well. Pre-recorded crying or grunting can be added into scenarios for interaction with learners. Subcutaneous and intramuscular injection sites are available as well as bilateral IV arms with fill/drain sites for realistic flashback of blood upon insertion of an IV. Cardiopulmonary resuscitation may be practiced with chest compression and ventilation measurements.
Twenty pre-programmed scenarios are uploaded with the UNI software that can be modified by the faculty facilitator during the simulation experience. Some examples include a healthy baby, asphyxia, pneumothorax, meconium aspiration syndrome, and mild respiratory distress syndrome.