HelSim
 Applied Simulation Technologies Providers for Greece.
 Commercial & Defence Aviation Systems & Services.

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EMERGENCY  CARE  SIMULATOR

APPLICATIONS & USERS:

• Medical Schools
• Nursing Schools
• Hospitals
• Emergecy Care Personel
• First Responder
• Fire-fighters
• Military
• Other

Since it’s debut on NBC’s top-rated primetime hit show, ER in November 2003, the ECS has made high-fidelity patient simulation cost effective for all types of health care education. By leveraging the technology behind the powerful METI HPS, the simulator of choice among leading medical schools around the world, the ECS delivers an affordable and more portable simulation solution for nursing schools, health science programs, EMS agencies, hospitals and the military throughout the world.

The ECS provides an anatomically correct, feature-rich mannequin, which allows for the physical demonstration of various clinical signs including bleeding, breathing, blinking eyes and convulsions. But that only goes skin deep. The real beauty of the ECS lies beneath the surface where the unique METI physiological and pharmacological models are working to deliver automated human-like responses to clinical conditions and therapeutic interventions. including airway and oxygenation management, fluid administration, defibrillation and the administration of drugs. Together, these systems deliver a realistic and objective training ground for learners to practice and perfect patient care without risk to real patients.


"Our ECS is invaluable. Not only for faculty.... students come up to you asking for more."

Joann Sullivan-Mann, Associate Professor of Nursing


Only METI technology embodies unique physiologic models that imitate real human response in the multi-layered, real-time ways that are vital to a truly authentic and objective medical learning experience. Let’s face it: physiological systems do not work in isolation. Every system – nervous, cardiovascular, respiratory, musculo-skeletal – relies on, responds to and integrates with the next. Other mannequins allow you to “dial up” vital signs, but human beings are not like that. When was the last time your patient had a high heart rate with a normal blood pressure? METI simulators— relying on accurate observations of the heart, lungs and nervous system—set a standard in healthcare education that no other company can match!

ADVANCED AIRWAY: Designed from a real patient, this anatomically realistic airway makes it possible to isolate critical Airway Management techniques and offers a true representation of how a real airway looks and feels. Simple software commands create airway management scenarios that are true to life. The swollen tongue, for example, hinders but does not prevent intubation. By creating a laryngospasm, the airway obstructs to close the vocal chords and prevent intubation and ventilation. When used with the posterior pharynx swelling, the ECS can replicate a “Can’t Ventilate, Can’t Intubate” scenario.

PULMONARY SYSTEM : With a CO2 gas supply, the patient’s lungs physically produce carbon dioxide, which registers on external monitoring equipment, and the patient demonstrates spontaneous and self-regulated breathing. Symmetric and asymmetric lung ventilation are automatically supported in response to proper and improper intubation procedures or pathophysiological states such as tension pneumothorax. The patient’s upper chest rises and falls synchronously with the inflationary state of the underlying lungs. This movement is synchronized with the inspiration and expiration of spontaneous, manual and mechanical ventilation of the lungs.

CARDIOVASCULAR SYSTEM : Realistic heart sounds and a wide range of pathophysiologic conditions are presented on the patient mannequin and can be auscultated with a standard stethoscope. A 5-lead ECG is emitted from the appropriate positions on the patient’s chest and displays impulses on a standard monitor.

The ECS captures a normal sinus rhythm as well as a broad range of abnormalities. Myocardial oxygen balance and cardiac ischemia automatically influence the cardiac rhythm resulting in a realistic automatic response to hypoxemia.

ACLS The ECS realistically provides the opportunity for hands-on training and skill acquisition in Airway Management and Ventilation, Chest Compression and Cardiac Arrhythmia treatment improving teamwork and confidence in students.

Other ACLS applications supported by the ECS include the use of transthoracic cardiac pacers, which can be applied to the patient mannequin and defibrillation exercises. Pacing results are displayed in appropriate physiological changes in blood pressure and cardiac output.

TRAUMA A student can learn a lot about a patient by simply assessing the eyes. The ECS includes three pupil adjustments that simulate different neurological conditions. Additionally, eyelids open and close spontaneously or can be fixed in the closed position. Other important trauma features supported by the ECS include Pericardiocentesis, Pneumothorax Needle Decompression, Chest Tube Placement and Diagnostic Peritoneal Lavage.

PHARMACOLOGY: The ECS automatically responds to pharmacological interventions through pre-programmed pharmocokenitic and pharmocodynamic parameters that are established for over 50 intravenous drugs. The right arm of the patient mannequin provides a multitude of intravenous access locations, including cephalic, cubital, basilic, medial and dorsal veins. Additionally, two permanent access catheters are located at the right internal jugular and left femoral veins.

STANDARD EQUIPMENT:
• Adult Mannequin
• Power and Communications Unit
• Instructor’s Laptop Computer
• Waveform Display Monitor
• HPS6™ Software
• Patient Profiles
• 14 Simulated Clinical Experiences (SCE™)

OPTIONAL EQUIPMENT:
• Auxiliary Power Supply
• Air Compressor
• Wireless Remote Laptop
• Laptop Computer Stands
• Gas Accessory Kit
• Trauma/Disaster Casualty Kit (TDCK™)
• Deluxe Soft-Sided Carrying Case

ECS CLINICAL FEATURES

AIRWAY:
• Life-like intubation head with a flexible tongue, arytenoid cartilage, epiglottis, vallecula, vocal cords, trachea, esophagus, and simulated lungs for spontaneous breathing and realistic chest movement
• Tracheal access through the neck for transtracheal jet ventilation, needle or surgical cricothyrotomy
• Replaceable neck skins
• Standard ALS airway skills:
• Bag/Valve/Mask ventilation
• Endotracheal tube intubation
• Combitube placement
• LMA placement
• Retrograde intubation
• Fiber optic intubation
• Light wand intubation
• Transtracheal jet ventilation
• Needle cricothyrotomy
• Surgical cricothyrotomy
• Oropharyngeal and nasopharyngeal airway placement
• Exhaled CO2 flow to confirm placement of airway devices within the trachea
• Signs of spontaneous respiration:
• Chest excursion (independent left and right movement)
• Exhalation of air from mouth
• Breathing sound from mouth
• Exhaled CO2
• Variable respiratory rate is physiologically modeled or may be manually controlled by instructor
• Pharyngeal obstruction – posterior pharyngeal surface swells into the anterior pharyngeal cavity
• Swollen tongue with variable levels of difficulty for intubation
• Laryngospasm – closes the vocal cords completely and results in automatic desaturation
• Left and right bronchial obstruction
• Stomach decompression – stomach distension occurs as a result of over inflation or intubation of the esophagus
• Cannot Intubate, Can Ventilate:
• Intubation is not possible
• Patient can be ventilated with a BVM device
• Patient response automatically linked to physiology
• Cannot Intubate, Cannot Ventilate:
• Patient cannot be ventilated by any other method other than needle or surgical airway
• Patient response automatically linked to physiology

CIRCULATORY SKILLS AND IV ARM:
• Right IV training arm with replaceable skin and veins:
• IV insertion into peripheral veins of forearm, antecubital fossa and the dorsum of the hand
• Simulated blood flashback on cannulation
• IV Bolus or infusion
• Sites for subcutaneous or intramuscular injections

TRAUMA FEATURES:
• Bilateral Pneumothorax Needle Decompression
• Bilateral Chest tube placement and drainage
• Pericardiocentesis
• Diagnostic peritoneal lavage

NEUROLOGAL
• Blinking eyes
• Variable pupil size

IV DRug ADMINISTRATION:
• Extensive drug library which includes ACLS drugs
• Simulated patient response to drug administered is automatically linked to physiology

PULSES:
• Bilateral carotid, brachial, radial, femoral, popliteal and pedal pulses • Pulses synchronized to physiology of circulation and chest compressions

CARDIAC FUNCTIONS:
• Extensive ECG rhythms library
• Defibrillation:
• Live defibrillation
• Cardiac monitoring (e.g. blood pressures, cardiac output)
• 3 or 5-lead ECG monitoring
• External pacing with variable pacing threshold
• Cardioversion
• Pacing results in appropriate physiological changes in blood pressure and heart rate
• ECG and heart rate can be displayed on the Waveform Display (METI simulated monitor) or selected monitors

CPR:
• ABC check:
• Airway - visible inspection of the airway for obstructions
• Breathing - chest excursion; sounds of air movement; air on exhalation
• Circulation - heart sounds; palpable pulses
• Spontaneous and mechanical ventilation
• Chest Compression
• Blood Pressure
• Auscultation of Korotkoff sounds
• Return to flow blood pressure assessment
• BP can be displayed on the waveform display

GENITOURLNARY:
• Interchangeable male or female genitalia for urinary catheterization procedures

SOUNDS AND PHONATION:
• Patient “speaks” through instructor microphone
• Heart sounds synchronized with the cardiac cycle
• Independent left and right breath sounds
• Bowel sounds
• Heart, breath, Korotkoff and bowel sounds can be auscultated with a stethoscope

INSTRUCTOR CONTROL:
• Instructor workstation or wireless remote
• Graphical user interface controls all airway management, cardiac functions, CPR, pulse, blood pressure and sounds
• Each of the airway management functions may be controlled individually or set as a group

DATA RECORDER:
• Physiological, pharmacological and event data is logged and time stamped
• Automatically calculates and logs: alveolar and blood gases, cardiac output, heart rate, SpO2, invasive BP, hematocrit and hemoglobin values, and temperature

SCEs AND PATIENTS:
• Five pre-packaged patients that can run with any scenario
• 14 pre-packaged SCEs that can be applied to any patient
• Scenario editor to create your own scenarios
• Patient editor to create your own patients

  APPLICATIONS
-Flight Training
-Medical Academic Training
-Medical Recurrency Training
-Medical Occupational Training
-EMC Training
-Telematics based Logistics
-Telematics & GIS
-Traffic Analysis
-Traffic Visualization
-Urban Planning
-Urban Warfare
-Integrated Training Centers
-Mission Planning & Rehearsal
-Semi-Autonomous Vehicles
-UAVs
-Adv. After Action Reviews
-Persuasive Visualization
-Counter-Terrorism Training
-Real-Time Threat Assessment
-Computer Based Training
-Distributed Interactive Training
-Accelerated Medical Recovery
-Virtual Instrumentation
-Education
-Entertainment

SERVICES
-Engineering
-Research & Development
-System Integration
-Consulting
-Project Management
-Program Oversight
-Program Validation
-Software Development
-Systems Administration
-Traffic Engineering
-Geospecific Modeling
-Customized Training
-Simulator Upgrades


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