CAE Healthcare WVL WIRELESS VOICE LINK User Manual 1

CAE Healthcare, Inc. WIRELESS VOICE LINK 1

Contents

User Manual 1

METIman® User Guide
iLicense/CopyrightCAE HealthcareMETIman® Simulator Software and Users Guide©THIS IS A LEGAL AGREEMENT. PLEASE READ THIS DOCUMENT CAREFULLY. The software you are about to access is provided to you pursuant to the purchase of the Product by the legal entity which employs you, or which you represent (the “Licensee” or You”), from CAE Healthcare. This purchase of the Product is subject to CAE Healthcare’s Healthcare Education Products General Terms and Conditions (the “HEPGTC”) and this End-User License agreement (“License”).This License governs the grant of licenses for the software, in object code only, embedded in or bundled with the Product or required to operate the Product, as the case may be (“Software”), as well as all related Product documentation and information (“Data”) supplied by CAE Healthcare either with or separately from the Product, which items as indicated in the HEPGTC are not sold but licensed.Acceptance of these terms and conditions must be without modication of any of the terms, conditions and notices contained herein. Consequently, please be sure to read the terms of this License carefully. If You agree to these terms, conditions and other provisions in their entirety, then click the “ACCEPT” button below. If You do not accept these terms, conditions and other provisions in their entirety, without modication of any sort, then click the “DECLINE” button below and your access to the Software and Data is prohibited.1. DEFINITIONS AND INTERPRETATION1.1 The preamble forms an integral part of this License.1.2 Terms with a capital letter dened in the Preamble have the meaning indicated in the Preamble. Whenever used in this License, the following terms have the meaning set out below:(a) “Condential Information” means any and all scientic and technical information which is in the possession of, or belonging to, CAE Healthcare and relating to the Product, including without limitation, all Data, Software, trade secrets, know-how, processes, methodologies, samples, components, analyses, compilations, guides and other information or documents prepared by CAE Healthcare, its subsidiaries and aliates and/or their ocers, servants, agents, representatives, employees or advisers which contain or are otherwise generated from or reect any CAE Healthcare proprietary information, whether or not covered by intellectual property rights or explicitly designated as condential or proprietary, which is disclosed by any means in written, oral, electronic, or any other form.(b) “Purpose” means the use of the Software and the Data solely for the operation and maintenance of the Product, and the use of the Product solely as an educational tool.2. LICENSE2.1 In consideration of Licensee’s agreement and compliance with the terms and conditions contained in the HEPGTC and in this License, CAE Healthcare grants to Licensee, and Licensee accepts, a personal, non-exclusive, non-transferable license to use the Software and Data exclusively with the Product, and with the computer on which this License appears.2.2 Except for the License granted herein, CAE Healthcare grants no express or implied right under any patent, copyright, mask work right, trademark, know how or other intellectual property rights. Without limiting the foregoing, the Licensee shall not obtain any rights to CAE Healthcare’s property, or any part thereof, by implication, estoppel or otherwise. Title to and full ownership of any trade secrets and other intellectual property rights related to the Product and components thereof shall remain with CAE Healthcare and, if applicable, its suppliers. For clarication, Licensee agrees that the source code for the Software is a trade secret of CAE Healthcare and only CAE Healthcare shall have the right to alter, maintain, enhance or otherwise modify the Software.
iiLicense/Copyright2.3 Without limiting the foregoing or any other terms in this License, Licensee shall, and shall ensure that any person authorized to access the Product, which are limited to Licensee’s employees, agents, representatives, medical sta and students (“Authorized Users”):(a) not copy (save and except for normal back up and disaster recovery purposes provided such copy shall include CAE Healthcare’s copyright and any other proprietary notices indicated on the Software and Data), ghost, export or produce any derivative works from the Product, or any part thereof, not network the Product without CAE Healthcare’s prior written approval, or make it available for concurrent use;(b) not sell, attempt to sell or transfer (unless in compliance with the HEPGTC), sublicense, encumber the Software or Data;(c) not modify the Product in any way, combine with other programs, or reverse engineer, screen scratch, decompile or disassemble any Software nor otherwise attempt to create or derive the source code related thereto;(d) not deface or remove any copyright or proprietary notices;(e) not use the Product without the Key, if provided with the Product, or attempt to develop or develop any means or technology which would enable Licensee to bypass the use of the Key to operate the Product; (f) prevent anyone other than Authorized Users from accessing or using the Product;(g) not incorporate the Product, in whole or in part, to any product or service that Licensee would make available to a third party, on a commercial basis or not.2.4 Notwithstanding anything else contained in this License, in no event shall Licensee use the Product and/or Condential Information to enable, support, or otherwise aid Licensee or a third party to develop any product, software or service competitive with any of CAE Healthcare’s products.2.5 Licensee agrees to grant CAE Healthcare, its agents and representatives, at any time during Licensee’s normal business hours and upon reasonable prior notice, the right to access to Licensee’s premises, to ensure that the use of the Product is done at all times in compliance with the terms and conditions of this License.2.6 CAE Healthcare reserves the right to embed a software security mechanism within the Product to monitor usage of the Product to verify Licensee’s compliance with this Agreement, as well as to control access to the Software through use of: a) a hardware lock device and/or b) a license administration software and/or c) a license authorization key (collectively, the “Key”).2.7 Some Products may provide Licensee with the option of saving and reproducing the images created by such Products (“Work”) during their use. In this regard, Licensee hereby recognizes that the entire rights, title and interests in and to such Work remain the exclusive property of CAE Healthcare. Licensee shall not modify such Work in any way whatsoever and shall not remove or alter any CAE Healthcare notices. However, Licensee is permitted to produce and reproduce such Work only for non-commercial educational purposes.3. FEEDBACKLicensee agrees to provide CAE Healthcare, from time to time, with comments, suggestions, data, information or feedback (“Feedback”) on the Product. Licensee acknowledges and agrees that such Feedback may be freely used by CAE Healthcare, at its sole discretion, for the design, development, improvement, marketing and commercialization of its products and services, without any restrictions based on condentiality or intellectual property rights.
iii4. TERM AND TERMINATION4.1 This License shall become eective as of the date of Your execution of this License and shall remain in eect until terminated as provided hereafter.4.2 This License terminates immediately upon termination of the HEPGTC. 4.3 CAE Healthcare may terminate this License immediately, upon written notice, should Licensee:(a) fail to comply with any of the terms and conditions of this License;(b) terminate or suspend its business; make an assignment for the benet of creditors, or any proceedings are instituted by any party or against it seeking to declare it bankrupt or insolvent, or seeking liquidation, winding-up, reorganization, arrangement, adjustment, protection, relief or composition of its debts under any law relating to bankruptcy, insolvency, reorganization or relief of debtors, or seeking the entry of an order for relief or the appointment of a receiver, trustee or other similar ocial for it or for any substantial part of its property;4.4 Upon termination of this License, Licensee agrees to immediately discontinue use of the Condential Information and the Product, and to return same to CAE Healthcare as well as any copies, summaries or extracts thereof, with any associated CD ROM(s), DVD, keys, dongles or other devices as may be directed by CAE Healthcare. At CAE Healthcare’s request, Licensee shall promptly provide a written certicate signed by an ocer of Licensee conrming that such items have been returned to CAE Healthcare or destroyed as so directed by CAE Healthcare.4.5 The following shall survive and continue in full force and eect notwithstanding any termination of this License: the obligations of Licensee under Sections 2 (License), 5 (Non-Disclosure); as well as any other clauses which by their nature and context are intended to survive.5. NON-DISCLOSURE5.1 Licensee agrees to keep this License and all Condential Information obtained hereunder in strict condence, and shall only disclose same a) to Authorized Users solely for the Purpose and provided such access to the Product conforms, at all times, to the terms and conditions governing the use of the Product contained herein, or b) if required to be disclosed by law, and only to the extent of such disclosure and limited to the purpose requested, with prior notice to CAE Healthcare to permit it to seek an appropriate remedy to prevent the disclosure, or alternatively to agree to the terms of such disclosure.5.2 The obligations of condentiality, use and non-disclosure referred to in this Section 5 shall not apply to information which: (i) is or becomes publicly available through no fault of Licensee; (ii) was already in the rightful possession of Licensee prior to its receipt from CAE Healthcare; (iii) is independently developed by Licensee, provided it is not, in whole or in part, related to the Product; and (iv) is obtained by Licensee in good faith and on a non-condential basis and without a use restriction from a third party who lawfully obtained and disclosed such information. However, Condential Information does not come within the foregoing exceptions merely because features of it may be found separately or within a general disclosure in the public domain.5.3 Licensee agrees to be responsible for enforcing the terms of this Section 5 and to take such action, legal or otherwise, to the extent necessary to cause anyone having access to the Condential Information to comply with the terms and conditions set forth herein (including all actions that Licensee would take to protect its own trade secrets and condential information but with not less than reasonable care). Licensee shall be responsible and indemnify, defend and hold harmless CAE Healthcare for any default caused by any such persons.License/Copyright
iv6. IRREPARABLE HARM6.1 Licensee acknowledges that the Software and Data constitute a special, irreplaceable asset of great value to CAE Healthcare, and that a breach, in any way, of any of Licensee’s obligations under Sections 2 (License), and 5 (Non-Disclosure) hereof would cause serious and irreparable harm to CAE Healthcare which may not be adequately compensated for in damages. If the Licensee breaches any of such provisions, Licensee consents to an injunction being issued against it restraining it from any further breach of such provision, without derogation from any other remedy which CAE Healthcare may have in the event of such a breach.7. WARRANTY, LIMITATION OF LIABILITY7.1 THE SOLE WARRANTIES PROVIDED BY CAE HEALTHCARE ARE LIMITED TO THE WARRANTIES PROVIDED IN THE HEPGTC. ANY WARRANTIES PROVIDED ARE PERSONAL AND NOT TRANSFERABLE.7.2 CAE HEALTHCARE’S LIABILITY SHALL IN NO CIRCUMSTANCES EXCEED THE LIMITATION OF LIABILITY INDICATED IN THE HEPGTC. LIABILITY, IF ANY, SHALL BE SOLELY FOR DIRECT DAMAGES, NOT TO EXCEED ON A CUMULATIVE BASIS THE AMOUNT PAID BY LICENSEE FOR THE PRODUCT.8. GOVERNING LAW8.1 This Agreement shall be governed by, subject to, and interpreted according to the laws of the State of Florida, U. S. A., without regard to its conict of law rules. In all cases, the Parties expressly exclude and waive the application of the United Nations Convention on Commercial Agreements for the International Sale of Goods (1980) (Vienna Sales Convention) as amended. 8.2 The exclusive forum for the resolution of any and all disputes arising out of or in connection with this Agreement shall be a court of appropriate jurisdiction located in the State of Florida, U.S.A. Each Party hereby waives any right that it might otherwise have to object to such venue or seek dismissal of the action on the basis of forum non-conveniens. EACH PARTY HERETO IRREVOCABLY WAIVES, TO THE FULLEST EXTENT PERMITTED BY APPLICABLE LAW, ANY AND ALL RIGHT TO TRIAL BY JURY IN ANY LEGAL PROCEEDING ARISING OUT OF OR RELATING TO THIS AGREEMENT.8.3 Notwithstanding the foregoing, if a party seeks injunctive proceedings to preserve condentiality obligations or intellectual property rights, then it is entitled to seek relief before the competent court/body of any jurisdiction.9. MISCELLANEOUS9.1 United States Government Customer: If Licensee is the United States Government (“U.S. Government”) or a unit or agency of the U.S. Government, the Software and Data are deemed to be “commercial computer software” and “commercial computer software documentation”, respectively, pursuant to DFAR Section 227.7202 and FAR Section 12.212 b) as applicable. Any use, modication, reproduction, release, performance, display, or disclosure of the Software and/or Data by the U. S. Government, or any of its units or agencies shall be governed solely by the terms of this License and the HEPGTC. Any technical data provided by CAE Healthcare with the Product that is not covered by the above provisions is deemed to be “technical data-commercial items” pursuant to DFAR Section 252.227.7015(a). 9.2 Amendment. This License may only be amended by the duly authorized representatives of CAE Healthcare.9.3 No Waiver: The failure of CAE Healthcare to enforce at any time any of the provisions of this License, or to require at any time the performance by Licensee of any of the provisions hereof, shall not be construed to be a waiver of such provisions, nor in any way aect the validity of this License or any part thereof, or the right of CAE Healthcare thereafter to enforce any such provision.9.4 No third-party beneciaries. Nothing in this Agreement shall be construed as creating or giving rise to any rights for any third parties or any persons other than the parties to this Agreement. 9.5 Notices: Notices or communications pertaining to this Agreement must be given in writing and delivered to the addressee as indicated in the HEPGTC.License/Copyright
v9.6 Preamble/Headings. The preamble forms an integral part of this Agreement. The division of this Agreement into Clauses, Articles, sections, subsections and other subdivisions and the insertion of headings are for convenience of reference only and will not aect the construction or interpretation of this Agreement.9.7 Severability. If any one or more of the provisions of this License shall be held to be invalid, illegal or unenforceable, the validity, legality or enforceability of the remaining provisions of this Agreement shall not in any way be aected or impaired thereby.9.8 Assignment and Succession. Licensee may not assign or delegate this Agreement in whole or in part, expressly or by operation of law, without CAE Healthcare’s prior written consent. CAE Healthcare may assign this Agreement, in whole or in part, and/or its rights and obligations, in CAE Healthcare’s sole discretion, to any party. This Agreement shall be binding upon and enure to the benet of the parties hereto and their permitted successors and assigns. Any assignment of this Agreement, or any license granted herein, in violation of the provisions of this Section shall be void.9.9 Entire Agreement. This License constitutes the complete agreement of the parties with respect to the subject matter referred to herein, and supersede any other agreements, written or oral, concerning the subject matter hereof.9.10 Language. The parties declare that they have requested and hereby conrm their express wish that this License, and related agreements and documents be drawn up in the English language and that any notication, letter or any other communication from a party to the other pertaining thereto shall be solely in the English language. End of LicenseMETIman Specications
viMETIman SpecicationsSize Mannequin/Simulator 74” H x 26” W x 11” D (188cm x 66cm x 28cm)Weight Mannequin/Simulator 100 lbs (45.36 kg)Environmental RequirementsAmbient Temperature Range Mannequin/Simulator Operation: 40°F to 104°F (4°C to 40°C) Storage: 40°F to 122°F (4°C to 50°C) Relative Humidity: 0% to 90% non-condensingPower Mannequin/Simulator AC Input: AC 90 – 240VAC, 50/60Hz Consumption: 70W nominal Internal Batteries: 18.5V lithium-ion, rechargeable Run Time: 4 hours (Typical) Communications Simulator Network Wired: 10/100 Ethernet or Wireless: IEEE 802.11g Wireless Voice 537 MHz to 819MHz (Country Specic)Electrotherapy Debrillation: 20 to 360 joules (Monophasic, Biphasic) Pacing: 20mA to 180mAMETIman Specications
viiCautions/WarningsPlease read and understand these cautions and warnings before you begin using the METIman system. USE OF THIS EQUIPMENT IN AN UNSPECIFIED MANNER MAY IMPAIR DESIGNED PROTECTION.Your safety is in your hands. Be sure to follow the instructions on the proper setup, breakdown and use of the METIman system. SHOCK HAZARDElectrical SafetyThis product must be connected to an electrical outlet that is properly grounded. •Precautions should be taken so that grounding or polarization is not defeated.Do not place debrillator paddles on or adjacent to the ECG patient electrodes. Contact •between debrillator paddles and the electrodes may cause injury to the user and damage to the equipment.Always use the supplied power cords. Do not substitute.•Always use the supplied power adapter to run the simulator from AC.•Operate the system from a power source with the following rating: • - 115VAC, 50/60 hertz (cycles per second) (e.g., North America, Japan) - 230VAC, 50/60 hertz (cycles per second) (e.g., Europe)Do not allow excess uids to ow on or into electronic parts.•Do not attempt to disassemble the simulator or service any of the electrical •components other than the resetting of circuit breakers.Cautions and Warnings
viiiGeneral Use WarningsElectrical SystemOperate the system from a power source with the following rating: 115VAC, 50/60 hertz •(cycles per second) (e.g. North America, Japan), and 230VAC, 50/60 hertz (cycles per second) (e.g. Europe)Do not operate the METIman system in rain. Apply water to the mannequin only in •accordance with the supported clinical procedures identied in this User Guide.Do not allow excess uids to ow on or into electronic parts.•CO2 Production SystemCare must always be taken when using high-pressure equipment.•Do not disassemble or alter regulator.•Store CO• 2 canisters in dry location between 32° and 104° F. (0 to 40°C). Do not expose CO2 canister to heat above 140° F as rupture may occur.Never point CO• 2 canister towards your face or someone nearby.Use only CAE Healthcare specied CO• 2 canisters.Wear protective gloves and eye protection when removing canister from regulator •assembly. Bleeding and Secretion SystemDO NOT modify the tank or any assembly component. •ALWAYS protect eyes, skin and clothing against accidental exposure.•NEVER exceed 35 strokes while pressurizing the tank.•ALWAYS read and follow instructions for creating trauma uids (e.g. blood). NEVER ll the •tank with more than 6 liters (1.6 gallons) of uid. After use, ALWAYS release pressure and clean the tank. DO NOT store liquids in •the tank.ALWAYS release tank pressure before servicing. NEVER transport or ship in a pressurized •and/or full state or leave a pressurized tank unattended.Cautions and Warnings
ixMannequinDo not disassemble factory-assembled parts of the mannequin.•Do not clean the mannequin with chemical solvents. Use water and a light soap solution •only.Make sure that mannequin is set up on a stable, sturdy work surface to •avoid collapsing and causing injury to users.METIman should be operated in ambient temperatures below 104• ° F (40° C). Do not introduce foreign substances into the airway - with the exception of small • amounts of approved lubricant. Only perform invasive procedures supported by the system as described in the applicable sections of the User Guide. Do not pick the mannequin up by the limbs — support head and leverage weight with torso. •It may be necessary to have the help of a second person to lift and move METIman.Latex WarningCAE Healthcare simulators incorporate latex into their design. When performing certain maintenance procedures, the latex can become exposed. Users with latex sensitivity should take necessary precautions when handling the simulator while performing those procedures.Cautions and Warnings
xBatteryGeneral WarningsMETIman uses Li-ion batteries. Li-ion batteries have special requirements during handling to avoid hazardous situations. The Polymer Li-ion Battery pack should be stored indoors and be kept far •from fire and high temperatures. Do not store batteries with hairpins, coins, screws or other similar objects.•Do not heat the battery.•Do not throw the battery into a fire. •Do not use or leave the battery close to heat or flame.• Do not use the battery inside of a car where temperature may exceed •80˚C (176˚F). Also do not charge/discharge the battery in such conditions. Do not short-circuit the positive (+) and negative (-) terminals with other •metals. Do not place the battery in a device with the positive (+) and negative (-) •terminals in the incorrect positions. Do not strike the battery with force. • Do not step on, throw or drop or drop the battery to cause strong shock. •Do not disassemble or modify the battery. •Do not solder a battery directly. •Do not use a battery that has been damaged or deformed.•Cautions and Warnings
xiCautions and WarningsAdditional Warnings Stop charging the battery if the battery has not completed charging •within the specified time. When leakage or foul odor is detected, do not use and keep away from •heat or flame. Immediately wash thoroughly with fresh water if liquid leaks onto your •skin or clothes. If liquid leaking from the battery gets into your eyes, do not rub your •eyes. Immediately wash eyes completely with clean water and seek medical attention. If the amount of time the battery is able power the equipment •diminishes significantly, the battery life is at an end. Replace the battery with a new battery of the exact same make and model. Immediately remove a battery whose life cycle has expired from the •equipment. When the battery is thrown away, apply vinyl tape to the positive (+) and •negative (-) terminals to avoid short circuits. When not using battery for an extended period, remove it from the •equipment and store it in a place with low humidity and temperature. In all instances, keep the battery away from objects or materials with •static electric charges. The battery can be used within the following temperature range. Do not •exceed this range: Charge temperature range: 0˚C (32˚F) to 45˚C (113˚F)
xiiSystem RequirementsIf you are not using a TouchPro computer provided by CAE Healthcare, please be sure to utilize a computer with wireless capability. When operating the TouchPro software, a computer with a Macintosh® or Microsoft Windows® operating system may be used. To run the TouchPro software, the computer used must meet the following minimum requirements:Macintosh® Operating System Mac OS X 10.5.8 (minimum) •Safari• ® 5.x.x or Firefox® 10 ESR (minimum) Adobe Flash Player• ® 10.1.x.x (minimum) Adobe Reader 9.x (or higher)•Windows® Operating System XP Service Pack 2, Vista or Windows 7•Firefox• ® 10 ESR, Internet Explorer® 8 or Safari 5.x.x (minimum) Adobe Flash Player• ® 10.1.x.x (minimum) Adobe Reader 9.x (or higher)•Hardware (Windows and Macintosh) Intel Core Duo, 2.0 GHz (minimum) •2 GB DDR3 RAM (minimum)•8 GB Hard Drive space available •1024x768 screen resolution (minimum) •USB 2.0 •Wireless 802.11b/g/n Ethernet card •100BASE-T Ethernet Adapter •Macintosh, Quicktime and Safari are registered trademarks of Apple Inc. Windows Media and Internet Explorer are registered trademarks of the Microsoft Corporation in the United States and/or other countries. Firefox is a registered trademark of the Mozilla Foundation. Adobe® Flash Player is a trademark of Adobe Systems Inc.Müse Software Specications
xiiiTable Table of ContentsLicense/Copyright �������������������������������������������������������������������������������������������������������� iMETIman Specications ��������������������������������������������������������������������������������������������� viCautions/Warnings ����� �����������������������������������������������������������������������������������������������viiSystem Requirements����� �������������������������������������������������������������������������������������������xiiIntroduction ��������������������������������������������������������������������������������������������������������������� 1METIman ������������������������������������������ �������������������������������������������������������������������������������������� 1Equipment Overview ��������������������������������������������������������������������������������������������������������������� 2Standard Components Inventory ............................................................................................................ 2Optional Components Inventory .............................................................................................................3METIman Standard Equipment ������������������������������������������������������������������������������������������������ 4Full-Body Wireless Simulator .................................................................................................................. 4Battery Charger and External Power Supply ............................................................................................4Instructor Workstation (Laptop or Tablet) ............................................................................................... 4CO2 Canisters (Prehospital Only)...... ........................................................................................................ 4Inventory Kit .......................................................................................................................................... 5Wireless Microphone ..............................................................................................................................6Wireless Voice Link .................................................................................................................................. 6Trauma Fill Tank ......................................................................................................................................7Table of Contents
xivOptional Equipment for METIman ��������������������������������������������������������������������������������������������� 7METIman Replacement Lithium Battery ........ ........................................................................................ 7External Compressed Air Kit ........ ...........................................................................................................7External CO2 Kit ........ .............................................................................................................................. 8Air Compressor ........................................................................................................................................ 8Hands-Free Training Cables .................................................................................................................... 9METIman Learning Applications and Training Courses ........ .................................................................. 10METIman Learning Applications ......... ...........................................................................................................10METIman Training Courses ......... .................................................................................................................... 10Tool Kit........ .......................................................................................................................................... 10METIVision ............................................................................................................................................ 11METI FX ................................................................................................................................................. 11Moulage Kit ..........................................................................................................................................12METIman Setup �������������������������������������������������������������������������������������������������������� 13Before Beginning Setup ��������������������������������������������������������������������������������������������������������� 14Step 1: Place METIman in the Work Area ���������������������������������������������������������������������������������� 15Step 2: Connect the Lower Legs to METIman ���������������������������������������������������������������������������� 16Step 3: Power On METIman ����������������������������������������������������������������������������������������������������� 18Step 4: Power On the Instructor Workstation ��������������������������������������������������������������������������� 19Step 5: Connect to the METIman Network – Laptop Instructor Workstation (Macintosh) Option ������������������������������ 20Step 5: Connect to the METIman Network – Tablet Instructor Workstation (Microsoft Windows) Option ������� 22Optional: Connect the SpO2 Probe ������������������������������������������������������������������������������������������� 23Optional: Connect External Air������������������������������������������������������������������������������������������������ 24Table of Contents
xvOptional: Insert the CO2 Canister (Prehospital Only) ����������������������������������������������������������������� 25Use of CO2 Canisters ............................................................................................................................... 25Assembly of the CO2 Regulator .............................................................................................................. 25Insertion of the CO2 Canister (Prehospital Only) .................................................................................... 26Optional: Detach the Arms ����������������������������������������������������������������������������������������������������� 28Optional: Prepare the Bleeding System ����������������������������������������������������������������������������������� 30Using the Trauma Fill Tank ................................................................................................................................. 30Attaching the Overow Bottle to the Trauma Fill Tank Assembly ................................................................. 31Operating the Trauma Fill Tank .............................................................................................................. 31Step 1: Pour the Fluid into the Trauma Fill Tank ............................................................................................... 31Step 2: Connect the Trauma Fill Tank Connector to the Simulator .....................................................................32Step 3: Pressurize the Trauma Fill Tank and Fill the On-Board Blood Reservoir ........................................................................................................32Step 4: Release Pressure from the Trauma Fill Tank ......................................................................................... 33Step 5: Disconnect the Trauma Fill Tank Umbilical from the Simulator ............................................................. 33Preparing for Storage ............................................................................................................................ 33Step 1: Clean the Simulator and Fluid System .................................................................................................33Step 2: Clean the Trauma Fill Tank................................................................................................................... 33Step 3: Store the Trauma Fill Tank ................................................................................................................... 33Optional: Connect a TouchPro™ Computer to the Wireless Network �������������������������������������������� 34Step 1: Set Up METIman ........................................................................................................................34Step 2: Obtain METIman’s IP Address ....................................................................................................34Step 3: Congure the TouchPro Computer’s Network Settings ............................................................... 35Step 4 - Option 1: Join the METIman Network Using a Macintosh Operating System ................................... 36Step 4 - Option 2: Join the METIman Network Using a Windows Operating System ..................................... 38Step 5: Access the Software from the TouchPro Computer .....................................................................40Table of Contents
xviUsing the Software ��������������������������������������������������������������������������������������������������� 41Starting the Application �������������������������������������������������������������������������������������������������������� 41The Home Page ��������������������������������������������������������������������������������������������������������������������� 44The SCE Selection Panel ��������������������������������������������������������������������������������������������������������� 45The SCE Library ���������������������������������������������������������������������������������������������������������������������� 46Printing SCEs ������������������������������������������������������������������������������������������������������������������������� 47The Run Screen ���������������������������������������������������������������������������������������������������������������������� 48Using the Patient Status Display ........................................................................................................... 49The Event Logs ...................................................................................................................................... 50Adding a Scenario to an SCE ..................................................................................................................51Physiological Views ............................................................................................................................... 51Setting Parameters ............................................................................................................................... 53Using the Conditions Palette to Set Parameters ............................................................................................... 53Using the Physiological Views to Set Parameters .............................................................................................55Performing Interventions...................................................................................................................... 56Using the Medications Palette ........................................................................................................................56Using the Interventions Palette .......................................................................................................................58Changing Scenario States...................................................................................................................... 60Changing Scenario States from the Scenario Screen ........................................................................................60Changing Scenario States from the Run Screen ...............................................................................................62SCE Time ...............................................................................................................................................63Exiting the SCE ...................................................................................................................................... 63Stopping the SCE ................................................................................................................................... 63Saving a Patient ....................................................................................................................................64Resetting a Patient................................................................................................................................66Medication Monitor .............................................................................................................................. 67Table of Contents
xviiCreating and Editing SCEs ������������������������������������������������������������������������������������������������������� 68Creating an SCE ..................................................................................................................................... 68Creating a Patient’s Prole and Baseline ...............................................................................................70Content Management ........................................................................................................................... 71SCE Conguration ................................................................................................................................. 72Condition Setup Screen and Creating Quick Links ............................................................................................ 72TouchPro Setup ..............................................................................................................................................73Patient Status Display ....................................................................................................................................74The Scenario Designer ����������������������������������������������������������������������������������������������������������� 75The Scenario Button ..............................................................................................................................76Scenario Designer Views ...................................................................................................................... 77Creating a New Scenario ....................................................................................................................... 79Modifying Scenario States .............................................................................................................................. 79Adding Parameters and Interventions ............................................................................................................ 80Adding Transitions ......................................................................................................................................... 82ELSE Statements ............................................................................................................................................. 84Deleting Scenario States ................................................................................................................................. 85Deleting Parameters and Transitions .............................................................................................................. 86Emptying the Trash ........................................................................................................................................87Saving the Scenario ........................................................................................................................................ 88Saving States to the State Library ...................................................................................................................89Table of Contents
xviiiAdministrative Tools ������������������������������������������������������������������������������������������������� 90History ��������������������������������������������������������������������������������������������������������������������������������� 90System Administration ���������������������������������������������������������������������������������������������������������� 91Content Management ........................................................................................................................... 91Learning Applications ..................................................................................................................................... 92SCEs ...............................................................................................................................................................93Base Patients ................................................................................................................................................. 94Scenarios ........................................................................................................................................................95User Accounts ....................................................................................................................................... 96Creating a User ...............................................................................................................................................97Editing a User .................................................................................................................................................98Deleting a User ...............................................................................................................................................98Groups ..................................................................................................................................................99Privilege System .............................................................................................................................100Creating a New Group .................................................................................................................................. 101Deleting a Group .......................................................................................................................................... 101Maintenance ....................................................................................................................................... 102System Settings .................................................................................................................................. 103System Conguration ...................................................................................................................................103Data Management ....................................................................................................................................... 103Product Licensing ......................................................................................................................................... 104Error Log ...................................................................................................................................................... 104Localization .................................................................................................................................................. 104Table of Contents
xixAccount Prole ��������������������������������������������������������������������������������������������������������������������105Prole Information ............................................................................................................................. 105Favorite SCEs ....................................................................................................................................... 106Medication Preferences ....................................................................................................................... 107Prole Preferences .............................................................................................................................. 108Using TouchPro ������������������������������������������������������������������������������������������������������� 109Accessing the TouchPro Software �������������������������������������������������������������������������������������������109Modifying the TouchPro Display ��������������������������������������������������������������������������������������������111Changing the Layout ........................................................................................................................... 111Selecting a Precongured Layout ....................................................................................................112Changing a Waveform or Numeric Display ......................................................................................113Adding a Waveform Display ...........................................................................................................114Adding a Numeric Display ..............................................................................................................115Moving a Waveform or Numeric Display .........................................................................................116Saving a Layout .............................................................................................................................117Sounds ��������������������������������������������������������������������������������������������������������������������������������11812-Lead ECG �������������������������������������������������������������������������������������������������������������������������119NIMB Cycling and Manual NIBP ����������������������������������������������������������������������������������������������120Patients �������������������������������������������������������������������������������������������������������������������������������122Conguring the TouchPro Software ���������������������������������������������������������������������������������������123Changing the Language of the TouchPro Software ������������������������������������������������������������������124Exiting the TouchPro Software ����������������������������������������������������������������������������������������������124Table of Contents
xxUsing METIman ������������������������������������������������������������������������������������������������������� 125Neurological ������������������������������������������������������������������������������������������������������������������������126Eyes..................................................................................................................................................... 127Convulsions ........................................................................................................................................ 127Neuromuscular Blockade .................................................................................................................... 127Body Temperature ............................................................................................................................... 127Blood Temperature..............................................................................................................................127Head Secretions (Prehospital Only) ..................................................................................................... 128Respiratory ��������������������������������������������������������������������������������������������������������������������������129Airway ................................................................................................................................................ 130Swollen Tongue ............................................................................................................................................ 132Posterior Pharynx Swelling (Prehospital Only) .............................................................................................. 132Realistic Upper Airway (Prehospital Only) ....................................................................................................133Laryngospasm (Prehosptial Only) .................................................................................................................134Teeth with Breakaway Incisors (Prehosptial Only) ........................................................................................ 134Airway Secretions (Nursing Only) ................................................................................................................. 135Cricothyrotomy .............................................................................................................................................136Replacing the Cricothyrotomy Tape ............................................................................................................... 136Resealing the Membrane After a Puncture .................................................................................................... 137Pulmonary .......................................................................................................................................... 138Needle Decompression (Prehospital Only) .............................................................................................................139Bronchial Occlusion (Prehospital Only) .........................................................................................................140Respiratory Rate ........................................................................................................................................... 140Pulse Oximetry ............................................................................................................................................. 140CO2 Exhalation (Prehospital Only) ................................................................................................................. 140Positive Pressure Ventilation ......................................................................................................................... 141Gastric Distention (Prehospital Only) ............................................................................................................141Table of Contents
xxiChest Tube: METIman Prehospital .................................................................................................................141Chest Tube: METIman Nursing ...................................................................................................................... 143Cardiovascular����������������������������������������������������������������������������������������������������������������������144Pulses: METIman Prehospital .............................................................................................................. 146Pulses: METIman Nursing ................................................................................................................... 147Blood Pressure .................................................................................................................................... 148Systolic and Diastolic Blood Pressure ............................................................................................................148Non-Invasive Blood Pressure Measurement .................................................................................................. 148Heart Rate ........................................................................................................................................... 152Five-Lead ECG ..................................................................................................................................... 152Cardiovascular Interventions/Therapy ................................................................................................. 153Chest Compressions ...................................................................................................................................... 154Debrillation and Cardioversion ...................................................................................................................154Pacing .......................................................................................................................................................... 155Subclavian Catheter (Nursing Only) .................................................................................................... 156Intramuscular Injection .......................................................................................................................156IV Cannulation .................................................................................................................................... 156Fluids .................................................................................................................................................. 158Hemorrhage Setup .......................................................................................................................................159Hemorrhage Control ..................................................................................................................................... 159Tourniquet Application .................................................................................................................................160Fluid Loss Blood ............................................................................................................................................160Fluid Loss Plasma .........................................................................................................................................160Table of Contents
xxiiGastrointestinal ������������������������������������������������������������������������������������������������������������������161Gastrointestinal Gavage, Lavage and Suction (Nursing Only) .............................................................. 161Gavage (Nursing Only) ................................................................................................................................. 161Lavage (Nursing Only) .................................................................................................................................. 161Gastric Suction (Nursing Only) ...................................................................................................................... 162Genitourinary System �����������������������������������������������������������������������������������������������������������163Urinary Catheterization ....................................................................................................................... 163Simulating Urine Output ..................................................................................................................... 164Changing the Simulator’s Genitalia ..................................................................................................... 165Sounds ��������������������������������������������������������������������������������������������������������������������������������166Speech ................................................................................................................................................ 166Vocal Sounds ................................................................................................................................................166Speech Sounds .............................................................................................................................................168Wireless Voice Capability .............................................................................................................................. 170Wireless Voice Link ....................................................................................................................................... 170Throat Sounds ..................................................................................................................................... 171Breath Sounds.....................................................................................................................................172Heart Sounds ...................................................................................................................................... 173Bowel Sounds ..................................................................................................................................... 174Table of Contents
xxiiiCare and Maintenance �������������������������������������������������������������������������������������������� 175METIman Warranty Programs ������������������������������������������������������������������������������������������������176General Information ........................................................................................................................... 176Units Out of Agreement ......................................................................................................................176How to Contact Customer Service. ...................................................................................................... 177Contract Period ................................................................................................................................... 178Limitations of Agreement ................................................................................................................... 178Return Materials Authorization (RMA) ................................................................................................ 178System Software Upgrade Support ����������������������������������������������������������������������������������������179Pricing Structure ������������������������������������������������������������������������������������������������������������������179Time and Materials .............................................................................................................................179Breakdown ��������������������������������������������������������������������������������������������������������������������������180Step 1: Stop All Running SCEs ............................................................................................................. 180Step 2: Clean the Simulator and the Fluid System ............................................................................... 180Step 3: Shut Down the Software ......................................................................................................... 180Step 4: Power o the Simulator .......................................................................................................... 181Maintenance Advice �������������������������������������������������������������������������������������������������������������181General Simulator Care ....................................................................................................................... 181Storage ............................................................................................................................................... 181Care of Electronic Equipment .............................................................................................................. 182Airway Inspection ............................................................................................................................... 182Replacing the Battery ......................................................................................................................... 182Recharging the Battery ....................................................................................................................... 184Draining Condensation from the Simulator ......................................................................................... 185
xxivCleaning the Simulator and the On-Board Bleeding System �����������������������������������������������������186Cleaning the Trauma Fill Tank �����������������������������������������������������������������������������������������������187Cleaning the In-Line Filter................................................................................................................... 188Troubleshooting the Trauma Fill Tank .................................................................................................. 189Emptying and Flushing the Chest Tube Reservoir ................................................................................ 190Flushing the IV Lines ........................................................................................................................... 190Emptying the Genitourinary Reservoir ................................................................................................ 190Emptying the Head Secretions Lines (Prehospital Only) ...................................................................... 190Emptying the Airway Secretions Reservoir (Nursing Only) .................................................................. 190Flushing the Subclavian Catheter (Nursing Only) ................................................................................ 190Handling CO2 Canisters ���������������������������������������������������������������������������������������������������������191Removing CO2 Canisters from the Regulator ........................................................................................ 191Important Canister Information .......................................................................................................... 192Related CAUTIONS/WARNINGS ............................................................................................................ 192CO2 Canister ..................................................................................................................................................192CO2 Regulator Assembly ...............................................................................................................................192Use of Equipment .........................................................................................................................................192Condition Guidelines for Programming METIman ������������������������������������������������������ 193Appendix A –Müse Parameters Descriptions �������������������������������������������������������������� A-1Appendix B - Wireless Voice Link �������������������������������������������������������������������������������B-1
1IntroductionIntroductionMETIman Nursing and Prehospital simulators give you all the power of CAE Healthcare’s cutting edge simulation technology with more of what you want. METIman Nursing was created by nurses to teach the fundamentals of nursing practice, and METIman Prehospital was built for medics by medics. Both simulators are less expensive than other simulators, are easy to use and have everything you need with nothing you don’t.METImanMETIman is fully wireless with on-board uid, pneumatic and electrical systems and is built tough to withstand a wide variety of real-life, indoor and outdoor learning environments. METiman comes with extensive clinical features and capabilities designed specically for emergency medical personnel and nurses.The simulator can be placed on standard operating room tables, on an ICU bed, on the ground or even in a vehicle (in the case of a simulated accident). METIman can also be seated in an upright position.In addition, METIman has the assessment, cardiovascular, genitourinary and trauma features familiar to CAE Healthcare customers plus an SpO2 nger probe, uids on board, bilateral noninvasive blood pressure and IV access. Wireless and tetherless, METIman takes simulation education to a new and exciting level of realism.
2IntroductionEquipment OverviewMETIman has been designed to be used in any learning environment. METIman’s standard features are easily integrated into a laboratory setting or remote locations.Standard Components InventoryMETIman comes with all the necessary equipment for establishing an educational simulation center. CO2 Canisters (Prehospital Only)Standard EquipmentMETIman SimulatorBattery Charger and External Power SupplyInstructor Workstation (Laptop or Tablet)Inventory KitWireless Microphone or Wireless Voice LinkTrauma Fill TankNOTE: As you would with any shipment, cross-check this inventory with your CAE Healthcare packing invoice to verify that all components have been received.
3IntroductionOptional Components InventoryOptional equipment is available to accommodate special customer requirements. For example, options like an air compressor, METIVision and METI FX enable instructors to create real-life scenarios at authentic locations. Optional EquipmentMETI FXExternal Compressed Air KitExternal CO2 KitAir CompressorHands-Free Training CablesMETIman Replacement Lithium BatteryMETIman Learning Applications and Training CoursesMETIVisionMETI FXTool KitMoulage KitContact CAE Healthcare Customer Service at 866-462-7920 if there are any questions or if optional equipment is needed.
4IntroductionMETIman Standard EquipmentMETIman comes with standard equipment that allows students and instructors the ability to create an endless number of possible clinical situations. The following equipment is provided with your METIman simulator.Full-Body Wireless SimulatorAll patient assessments and clinical interventions are played out on the METIman mannequin, which represents a human patient. At six feet, two inches (188 cm) in height and weighing 100 pounds (45.36 kg), METIman is fully operational in the supine, lateral, prone and seated positions. The simulator oers features like arm pronation and supination; breath, heart and bowel sounds; palpable pulses; patient voice; and genitourinary features. Battery Charger and External Power SupplyThe simulator is rechargeable using the Battery Charger provided. Instructor Workstation (Laptop or Tablet)The Instructor Workstation is a computer that utilizes Müse Software to operate as the main simulation control center. Instructors control the simulation session from the Workstation by using SCEs that meet their learning objectives.The standard METIman conguration includes a choice of Laptop Instructor Workstation or a ruggedized Tablet Instructor Workstation.CO2 Canisters (Prehospital Only) Four CO2 canisters are included with METIman to supply the on-board CO2 exhalation feature.
5IntroductionInventory KitiStan comes with a number of accessories and replacement components. Included in the Inventory Kit are:iStan Start-Up Kit (Quick Start Chart and Setup Map)•iStan Logo Accessories•Priming syringe•Roll (4 ft) of VHB tape and roll of 2-inch-wide red tape (for cricothyrotomy)•Cricothyrotomy skin•BP adapter kit•Silicone lubricant•Chest tube priming tube•ECG posts•Pacing/Debrillation disks•Condensation drain•Wound umbilicals•SpO• 2 probeFemale genitalia•VGA mini adapter•
6IntroductionWireless MicrophoneThe wireless receiver enables the user to communicate through the simulator using a microphone. The clip-on microphone is attached to a transmitter that may be attached to a belt or waistband. Wireless MicrophoneThe microphone is battery-operated and has a power switch on the top to turn it on and o.Wireless Voice LinkThe wireless voice link replaces the wireless microphone feature in some METIman simulators and comes packaged separately. For more information about this feature, see Appendix B -Wireless Voice Link on page B-1.
7IntroductionTrauma Fill TankFluids are supplied to the simulator using a trauma ll tank. One tank is supplied and can be used for distilled water mixed with red food coloring to create simulated blood. Trauma Fill Tank (Disassembled and Assembled)This tank should be cleaned after each use. Optional Equipment for METImanAdditional components enable the METIman system to be customized to t the specic needs of a wide variety of education environments.METIman Replacement Lithium BatteryUnder normal usage, a battery pack should last up to two years.External Compressed Air KitThe External Compressed Air Kit gives the user the ability to connect METIman to a CAE Healthcare compressor, tank or wall air using the kit’s hose and ttings. When connecting to wall air, the kit attaches to the customer’s wall adapter. Assembled Trauma Fill TankDisassembled Trauma Fill Tank
8IntroductionExternal Compressed Air KitThe internal pump turns o automatically when external compressed air is sensed.The External Compressed Air Kit includes a exible 30 ft (9 m) hose attached to a preset air regulator, a tting for air compressors and adapters for wall or tank air. External CO2 KitThe External CO2 Kit gives the user the ability to connect METIman to an external source of CO2 (30-120 psi). The External CO2 Kit includes a exible 30 ft (9 m) hose attached to a preset air regulator and an adapter for wall or tank ttings.Air CompressorAn air compressor (product #AIR-003) designed for quiet operation is available for same-room use, and an alternative air compressor (product #AIR-002) is available for situations where the compressor resides in a location, such as a storage room, set apart from the simulator. Both Air Compressors are AC powered and include a regulator and an air hose with the appropriate connector tting. A 220VAC/50 Hz version of the Quiet In-Room Air Compressor (product #AIR-004) is also available.
9IntroductionHands-Free Training CablesHands-Free Training Cables connect to most popular debrillators and cardiac pacing units and take the place of non-reusable electrode pads. Three dierent cable designs are available to support the most popular debrillation and pacing equipment. Each cable kit includes posts that attach to the debrillator or pace locations on METIman.Physio-Control (Medtronic, Inc.) (product #ACC-005)Zoll (Zoll Medical Corporation) (product #ACC-006)Philips (Koninklijke Philips Electronics, N.V.) (product #ACC-007)
10IntroductionMETIman Learning Applications and Training CoursesMETIman Learning ApplicationsCAE Healthcare Learning Applications enhance the use of the simulator by providing preprogrammed scenarios and corresponding support documentation (i.e., course objectives, instructor’s notes) that can be readily integrated into a lesson plan, a specic curriculum or an educational program.EMS Learning Application 1 (EDU-047)Adult Nursing Learning Apllication (EDU-071)METIman Training CoursesMETIman Basic and Advanced courses oer learners at all levels in-depth instruction in the setup, operation, development of scenarios and maintenance related to the use of METIman.The METIman Basic course provides learners with an overview of the system and its components, as well as an introduction to patient creation and scenario design.METIman Basic - two days at CAE Healthcare facility (TRN-018)METIman Basic On-Site - two days at learner-defined facility (TRN-020)The METIman Advanced course builds upon the concepts introduced in the prerequisite Basic course. After a quick review of the Basic course, Advanced instruction spends the majority of the two days providing learners with the ability to design patients and scenarios that can be used immediately upon completion of the course.METIman Advanced - two days at CAE Healthcare facility (TRN-019)METIman Advanced On-Site - two days at learner-defined facility (TRN-021)Tool KitTo simplify common adjustments and periodic repairs, CAE Healthcare has put together a kit containing tools selected for use with the simulator (product #TOL-001).Tool Kit
11IntroductionMETIVisionMETIVision is a fully integrated, digital audio-visual management system that is data-synchronized in real-time for use with CAE Healthcare simulators. METIVision is the only solution available with the capability not only to capture and store simulation data, but to broadcast and review any medical simulation exercise using CAE Healthcare simulators. Complete with physiologic data logs, event logs, pharmacology logs and patient monitoring data, METIVision oers the capability to provide a complete record of your simulation exercise for debrieng, assessment and evaluation (product #MTV-001).METIVision ConsoleMETI FXCAE Healthcare takes realism to the next level with METI FX: a realistic set of advanced moulage wound simulation and special eects. METI FX includes incredibly lifelike wounds that accurately replicate muscle, tissue and subcutaneous fat and reect the true physical nature of a wound and its treatment. And, METI FX comes complete with CAE Healthcare’s own educational learning tools – a set of how-to treatment cards explaining procedures and learning objectives for both civilian and military patient scenarios (product #MFX-100).METI FX Simulation
12IntroductionMoulage KitThe kit provides the materials needed to create wounds on METIman (product #MODS-999).Moulage KitThe Moulage Kit may also be ordered separately.
13SetupMETIman SetupThe following pages will guide you through assembling and conguring METIman. Below is a list of steps required to prepare METIman for operation.Connect the SpO2 Probe (Optional)Connect the External Air (Optional)Insert the CO2 Canister (Optional, Prehospital Only)Detach the Arms (Optional)Place METIman in the Work Area1Connect the Lower Legs to METIman2Power On METIman3Power On the Instructor Workstation4Connect to the METIman Network5Prepare the Bleeding System (Optional)Connect the TouchPro (Optional)
14SetupBefore Beginning SetupProper operation of the METIman simulation unit requires correct conguration. Before setting up the system, keep in mind these basic guidelines:Understand the Cautions and Warnings information located in the Introduction section of this User Guide.Follow the sequence of steps carefully.• Complete all steps in order.• Do not power on any components until instructed in the text.• KEEP all original shipping materials, including BOXES — warranty and repair items must • be return shipped to CAE Healthcare in their original packaging.When unpacking METIman for the rst time, careful use of a box cutter protects both the packaging and the product.A Setup Map, included with the unit, covers these same steps in abbreviated fashion.
15SetupStep 1: Place METIman in the Work AreaSelect a work area with enough room for all equipment, providing ample space for easy access to the simulator. At a least 10’ x 12’ (3 meter x 4 meter) work area is recommended for movement and positioning of components around the simulator.Positioning METImanMETIman and the Laptop or Tablet Instructor Workstation can be operated from their batteries, allowing for wireless use.In a lab environment, make sure a multi-plug AC power outlet exists within the workspace to recharge the simulator’s battery and its powered components.Before placing the simulator on a surface, be certain the surface can easily support 200 pounds.NEVER lift the simulator by the LIMBS. When lifting, be sure to support the torso and head of the simulator while lifting.
16SetupStep 2: Connect the Lower Legs to METImanNOTE: Use extreme care when handling the sensor cables and pulse tubes. NEVER let a leg hang o a surface without the locking pin securely in place. Doing so can seriously damage the sensor cables and pulse tubes.On each leg, at the knee, remove the locking pin from its position.a. Removing the Locking PinPlace lower limbs in their correct positions, leaving enough room to manipulate b. connectors.On each leg, match and connect the color-coded tubing to the three white tubing c. connectors.Connecting Tubing
17SetupMatch and connect the color-coded tubing to the three black electrical d. connectors.Connecting ElectricalCarefully place tubes and cables in the hole on the lower leg.e. Align holes on the knees and insert the locking pin.f. Screw the nut on the locking pin, holding it in place.g. Axing the Locking Pin
18SetupStep 3: Power On METImanLocate the a. ON/OFF button beneath the skin covering METIman’s left hip.METIman’s ON/OFF ButtonPress and hold the b. ON/OFF button for one second. The power light blinks, indicating the system is busy. In approximately one minute, the light stops blinking and remains solid, indicating the simulator is now ready.NOTE: METIman can be operated continuously for approximately four hours without recharging the battery. The ON/OFF Button
19SetupStep 4: Power On the Instructor WorkstationPlace the Laptop or Tablet Instructor Workstation near METIman in a convenient a. location.Ensure the Instructor Workstation battery is fully charged, or connect the AC b. adapter to the workstation and a surge-protected power outlet.Power on the Instructor Workstation.c.
20SetupStep 5: Connect to the METIman Network – Laptop Instructor Workstation (Macintosh) OptionClick the a. AirPort icon located in the top-right-hand corner of the screen.Clicking the AirPort IconIf the b. AirPort is not on, select Turn AirPort On.Activating the AirPort CardSelect the network (e.g., c. MMPXXX or MMNXXX, where XXX is the simulator’s unit number).Selecting the Network
21SetupThe AirPort dialog box appears.The AirPort Dialog BoxEnter the password d. metiadmin into the Password eld.Click e. OK.Connecting to the METIman NetworkThe Müse software can now be launched.
22SetupStep 5: Connect to the METIman Network – Tablet Instructor Workstation (Microsoft Windows) OptionOnce METIman and the Instructor Workstation are both powered on, they automatically establish a wireless connection and, when the Internet Explorer browser is opened, the Müse software launches. If the auto-connect does not occur, perform the following steps:Tap on the 1. Wireless Network icon in the task bar.Select the METIman wireless network (e.g., MMPXXX or MMNXXX, where XXXX 2. is the serial number for the unit). The network password is metiadmin and the password is case-sensitive.Click the 3. Connect button.The wireless connection is established. The Müse software can now be launched using Internet Explorer.
23SetupOptional: Connect the SpO2 ProbeConnect and attach the SpO2 probe to METIman. Locate the a. SPO2 port on METIman’s left hip.Connect the SpOb. 2 probe to the SPO2 port.Place the SpOc. 2 probe on METIman.Attached SpO2 ProbeThe probe must be connected to view pulse oximetry data on the TouchPro software. Attached SpO2 probe
24SetupOptional: Connect External AirUsing the External Air kit allows METIman to be run by an external air source rather than the internal compressor. The air hose can be connected to or disconnected from METIman at any time. When the external air pressure is sensed, the pump internal to METIman turns o automatically. When you want to make METIman mobile again, simply disconnect the hose. The optional External Compressed Air Kit consists of a exible 30 ft (9 m) hose attached to a preset air regulator and a tting for air compressors and adapters for wall or tank air.To connect the air hose:Connect the External Compressed Air Kit to a CAE Healthcare compressor using 1. the Quick Coupler attached to the regulator. (Other compressed air sources have their own adapters. Locate the adapter for your compressed air source.)Connect the other end of the External Compressed Air Kit to the 2. EXTERNAL AIR port on the left shoulder.METIman Prehospital’s Left ShoulderMETIman Nursing’s Left ShoulderThe EXTERNAL AIR portThe EXTERNAL AIR port
25SetupOptional: Insert the CO2 Canister (Prehospital Only)Some SCEs include the simulation of CO2 exhalation. The following instructions show how to safely connect the CO2 canister to the simulator.WARNING: Careful handling, including the use of eye protection, is required when using CO2 canisters.Please read and understand all the important cautions and warnings on removing canisters as well as safety steps that must be used when handling CO2 canisters. Use of CO2 CanistersStore the CO•  2 canisters in a dry location between 32° and 104° F. (0° to 40°C)Do not expose the CO•  2 canister to heat above 140° F, as rupture may occur.Never point the CO•  2 canister toward your face or someone nearby.Use only CAE Healthcare specified CO•  2 canisters.Do not remove the canister from the regulator base until empty. The canister end is • punctured when screwed into the regulator base.Never ship the CO•  2 canister attached to the regulator assembly. Assembly of the CO2 RegulatorCare must always be taken when using high-pressure equipment.• Do not disassemble or alter the regulator.• Dry completely if the regulator becomes wet.• Discontinue use of this equipment if leakage or visible damage is evident.• 
26SetupInsertion of the CO2 Canister (Prehospital Only)To insert the CO2 canister:Lift the chest skin at the waist and lift the abdominal insert.a. From the simulator’s right midsection, remove the pull pin and disconnect the b. blue CO2 hose.Remove the Pull PinRemove the regulator from the simulator.c. While holding the regulator rmly, carefully twist the COd. 2 canister into the regulator as far as it will go. The nal turns puncture the CO2 canister, which is necessary for correct operation.Connecting the CO2 CanisterCAUTION: Do not loosen the canister once it has been inserted into the regulator assembly until the contents are exhausted and pressure relieved.CAUTION: Removing the canister before it is empty results in the sudden release of all high-pressure gas with a possibility of liquid CO2 spray. Unprotected skin could receive freezing burns.Remove the pull pinInsert the CO2 canister into the regulator
27SetupPlace the COe. 2 canister, regulator and hoses inside the simulator. Use the pull pin to secure this assembly to the tray. A properly installed assembly will have the CO2 canister pointed down toward the rear of the simulator.Placing the Canister, Regulator and HosesAttach the blue COf. 2 hose to the connection on the regulator.Carefully reposition the abdominal insert and pull the skin back over the simulator g. to its original location.Once the canister and regulator assembly are in place, CO2 is measurable with a disposable ETCO2 detector during positive pressure ventilation.Based on the training environment, a CO2 canister may last from 10 minutes (rapid ventilation) to 25 minutes.See important Cautions and Instructions for removing, transporting and disposing of the CO2 canisters in the Care and Maintenance section.Place the canister, regulator and hoses inside the simulator
28SetupOptional: Detach the ArmsMETIman’s arms may be removed for use with trauma scenarios.To detach METIman’s arms:Unscrew and remove the locking pin at the elbow.1. Removing the Locking PinCarefully separate the lower arm from the upper arm.2. Twist to disconnect the four tubing connectors (white).3. Disconnecting the Tubing
29SetupSqueeze to disconnect the three electrical connectors (black).4. Disconnecting the Electrical ConnectorsPlace the loose connectors carefully within the upper arm.5. NOTE: When replacing arms, ensure tubing and electrical connectors are matched using the color-coding.
30SetupOptional: Prepare the Bleeding SystemONLY distilled water or distilled water containing food coloring should be used with the secretion system. A mixture of no more than 29 mL (1 oz) red food coloring with 3.8 liters (1 gallon) of distilled water should be used to create simulated blood. The blood mixture should be created in advance in a separate distilled water container. NOTE: The higher the ratio of food coloring, the greater the possibility of staining.Using the Trauma Fill TankThe Trauma Fill Tank is used to ll the on-board blood reservoir.CAUTIONS and WARNINGSCarefully follow all instructions for using the Trauma Fill Tank. Pay particular attention to the following cautions and warnings:ALWAYS read and follow instructions for creating trauma fluids (e.g. • blood).ALWAYS protect eyes, skin and clothing against accidental exposure.• After use, ALWAYS release pressure and clean the tank.• ALWAYS release tank pressure before servicing.• DO NOT modify the tank or any assembly component.• DO NOT store liquids in the tank.• NEVER transport or ship in a pressurized and/or full state.• NEVER leave a pressurized tank unattended.• NEVER fill the tank with more than 6 liters (1.6 gallons) of fluid.• NEVER exceed 35 strokes while pressurizing the tank.• 
31SetupAttaching the Overow Bottle to the Trauma Fill Tank AssemblyThe overow bottle is used to collect overow when the METIman on-board tank is lled.To attach the Overow Bottle to the Trauma Fill Tank:Connect the clear trauma ll tank hose to the bottle lid tting.1. Connecting the Trauma Fill Tank Umbilical to the Overow BottleClip the bottle to the tank using the attached carabiner mechanism.2. The CarabinerOperating the Trauma Fill TankBe careful to complete the following steps correctly to ensure proper use and maintenance of the METIman and its peripherals.Step 1: Pour the Fluid into the Trauma Fill TankPour the desired amount of uid into the Trauma Fill Tank, being careful to NOT to exceed 6 liters (1.6 gallons) of uid.NOTE: The right thigh tank holds 1.5 liters and is used for blood.Three (3) liters of simulated blood provides enough uid to ll the right thigh reservoir twice. The amount of blood used in a training session varies with the patient, the wounds simulated and the learner’s experience.Connect the clear hose to the bottle lid ttingThe carabiner
32SetupStep 2: Connect the Trauma Fill Tank Connector to the SimulatorLocate the tan a. FILL port and white VENT port.Connect the b. FILL (with the tan label) and VENT (with the white label) hoses of the Trauma Fill Tank to the corresponding ports on the simulatorBoth connections must be made for correct operation.Step 3: Pressurize the Trauma Fill Tank and Fill the On-Board Blood ReservoirAn integrated hand pump is used to create the pressure for the Trauma Fill Tank.WARNING: To prevent ejected pump assembly and/or solution from striking and injuring you, NEVER stand with your face or body directly over the top of the tank when pumping or loosening the pump.To operate the pump and ll the reservoir:Unlock the pump handle by turning counter-clockwise. (Be careful not to loosen a. the pump from the tank.)Stroke the pump handle up and down from 25 to 35 times to transport 2 liters of b. simulated blood to the on-board blood reservoir. NEVER exceed 35 strokes while pressurizing the tank. Lock the pump handle back into the pump assembly by turning clockwise.c. Watch the Overow Bottle located on the tank assembly. When liquid begins to d. appear in this bottle, the on-board blood reservoir is full. (Filling the on-board blood reservoir takes approximately 3 to 5 minutes.)
33SetupStep 4: Release Pressure from the Trauma Fill TankImmediately release pressure from the tank by turning and holding the yellow pressure relief knob clockwise until all air pressure is gone.If pressure will not release using the relief knob:Place a rag over the top of the tank and pump handle.a. While rmly pushing down on the pump handle, slowly turn the handle counter-b. clockwise.NEVER leave a pressurized tank unattended.Step 5: Disconnect the Trauma Fill Tank Umbilical from the SimulatorDisconnect the Trauma Fill Tank Umbilical from the simulator and store the assembly out of the way for later use.After use, ALWAYS release pressure and clean the tank.Preparing for StorageAfter lling and using the Trauma Fill Tank and the simulator’s blood reservoir, both must be cleaned for storage. Step 1: Clean the Simulator and Fluid SystemWhen the simulation is completed and the Trauma Fill Tank has been disconnected, remove the uids and clean the simulator (see Cleaning the Simulator and the On Board Bleeding System in the Care and Maintenance section of this User Guide).Step 2: Clean the Trauma Fill TankBefore storing the Trauma Fill Tank, make sure the equipment is clean (see Cleaning the Trauma Fill Tank in the Care and Maintenance section of this User Guide.)Step 3: Store the Trauma Fill TankAfter cleaning, the Trauma Fill Tank assembly should be stored securely for future use.Allow the interior of the tank to dry by loosening the pump assembly. Do NOT a. leave the pump assembly out of bottle, however, because dust contaminates the system.Loosely wrap the Trauma Tank Umbilical around the neck of the tank to protect it.b. Store all components in a clean, dry area.c.
34SetupOptional: Connecting a TouchPro Computer to the Wireless NetworkThe CAE Healthcare TouchPro computer is pre-congured for use with METIman. If you wish to supply your own TouchPro computer, use the following instructions to connect the computer to the METIman network.Up to two additional computers may be used to run the TouchPro software. The additional computers must meet the TouchPro Software Specications mapped out in the Muse and TouchPro Specications section of this User Guide on page xii. Follow the steps below to use the TouchPro software on a TouchPro computer.Step 1: Set Up METImanThe METIman simulator must be set up and powered on, and the Instructor Workstation must be powered on and connected to the METIman network. If you have followed the complete setup procedure, you may proceed to Step 2.Step 2: Obtain METIman’s IP AddressMETIman’s IP address is the same as the IP address used to access the Müse software on the Instructor Workstation. It can be found in the Address eld of the web browser on the Müse Start screen.The Müse Start Screen IMPORTANT: The IP address is dierent for each simulator.NOTE: If the Address eld does not appear, check the view settings of your browser. In Safari, access the View menu and select Show Toolbar.METIman’s IP address
35SetupStep 3: Congure the TouchPro Computer’s Network SettingsAccess the Networking screens (the TCP/IP settings screens) for your operating system. If you are unfamiliar with these screens, contact your Network Administrator or CAE Healthcare Customer Service (1-866-462-7920) for help with this step.TCP/IP Network Screen – MacintoshInternet Protocol Version 4 (TCP/IPv4) Properties Screen – WindowsEnter a unique IP address in the IP address or IPv4 Address eld and a subnet mask in the Subnet Mask eld.The unique IP address must match the IP address obtained in Step 2 except for the number after the third and nal period. This number can be any number between 2 and 254 BUT must be dierent from the nal number of the IP address obtained in Step 2 (METIman’s IP address) and the IP address of the Instructor Workstation and any other computers on the network. No two IP addresses can be the same, including the Instructor Workstation’s IP address. Unique IP Address: 192.168.XXX.XXX Subnet Mask: 255.255.255.0 Router/Gateway: (Leave Blank) Example: If the IP address of your METIman is 192.168.206.5, and the IP address of your Instructor Workstation for your METIman is 192.168.206.10, you could assign the TouchPro computer the IP address 192.168.206.20.
36SetupStep 4 – Option 1: Join the METIman Network Using a Macintosh Operating SystemClick the a. AirPort icon located in the top-right-hand corner of the screen.Clicking the AirPort IconIf the b. AirPort is not on, select Turn AirPort On.Selecting Turn AirPort On
37SetupSelect the network - e.g., for METIman Prehospital, c. MMPXXX (where XXX is the simulator’s unit number).Selecting METIman’s NetworkThe AirPort dialog box appears.The AirPort Dialog BoxEnter the password d. metiadmin into the Password eld.Click e. OK.Connecting to METIman’s NetworkThe computer has joined the METIman network. You can now proceed to Step 5.Select a networkClick OK
38SetupStep 4 – Option 2: Join the METIman Network Using a Windows Operating SystemClick the a. Wireless Network icon located in the bottom-right-hand corner of the screen.Clicking the Wireless Network IconClick b. Connect to a Network.Clicking Connect to a NetworkThe Connect to a network dialog box appears.
39SetupSelect the network, i.e., METIman Prehospital c. MMPXXX (XXX is the simulator’s unit number).Selecting METIman’s NetworkIf prompted for a password, enter d. metiadmin into the available eldClick e. Connect.Connecting to METIman’s NetworkThe computer has joined the METIman network. You can now proceed to Step 5.Select a networkClick Connect
40SetupStep 5: Access the Software from the TouchPro ComputerOn the TouchPro computer, launch the web browser (e.g., Safaria. ®). Enter the IP address obtained in b. Step 2 into the browser’s address eld. The Müse Start screen appears. The Müse Start ScreenThe TouchPro software can now be launched.OPTIONAL: From your web browser, a bookmark can be created on the TouchPro computer for ease of access to the Müse or TouchPro software. Please consult your web browser’s help menu for aid in creating a bookmark. IMPORTANT: The Instructor Workstation MUST remain on and connected to the METIman network for the TouchPro computer to be able to operate.
41Using the SoftwareUsing the SoftwareThe Müse software used with the METIman simulator is a web-based application that can communicate directly with the simulator. With the software, users can run SCEs, create scenarios and SCEs, import and export data and perform administrative functions. NOTE: For optimal Müse performance, no other software programs should be open while Müse is running. IMPORTANT: Only one Müse application window and/or tab can be used per Instructor Workstation, per simulator at a time.IMPORTANT: Do NOT use any of the browser’s navigational tools while operating Müse.Starting the ApplicationOnce the METIman simulator is powered on and the Instructor Workstation is connected to the METIman network, the Müse software can now be launched.To launch the software: Using the Laptop or Tablet Instructor Workstation, launch the web browser (e.g., 1. Safari, Internet Explorer). NOTE: If using a computer other than the one supplied, the computer will have to be congured to the METIman network. (The directions for using a dierent computer are the same as the directions for Connecting a TouchPro Computer to the Wireless Network, found on page 34.)The Müse Start Screen appears.The Müse Start ScreenThe Müse icon
42Using the SoftwareSelect 2. Müse. The Login Screen appears. The Login ScreenNOTE: The METIman User Guide (English version) is available for download by clicking the User Guide link in the bottom, left-hand corner of the screen. To access the User Guide in other languages, please visit www.caehealthcare.com and click the Support link. Click the globe-shaped Language icon in the bottom left corner to change the language of the Müse software.
43Using the SoftwareEnter the 3. Username admin and the Password admin in the appropriate elds to access the software. Entering the Username and PasswordThe software opens to the Home page by default. Enter the admin and the admin in the appropriate elds
44Using the SoftwareThe Home PageFrom the Home page, users can run, create, search for and edit SCEs. The Home page can be accessed by clicking the Home button in the top, right-hand corner of any screen in the Müse software.The Home ButtonThe Home PageThe SCE Selection Panel A selected SCEThe Print SCE and Add to Favorites buttonsOpen Library and New SCE buttonsRun buttonThe SCE Summary PanelReview button
45Using the SoftwareThe SCE Selection PanelSimulated Clinical Experiences, or SCEs, are process tools that enable the faculty/educator to execute a learning strategy using simulation. Each process tool provides an extensive overview and outline of the learning exercise and requires minimal additional faculty development time for use. Each SCE is comprised of a patient and can include up to four (4) scenarios.Available SCEs appear in the SCE Selection panel. Click any SCE to select it. The SCE Selection PanelThe SCE Selection panel has four tabs that access SCEs: Running Now, Recent, Favorites and All.Running Now•  — lists the SCEs that are currently running and is only available when at least one SCE is runningRecent•  — lists all the recently run or edited SCEsFavorites•  — lists all SCEs that have been selected as favorites. To add a favorite SCE to your profile, click the Add to Favorites button at the top of any SCE on the Home screen. Managing favorites is achieved in the Account Profile portion of the software.All•  — lists all available SCEs from all available Learning Applications Click the arrow buttons to view more installed SCEs. Once selected, the SCE appears in the SCE Summary panel.Base SCEsRunning Now SCELocked SCEsSearch eld
46Using the SoftwareTo search for an installed SCE, enter part of the name of an SCE in the Search eld and click the Search button.Click Run to execute the SCE. The SCE LibraryAccess more SCEs from your library by clicking the Open Library button at the bottom of the SCE Selection panel. The SCE Library appears, listing all available Learning Applications. Click the desired Learning Application name to access the SCEs for that Learning Application. The SCEs for that Learning Application appear. Click the name of the SCE you want to open. Click the SCEs icon to view all user-created SCEs. Click Close Library to exit the SCE Library.The SCE LibraryUser-created SCEs
47Using the SoftwarePrinting SCEsTo print an SCE:From the Home page, select the SCE to print.1. The SCE summary panel appears.From the SCE summary panel, click the 2. Print SCE button.A PDF of the selected SCE appears in a new browser window.Save the PDF to a CD or ash drive for printing from another computer,3. ORTo print from the Instructor Workstation, consult your network administrator for assistance connecting to a printer. If the Instructor Workstation is connected to a wireless printer, the Instructor Workstation will need to be disconnected from the simulator network and connected to the network on which the printer resides before printing. After printing, the Instructor Workstation will need to be disconnected from the printer’s network and reconnected to the simulator network.When nished saving or printing the PDF, close the browser window containing the PDF to return to Müse.
48Using the SoftwareThe Run ScreenThe Run screen is available when users are running an SCE. From the Run screen, users can manage the SCE, view physiological status and events and perform overrides and interventions. From the Home screen, click Run to access the Run screen.Clicking the Run ButtonThe Run Screen appears.The Run ScreenPhysiological ViewPatient Physiological Display widgetsEventsScenarioSCE NameConditions, Medications and Interventions palettes
49Using the SoftwareUsing the Patient Status DisplayOn the Run screen, there are widgets that display the patient’s physiological status. The Patient Status Display widgets can be changed to reect the user’s needs. There are six available display panels for the widgets. Waveform widgets utilize two display panels. The Patient Status Display Widgets
50Using the SoftwareTo change a Patient Status Display widget, click the widget you would like to change. A list of available parameters appears. Changing a Patient Status Display WidgetChoose the desired parameter from the list, and the widget changes to reect the new selection. The Event LogDuring an SCE, all software operations sensed by the simulator or entered manually (e.g., virtual debrillation), are recorded by an event entry that appears on the screen. The event entry notes what occurred and the time it happened. Events Logs can also be exported.The Event LogsClick any widget to access a menu to change the display
51Using the SoftwareAdding a Scenario to an SCESCEs incorporate scenarios that contain preprogrammed physiology. Additional scenarios can be added to SCEs to enhance the current scenario’s physiology. Click the Add Scenario button on the Run screen to add a scenario to an SCE that is running.The Add Scenario ButtonThe Select a Scenario Dialog BoxPhysiological ViewsFrom the Run screen, users can select from ve dierent views representative of various body systems and features:NeurologicalRespiratoryCardiovascularFluidsSoundsClick the Add Scenario button to add a scenario to an SCE
52Using the SoftwareTo access each view, click the appropriate organ, icon or button. For Speech Sounds, click the speech balloon • For Neurological, click the brain. • For Respiratory, click the lung • For Cardiovascular, click the heart. • For Fluids, click the blood droplet. • For Sounds, click the •  Sounds button.Physiological ViewsFrom each view, various parameters can be determined and managed. BrainLung HeartBlood dropletSounds buttonSpeech balloon
53Using the SoftwareSetting ParametersParameter settings may be established or changed while an SCE is running in two ways: from the Conditions palette or by selecting a parameter from one of the physiological views on the Run screen.Using the Conditions Palette to Set ParametersThere are two ways to apply conditions using the Conditions palette: using a Quick Link or using the complete Conditions menu. Quick Links are precongured conditions that are made accessible in the Conditions palette for quick application. Quick Links can also be created for the Medications and Interventions palettes. To set parameters using the Quick Links in the Conditions palette, click a Quick Link. The condition is applied and is reected in the patient’s physiology. The Conditions MenuNOTE: Quick Links must be added while creating or editing the SCE.Quick LinksConditions button
54Using the SoftwareOr, to apply a condition that is not precongured in the Conditions palette, click the Conditions button. Conditions are organized by system, or all available conditions can be listed by choosing ALL CONDITIONS. Conditions MenuNavigate through the menus, and once the condition has been located, click the condition’s name from the list.Selecting a ConditionThe condition is applied and appears in the patient’s physiology.NOTE: Not all conditions aect the patient’s physiology.
55Using the SoftwareUsing the Physiological Views to Set ParametersFrom the appropriate physiological view, locate the desired parameter. Select the parameter and set the new value. The parameter is changed and is reected in the patient’s physiology. Parameters have varying controls, such as sliders, switches and menus. In the image below, the Heart Rate parameter is shown. Within the Heart Rate parameter, there are switches that toggle between Modeled and Override and Seconds and Minutes, a slider that sets the beats per minute and a eld where the beats per minute value can be keyed in.Setting a Parameter from a Physiological ViewOnce the parameter has been set, it is reected in the patient’s physiology. Drag the slider to set the valueToggle the switch from Override to Modeled to return to its original state
56Using the SoftwarePerforming InterventionsAn intervention in the Müse software is the application of a medication or medical intervention occurring while an SCE is running. Interventions are applied using the Medications and Interventions palettes or by interacting with the simulator. Using the Medications PaletteThere are two ways to administer medications using the Medications palette: using a Quick Link or using the Medications menu. Quick Links are precongured medications that are made accessible in the Medications palette for quick application. Quick Links can also be created for the Conditions and Interventions palettes. To set parameters using the Quick Links in the Medications palette, click a Quick Link. The medication is applied and is reected in the patient’s physiology, if applicable. NOTE: Not all medications aect the patient’s physiology, but all are logged.The Medications PaletteNOTE: Quick Links must be added while creating or editing the SCE.Medications buttonQuick Links
57Using the SoftwareOr, to apply a medication that is not precongured in the Medications palette, click the Medications button. Medications are organized by type, or all available medications are listed under ALL MEDICATIONS. The Medications MenuNavigate through the menus, and once the medication has been located, click the medication’s name from the list.Selecting a MedicationThe medication is applied and is reected in the patient’s physiology, if applicable.NOTE: Not all medications aect the patient’s physiology, but all are logged.
58Using the SoftwareUsing the Interventions PaletteThere are two ways to perform and/or administer interventions using the Interventions palette: using a Quick Link or using the complete Interventions menu. Quick Links are precongured interventions that are made accessible in the Interventions palette for quick application. Quick Links can also be created for the Conditions and Medications palettes. To apply an intervention using the Quick Links in the Intervention palette, click a Quick Link. The intervention is applied and is reected in the patient’s physiology. The Interventions PaletteNOTE: Quick Links must be added while creating or editing the SCE.The Interventions buttonQuick Links
59Using the SoftwareOr, to apply an intervention that is not precongured in the Interventions palette, click Interventions button. Interventions are organized by type, or all available interventions can be listed by choosing ALL INTERVENTIONS. Interventions MenuNavigate through the menus, and once the intervention has been located, click the intervention’s name from the list.Selecting an InterventionThe intervention is applied and is reected in the patient’s physiology.
60Using the SoftwareChanging Scenario StatesFrom the Run screen, users can advance scenario states as desired. A scenario state can be changed from the Scenario screen or from the Run screen. Changing Scenario States from the Scenario ScreenTo change a scenario state from the Scenario screen:From the Run screen, click the desired loaded scenario.1. The Scenario Management pop-up menu appears.The Scenario Management Pop-Up MenuSelect 2. Show Scenario from the Scenario pop-up menu.
61Using the SoftwareThe Scenario screen appears displaying the scenario. The Scenario ScreenAt the top of this screen, the Scenario Time and State Time are visible. Additionally, users can also pause and continue playing the scenario by clicking the Pause and Play buttons on the Scenario Management pop-up menu, which can still be accessed from the left side of the screen. NOTE: Pausing a scenario does NOT pause the SCE.Click the 3. Jump to State button. The Jump to State ButtonThe Jump to State menu appears, displaying the available states.Select the desired state.4. The scenario transitions to the selected state and the state is highlighted.NOTE: Double-click a state to expand to the full view.Click the Close Window button to return to the Run screen.The Close Window ButtonClick a scenario and select Show Scenario to access the Scenario screen StatesClick the Jump to State buttonJump to State buttonA selected state
62Using the SoftwareChanging Scenario States from the Run ScreenThe scenario state can also be changed from the Run screen. To change the scenario state from the Run screen:Click the desired scenario. The Scenario Management pop-up menu appears, and 1. all available states are listed. The Scenario Management Pop-Up MenuPause or continue the scenario by selecting the Pause and Play options from the menu.Select the desired state. The scenario proceeds to the selected state.2. States in the scenario
63Using the SoftwareSCE TimeThe Timeline bar along with the Play, Pause, Fast-Forward and Reset buttons are located at the top of the Run screen. Timeline BarThe Play button starts the SCE time if it has been paused.The Pause button pauses the SCE time.The Fast-Forward button accelerates the SCE time. The Timeline bar shows the amount of time that has elapsed and shows bookmarks that have been created. Bookmarks are used to create a point in the SCE timeline to which users may easily return. To create a bookmark, click Bookmark. BookmarksExiting the SCETo exit the SCE and return to the Home page, click the Return button.The Return ButtonStopping the SCETo stop the simulation, exit the SCE and return to the Home page, click Stop. The Stop ButtonIMPORTANT: Another SCE cannot be run until the current SCE has been stopped. BookmarksThe Bookmark button
64Using the SoftwareSaving a PatientSave a Patient when an additional patient with dierent physiology is needed for repeated use.To save a Patient:From the Home screen, run an SCE that has a Patient with the same gender as the 1. Patient to be created. From the Run screen, apply the desired conditions and set the necessary 2. parameters. Once complete, click 3. Patient at the bottom of the Run screen. Clicking PatientThe Patient pop-up menu appears. Click 4. Save. Clicking Save from the Patient Pop-Up MenuThe Save a copy of the Patient dialog box appears.The Save a Copy of the Patient Dialog Box
65Using the SoftwareEnter a name for the new Patient in the Enter the new patient name eld of the 5. Save a copy of the Patient dialog box.Entering a Name for the PatientClick Save. The new Patient is now available in the Patients Palette.6. The Patient in the Patients Palette
66Using the SoftwareResetting a PatientResetting a Patient brings the Patient back to its original physiological state at the start of the SCE. However, the SCE time is unaected. Additionally, the reset appears in the Events Log. NOTE: If patient baseline physiology settings have been selected, they are removed when the Patient is reset.To reset a Patient:While running an SCE, click 1. Patient at the bottom of the Run screen. Clicking PatientThe Patient pop-up menu appears. Click 2. Reset. Clicking Reset from the Patient Pop-Up MenuThe Reset the Patient warning box appears stating that the patient’s physiology will be reset to its state at the load time and all running scenarios will be paused. The Reset the Patient Dialog Box Click 3. Reset. The Patient returns to its original physiological state at the start of the SCE.
67Using the SoftwareMedication MonitorThe Medication Monitor tracks the infusion of medication administered. To activate the Medication Monitor, from the Run screen, click Medication Monitor at the bottom, right-hand portion of the screen. Select Medication MonitorThe Medication Monitor appears as a movable box on the Run screen.The Medication MonitorThe number shown on the Medication Monitor next to each medication listing is the normalized eector site concentration.When a medication is reset from the Medication Monitor by clicking the Reset button, the reset clears the medication from the physiological model and from the Medication Monitor. With continuous infusions, the amount infused goes back to zero, but the infusion continues. If you want the infusion to completely stop, the infusion must be stopped via the Medications Library.
68Using the SoftwareCreating and Editing SCEsCreating and editing SCEs is a similar process. Once the SCE is created, the steps for editing are the same.Use the New SCE button to create a new SCE. New SCE ButtonUse the Review button to edit an existing SCE.Review ButtonThe minimal requirements for creating a new SCE include selecting a Patient, naming the SCE and saving the SCE. Once the new SCE is created, you can continue with the SCE creation or use the Review button to edit later.To edit an existing SCE, click Review.Creating an SCECreating an SCE begins with naming the SCE and determining the Patient Prole.To name a new SCE:From the Home screen, click 1. New SCE. New SCE ButtonThe Patients Palette appears. Select a Patient from the palette and click 2. Create. Selecting a PatientClick the Create button to begin creating an SCE
69Using the SoftwareThe SCE Editor appears, showing the Enter a name for the SCE dialog box. The SCE Editor ScreenEnter the name for the SCE. 3. IMPORTANT: When naming the SCE, the name of the SCE may NOT exceed 80 characters. Additionally, SCE le names CANNOT contain any special characters, such as / \ : * ? < > % ‘ | "Click 4. Save. Once the SCE is saved, it is stored and can be edited and reviewed at any time, including while creating a Patient Prole and content, determining settings and programming scenarios.The Enter a name for the SCE dialog box
70Using the SoftwareCreating a Patient’s Prole and BaselineTo create the Patient Prole:From the SCE Editor, in the 1. Prole eld, click Edit. Set the Patient’s name, age, gender and weight by lling in the appropriate elds. 2. Setting the Patient’s Name, Gender and Weight and Changing the Patient’s PictureClick the 3. Change Picture button if you wish to change the patient’s picture.Click 4. Save.IMPORTANT: No aspect of the patient’s prole can contain any special characters, such as / \ : * ? < > % ‘ | "To set the Patient’s Baseline:From the SCE Editor, click 1. Baseline. The Patient Baseline screen appears.The Patient Baseline ScreenSet the Patient’s baseline by setting parameters.2. Click 3. Save. When the SCE begins, the Patient presents with these settings.Once the SCE is named and the Patient Prole determined, the SCE content can be entered and set up using the SCE Editor.
71Using the SoftwareContent ManagementSCE Content is entered by clicking the Overview, Background, Preparation and Notes buttons under the Content Management heading in the SCE Editor. The Content Management ButtonsEach screen allows users to enter dierent information. Click the Edit button of each section on the SCE Editor to access a rich-text editor that enables data entry. IMPORTANT: Text can be copied and pasted into the elds from TextEdit or Notepad programs only.The Rich-Text EditorClick Save when all data for the eld has been entered.
72Using the SoftwareSCE Conguration Conditions, the TouchPro software and the Patient Status Display can be congured by clicking the buttons under the SCE Conguration heading in the SCE Editor.SCE Conguration ButtonsCondition Setup Screen and Creating Quick LinksClick Condition Setup to access the Condition Setup screen. From the Conditions Setup screen, conditions, medications and interventions can be precongured for the SCE creating Quick Links. On the Condition Setup screen, Conditions, Medications and Interventions buttons are available. Click the Conditions, Medications and Interventions buttons to navigate through the available conditions and interventions. Condition Setup ScreenTo create a Quick Link, drag and drop the desired choice(s) to the list of Quick Links to add them to the SCE.
73Using the SoftwareTouchPro SetupTouchPro software is an additional feature of the Müse software. To precongure the TouchPro for use with the Müse software, click TouchPro Setup under the SCE Conguration heading on the SCE Editor. The TouchPro Pre-selected Layout screen appears. The TouchPro Setup ScreenFrom the TouchPro Pre-selected Layout screen, the following predened layouts can be made available in the TouchPro software for a particular SCE:Saturation-PulseICU-OR No CVPICU-ORICU-Arterial Line OnlyEMS-ED-TelemetrySwitch On to activate a desired layout. Switch O to deactivate a layout. Any number of the layouts may be selected.
74Using the SoftwarePatient Status DisplayTo congure the Patient Status Display shown on the Run screen, click Patient Status Display under the SCE Conguration heading on the SCE Editor.The Patient Status Display screen appears. Patient Status Display ScreenTo precongure the Patient Status Display for an SCE, drag and drop the desired waveform, numeric or volume widgets on the Patient Status Display screen to an available display panel.Assigning a WaveformNOTE: Waveforms occupy two display panels. Once placed, click the widget to assign a particular physiologic parameter. Drag and drop the waveform into an available display panel
75Using the SoftwareScenario DesignerThe Scenario Designer allows users to create or edit new scenarios. To access the Scenario Designer from the SCE Editor screen, click the Add Scenario button under the Preloaded Scenarios heading.Clicking the Add Scenario ButtonThe Choose Scenario dialog box appears. The Choose Scenario Dialog BoxTo choose a saved scenario from the list, select the scenario and click Add. The scenario appears beneath the Preloaded Scenarios heading. Click the scenario to open it in the Scenario Designer.Enter a keyword in the Search eld to search for a scenario. To create a scenario from scratch, click New. The Scenario Designer appears.IMPORTANT: When naming a new Scenario, the scenario name may NOT exceed 128 characters. Additionally, scenario le names CANNOT contain any special characters, such as / \ : * ? < > % ‘ | “Click the Add Scenario button
76Using the SoftwareOnce the choice has been made, the Scenario Designer appears.The Scenario DesignerThe Scenario ButtonClicking the Scenario button accesses the Scenario drop-down menu, which allows users to save scenarios, add blank states and rename and delete selected states. The Scenario Drop-Down MenuIMPORTANT: When naming a new Scenario, the scenario name may NOT exceed 128 characters. When naming a Scenario State, the state name may NOT exceed 127 characters. Additionally, scenario le and state names CANNOT contain any special characters, such as such as / \ : * ? < > % ‘ | "CanvasView buttons ConditionsScenario button
77Using the SoftwareScenario Designer Views The Scenario Designer has two views: The Graphical View and the Line Item view. The Graphical View allows users to branch out scenario states. The Line Item view places the states into a linear format. Click the Graphical View button to utilize the Graphical View. Double-click on any state to expand and view it with all its components as shown in the example below. The Graphical ViewGraphical View button
78Using the SoftwareClick the Line Item View icon to utilize the Line Item view. Double-click on any state to expand and view all its components as shown in the example below. Line Item ViewLine Item View button
79Using the SoftwareCreating a New ScenarioWhen beginning to create a new scenario, the canvas is blank. Scenario states can be created by dragging and dropping conditions, medications and interventions from their respective menus on the right side of the Scenario Designer to the canvas. Dragging-and-Dropping a Condition to the CanvasOr, a new, empty state can be added by clicking the Scenario button. Once clicked, the Scenario drop-down menu appears. Click New State, and a new state appears on the canvas. NOTE: When naming a Scenario State, the state name may NOT exceed 127 characters. Additionally, scenario le and state names CANNOT contain any special characters, such as such as / \ : * ? < > % ‘ | “Modifying Scenario StatesOnce a scenario state has been placed on the canvas, it can be modied. Additional parameters, transitions and notes can be added. Each state can contain multiple parameters and transitions. Click the state name to rename the state.A StateClick the Collapse State button to minimize the state. Double-click the collapsed state to expand.Collapse State buttonDrag and drop a Condition to the canvas to create a State
80Using the SoftwareAdding Parameters and InterventionsAdditional parameters and interventions can be set in two ways. Users can drag and drop additional parameters from the Conditions menu to the canvas or to states. Adding a ConditionOr, click the Parameters button within the state to be modied. The Parameters ButtonDrag a Condition to a stateThe Parameters button
81Using the SoftwareThe Patient Control screen appears. The Patient Control ScreenClick the various organs to change the views, and select the desired parameter. Once a parameter has been selected, it appears in the Patient Control panel. Add as many parameters as needed. Added parameters appear consecutively within the state. Drag and drop to reorder as needed. Click Complete to save and exit the Patient Control screen, or click Cancel to exit without saving.NOTE: If the physiology of any of the parameters conicts, the Müse software reects the physiology of the last parameter entered.
82Using the SoftwareAdding TransitionsTo add a transition, you must have both an original state and a state that results from the transition.To add a transition:Click the 1. Create button in the original state.Creating a TransitionA menu appears with all available transition variables. Transitions MenuSelect the desired variable from the menu. For example, if a medication is desired, 2. select Medications, and select the desired medication from the list. Once the medication is selected a dialog box appears, asking for the proper dose and the variable.Setting a Medication Dosage and VariableOnce the dose and variable have been selected, click 3. Accept.
83Using the SoftwareClick the 4. GOTO arrow to connect the transition. A menu listing all the available states appears. Select the resulting state from the menu.Transition MenuAn orange connector line appears linking the transition to the state.A Connected TransitionFollow the same steps to add multiple transitions to the state. 5. The orange connector line indicates a connected transitionSelect a State from the menu to transition toGOTO arrow
84Using the SoftwareELSE StatementsAn ELSE statement is used to transition to a state automatically when none of the other programmed transitions occur.Before specifying an ELSE statement, at least one other state must be created rst. To add an ELSE statement, click ELSE in the original state. A menu appears with all the available states listed. ELSE MenuClick the desired state. A black connector line appears linking the ELSE statement to the state. A Connected ELSE StatementSelect a State from the ELSE menuThe black connector line indicates a connected ELSE statement
85Using the SoftwareDeleting Scenario StatesTo delete a state, in the Graphical view, drag and drop the state into the trash. Deleting a State in the Graphic ViewIn the Line Item view, drag and drop the state into the trash. Deleting a State in the Line Item ViewDeleted states remain in the trash can until you log out of the software or the trash is cleared.Drag and drop the state in the trashDrag and drop the state in the trash
86Using the SoftwareDeleting Parameters and TransitionsFrom an active state, drag and drop the desired parameter or transition into the trash.Deleting a ParameterDrag and drop the parameter in the trash
87Using the SoftwareEmptying the TrashFrom the Scenario Designer screen, click the Trash Can. All items placed in the trash are listed. Trash Can ContentsClick Empty Trash to empty the trash. If you do not wish to delete the items listed, they can be dragged back into the scenario, at which time they are removed from the trash.Logging out of the software automatically empties the trash. NOTE: Items emptied from the trash cannot be retrieved.
88Using the SoftwareSaving the ScenarioAt any time during scenario creation or modication, the scenario can be saved. To save scenarios, click the Scenario button to access the Scenario drop-down menu.To save on the most recent version of a modied scenario, click Save.To save a new scenario, click Save As. Or, when Save is clicked when saving a new scenario, users receive the same prompts. To save a modied scenario as a new scenario, click Save As.The Scenario Drop-Down MenuWhen Save As is clicked, the Save Scenario dialog box appears.The Save Scenario Dialog Box Enter the name for the scenario in the Enter scenario name eld and click Save. IMPORTANT: When naming a new scenario, the scenario name may NOT exceed 128 characters. Additionally, scenario le names CANNOT contain any special characters, such as / \ : * ? < > % ‘ | "Enter a name for the scenario in the Enter scenario name eld.
89Using the SoftwareSaving States to the State LibraryUsers can save states in the State Library for later use.To save a state, drag and drop the state to the State Library button.A Saved State The state is stored in the library and appears in the State Library panel.A Saved StateClick Conditions Library to Exit the State Library.Drag and drop states to the State Libary button to save themA saved state
90Using the SoftwareAdministrative ToolsThe Müse software has administrative tools that allow users to manage logs, stored content, users and system settings. The administrative tools are accessed via the Administrative Tools buttons, located on the Home screen. Administrative Tools ButtonsClick the History button to view and manage Simulation Session Logs.Click the System Administration button to manage stored content, user accounts, groups and system settings.Click the Account Prole button to manage and determine preferences for the active account.HistoryFrom the History screen, users can view and export the Simulation Session Logs of performed SCEs. Each Simulation Session lists the Start Time, the title of the SCE and the Patient’s name. In addition, the Physiological Data and Simulation Events Logs are available for review and download. The History ScreenBy clicking the Simulation Events link of a Simulation Session, users can view the entire log of the simulation and all the events that occurred during the SCE. When the Physiological Data link of a Simulation Session is clicked, users can view all the physiological data that occurred during the SCE. On both the Simulation Events and Physiological Data screens, there is an Export button that, when clicked, exports the data to a CSV le that can be stored on an external device.History buttonSystem Administration buttonAccount Prole button
91Using the SoftwareSystem AdministrationFrom the System Administration screen, users can control and access Content Management, User Accounts, Groups and System Settings.To access the System Administration screen, click the System Administration button from the Home screen.The System Administration ButtonContent ManagementFrom the Content Management screen, users can manage Learning Applications, SCEs, Patients, Scenarios and Conditions. To access the Content Management screen, from the System Administration screen, click Content Management.The Content Management Button
92Using the SoftwareLearning ApplicationsFrom the Content Management screen, click Learning Modules to access the Learning Applications screen. The Learning Applications ScreenThe Learning Applications screen appears, listing all available CAE Healthcare Learning Applications and their accompanying SCEs. Additionally, Learning Applications can be installed from this screen. To install a Learning Application:Click 1. Install Learning Module. The Select le to upload dialog box appears.Locate the correct Learning Application le on the Learning Application CD. The 2. le extension is sce. Select the le and click 3. Select. Refresh the screen by clicking the 4. Home button in the Müse software and then follow the steps above for accessing the Learning Applications screen. The Learning Application appears on the Learning Applications screen and is available for use. Click Learning Modules to access the Learning Applications screenInstall Learning Module button
93Using the SoftwareSCEsFrom the Content Management screen, click SCEs to access the SCEs screen. All user-created SCEs appear in the SCEs panel. The SCEs ScreenOn the SCEs screen, users can import and export the SCEs they have created. NOTE: SCEs purchased from CAE Healthcare CANNOT be exported.Click Import SCE to import an SCE from an external device as an sce le. Click Export to export an SCE to an external device.Import SCE buttonClick SCEs to access the SCEs screen
94Using the SoftwareBase PatientsFrom the Content Management screen, click Base Patients to access the Base Patients screen. All Patients appear in the Patients panel.The Base Patients ScreenOn the Base Patients screen, users can rename, review, delete, import and export Patients they have created by clicking the respective buttons within each Patient. Locked Patients can only be reviewed from this screen. Click Import Patient to import a Patient le from an external device. Click Export to export a Patient le to an external device, such as the Instructor Workstation’s hard drive or a USB portable device.Import Patient buttonClick Base Patients to access the Base Patients screen
95Using the SoftwareScenariosFrom the Content Management screen, click Scenarios to access the Scenarios screen. All Scenarios appear in the Scenarios panel.The Scenarios ScreenOn the Scenarios screen, users can rename, review, delete, import and export Scenarios they have created. Locked Scenarios can only be reviewed from this screen. Users can also create new scenarios from the Scenarios screen by clicking the Create New Scenario button.User-created scenarios can be renamed, reviewed and deleted from the Scenarios screen by clicking the respective buttons within each scenario.Click Import to import a scenario le from an external device. Click Export to export a scenario le to an external device.Import Scenario buttonClick Scenarios to access the Scenarios screenCreate New Scenario button
96Using the SoftwareUser AccountsFrom the User Accounts screen, users can create, edit and delete users. To access the User Accounts features, on the System Administration screen, click User Accounts.The User Accounts ScreenClick User Accounts to access the User Accounts screen
97Using the SoftwareCreating a UserTo create a new user: Click the 1. New button in the Users panel. The User Data panel appears on the screen and requests information about the user. Creating a New UserEnter the user’s personal data.2. First Name Last Name Email Password – The password should be one that is not easily guessedConfirm PasswordNOTE: A suggested User ID is generated automatically when the user’s rst and last names are entered; however, an alternate User ID can be entered. Assign the user to a Group by clicking on the group name in the Groups panel. 3. New groups can be created as well. Users may be assigned to only one group.Click 4. Create.
98Using the SoftwareEditing a UserEdit a user when changes are needed to the user account.To edit a user’s information or privileges:From the Users panel, select the user to edit. 1. Click 2. Edit. The user’s details appear in the User Data panel.Make the desired changes and click 3. Save. Deleting a UserDelete a user when the user is no longer needed. To permanently delete a user:From the Users panel, select the user to be deleted.1. Click 2. Delete.The User Deletion Warning box appears stating any content created by this user 3. will be reassigned to your account and asks if you are sure you want to delete the user.The User Deletion Warning BoxClick 4. Yes. The user and his corresponding data are deleted. However, any SCEs, scenarios or Patients created default to the user who deleted him.
99Using the SoftwareGroupsUsers are assigned to groups to dene access privileges. To access the Groups screen, from the System Administration screen, click Groups.The Groups ScreenFrom the Groups screen, users can create new groups, delete groups and assign privileges to groups. In the Groups panel, three groups appear by default.AdministratorsEducatorsDeactivated UsersEach default group has privileges assigned. Click Groups to access the Groups screen
100Using the SoftwarePrivilege SystemThe Müse software has three dierent privileges: System ManagementUser ManagementContent ManagementUser Management and Content Management can be assigned independently or combined. The System Management privilege contains all privileges. System ManagementUsers with the System Management privilege have access to all features of the Müse software, including the benets of the User Management and Content Management privileges, listed below. Users with the System Management privilege can also view system settings, back up and restore data and apply software updates. User ManagementUsers with the User Management privilege can manage all users and groups.Content ManagementUsers with the Content Management privilege can create and manage all SCEs.IMPORTANT: Users with the System Management or User Management privilege can DELETE other users, including the default meti admin account. Once deleted, this account cannot be recovered. Please ensure users with the System Management or User Management privilege take care not to delete the default meti admin account.
101Using the SoftwareCreating a New GroupCreate a new Group to have an alternative to the precongured Groups.To create a new Group:From the Groups screen, click 1. New. The Group Name eld appears. Enter the name of the Group in the 2. Group Name eld.Click 3. Create Group. The group appears in the Groups panel on the Groups screen. Privileges can now be selected. Select the privilege(s) to be assigned to the Group. 4. Click 5. Save. Deleting a GroupDelete a group when it is no longer needed. Once a Group is deleted, all users who were aliated with the Group default to the Deactivated Users Group. To permanently delete a Group:From the Groups screen, click the group to be deleted.1. Click 2. Delete. The Group Deletion warning box appears asking if you want to continue. Click 3. Yes. The Group is deleted.
102Using the SoftwareMaintenanceFrom the Maintenance screen, users can ush the uids from their METIman simulators. For more instructions on how to ush the simulator, see the Care and Maintenance section.The Maintenance Screen Click Maintenance to access the Maintenance screen
103Using the SoftwareSystem SettingsFrom the System Settings screen, users can view system information, back up and restore data, manage product licensing, view the error log and change the language of the Müse software.To access the System Settings screen, from the System Administration screen, click System Settings.The System Settings ScreenSystem CongurationUnder System Conguration, Disk Space and System Time are displayed.Data ManagementThe Data Management feature allows users to back up data to an external device. Users can also restore the backup data. Backing Up DataBack up data to protect and store content and user data.To back up data:On the System Settings screen, click the 1. Back Up Data button. A Save dialog box appears. Select a location to save the backed up data. 2. Click 3. Save.Click System Settings to access the System Settings screen
104Using the SoftwareRestoring DataRestore data when the backed up data needs to be replaced on the software. Restoring data only restores the last backup and does NOT merge the backup data with the current data.To restore backup data:On the System Settings screen, click 1. Restore Data.The System Restore warning box appears stating that restoring data erases all 2. current data and asks if you want to continue.Click 3. Yes.A select le dialog box appears.Locate the appropriate le to restore the data.4. Click 5. Select. The data is restored.Product LicensingTo view product licensing information for your simulator or to enter a license key to activate your software, click Product Licensing.Error LogThe Error Log is available for technicians and is used when diagnosing the Müse software. LocalizationTo change the language of the Müse software, click Change Language, select a language and click OK or Accept.NOTE: Only the English version of the User Guide is available via the software, regardless of the Müse language selection. To access the User Guide in other languages, please visit www.caehealthcare.com and click the Support link.
105Using the SoftwareAccount Prole From the Account Prole screen, users can view, update and reset personal prole information. From the Account Prole screen, users can also view and add favorite SCEs. Click the Account Prole button to access the Account Prole features.The Account Prole ButtonProle InformationFrom the Account Prole screen, click Prole Information to access the Prole Information screen. From this screen, users can change their prole information and reset their passwords. The Prole Information ScreenTo change prole information, enter the new information in the appropriate eld and click Update Prole when nished.To reset a password, enter the new password in the New Password eld and re-enter the new password in the Conrm Password eld. Click Change Password when nished. Click Prole Information to access the Prole Information screen
106Using the SoftwareFavorite SCEsTo access the Favorite SCEs screen, click Favorite SCEs from the Account Prole screen. All of the logged-in user’s favorite SCEs appear in the Favorite SCEs panel. The Favorite SCEs ScreenTo add SCEs to the Favorite SCEs panel, click Add Favorites. The SCE Library appears. Select the desired SCE, and it automatically appears in the Favorite SCEs panel.Add Favorites buttonClick Favorite SCEs to access the Favorite SCEs screen
107Using the SoftwareMedication PreferencesFrom the Medication Preferences screen, found under Account Prole, users can import customized medication response les created in the Pharmacology Editor software.The Medication Preferences Screen Click Medication Preferences to access the Medication Preferences screen
108Using the SoftwareProle PreferencesProle preferences allow users to change the font size.The Prole Preferences ScreenClick Prole Preferences to access the Prole Preferences screen
109Using the SoftwareUsing TouchProThe TouchPro software enables users to view the patient’s physiology. The software can be used from the Instructor Workstation or on another computer provided that computer has joined METIman’s wireless network. Accessing the TouchPro SoftwareLike the Müse software, the TouchPro software is compatible with computers that have touch-screen capabilities. To run the TouchPro software, the Instructor Workstation must be connected to the METIman network.An SCE must be running on the Müse software for any physiological data to be displayed on the TouchPro software. The TouchPro software can only show one Patient at a time. Using the Instructor Workstation, with the Müse software running, open a new tab 1. in the web browser and go to the Home page of the web browser. The Müse Start Screen appears.The Müse Start ScreenSelect the2. TouchPro icon.
110Using the SoftwareWhen TouchPro opens, the simulated patient monitor appears.The TouchPro Display NOTE: If using TouchPro on a separate computer other than the Instructor Workstation, the additional computer must be on METIman’s network. For instructions on how to join the TouchPro computer to the METIman conguration, please refer to page 34.
111Using the SoftwareModifying the TouchPro DisplayThe layout of the waveforms and numeric data shown on the TouchPro software can be customized. Changing the LayoutThe TouchPro software can show up to six waveforms plus an additional four numeric readouts.There are ve precongured layouts:EMS-ED-Telemetry - preconfigured with a waveform and numeric readout for ECG Lead II and numeric readouts for SpO2 and noninvasive blood pressure (NIBP).ICU-OR Arterial Line Only - preconfigured with waveform and numeric readouts for ECG Lead II, ECG Lead V, ABP, Pleth and a numeric readout for Body Temperature.ICU-OR No CVP - preconfigured with waveform and numeric readouts for ECG Lead II, ECG Lead V, ABP, PAP and Pleth, and numeric readouts for NIBP, Thermodilution C.O., Blood Temperature and Body Temperature. ICU-OR - preconfigured with waveform and numeric readouts for ECG Lead II, ECG Lead V, ABP, PAP, CVP and Pleth, and numeric readouts for NIBP, Thermodilution C.O., Blood Temperature and Body Temperature. Saturation-Pulse - preconfigured with numeric readouts for SpO2 and pulse.
112Using the SoftwareSelecting a Precongured LayoutTo select a precongured layout, click Settings, select the layout from the Layouts panel and click the Close Settings button.Settings MenuNOTE: Precongured layouts must be enabled in the Müse TouchPro Setup for the currently running SCE to be accessible in the Layouts panel. For more information, see TouchPro Setup on page 73.Close Settings buttonSelect a layout from the Layouts panel
113Using the SoftwareChanging a Waveform or Numeric DisplayWaveforms and numeric displays can be changed to suit the user’s needs.To change a waveform or numeric display:Click the waveform or numeric to be changed. 1. The Wave Vital Selection menu or the Numeric Vital Selection menu appears, displaying all the available waveforms or numerics. Wave Vital Selection MenuSelect the desired waveform or numeric. 2. The new waveform or numeric is reected on the screen. From the Wave Vital Selection menu, the alarm, color and scale can be set for the waveform using the Set Alarm, Set Color and Set Scale buttons. From the Numeric Vital Selection menu, the color and alarm for the numeric can also be established using the Set Color and Set Alarm buttons.
114Using the SoftwareAdding a WaveformThe TouchPro software supports up to six waveforms. To add a waveform:Click the 1. Settings button in the bottom right corner of the TouchPro display.The Settings ButtonThe Settings menu opens and the Add Waveform and Remove Waveform buttons appear.Click the plus button in the location above which you want the empty waveform 2. to appear.An empty waveform eld appears. Adding an Empty Waveform FieldAdd or Remove Waveform buttonsAn empty waveform eld
115Using the SoftwareClick the empty waveform eld.3. The Wave Vital Selection menu appears.The Wave Vital Selection MenuSelect the desired waveform from the Wave Vital Selection menu.4. The new waveform or numeric is reected on the screen.Adding a Numeric DisplayThe TouchPro software contains four numeric display elds. All four numeric display elds are located on one row beneath the waveform displays.When fewer than four numeric readouts are being displayed, the remaining elds are blank.To add a numeric to a blank display eld:Click a blank numeric display eld.1. Clicking a Blank Numeric Display FieldClick a blank numeric display eld
116Using the SoftwareThe Numeric Vital Selection menu appears.The Numeric Vital Selection MenuSelect the desired numeric.2. The new numeric vital display is reected on the screen. Moving a Waveform or Numeric DisplayWaveforms and numerics can be moved on the screen to suit the user’s needs. To move a waveform or numeric, click the desired waveform or numeric, and drag and drop the display to a desired location. Moving a WaveformDrag and drop a waveform to a desired location
117Using the SoftwareSaving a LayoutOnce a desired layout has been congured, it can be saved and reused. To save a layout:Ensure the correct waveforms and numerics are in place.1. Click 2. Settings.The Settings menu appears.Click 3. Save As.The Save Layout window appears.In the Save Layout window, in the 4. Layout Name eld, enter a name for the layout.Entering a Layout NameClick 5. Save.Click the 6. Close button to exit the Settings menu.Saved layouts can be deleted from the Settings menu by dragging and dropping them in the Trash.NOTE: When a layout is saved, it is available for use only with the current SCE. To enable the layout for use with any other SCE, enable the layout from the TouchPro Setup panel for the desired SCE. See TouchPro Setup on page 73 for more information.Enter the name for the layout in the Layout Name eld
118Using the SoftwareSoundsAll sounds can be silenced by clicking Mute.The Mute ButtonTo set up the audio for the TouchPro, from the Settings menu, click Audio Setup. The Audio Setup MenuFrom the Audio Setup window, select a waveform to set it as the pulse sound. Once a waveform is selected, the Audio Setup window automatically closes.Clicking the Mute button from the Audio Setup window mutes all alarms. Click the Mute button again to return the alarms to their original state.
119Using the Software12-Lead ECGTo view a 12-lead ECG report, click the 12-Lead ECG button at the bottom of the TouchPro screen.The 12-Lead ECG ButtonThe report appears.A 12-Lead ECG ReportThe report can be printed or saved by clicking the Print button in the bottom right corner of the 12-lead ECG report.. To close the report, click the Close button.IMPORTANT: Prior to saving the report as a PDF or printing to a network printer, the print presets must be adjusted. The page oritentation must be set to Landscape and the margins must be set to .25 inches on all sides. These settings vary in location depending on the operating system (i.e., Macinstoh, Windows).To save the report to a PDF le on a Macintosh Instructor Workstation:From the 12-lead ECG report screen, click the Print button located in the bottom right 1. corner of the 12-lead ECG report.Select the Save As PDF option.2. The report saves as a PDF on the Macintosh Instructor Workstation.3. To save the report to a PDF le on a Windows Instructor Workstation:From the 12-lead ECG report screen, click the Print button located in the bottom right corner 1. of the 12-lead ECG report.The Print dialog box appears. 2. From the drop-down menu, select Microsoft XPS Document Writer. 3. The report saves on the Windows Instructor Workstation.4. To print a report:From the 12-lead ECG report screen, click the Print button located in the bottom right corner 1. of the 12-lead ECG report.Select the appropriate network printer. 2. NOTE: A network printer must be congured in order to appear as an option.Click the Print button. 3. The report prints to the designated network printer.4.
120Using the SoftwareNIBP Cycling and Manual NIBPWhen non-invasive blood pressure (NIBP) is displayed, the patient’s NIBP can be updated at specied intervals using NIBP Cycling, or the current NIBP can be displayed immediately using the Manual NIBP button.To set the patient’s NIBP to be updated at regular intervals, from the Settings menu, click NIBP Cycling. The NIBP Cycling menu appears. From the NIBP Cycling menu, select the desired interval for the cycling and click Start.The NIBP Cycling MenuCustom cycling is also available.
121Using the SoftwareTo display the patient’s current NIBP, click the Manual NIBP button.The Manual NIBP ButtonThe current NIBP is displayed.NOTE: Manual NIBP can be used at any time during cycling. However, this turns o auto-cycling.The Manual NIBP button
122Using the SoftwarePatientsTo view the available Patients, click the Settings button in the bottom, right-hand corner of the TouchPro screen to access the Settings menu. From the Settings menu, click Patients to view the current Patient.Available PatientsNOTE: When connected to the simulator, the TouchPro only displays the active Patient.
123Using the SoftwareConguring the TouchPro SoftwareCongure the background color, alarm suspension time and language selection of the TouchPro from the Congure panel. To access the Congure panel: Click the 1. Settings button in the bottom, right-hand corner of the TouchPro screen. Click the 2. Congure button from the Settings menu. From the Congure panel, set the background color and alarm suspension time. 3. The Congure PanelClick the 4. Exit button to exit the Congure panel when nished.Exit button
124Using the SoftwareChanging the Language of the TouchPro SoftwareTo change the language of the TouchPro software:Click the 1. Settings button in the bottom, right-hand corner of the TouchPro screen. Click the 2. Language Selection button from the Settings menu. From the Language Selection panel, select a language.3. The Language Selection PanelClick Accept.Exiting the TouchPro SoftwareTo exit the TouchPro Software, Click the 1. Settings button from the bottom, right-hand corner of the TouchPro screen.From the Settings menu, click 2. Shutdown. A warning box appears asking if you want to exit. Click 3. Shutdown.

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