Neurology
Emma/Emily is equipped with a flexible spine, giving her spontaneous movements a highly realistic appearance. This flexibility also allows for the simulation of reduced muscle tone, which can trigger the initiation of neonatal emergency care measures, starting as early as when Emma/Emily is carried to the resuscitation unit.
Pupil size adjustment

In neonatology, the pupils are specifically assessed when there are signs of brain injury, hypoxia, or infection, resuscitation has been performed (especially for monitoring the progression of Hypoxic-Ischemic Encephalopathy (HIE)) or neurological symptoms such as seizures, muscle hypotonia or altered consciousness are present.
Emma/Emily features three different pupil sizes: normal, constricted, and dilated. These can be manually adjusted directly on the simulator.
To change the pupil size, gently open Emma/Emily’s eyelids and rotate the eyes horizontally within the eye sockets.
The selected pupil size is then displayed in real time in the Emma/Emily 3D animation on the user interface.
Muscle tone and spontaneous movements
Thanks to her flexible spine, Emma/Emily’s spontaneous movements appear especially realistic.
Via the menu, muscle tone can be adjusted seamlessly, from completely floppy to normal muscle tone.
Using the settings icon in this section, each limb can be individually selected and activated or deactivated.
NOTE
If breathing is completely disabled (RR = 0), spontaneous movements will also be automatically switched off.