Skip to main content

Emma and Emily

Vascular access

Umbilical venous catheter

Emily_GUI_umbilical_venous_catheter_placement.png

  1. Emma/Emily has a realistic umbilical cord, that can be cut with a scalpel or scissors.

  2. Sensors in the umbilical cord detect the cutting and trigger the disappearance of the umbilical clamp on the user interface.

  3. Insertion of an umbilical venous catheter (UVC) is displayed in Emma/Emily‘s 3D animation. The sensors in the umbilical cord measure the insertion depth of the catheter between 3 and 12 cm and display the current depth in a separate window that appears while the catheter is being inserted.

CAUTION

Never inject drugs or fluids into the umbilical cord, as this can cause serious damage to the technology inside Emma/Emily. Should this happen, switch Emma/Emily off immediately, do not switch it on again and contact our support team immediately ().

NOTES

  • The umbilical cord cutting icon also appears in the integrated debriefing system.

  • The belly button can be used in scenarios beyond the immediate postnatal phase, when the umbilical cord has already fallen off. When used, a belly button and no umbilical cord will appear in the animation on the user interface.

TIP

Umbilical arterial catheters (UAC) can also be inserted into the umbilical cord. However, these cannot be detected by the sensor system and cannot be advanced as deeply. In scenarios with an UAC already in place, the artery in the corresponding bubble must be activated manually. The arterial curve then appears automatically on the patient monitor.

Auscultation

Emily_auscultation.png

Lung, heart and bowel sounds are not generated in Emma/Emily, but directly in the stethoscope. This prevents disturbing technical background noises during auscultation. When the stethoscope is placed on Emma/Emily, sensors in the simulator recognize the position of the stethoscope and the corresponding sounds are played in the stethoscope.

During auscultation, the stethoscope icon is shown on the GUI and a time-stamped event is recorded in the debriefing system

Emily_GUI_auscultation.png

Emma/Emily can be auscultated in the following regions:

  • Left of the sternum for heart sounds,

  • Right thorax for lung sounds,

  • Left thorax for lung sounds and faint heart sounds,

  • Entire abdomen for bowel sounds,

  • Between the shoulder blades for heart and lung sounds,

  • Fontanelle for flow murmur in cases simulating vein of Galen malformation the sounds can be selected via dropdown menus on the GUI.

If a pre-programmed symptom complex is selected, the corresponding sound starts playing automatically.

NOTE

TIP

To reduce false perception of sounds, verify that the stethoscope icon is displayed on the user interface. If it’s absent, no sound is active.