CAE FIDELIS™

Maternal Fetal Simulator

HPSN WORLD 2014

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Objectives

Identifies the differentiating features of the MFS Understands the application of the obstetrical parameters in the Muse softwareDemonstrates the different simulator configurations for antepartum, intrapartum and postpartum

CAE FIDELIS MATERNAL FETAL SIMULATOR

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Branding

Product Line:

CAE Fidelis

Product Name:

Maternal Fetal Simulator

Patient Profile Name:

Lucina, goddess of

childbirth

CAE FIDELIS MATERNAL FETAL SIMULATOR

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Key Features Overview

General Obstetrical Features Tetherless operation Integrated maternal-fetal physiological modeling Maternal aesthetics build from real patient

measurements Realistic birth canal and vulva/perineum Quiet and reliable birthing mechanism Control rate and duration of contractions Trendelenburg position detection Cephalic (vertex) and breech delivery Four locations for fetal heart sounds, based on

presentation

CAE FIDELIS MATERNAL FETAL SIMULATOR

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Key Features Overview

General Obstetrical Features Contracted uterus Uterine reversion Intact/fragmented placenta Epidural port with infusion and aspiration Episiotomy C-section team training support TouchPro CTG monitor

CAE FIDELIS MATERNAL FETAL SIMULATOR

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Key Features Overview

General Fetal Features Articulated fetal body, neck, shoulders, elbows, hips

and knees Clinically accurate size – 5th percentile on the WHO

growth chart Palpable fontanel and sagittal sutures Fetal neck traction sensing Fetal airway suctioning (no fluids) Audible cry upon delivery Predicted 1 minute and 5 minute APGAR scores Umbilical cord

CAE FIDELIS MATERNAL FETAL SIMULATOR

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Key Features Overview

Normal Delivery Articulation Multiple Birthing Positions

• Lithotomy, Sitting, Squatting, All-fours

Palpable contractions Leopold's Maneuver's Vaginal exam static cervixes Reliable birthing cervix Variable pulses based on BP

CAE FIDELIS MATERNAL FETAL SIMULATOR

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Key Features Overview

Shoulder Dystocia Detection of interventions Suprapubic pressure – Realistic symphysis pubis McRoberts Maneuver – Observable pelvic tilt Rotational Maneuvers – Posterior and anterior

shoulder Delivery of the Posterior Arm Zavanelli Maneuver

CAE FIDELIS MATERNAL FETAL SIMULATOR

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Key Features Overview

Vaginal Breech Delivery Fetal tactile realism (soft versus hard) Fetus has no exposed metal Simulates different presentations

• Frank and Complete Breech

Allows for “Hands Off” delivery

CAE FIDELIS MATERNAL FETAL SIMULATOR

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Key Features Overview

Maternal Cardio-Respiratory Arrest Chest compressions and advanced CPR Metrics

• Hand position • Compression depth, rate and release• Ventilation volume and rate and alveolar ventilation• ABP, Coronary perfusion pressure, cerebral perfusion

pressure, cardiac output

Electrical therapy Supports left lateral tilt NEW airway design – leak free Mechanical ventilation support

CAE FIDELIS MATERNAL FETAL SIMULATOR

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Key Features Overview

Instrumental Vaginal Delivery Supports vacuum extraction without additional fetal

cap Realistic traction applied by the birthing ring Supports training with forceps

CAE FIDELIS MATERNAL FETAL SIMULATOR

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Key Features Overview

Post Partum Hemorrhage Learners can identify an over-distended uterus Class III Hemorrhage support (1.8 L) Boggy and inverted uterus Bimanual compression and uterine massage detection Uterine blood released upon massage Uterine massage compression effect Intrauterine balloon

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Preconfigured SCEs (10)

A Normal DeliveryA Vaginal Breech DeliveryAn Instrumental Vaginal DeliveryEclampsiaFetal Central Nervous System Depression by Narcotics Given to the MotherFetal Tachycardia Due to Maternal PyrexiaMajor Post-Partum Hemorrhage due to Uterine AtonyMaternal Cardio-Respiratory ArrestShoulder DystociaUmbilical Cord Prolapse

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Muse Software

Three base patients Norma L Female Stannette Momtobe (Normal Pregnancy) Shantal Lewis (Placental Insufficiency)

Baseline Settings Delivery, Cervix, Presentation, Station, Rotation

Setup Configurations with pictures

CAE FIDELIS MATERNAL FETAL SIMULATOR

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Muse Software

New Medications for MFS Atosiban Betamethasone (LO) Carboprost tromethamine (LO) Dinoprostone (LO) Ergonovine (LO) Hydralazine (LO) Magnesium Sulfate (LO) Methyldopa (LO) Methylergonovine (LO) Misoprostol (LO) Oxytocin Ritodrine (LO) Salbutamol (Albuterol) (LO) Sulprostone (LO) Urapidil (LO)

CAE FIDELIS MATERNAL FETAL SIMULATOR

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Muse Software

Current Medications with MFS applications Acetaminophen (LO) Fentanyl Labetalol Lorazepam Meperidine Nifedipine (LO) Promethazine (LO) Terbutaline (LO)

CAE FIDELIS MATERNAL FETAL SIMULATOR

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Muse Software

Patient Status Display Additional CTG waveform, FHR/IUP numeric widget and

presentation/station graphic widget

Obstetrical Parameters Rate of descent Fetal state Contraction frequency, amplitude and duration Early deceleration magnitude Shoulder Dystocia and resolutions Arrested labor Uterine massage effectiveness

Neurological, Respiratory and Cardiac Parameters Basic and additional parameters

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Muse Software

Sounds Breath, Heart, Audible Breathing, UA Synchronized

Vocal, Neonate Cry, Fetal Heart Sound location

CTG Parameters Probe FHR signal loss UA signal loss MHR graph

Fluid Parameters Vaginal bleeding severity

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THANK YOU