MegaCode Kid Advanced

ECG Kid

ENGLISH Directions for Use

www.laerdal.com
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E NGLISH
Table of Contents Introduction
MegaCode Kid is a full-body, lifelike manikin, which realistically
Items Included ....................................................................................................... 1 simulates a 6-year-old patient. It is specifically designed for training
Skills Taught ............................................................................................................ 1 professionals in the practice of emergency care, patient handling and the
Introduction .............................................................................................................1 transportation of the sick and injured.
Laerdal Recommends ............................................................................................1
SimPad Connection.............................................................................................. 2 As a result of quality construction and the ease of replacing individual parts,
Intubation ............................................................................................................... 2 this simulator should provide many sessions of training when reasonable
Cardiac Related Skills .......................................................................................... 2 care and maintenance are practiced.
Safety Precautions ................................................................................................ 2
Auscultation of Heart, Breath & Bowel Sounds ............................................ 2
Carotid Pulse ......................................................................................................... 2 Laerdal Recommends
IV Infusion .............................................................................................................. 3
Multi-Venous IV Arm ........................................................................................... 3 Endotracheal Stylet
Intraosseous Infusion Skills................................................................................. 3 Endotracheal tube - Size 5.0 to 5.5
Care and Maintenance......................................................................................... 4 Manikin Lubricant
Replacement Parts ............................................................................................... 4 Laryngoscope blade - Miller Size 1 or Mac Size 2
IV Injection - 22-gauge needle or smaller
Items Included
(1) Full-body Pediatric Manikin
(1) IV Bag Set
(1) Manikin Lubricant
(1) Set of Defibrillation Posts
(1) Jacket Caution: Latex
(1) Pants This product contains Natural Rubber latex which may cause
allergic reactions when in contact with humans.
(1) Carry Case
(1) Direction for Use
(1) Laerdal Global Warranty Booklet

Skills Taught The product, when carrying the CE-mark, is in

Airway Management Skills: compliance with essential CE requirements and other
• Oral intubation relevant provisions of council directive 1999/5/EC.
• Nasal intubation
• Digital intubation
• Bag/Valve Mask Ventilation

Cardiac Related Skills:

• Closed chest compressions
• 3-4 lead ECG, pacing and defibrillation

IV Drug Administration:
• IV insertion into the peripheral veins of forearm, hand and
antecubital area - Accessible veins include: median, basilic
and cephalic
• Intraosseous infusion at both Tibial Tuberosity
and Medial Malleolus sites

Multi-Sounds Auscultation and Recognition Skills:

• Seven auscultation sites for auscultation and recognition of
heart, breath and bowel sounds.

MegaCode Kid 1 Laerdal

 Intubation
For intubation of the MegaCode Kid, the following equipment is
recommended: Caution:
• Endotracheal stylet the paddle and any of the electrode sites while defibrillating.
• Endotracheal tube - size 5.0 to 5.5 A load of up to 300 joules can be delivered.
• Manikin lubricant or liquid soap
• Laryngoscope blade - Miller size 1 or Mac size 2

Prior to airway insertion, all intubation devices and airway passages

must be sprayed with manikin lubricant or liquid soap.

SimPad Connection
1. Connect MegaCode Kid to Link Box, via cable located
on back of manikin. For some manikins the adapter cable
supplied with SimPad may have to be used.
Photo 3
LL ECG Lead Apex Zap Plate

Caution:
Safety precautions should be exercised in using SimPad around water.
Use same caution as with any defibrillation exercise.

See SimPad DFU for complete cardiac operating instructions.

Safety Precautions used during Defibrillation

of a Patient/Trainer

1. Read and follow all safety and operating instructions provided with
your defibrillator and associated equipment.

Photo 1 2. This trainer can be shocked with actual voltages and current used
on a live patient. All precautions and safety measures must be used
Cardiac Related Skills during the defibrillation and pacing phases of training. Failure to
1. Compressions on MegaCode Kid can be performed with one or follow safety measures could result in injury or death to operators,
two hands, according to AHA guidelines on patient age. students or onlookers not heeding these warnings.

Carotid Pulse Bulb IV Arm Zap Plates

A Auscultation of Heart, Breath and Bowel Sounds

D
See SimPad DFU for complete Heart, Breath, and Bowel Sound
Auscultation.
C B
Carotid Pulse
Carotid Pulse is manually generated with a red bulb. Pulse rate is controlled
by squeezing bulb.

Photo 2 ECG Leads

2. For monitoring purposes, lead placement snaps are located on manikin as

follows: (Photo 2) (A, B, C, D)
3. Two Zap Plates (discs) have been designed for use with external paddles.
Screw discs into post sockets located on apex and sternum of manikin.
Rhythm may be read from monitor by applying paddles to discs with firm
pressure. (Do not use gel.)
4.
down firmly for good contact.

Laerdal 2 MegaCode Kid

 English
IV Infusion Skills
Pediatric IV Arm is designed for practicing venipuncture and injection
techniques.

We recommend nothing larger than a 22-gauge needle to extend life of

arm. Spray catheter with manikin lubricant for easier insertion.
Figure1
Equipment Needed: Replacing veins: (Keeping skin)
• 500cc fluid bag 1. Lubricate inside of skin with liquid detergent; let it flow down into the
• Simulated blood or food coloring with water finger area.
• Administration Set 2. Begin at top of arm and slowly pull skin down and off of arm. Do not roll,
• IV catheter as that will cause skin to bind.
3. Remove tubing from track in mandrel. Glue may need to be scraped away
Instructions for Use: to allow removal.
1. Add simulated blood or a few drops of red food coloring mixed with 4. Rinse and dry vein grooves well and swab with alcohol. Be sure to
water to fluid bag. remove any excess glue.
2. Attach administration set. 5. Place new veins along grooves, (Figure 2) spot gluing as needed. (We
3. Attach end of IV Arm tubing to end of administration set. recommend a fast-drying glue.)
4. Place other end of IV Arm tubing in a container and allow fluid to flow
through entire tubing until all air bubbles are flushed.
5. Clamp or tie second tubing and remove from container.
6. Insert catheter into vein. There should be a flashback if catheter has
actually entered a vein.
7. Open clamp of administration set.
8. To infuse fluid, second tubing of IV arm must be unclamped and the fluid
allowed to flow.
Figure 2
Before Storing: Drain, clean and dry all material prior to storing. Tubing
can be sanitized by flushing with 50cc of water mixed with household 6. Generously lather arm mandrel with liquid soap.
bleach. 7. Slide hand into skin.

Multi-Venous IV Arm Heat arms skins before replacing on mandrel.

Multiple Venipuncture Sites: This can be done with a blow-dryer.
• Dorsal Veins of Hand (3)
• Antecubital
- Cephalic Vein 8. Work skin over fingers, as with a glove.
- Median Vein 9. Work arm skin up, over mandrel. (Figure 3)
- Basilic Vein

Instructions for Use:

1. Attach IV Bag to IV tubing.
2. Attach IV tubing to either latex vein.
3. Allow fluid to flow through arm and out other latex vein.
4. Clamp off flow of water.
Figure 3
The arm is now ready to practice venipuncture.

Intraosseous (IO) Infusion Skills

Replacing Skin and Veins Pediatric IO Leg is designed for perfecting skills required in successful
When excessive leaking occurs at puncture sites, either a new multi-vein intraosseous infusion. Anatomy of IO Leg includes knee, tibia, tibial
system or skin should be installed to reduce loss of fluid. We recommend tuberosity site and medial malleolus site. IO Leg is provided with one IV
working at a sink. tubing and one IV bag for use as reservoir during infusion.

To replace skin and veins: Additional equipment needed:

1. Cut off skin. This can be done with a sharp knife or scalpel. • IV bag
(Figure1) • IV administration set
2. Discard skin. • Simulated blood concentrate
• 35cc syringe
• Jem Shidi needle

MegaCode Kid 3 Laerdal

Instructions for Use: Replacement Parts
1. Attach tubing connector to IV bag. (Use valve to open or close line as Product Number: Description:
380410 ..................................
2. Turn leg upside down. 231-00101 ............................Leg, Pediatric-Intraosseous
3. Remove plug from heel. 231-00250 ............................Head Assembly, MegaCode Kid
4. With a syringe, fill the bone with approximately 120cc of simulated blood. 231-00350 ............................Lung Bag, MegaCode Kid Intubation Head
5. Attach tubing and reservoir bag. 231-00450 ............................Arm Assembly, Pediatric Left 1 Piece
6. Close off tubing that runs into reservoir bag so that simulated blood will 231-00550 ............................Skin, Torso MegaCode Kid
remain in bone for aspiration. 231-00650 ............................Insert Assembly, MegaCode Kid
7. 231-00750 ............................Leg Assembly, Pediatric-Right W/
Intraosseous Leg
231-00850 ............................Leg Assembly, Pediatric-Left
Before Storing: Detach IV line and reservoir at bottom of the foot. Allow 231-00950 ............................Jacket, Pediatric
231-01050 ............................Pants, Pediatric
Store leg unplugged to allow it to air dry. 231-01150 ............................Case, Carry-Pediatric Full Body
231-01250 ............................Plug, Arm-Pediatric
250-21050 ............................Airway Lubricant
Do not use saline solution. It leads to deterioration of leg. 300-00750 ............................Blood, Concentrate-4 oz Red
375-70150 ............................Kit, Skin Assembly Vein-Pediatric IV Arm
375-71001 ............................Arm, Pediatric Multi-Venous Training

Care and Maintenance

1.
water. Please contact Laerdal Customer Service
2. Use only on clean surface. Avoid felt tipped markers, ink pens, acetone, for more information on Replacement Parts in other skin tones.
iodine or other staining products and avoid placing the manikin on
newsprint or inked lines of any kind.
3. To ensure longevity, each manikin and module should be cleaned after
each training session and a general inspection should be conducted
regularly.
4. Modules and all other parts should be drained and air-dried thoroughly
before storage and disinfected when needed. After use of injection pads
(use water only), accumulated water should be squeezed out. Do not
store wet foam pads in the skin. To prevent mildew or mold, pads can be
soaked in a mild solution of disinfectant and water or bleach and water.
Squeeze excess solution from pads, allow them to dry, then store or
reinsert in manikin.
5.
prior to training sessions.
6. Store properly between teaching sessions.

Laerdal 4 MegaCode Kid

© 2012 Laerdal Medical. All rights reserved
20-05827 rev B Printed in US