CAE Apollo - Page 64

©2020 CAE 905K351052 v1.1 59
Using Apollo
The following cautions should be observed:
• Defibrillation should be performed on the defibrillation electrodes only. If defibrillation is
performed over any ECG electrode, high voltage may be present on the remaining
connectors during the shock. This may also damage ECG circuitry.
• To prevent overheating, do NOT provide more than three (3) defibrillator discharges
(maximum 200 joules with a biphasic defibrillator) in a sequence. Do NOT exceed an
average of two (2) defibrillator discharges per minute during the training session.
• Avoid a large number of consecutive discharges. For example, 20 or 25 discharges without
any recovery interval may damage the system.
• Do NOT let the simulator come in contact with electrically conductive surfaces or objects
during defibrillation. A flame-supporting atmosphere, for example, with a high content of
oxygen, should be avoided during defibrillation.
• Keep the simulator’s chest dry. Special attention should be taken when using the urinary
system or the chest tube feature.
• To prevent pitting of the chest skin electrode, do NOT apply conductive gel or conductive
defibrillation pads intended for patient use.
• Do NOT use cables or connectors having visible damage.
• Do NOT spill fluids over any component inside the simulator torso. This could damage the
system and may also present a possible hazard for the operator.
• When using a manual defibrillator, the ECG can be monitored via the defibrillator paddles.
Coarse ventricular fibrillation and high-rate ventricular tachycardia cardiac rhythms are
automatically recognized as “shockable” rhythms.
• With each defibrillation, Apollo automatically records the amount of energy discharged
and the time defibrillation was performed. The simulated patient response to
defibrillation is determined by the scenario script or instructor intervention. Thus,
cardioversion is not automatically determined by the physiological models.
• The minimum electrical charge recognized by the circuitry within the simulator is 20
joules.
• For paddle placement on the chest, the simulator has two anterior defibrillation disks,
which can be unscrewed, leaving threaded connections, if required.