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33Multi-Function Simulators

ProSim 8

Vital Signs Simulator

Arrhythmia

Baseline NSR 80 BPM

PVC focus Left focus, standard timing (except where speciﬁed)

Supraventricular arrhythmia Atrial ﬁbrillation (coarse or ﬁne); atrial ﬂutter; sinus arrhythmia; missed beat (one time); atrial tachycardia;

paroxysmal atrial tachcardia; nodal rhythm; and supraventricular tachycardia

Premature arrhythmia Premature atrial contraction (PAC); premature nodal contraction (PNC); PVC1 left ventricular; PVC1 left ven-

tricular, early; PVC1 left ventricular, R on T; PVC2 right ventricular; PVC2 right ventricular, early; PVC2 right

ventricular, R on T; and multifocal PVCs

Ventricular arrhythmia PVCs 6, 12, or 24 per minute; frequent multifocal PVCs; bigeminy; trigeminy; multiple PVCs (one-time run of

2, 5, or 11 PVCs); mono-ventricular tachycardia (120 to 300 BPM in 5 BPM steps); poly-ventricular tachycardia

(5 types); ventricular ﬁbrillation (coarse or ﬁne); and asystole

Conduction defect First-, second-, or third-degree heart block; and right- or left-bundle-branch block

Advanced cardiac life support Shockable pulseless arrest rhythms Ventricular ﬁbrillation (coarse), ventricular ﬁbrillation

(ﬁne), unstable polymorphic ventricular tachycardia

Non-shockable pulseless arrest rhythms Asystole

Symptomatic bradycardia Sinus bradycardia (< 60 BPM)

2nd degree AV block, mobitz

type I

2nd degree AV block, mobitz

type II

Complete/3rd degree AV block

Right bundle branch block

Left bundle branch block

Advanced cardiac life support

cont.

Symptomatic tachycardia: regular narrow-complex

tachycardia (QRS < 0.12 seconds)

Sinus tachycardia > 150 BPM

Supraventricular Tachycardia

Symptomatic tachycardia: regular wide-complex

tachycardias (QRS ≥ 0.12 seconds)

Sinus tachycardia > 150 BPM

Supraventricular tachycardia SVT with aberrancy

Irregular tachycardia Atrial ﬁbrillation (coarse and ﬁne), atrial ﬂutter, un-

stable monomorphic ventricular tachycardia

(120 BPM to 300 BPM), torsade de pointes/polymor-

phic ventricular tachycardia (long QT interval)

ECG Performance testing

Amplitude 0.05 mV to 0.5 mV (0.05 mV steps)

0.5 mV to 5 mV (0.25 mV steps)

Pulse wave 30 BPM, 60 BPM, with 60 ms pulse width

Square wave 0.125 Hz, 2 Hz, 2.5 Hz

Triangle wave 0.125 Hz, 2 Hz, 2.5 Hz

Sine wave 0.05 Hz, 0.5 Hz, 1, 2 Hz, 5 Hz, 10 Hz, 25 Hz, 30 Hz, 40 Hz, 50 Hz, 60 Hz, 100 Hz, and 150 Hz

R-wave detection Waveform Triangular pulse

Rate 30 BPM, 60 BPM, 80 BPM, 120 BPM, 200 BPM, and

250 BPM

Width 8 ms to 20 ms in 2 ms steps, and 20 ms to 200 ms in

10 ms steps

Width accuracy ± (1 % of setting + 1 ms)

QRS detection Widths 8 ms to 20 ms in 2 ms steps, and 20 ms to 200 ms in

10 ms steps

Width accuracy ± (1 % of setting + 1 ms)

Rate 30 BPM, 60 BPM, 80 BPM, 120 BPM, 200 BPM, and

250 BPM

R-Wave up slope 0.875 amplitude, 0.4375 x width

R-Wave down slope Full amplitude, 0.5 x width

S-Wave up slope 0.125 amplitude, 0.0625 x width

Tall T-wave rejection Waveform QT Interval 350 ms

T-Wave width 180 ms

T-Wave shape ½ sinewave

Amplitude 0 % to 150 % reference lead

amplitude in 10 % steps

Rate 80 BPM

Rate accuracy ± 1 % of setting

Amplitute accuracy ± (2 % of setting + 0.05 mV)

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