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CAE Inc. Proprietary Information and/or Confidential 2
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
CAE Inc. Proprietary Information and/or Confidential 3
Branding
Product Line:
CAE Fidelis
Product Name:
Maternal Fetal Simulator
Patient Profile Name:
Lucina, goddess of
childbirth
CAE FIDELIS MATERNAL FETAL SIMULATOR
CAE Inc. Proprietary Information and/or Confidential 4
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
CAE Inc. Proprietary Information and/or Confidential 5
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
CAE Inc. Proprietary Information and/or Confidential 6
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
CAE Inc. Proprietary Information and/or Confidential 7
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
CAE Inc. Proprietary Information and/or Confidential 8
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
CAE Inc. Proprietary Information and/or Confidential 9
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
CAE Inc. Proprietary Information and/or Confidential 10
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
CAE Inc. Proprietary Information and/or Confidential 11
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
CAE Inc. Proprietary Information and/or Confidential 12
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
CAE FIDELIS MATERNAL FETAL SIMULATOR
CAE Inc. Proprietary Information and/or Confidential 13
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
CAE FIDELIS MATERNAL FETAL SIMULATOR
CAE Inc. Proprietary Information and/or Confidential 14
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
CAE Inc. Proprietary Information and/or Confidential 15
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
CAE Inc. Proprietary Information and/or Confidential 16
Muse Software
Current Medications with MFS applications Acetaminophen (LO) Fentanyl Labetalol Lorazepam Meperidine Nifedipine (LO) Promethazine (LO) Terbutaline (LO)
CAE FIDELIS MATERNAL FETAL SIMULATOR
CAE Inc. Proprietary Information and/or Confidential 17
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
CAE FIDELIS MATERNAL FETAL SIMULATOR
CAE Inc. Proprietary Information and/or Confidential 18
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
CAE FIDELIS MATERNAL FETAL SIMULATOR