Chest Drain & Needle Decompression Trainer with Augmented Reality

• FREE Augmented Reality Training app and mat compatible with this Chest Drain trainer
• Approved for use in ATLS courses
• Supports realistic insertion of needles, guidewires, dilators and drain tubes

• Anatomically accurate torso, representative of an adult male
• Needle decompression sites give positive feedback following correct technique (hiss of air on needle insertion)
• Needle decompression possible at the 2nd, 4th and 5th intercostal spaces
• Suitable for use with mock fluids as well as water
• Air bulbs replicate breathing under ultrasound (Advanced Pads only)
• Standard Pads have a pleural layer with realistic give, and “pop” when punctured with forceps or finger

• Standard & Advanced Pads allow support multiple techniques, including, skin incision, suturing, and ultrasound (Seldinger technique)
• Chest drain simulator can be used in the sitting or supine position

• Adult male upper torso
• Arms in raised position
• Represented internal anatomy landmarks: ribs, lungs and diaphragm

• Drain fluids from trainer after use
• Rinse with clean water after use of simulated fluids
• Clean skin with a damp soft cloth, warm water and mild detergent
• Allow product to completely dry before storing, inside of water chambers can be dried with a soft damn cloth

• All components are latex free
• Use caution when moving product, packed weight ~16kg
• Due to the increased weight and movement of the fluid when the chambers are filled, we would advise filling/emptying the simulator in place with a jug or having two people move it into position. Filled weight can be up to ~21kg
• Fluid use is only possible with the Advanced Pads
• Ensure the securing knobs around the pads are properly sealed to avoid fluid leakage

National Association of State EMS Officials: National Model EMS Clinical Guidelines (2016, page 185): Trauma: If absent or diminished breath sounds in a hypotensive patient, consider tension pneumothorax, perform needle decompression

AAMC Recommendations For Clinical Skills Curricula For Undergraduate Medical Education (2005) (2005, p. 27): Chest tube insertion

Advanced Practice Nursing Procedures (2015, Section six, pages 488 – 491) Margaret R. Colyar : Respiratory procedures: Chest Tubes for Emergency Transport

RACS Essential Surgical Skills (page 17, Jan 2015): Chest Trauma perform insertion of Chest Tubes and Chest Drains

NHS National Practitioner Program: Matrix Specification for the Physician Associate (2016). p.68: Breathlessness: Perform chest aspiration and chest drain insertion

Specialty Training Curriculum for Core Medical Training, 2013 (p.56): Perform chest aspiration and chest drain insertion

GMC General Surgery Curriculum 2018 (p.67): Technical Skills and Procedures – Chest drain insertion Trauma & Orthopaedics Curriculum 2015 (updated 2018) (p.205): Technical Skills and Procedures, Module 6, Simulation – Chest Drain insertion Cardiothoracic Surgery Curriculum 2014 Module 6, Simulation Techniques – Chest Drain insertion (p. 43)

College of Paramedics, Paramedic Post Graduate Curriculum Guidance (2017, page) Section 3: Advanced Paramedic …urgent & emergency care, and includes the development and attainment of the following skills, competencies and clinical expertise; ….Chest Drain

ICM Curriculum: Supporting Excellence for a CCT in Intensive Care Medicine, The Faculty of Intensive Care Medicine, 2021.

Trauma & Orthopaedic Surgery Curriculum, Intercollegiate Surgical Curriculum Programme, 2021

RCoG 2021 Curriculum. Stage 2 Practical Procedures – Supervision Levels From “Stage 2 practical procedures (with supervision levels)” section: Needle thoracocentesis (simulation) — supervision level 3. Chest drain insertion (simulation) — supervision level 3

Yes. The Advanced Chest Drain Pads are made of an echolucent material that helps support a wide range of ultrasound simulations. These pads are ideal for practicing the Seldinger technique of placing a tube in the pleural cavity via a guidewire.

To ensure ongoing cost efficiency for courses, Limbs & Things create the Standard & Advanced Pads to support different training requirements:

• Standard Pads – these foam pads are designed for skin incision and suturing as part of a blunt dissection, and include a pleural layer on the back that has realistic give, and a “pop” on puncture. They also support the use of adhesive bandages
• Advanced Pads – these silicone pads are designed for ultrasound practice. The echolucent material is partially self-healing, allowing for a greater number of guidewire insertions. The pads also support blunt dissection, however, incisions from this procedure will not self-seal

Replacements are available in packs of 2 or 10 (frequency of replacement depends on procedures and efficiency).

This trainer supports a full range of equipment, though there are some recommended items that the trainers have been tested on:

• Advanced Chest Drain Pads – optimal catheter, 12 FG
• Needle Decompression Pads – optimal needle, 21g

Other sized catheters or needles can be used, but the above recommendations will help prolong the life of the chest pads.

Troubleshooting

Our chest drain simulator is leaking fluids

Water leakage is the most common query related to the chest trainer, and usually solved with one of the following:

• Wrong pad – water leaking from around the edge or through the pad – the chest model is supplied with two different types of pad for chest drain procedures, the Standard foam pad, and the Advanced silicone pad. Only the Advanced pad is designed for use with fluids
• Pad end of life – water leaking through previous needle sticks or incisions – Advanced pads support multiple procedures, after prolonged use, the self-healing material will become less effective and will require replacement
• Not fitted properly – the Advanced pad needs to have a good seal to keep the internal water chamber contained. Below are some tips on ensuring there’s a strong seal

Tips:

• Ensure ribs are fitted into the pads to ensure rigidity
• Check you are using the correct rib frame, and it is oriented the correct way (Rib Frames are marked with Left or Right, and an arrow to indicate the top)
• Fit the pad into the frame, the silicone edges should be flush with the inside of the frame
• Place the frame onto the correct side of the chest, the screws should be centred along the notches along its edge
• Place a slotted retaining knob on each screw and hand tighten them (Helpful hint: tighten each knob halfway, then hand tighten them again, so the frame is flush against the torso)
• Using the key supplied, tighten each knob to create a tight seal

Uncommon leakage issues:

• Tubing is not connected securely
• Clips on tubing are not closed correctly
• Cracked casing on the torso’s fluid chambers

If you are still experiencing issues, contact our customer service team for assistance.

You can also check out our Hints & Things video on setting up your Chest Drain & Needle Decompression Trainer.

• Weight: 15.9 kg
• Width: 31 cm
• Height: 51 cm
• Length: 66 cm