TCCTC91100X

AirSim Combo X (Light Skin Tone)

Skin Tone

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The TruCorp AirSim Combo X manikin combines intubation and cricothyrotomy training in one life-like model.

With the inclusion of a replaceable larynx insert and wraparound neck skin, the Combo trainer fully supports percutaneous tracheostomies and needle and surgical cricothyroidotomies.

Accuracy is an integral part of the AirSim airway management range. Palpable laryngeal inserts, an inflatable tongue, and improved, real-feel skin, give trainees of all abilities, realistic feedback during procedures.

What procedures can be performed on the Combo X airway management manikin?

Needle cricothyroidotomy
Surgical cricothyroidotomy
Percutaneous tracheostomy
Double naso-tracheal intubation
Awake fibre optic intubation
Bag-valve-mask (BVM) ventilation techniques
Direct and video laryngoscopy (including Sellick Maneuver)
Awake fibre optic examination
Endotracheal tube insertion
Combi tube insertion
Naso gastric (NG) tube insertion techniques

Overview

Ideal for teaching & training in intubation, BVM, use of supraglottic devices, needle & surgical crichthyroidotomy, percutaneous tracheostomy, and laryngoscopy
Anatomically correct nasal cavity, with important landmarks such as the turbinates clearly defined
Easily replaceable components allow for efficient, repeatable, and cost-effective training

Realism

Real feel skin
Realistic user feedback during airway management procedures
Palpable cricoid landmarks, laryngeal cartilages and tracheal rings
Tongue can be inflated to replicate various degrees of oedema

Versatility

Wraparound neck skins can be rotated to maximise the number of procedures performed per skin
Included adhesive pads can be attached to the suction cups to allow for greater stability

Cleaning

Thoroughly clean the airway with warm, soapy water or mild detergent, until foreign matter and residue is removed
As a further step to fully sanitise the product, use an alcohol spray (75%+) and wipe off (This can be performed on both the silicone and latex parts of the manikin)

Safety

Components inside this trainer contain latex
Ensure use of protective gloves when handling the latex airway
Spray lubricant on the airway and equipment prior to use, to aid the procedure and reduce risk of damage to the material
Do not use strong detergents or enzymatic cleaning agents on this trainer, such as, germicides, disinfectants, chemical agents, ethylene oxide, phenol-based or iodine containing cleaners

Anatomy

Adult male head and neck created from CT DICOM scan data
Larynx with identifiable sternal notch, tracheal rings, and cricoid & laryngeal cartilages
Tongue, inflatable to replicate oedema
Nasal passages
Lung and stomach bags

Skills Gained

Needle cricothyroidotomy
Surgical cricothyroidotomy
Percutaneous tracheostomy
Double nasotracheal intubation
Bag valve mask ventilation techniques
Full range of supraglottic device insertion
Direct and video laryngoscopy including Sellick Maneuver
Awake fiber optic examination
Awake fiber optic intubation
Endotracheal tube insertion
Combi tube insertion
Naso gastric tube insertion techniques

Compare Models	AirSim Advance X	AirSim Combo X
Oral / Nasal Intubation	Yes	Yes
Bag Valve Mask Ventilation (BVM)	Yes	Yes
Supraglottic Device Insertion	Yes	Yes
Direct / Video Laryngoscopy	Yes	Yes
Bronchoscopy	No	No
Needle Cricothyroidotomy	No	Yes
Surgical Cricothyroidotomy	No	Yes
Percutaneous Tracheostomy	No	Yes
Nasogastric Tube Insertion	Yes	Yes

References

Undergraduate Medicine

AAMC Recommendations for Clinical Skills Curricula for Undergraduate Medical Education, 2005, p.26-27 Basic airway management (clearance, bagging) Cricothyroid membrane puncture technique Laryngoscopy/endotracheal tube placement

Family Medicine

AAFP Reprint No. 285 Recommended Curriculum Guidelines for Family Medicine Residents, Urgent and Emergent Care, p.7-8 1. Airway management b. Ensuring airway patency and the use of advanced airway techniques i. Bag-valve mask ventilation ii. Oral endotracheal intubation in children and adults, including rapid sequence intubation iii. Laryngeal mask airway (LMA) e. Cricothyroidotomy

Surgery

SCORE Curriculum Outline for General Surgery 2017-2018, p.25 16. Surgical Critical Care - Operations/Procedures • Airway Management 27. Head and Neck - Diseases/Conditions • Upper Airway Obstruction

Paramedic

National Association of State EMS Officials: National Model EMS Clinical Guidelines (2017), p.8 5.a.i.4 Airway: use of the appropriate airway management adjuncts and devices: oral airway, nasal airway, blind insertion, or supraglottic airway device, laryngeal mask airway, endotracheal tube

Undergraduate Medicine

HealthWorkforce Australia Medical Graduate Competency Framework Stage 2, Final Report, August 2012, Appendix G Airway Management (see ARC guideline) including: chin lift/head tilt manage partial airway obstruction or complete airway obstruction guedel & nasopharyngeal insertion bag & mask ventilation

Postgraduate Junior Doctors

CPMEC Australian Curriculum Framework for Junior Doctors v 3.1 2012 Skills and Procedures, p.31 Airway care including bag mask ventilation with simple adjuncts such as pharyngeal airway

Paramedics

Paramedics Australia Paramedicine Role Descriptions,Scope of practice, p.4 Intermediate life support including use of supraglottic airway devices Emergency management of the unconscious patient, cardiac arrest, asthma, anaphylaxis...abnormalities of ventilation

Undergraduate Medicine

GMC About the Outcomes for Graduates 2017, p.28 22 Carry out nasogastric tube placement safely, understanding the contraindications to nasogastric tube use, and assess whether a nasogastric tube is correctly placed

Undergraduate Nursing

Future nurse: Standards of proficiency for registered nurses,17 May 2018, p.36 8.6 manage airway and respiratory processes and equipment

Physician Associate

Competence and Curriculum Framework for the Physician Assistant 2012 Physician Assistant Managed Voluntary Register, p.16 2.4.1 Participate in cardiopulmonary resuscitation to the level expected in Immediate Life Support Training: including ... bag intubation 2.4.3 Insert a naso-gastric tube

CMT

2009 Core Medical Training curriculum (amendments approved 28 August 2013), p.47 Perform Basic Life Support competently as defined by Resuscitation Council (UK): ...airway manoeuvres, bag and mask ventilation

Postgrad FY1 FY2

The Foundation Programme Curriculum 2016, Section 3: Clinical Care, p.69 15. To initiate and perform immediate adult life support comprising cardiopulmonary resuscitation, simple airway management

General Surgery Training

Intercollegiate Surgical Curriculum,General Surgery, October 2013 p.127 Formal tracheostomy p.133 Surgical airway management in severe head and neck injury: Cricothyroidotomy

Paramedics

College of Paramedics Paramedic Curriculum Guidance, 3rd Edition 2015 – Practice Placement Areas, p.39 C 4.2.2 develop and consolidate the skills and techniques of advanced airway management. These will include laryngeal mask airways (LMAs),supraglottic airways, and may include endotracheal intubations (ETIs) in a clinical setting

Emergency Medicine

The College of Emergency Medicine Curriculum and Assessment Systems For Core Specialty Training ACCS CT1-3 & Higher Specialty Training ST4-6, June 2010 (revised 2012) p.111-113 CMP2 Cardio-Respiratory Arrest: Perform basic life support competently as defined by Resuscitation Council (UK): ... airway manoeuvres, bag and mask ventilation CMP3 Major Trauma: Undertake emergency airway management including how to perform a cricothyroidotomy