Oldham County EMS is now the proud owner of iStan, a cutting edge medical simulator. Made possible through the generosity of the Baptist Hospital Northeast, The Baptist Foundation, and the Hospital Emergency Response Association, the METIman simulator will allow the service to add realistic scenarios to medical training.

It's very amazing technology...a sophisticated blend between a Resusci Annie and a robot. The simulator is controlled wirelessly by a computer and includes on-board fluid, pneumatic and electrical systems. It can cry, drool, bleed, seize, and breath at the click of a mouse.

The simulator will be available to any county EMS service in Kentucky as well as local hospitals, fire departments and ACLS, paramedic and EMT classes. More information will be available in the near future.

Pulmonary System

• Lung design allows for simulation of flail chest and variable airway resistance
• Independent Bilateral Trauma features (needle decompression/chest tubes)
• End Tidal CO2 monitoring cardiovascular system
• Jugular Vein Distention

Cardiovascular System

• Defibrillation, Pacing and Cardioversion
• Chest Compressions

Breath Sounds

• 8 anterior locations allowing for 7 independently controlled breath sounds
• 6 posterior locations allowing for 7 independently controlled breath sounds

Heart Sounds

• 4 independently controlled heart sound locations

Bowel Sounds

• 4 independently controlled bowel sound locations

Phonation Sounds

• Throat Sounds - cough, stridor
• Speech - yes, no, ouch and more
• Wireless Voice Capability (live speech)

Pneumatic pulses in 14 locations

• Bilateral Carotid
• Bilateral Femoral
• Bilateral Radial
• Bilateral Brachial
• Bilateral Popliteal
• Bilateral Dorsalis Pedis
• Bilateral Tibialis Pedis
• Pulses are touch activated and logged for instructor/learner debriefing

Bleeding and Secretions

• Hemorrhage System
• Simulation of bleeding at Moulage Sites (2 simultaneously)
• Plumbed for all four limbs and abdomen
• Linked to physiology

Secretions

• Mouth, nose, ears, eyes, forehead (diaphoresis)

Trauma

• Cricothyrotomy
• Articulated Mandible
• Obstructed Ear Irrigation
• Oral and Nasopharyngeal Suctioning
• Neck Articulation with cervical motion monitoring and the ability to reduce range of motion
• Tri-State Pupil Size
• Teeth with Break Away Incisors
• Laryngospasm
• Difficult (Airway) Occluder
• Tongue Edema
• Trismus
• Jaw Thrust (Sensed)
• Tension Pneumothorax/Hemothorax
• Needle Decompression (Bilateral)
• Flail Chest
• Chest Tubes (Bilateral)
• Convulsions
• Sternal and Tibial IO Access
• Bilateral Peripheral (Dorsal Vein and Antecubital Fossa) IV Access
• Central (Femoral and Jugular) IV Lines
• Bilateral Thigh Auto-Injection Sites for Medication Administration

SpO2 Monitoring

• Finger Probe integrated with Simulated
• Patient Monitor Display and METI
• Physiological Models

ECG Monitoring

• 5-lead ECG monitoring available on both patient monitors and Simulated Patient Monitor Display

NIBP Monitoring

• Blood pressure assessment by palpitation and auscultation (Korotkoff sounds)
• Displayed on Simulated Patient Monitor Display
• Auto-Cycling Capable

Scenarios

• Anaphylaxis
• Angina with Cardiac Arrest
• Anterior Myocardial Infarction
• Asthmatic with Pneumothorax
• COPD with Respiratory Failure
• Heart Failure with Pulmonary Edema
• Inferior Myocardial Infarction
• Organophosphate Exposure
• Pneumonia with Septic Shock
• Severe Young Asthmatic
• Splenic Rupture with Pneumothorax
• Stab Wound to the Chest
• Subdural Hematoma
• Tension Pneumothorax

The simulators are integrated into the training curriculum for the Army’s entire force of 40,000 medics. Since human patient simulators were first introduced into military
medical training programs, the Army has seen an improvement among medics who experienced training with simulators.

Exposure to realistic and intense human life or death scenarios has
successfully provided thousands of medics with critical thinking and life-saving skills, confidence and the ability to put learned theories to use before exposure to real life situations.