Product Manual - Postpartum Hemorrhage Trainer - PPH Trainer P97 - P97 [1021568]
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Product Manual - Postpartum Hemorrhage Trainer - PPH Trainer P97 - P97 [1021568] - 1

PPH TRAINER P97 / PPH TRAINER P97-MODULE INSTRUCTIONS FOR USE

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Product Manual - Postpartum Hemorrhage Trainer - PPH Trainer P97 - P97 [1021568] - 3

PPH TRAINER P97 / PPH TRAINER P97-MODULE PPH TRAINER P97 VARIANTS 3B Scientific® PPH Trainer P97-Module 1021567 You have purchased a basic add-on for the Birthing Simulator P90, which can be used for presenting and training in postpartum hemorrhage (PPH) and resulting complications. Postpartum hemorrhage is one of the main causes of maternal mortality. In this emergency situation, an exact diagnosis and quick action are required. The 3B Scientific PPH Trainer P97-Module allows the most critical scenarios to be realistically and inexpensively presented, and the ability to quickly recognize...

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Product Manual - Postpartum Hemorrhage Trainer - PPH Trainer P97 - P97 [1021568] - 4

PPH TRAINER P97 / PPH TRAINER P97-MODULE FUNCTIONS The Birthing Simulator P90 as a basis for the PPH Trainer-Module, or the base unit included in the PPH Trainer, allows a generalized representation and demonstration of the female pelvic anatomy. The PPH Trainer-Module‘s realistic simulation of soft tissue enables the inflatable postpartum uterus to be felt and manipulated via the abdominal wall (e.g. manual contraction), and additionally through the vagina (e.g. bimanual contraction). The PPH Trainer-Module has 3 prefabricated bleeding points for simulation of postpartum hemorrhage. In...

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Product Manual - Postpartum Hemorrhage Trainer - PPH Trainer P97 - P97 [1021568] - 5

PPH TRAINER P97 / PPH TRAINER P97-MODULE SCOPE OF DELIVERY 3B Scientific® PPH Trainer-Module P97 1021567 1. Abdominal wall (soft PVC film with foam backing) 2. Vaginal unit made of silicone 3. Postpartum uterus with foam core (inflatable) 4. 2 placentas (film) 5. Pelvic insert (foam) 6. Inflation bulb with tube 7. Stand 8. Bag and tube (incl. tube clamp) 9. Filling funnel (not shown here) 10. 2x blood concentrate (250 ml each, incl. measuring cap) 3B Scientific® PPH Trainer P97 1021568 1. Base unit 2. Abdominal wall (soft PVC film with foam backing) 3. Vaginal unit made of silicone 4....

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Product Manual - Postpartum Hemorrhage Trainer - PPH Trainer P97 - P97 [1021568] - 6

PPH TRAINER P97 / PPH TRAINER P97-MODULE ASSEMBLING AND INSTALLING THE PPH TRAINER-MODULE Note: The PPH Trainer-Module should only be used in conjunction with the Birthing Simulator P90 (Basic or Pro) and should be seen as an add-on for this. Alternatively, a stand-alone product is available in the form of the PPH Trainer P97, which already has a base unit. Abdominal Wall with Vaginal Unit The abdominal wall and vaginal unit are attached together to the base unit by means of phantom fasteners. These can be connected and disconnected easily and as often as necessary without the use of tools....

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Product Manual - Postpartum Hemorrhage Trainer - PPH Trainer P97 - P97 [1021568] - 7

Pelvic Insert Note: The pelvic insert (red, see Fig. 13) is not an accurate representation of the anatomical structures in the pelvis, but ensures the appropriate positioning of the vaginal unit. The pelvic insert supports the vaginal unit and also enables the ischial spine to be felt through the vagina. For correct use, please observe the instructions on installing the abdominal wall with vaginal unit. 7 PPH TRAINER P97 | Assembling and Installing

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Product Manual - Postpartum Hemorrhage Trainer - PPH Trainer P97 - P97 [1021568] - 8

Note: The uterus can be adjusted in terms of size and characteristics using the inflation bulb in order to perform realistic palpation and manipulation maneuvers. The uterus consists of a firmer foam core surrounded by a flexible balloon skin. When the abdominal wall is open, the uterus can be connected to the vaginal unit and inserted into the abdominal cavity. The size is adjusted using the inflation bulb (via connection to the vaginal unit). 1. Remove the abdominal wall before you insert the uterus into the abdominal cavity. 2. Roll the open end of the uterus balloon back until the foam...

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Product Manual - Postpartum Hemorrhage Trainer - PPH Trainer P97 - P97 [1021568] - 9

Note: The supplied placenta with umbilical cord provides a very simplified illustration. The focus of the trainer is on the assessment of the postpartum hemorrhage. The placenta can be inserted via the vagina and has tear-off sections. By removing the tear-off sections, the trainee can be taught to recognize incompleteness when manually removing and assessing the placenta. 1. Put the placenta film down flat on an even surface (see Fig. 20). 2. Remove parts of the placenta at the cutout points according to the desired scenario. 3. Fold the placenta film once along the longitudinal axis. 4....

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Product Manual - Postpartum Hemorrhage Trainer - PPH Trainer P97 - P97 [1021568] - 10

PPH TRAINER P97 / PPH TRAINER P97-MODULE PERFORMING PPH SCENARIOS INTRODUCTION The following pages are primarily aimed at the assistants who prepare for the demonstrations and exercises with the PPH Trainer-Module or PPH Trainer, and who assist with these. The procedure during various bleeding scenarios and some commonly occurring complications will be outlined. The implementation of the training scenarios always depends on the individual syllabus of the relevant teaching establishment. These instructions therefore do not provide a comprehensive lesson plan, but should instead be referred...

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Product Manual - Postpartum Hemorrhage Trainer - PPH Trainer P97 - P97 [1021568] - 11

PPH TRAINER P97 / PPH TRAINER P97-MODULE PPH SCENARIOS ! Tip: For simulating the various PPH scenarios, it is always recommended to work in pairs. The assistant controls and monitors the volume and speed of blood loss outside of the birthing simulator, and also holds the simulator still if necessary. A second person observes and assesses the performance of the trainee. Note: With the basic version of the PPH Trainer-Module or the PPH Trainer, only one of the three different bleeding points can be controlled at any given time. To change the bleeding points, please proceed according to the...

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Product Manual - Postpartum Hemorrhage Trainer - PPH Trainer P97 - P97 [1021568] - 12

Bleeding Due to a Vaginal Rupture A vaginal rupture is a childbirth injury that can lead to increased blood loss. This must be recognized and, in real-life cases, treated with the appropriate wound care. In the case of the training scenario, the blood flow can be stopped by the assistant once the trainee has theoretically described the appropriate intervention measures. 1. Remove the abdominal wall by unfastening the phantom connectors (the phantom connectors under the vaginal opening can remain fastened; see Fig. 25). 2. Feed the open end of the blood reservoir tube into the upper right...

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Product Manual - Postpartum Hemorrhage Trainer - PPH Trainer P97 - P97 [1021568] - 13

PPH TRAINER P97 / PPH TRAINER P97-MODULE SETTING THE VOLUME AND SPEED OF BLOOD LOSS Note: The volume and speed of blood loss are controlled centrally regardless of the choice of bleeding point. There is usually some postpartum bleeding after the birth. It is primarily the blood volume that determines whether it is considered as a normal case or a complication. Correct estimation of the blood volume by the trainee is a crucial skill that must be learned and practiced. The PPH Trainer-Module provides the possibility to control the blood volume using the volume scale on the blood reservoir...

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