A face shield should always be used and the nose can be cleaned with 70% ethyl alcohol or a water/bleach solution between students. It is highly recommended that each student use their own disposable face shield when blowing into the snout.
CHEST COMPRESSIONS Place "AA Jerry" on his right side. Take the front left leg in both hands, bend at the elbow and rotate the shoulder back to the chest; the compression site is where the elbow comes in contact with the body. Place the heel of your hand there and begin compressions (consult a Pet First Aid book for proper CPR techniques). The simulated rib cage should help you find your compression site as well.
PULSE Simply connect the pulse tube to the connector that sticks out of the lower back. Start pumping to feel the realistic pulse on the left hind limb. The tubing was purposely made long to allow the instructor the opportunity to test students.
INTUBATION Insert the endotracheal tube into the airway using Veterinary approved methods. Please note the presence of the "Epiglottis". The airway is designed to receive a 6.0 mil. to 9.0 mil. endotracheal tube. If the intubation feature is only used (no mouth-to-snout) the disposable lung will not need to be changed. Make sure the disposable lung is connected to the intubation tube. To do this, lay "AA Jerry" on his right side and open the fur flap to expose the lung. The disposable lung should be connected to the tube without the adapter. Your Advanced Airway Jerry is shipped ready to use with the intubation feature connected.
Brush the fur gently before each use to avoid matting. Be aware that a certain amount of "shedding" will occur. This is normal. Brush just enough to work out any matted areas on the fur. Also, brush away any fur that is caught in the Velcro. Fur in the Velcro will prevent it from securing properly. When closing Velcro, join all ends together until no Velcro is showing. Firmly press on the seam to secure closure.
Since many hands will be handling "Jerry" on a regular basis it is recommended that you periodically check for stains. For spot cleaning stains on the fur, simply lather the stained area with a small amount of soft soap or detergent and water. Using a sponge or cloth gently rub out the stain and rinse with cold water (be sure to completely rinse out soap). Brush gently while the fur is still wet and allow to air dry completely.
To change the lungs and clean the airway:
1) Lift open the flap of fur on the left side of the chest.
2) Disconnect the airway by removing the one-way valve from the adapter connection. Dispose of the lung, but do not throw away the adapter.
3) Hold the tubing just above the adapter and with your other hand remove the adapter.
4) Holding the tubing in one hand, push the tubing until the nose comes free and begins to move forward. The nose (snout) is connected to this tubing. Do not pull on the nose. Push the tubing up only until some of the tubing can be seen from the nose side. Then grab the tubing and pull it all the way through until the entire nose/tubing comes out.
5) Soak the snout/tubing in a solution of cup bleach to 1 gallon water for a minimum of 10 minutes after each class. We recommend soaking overnight for best results.
6) Replace the unit through the hole in the snout, connect the adapter and connect a new lung to the other side of the adapter.
7) Slide the lung into the pocket.
The following are some points to keep in mind:
1) Advanced Airway "Jerry" is a CPR training device and should never be used as a toy or by children for the purposes of play.
2) When carrying "Jerry" use the carrying case provided. "Jerry"should be inserted in the carrying case on his side with the paws facing the handles. If not using the proper case, cradle "Jerry" in your arms as you would a real dog.
3) Never handle the unit by the mouth, head, tail or limbs. This will result in damage to the unit.
4) When performing rescue breathing, the student should never lift "Jerry"'s head up to meet their mouth. The student should lower his head to the level of "Jerry"'s snout. Excessive bending of "Jerry"'s head will not only cause unnecessary deterioration of the unit, but will create a kink in the "elbow" of the lung, making it impossible for air to inflate the lung.
If you are having trouble with your Advanced Airway "Jerry" mannikin here are some areas to double check:
1) If the chest does not inflate, check the airway to make sure the one-way filter is properly seated on the airway tube. Make sure it has not ruptured and that it is properly connected. If air still does not go in, check the "elbow" in the lung to make sure it has not kinked.
2) Through repeated use, the nose will slightly come away from the snout. Simply pushing it back in does not always work. If this occurs, first brush any fur out that might have gotten trapped in the nose Velcro. Then, open the fur flap at the lung and gently pull the tubing that is attached to the nose. This should secure the nose in place.
3) We have tried to make the simulated pulse on the "Jerry" mannikins as realistic as possible. Keep in mind that, as with a real dog, it may be difficult to locate the pulse point on the inside of the left hind leg. The student must search for the pulse as part of the training.