CAE iStan (iStan)

The iStan is untethered, wireless and battery operated and can be controlled by a laptop approximately 40 yards away. It can therefore be wheeled from the ambulance to the Emergency Medicine department for assessment.

Its physiological parameter values (heart rate, blood pressure, respiratory rate etc.) can then be transferred to the high fidelity Human Patient Simulator in the operating theatre and then transferred back to the iStan for post-operative care.

The iStan has life-like skin, reactive pupils and bilateral carotid, brachial, radial, femoral, popliteal, anterior tibialis and dorsalis pedis pulses.

The chest and rib cage moves up and down and can simulate bronchial resistance, flail chest, laryngospasm, tongue and posterior pharyngeal swelling, trismus, cricothyroidotomy and jugular vein distension.

The manikin can be defibrillated, needle decompressed and chest tube managed both left and right side with end tidal carbon dioxide and oxygen saturation monitoring available. It also has heart, bowel and breath sounds and can simulate fitting, ‘bluing’ of the fingernail and toenail beds and capillary refill.

It also has haemorrhage and secretion systems which simulate sweating, crying, mouth, ear and nose secretions and bleeding which can be enhanced further with moulage kit wounds and a Trauma Disaster Casualty Kit which supplies arterial blood, mucus and clear secretions.

The phonation module offers computer generated vocal sounds such as stridor, coughing, moaning, crying, mumbling and gasping which supplements the operator’s verbal responses via a microphone. Five or three lead ECG and non-invasive blood pressure monitoring is also available. The realistic airway will take laryngeal mask airways, laryngeal tubes and endobronchial tubes.