Skip to main content
Explore URMC




Normal & Difficult Airway

  • Airway opening acquired by head tilt, chin lift and jaw trust
  • Oropharyngeal and nasopharyngeal airways
  • Bag-Valve-Mask ventilation
  • Orotracheal and nasotracheal intubation
  • Sellick Maneuver
  • LMA insertion
  • Endotracheal tube insertion
  • Fiberoptic intubation
  • Gastric tube insertion
  • Variable lung compliance
  • Variable airway resistance
  • Tongue edema
  • Laryngospasm
  • Pharyngeal swelling
  • Decreased lung compliance
  • Right mainstem intubation
  • Gastric distention

Vascular Access

  • Venous access antecubital fossae, dorsum of the hand and long saphenous vein
  • Intraosseous (IO) insertion – bilateral
  • IV bolus and infusion
  • Simulated blood flashback upon venous cannulation

Other Features

  • Interchangeable eyes with normal, constricted and blown (dilated) pupils
  • Fontanel can present as normal, sunken, or bulging
  • Torso motion
  • Vocal Sounds: Crying, content, coughing, and hiccup

Pulmonary System

  • Spontaneous breathing with variable rate, depth and regularity
  • Bilateral and unilateral chest rise and fall
  • CO2 exhalation
  • Normal and abnormal breath sounds – bilateral
  • Lung Sounds: Normal, course crackles, fine crackles, stridor, wheezes and rhonchi
  • Oxygen saturation
  • See-saw respiration
  • Retractions
  • Pneumothorax
  • Unilateral chest movement
  • Unilateral breath sounds
  • Unilateral needle thoracentesis mid-clavicular
  • Unilateral chest tube insertion

Cardiovascular System

  • Extensive ECG library with rate from 20-360
  • CPR compressions generate palpable pulses, blood pressure waveform, and generate artifacts on ECG
  • Heart Sounds:Normal, systolic murmur, holosystolic murmur, diastolic murmur, continuous murmur and gallop
  • Blood pressure (BP) measured manually by auscultation of Korotkoff sounds
  • Pulses: Unilateral radial and brachial pulse and bilateral femoral pulses synchronized with ECG
  • Pulse strength variable with BP
  • Display of cardiac rhythms via 3-lead ECG monitoring
  • 12-lead dynamic ECG display
  • Live defibrillation, pacing, and cardioversion