SimDesigner Help Page 1 2020, Rev.T _____________________________________________________________________________________________________ Welcome to SimDesigner SimDesigner is a powerful graphical editing tool that allows you to create, edit, and save patient scenarios to be run on Laerdal patient simulators. ☞ Contents SimDesigner Help Page 2 2020, Rev.T _____________________________________________________________________________________________________ Legal Notice Resusci Anne Simulator, Resusci Anne Advanced SkillTrainer, SimJunior, SimMan, SimMan Essential, SimMan ALS, SimNewB, Nursing Anne Simulator and SimStore are trademarks of Laerdal Medical AS or its affiliates. Ownership and all rights reserved. ☞ Contents SimDesigner Help Page 3 2020, Rev.T _____________________________________________________________________________________________________ Contents Welcome to SimDesigner ........................................................................................................... 1 Legal Notice ............................................................................................................... 2 Contents ...................................................................................................................................... 3 Introduction ................................................................................................................................ 7 Compatibility ...................................................................................................................... 7 For whom is SimDesigner Intended? ................................................................................. 8 Glossary ...................................................................................................................................... 9 General Terms .................................................................................................................... 9 Author......................................................................................................................... 9 Instructor .................................................................................................................... 9 Learner........................................................................................................................ 9 Patient ......................................................................................................................... 9 SimDesigner Concepts ....................................................................................................... 9 Patient Response......................................................................................................... 9 Automatic Response ................................................................................................... 9 Non-Medical Response .............................................................................................. 9 State .......................................................................................................................... 10 Link .......................................................................................................................... 10 Trigger ...................................................................................................................... 10 Event......................................................................................................................... 10 Scenario .................................................................................................................... 10 Theme ....................................................................................................................... 10 Phase......................................................................................................................... 10 Trend ........................................................................................................................ 11 Handler ..................................................................................................................... 11 Resource ................................................................................................................... 11 Graphical User Interface .......................................................................................................... 12 GUI Overview .................................................................................................................. 13 Command Toolbar.................................................................................................... 15 Scenario or Theme Information ............................................................................... 15 Phases ....................................................................................................................... 15 Resources.................................................................................................................. 16 Flow Chart Canvas ................................................................................................... 17 Basic GUI Handling ......................................................................................................... 18 Adding Items ............................................................................................................ 18 Moving Items ........................................................................................................... 22 Deleting Items .......................................................................................................... 22 Using the Flow Chart Canvas................................................................................... 23 Moving Links ........................................................................................................... 30 Deleting Links .......................................................................................................... 33 Deleting States.......................................................................................................... 33 A Ten-Stage Work Process – An Overview ..................................................................... 37 Creating Scenarios or Themes Using the Ten-Stage Work Process ................................ 41 Stage 1 – Creating a New Scenario or Theme File .................................................. 41 Stage 2 – Filling in Scenario or Theme Information ................................................ 44 Stage 3 – Adding Events to a Phase ......................................................................... 46 Stage 4 – Editing the Phase ...................................................................................... 53 ☞ Contents SimDesigner Help Page 4 2020, Rev.T _____________________________________________________________________________________________________ Stage 5 – Defining the Initial State .......................................................................... 64 Stage 6 – Adding States............................................................................................ 74 Stage 7 – Linking States with Triggers .................................................................... 76 Stage 8 – Adding Automatic Responses to Events .................................................. 82 Stage 9 – Adding Resources to the Scenario/Theme ............................................... 84 Stage 10 – Adding Phases ........................................................................................ 87 Using Special Functions ........................................................................................................... 89 Copy and Paste of States and Triggers ............................................................................. 89 Copy Events to other Phases ............................................................................................ 91 Adding Timers.................................................................................................................. 92 Using Timers in Triggers between States................................................................. 93 Using Timers in States and in Automatic Responses ............................................... 95 Adding User Defined Variables ....................................................................................... 97 Adding Input Dialogs (new in version 6.3) .................................................................... 104 Printing Variables as Log Comments ............................................................................. 109 Using Expressions in comments, instructor messages and input dialogs............... 110 Defining Triggers ........................................................................................................... 111 Using Triggers Between States .............................................................................. 111 Using Triggers in Automatic Responses ................................................................ 111 Using AND and OR in Automatic Responses................................................................ 114 Using Evaluate later for value events ............................................................................. 116 Renaming events ............................................................................................................ 118 Using Event Counters..................................................................................................... 121 Using Sub-Events ........................................................................................................... 122 Editing Auscultation Sound Presets ............................................................................... 126 Editing Sound Presets............................................................................................. 126 Adding Sound Presets ............................................................................................ 127 Activating Sound Preset in a Scenario ................................................................... 128 Exporting and Importing Set of Sound Presets ...................................................... 128 SimNewB Specific Responses ....................................................................................... 129 Lung Recruitment ................................................................................................... 129 SimMom Specific Responses ......................................................................................... 130 Setting Delivery Module ........................................................................................ 130 Manual Delivery ..................................................................................................... 131 Obstetrics ................................................................................................................ 131 Bleeding: ................................................................................................................ 132 Secretions: .............................................................................................................. 133 Convulsions ............................................................................................................ 134 Automatic Delivery (ADM) ................................................................................... 135 Selecting Delivery Positions .................................................................................. 135 Responses ............................................................................................................... 136 Shoulder Dystocia .................................................................................................. 137 Selecting Shoulder Dystocia .................................................................................. 137 The Shoulder Dystocia Response ........................................................................... 138 Fetal sound on SimMom Bowel ............................................................................. 139 Editing EFM Presets and Patterns .................................................................................. 141 Browse .................................................................................................................... 141 Manage ................................................................................................................... 142 Activating an EFM Preset in a Scenario ........................................................................ 143 Adding Patterns ...................................................................................................... 143 Activating Presets ................................................................................................... 145 ☞ Contents SimDesigner Help Page 5 2020, Rev.T _____________________________________________________________________________________________________ Adding Settings from EFM Preset Library Dialog ................................................ 147 Converting Files ............................................................................................................. 149 Scenario File Formats............................................................................................. 149 How to convert a file, see section Converting Scenario and Theme Files in SimDesigner or Converting Scenario Files with ScenarioEditor.exe. ................... 149 Theme File Formats................................................................................................ 150 Handler File Formats .............................................................................................. 150 Converting Scenario and Theme Files in SimDesigner ......................................... 151 Converting Scenario Files with ScenarioEditor.exe............................................... 154 Converting Handler Files in SimDesigner ............................................................. 155 Reference ................................................................................................................................ 156 About this Section .......................................................................................................... 156 The Graphical User Interface – Overview ..................................................................... 157 Command Toolbar.......................................................................................................... 158 Scenario .................................................................................................................. 159 New ........................................................................................................................ 159 Reporter roles ......................................................................................................... 165 Kind of Scenario..................................................................................................... 165 Save/Save as ........................................................................................................... 165 Control .................................................................................................................... 166 Events ..................................................................................................................... 167 Handlers.................................................................................................................. 167 New ........................................................................................................................ 168 Edit ......................................................................................................................... 169 Trends ..................................................................................................................... 169 Flow Chart View .................................................................................................... 170 Auto Arrange .......................................................................................................... 170 Settings ................................................................................................................... 170 Scenario Settings .................................................................................................... 171 System Settings ...................................................................................................... 173 Tools ....................................................................................................................... 174 Check compatibility ............................................................................................... 175 Sound presets.......................................................................................................... 176 Monitor layout ........................................................................................................ 176 Edit ......................................................................................................................... 177 Help ........................................................................................................................ 179 Scenario or Theme Information ..................................................................................... 180 Patient Data ............................................................................................................ 181 Scenario Outline ..................................................................................................... 182 Learner Brief .......................................................................................................... 184 Learning Objectives ............................................................................................... 185 Equipment Checklist .............................................................................................. 186 Phases Panes ................................................................................................................... 187 Click to Add Phase ................................................................................................. 188 Phase Dialog ........................................................................................................... 189 Edit Event Appearance ........................................................................................... 190 Basic Event Appearance ......................................................................................... 190 Advanced Event Appearance ................................................................................. 191 Editing Custom Events ........................................................................................... 194 Resources Pane ............................................................................................................... 196 Add Timer .............................................................................................................. 197 ☞ Contents SimDesigner Help Page 6 2020, Rev.T _____________________________________________________________________________________________________ Add User Defined variable ..................................................................................... 199 Add Input dialog..................................................................................................... 200 Handlers.................................................................................................................. 204 States .............................................................................................................................. 205 Define Patient State Dialog .................................................................................... 206 Additional Symptoms............................................................................................. 208 Trends and Handlers............................................................................................... 209 Basic Vital Sign ...................................................................................................... 212 Advanced Vital Sign .............................................................................................. 212 Non-Medical Responses ......................................................................................... 213 Media files – advanced options .............................................................................. 217 Expressions and variable substitution ............................................................................ 218 Expressions............................................................................................................. 218 Variable substitution............................................................................................... 218 Functions ................................................................................................................ 218 Parameter listing ..................................................................................................... 218 Contacting Laerdal ................................................................................................................. 225 ☞ Contents SimDesigner Help Page 7 2020, Rev.T _____________________________________________________________________________________________________ Introduction SimDesigner is software for designing patient scenarios and themes for use on Laerdal patient simulators. Compatibility SimDesigner runs on PCs with Windows 7, Windows 8 or Windows 10. The created scenario files can run on SimPad. Note: Some functions and features are not available for SimPad. See Reference section for more information. SimDesigner is compatible with the following simulators: • • • • • • • • • • • • • • • • • • • • • • • • • • SimMan 3G SimMan 3G Mystic SimMan 3G Trauma SimMan Essential SimMan Essential Bleeding SimMan SimMan ALS ALS Simulator SimMom Manual Delivery SimMom Automatic Delivery MegaCode Kelly Advanced MegaCode Kelly Basic Nursing Kelly Nursing Anne Nursing Anne Simulator Resusci Anne Simulator Resusci Anne Advanced SkillTrainer SimJunior MegaCode Kid Nursing Kid SimBaby Classic SimBaby Nursing Baby SimNewB Classic SimNewB Premature Anne ☞ Contents SimDesigner Help Page 8 2020, Rev.T _____________________________________________________________________________________________________ For whom is SimDesigner Intended? SimDesigner is intended for anyone that wants to author their own automatic mode scenario or manual mode theme. The resulting scenario/theme can be used with your Laerdal patient simulator directly or be prepared for sale and distribution through SimStore. ☞ Contents SimDesigner Help Page 9 2020, Rev.T _____________________________________________________________________________________________________ Glossary General Terms Author The author is the designer of scenarios, using SimDesigner to create scenario files. Instructor The instructor is the user of a scenario using a patient simulator. The instructor supervises the learners. Learner The learner is the person receiving training through the patient simulation. Patient Typically refers to the patient simulated in a scenario. It can also be a real patient or an actor when programming standardized patient scenarios. SimDesigner Concepts This section explains concepts and terms used in SimDesigner. Patient Response A patient response is any change in the patient’s physiological state. Responses can be preprogrammed (automatic) or manually applied by the instructor during simulation. An automatic response can be added to each event in the scenario. For example a log comment can be generated if the learner does not act in time. Non-medical responses can be added to a patient state and typically sets responses not related to the patients physical state, but are mostly used to control the scenario flow and add fidelity to the simulation. Automatic Response See Patient Response above. Non-Medical Response See Patient Response above. ☞ Contents SimDesigner Help Page 10 2020, Rev.T _____________________________________________________________________________________________________ State A state specifies the condition of the patient at a certain time or time period. In a state the author can set patient responses reflecting the clinical status of the patient. Link Links are used to connect states and are traversed according to conditional rules, so called triggers, specified by the scenario author. Trigger A trigger consists of one or several events that fulfills certain conditions that trigger the scenario to a new state. An event can be triggered on for example occurrence (that is as soon it is registered), on count (that is how many times it occurs related to a number), or on a specific value the event reach after a certain time. A time limit can also be set, which means that the scenario is triggered to a new state after that time even if the conditions that have been set are not fulfilled. If several events are used, these are connected through the logical operators AND and OR. Two events connected through AND means that both the events’ conditions must be fulfilled before the scenario can be triggered to a new state. Two events connected through OR means that it is sufficient if one of the events’ condition is fulfilled before the scenario can be triggered to a new state. Event An event is something that occurs during the scenario, most commonly an intervention made by the participants. An event is real-time input to the scenario, and can result in preprogrammed responses from the simulator system. Scenario A scenario is defined as a preprogrammed sequential patient state evolution with any number of predefined outcomes. A scenario consists of an initial patient state with an initial set of clinical values. From this initial state, events can be configured to trigger the scenario to continue to other states that can contain any number of predefined patient responses. Theme A theme is defined as a set of preprogrammed patient states. A theme consists of an initial patient state with an initial set of clinical values, and any number of alternative patient states. Switching to another state can only be done manually by the instructor. However, a certain degree of automation can be achieved by setting a particular state to be automatically activated by a successful defibrillation event. Phase The scenario can be divided into different phases. By default the scenario contains only one phase; the main phase Phase 1, and all states belong to this ☞ Contents SimDesigner Help Page 11 2020, Rev.T _____________________________________________________________________________________________________ phase. More phases can be created and the states distributed among these, but one state can only belong to one phase. Which events that are visible to the instructor can be controlled as the scenario evolves, and also which automatic responses that are currently active. In essence a phase controls the availability, behavior and organization of events during simulation. Most importantly, phases allow the author to reduce the amount of information an instructor must relate to at any time during a simulation. Themes can only have one phase. Trend A trend is a preprogrammed set of clinical parameter changes. Trends cannot specify conditional changes. They only depend on time. Handler A handler defines a set of rules between events and (automatic) responses. Handlers can be started and stopped within the lifetime of a scenario and thus exist in controlled distinct periods in time. Resource Resources are media files, trends, handlers and other features used to add fidelity to the scenario. ☞ Contents SimDesigner Help Page 12 2020, Rev.T _____________________________________________________________________________________________________ Graphical User Interface This section gives an overview of the different elements of the SimDesigner graphical user interface (GUI). It also explains how to use some basic features in the GUI. ☞ For more details about the GUI, see also Reference section. ☞ For instructions of how to create a scenario, see section Creating Scenarios. ☞ Contents SimDesigner Help Page 13 2020, Rev.T _____________________________________________________________________________________________________ GUI Overview A B C E D No. Description See section A Command Toolbar Command Toolbar B Scenario Information Scenario Information C Phases Phases D Resources Resources E Flow Chart Canvas Flow Chart Canvas ☞ Contents SimDesigner Help Page 14 2020, Rev.T _____________________________________________________________________________________________________ Note: The Phases and Resources panes can be extended to the right by dragging the moveable splitter cursor, which becomes visible when hovering the mouse over the line between the panes area and the flow chart canvas. Note: The canvas can be zoomed in and out with the zoom slider at the lower right of the canvas. The canvas can also be zoomed by using the keyboard shortcut CTRL + mouse scroll wheel. The zoom level can be reset to 100%, by clicking Reset Zoom in the Command Toolbar. ☞ Contents SimDesigner Help Page 15 2020, Rev.T _____________________________________________________________________________________________________ Command Toolbar The command toolbar consists of commands categorized in different groups. The command toolbar makes basic- and SimDesigner-specific commands available at any time while creating a scenario or theme. ☞ For detailed information about the commands, see Command Toolbar in the Reference section. ☞GUI Overview Scenario or Theme Information The Scenario Information pane consists of five input boxes used for basic information about the patient and the scenario. The scenario information is meant for the instructor and partly for the learners. ☞ For more information about Scenario Information pane, see Scenario or Theme Information in the Reference section. ☞ For more information about how to use Scenario Information pane, see Stage 2 – Filling in Scenario or Theme Information in section Creating Scenarios or Themes. ☞GUI Overview Phases ☞ Contents SimDesigner Help Page 16 2020, Rev.T _____________________________________________________________________________________________________ The Phases pane consists of one or more phases. By default one phase is available, which is often enough for most scenarios, but more can be added. In the phases all events relevant to the scenario are sorted into lists. A phase can be further edited by organizing and adding more features to the events. Themes can only have one phase and its called Events. For more information about phases, see Phases Panes in the Reference section. ☞ How to add events and edit a scenario, see Stage 3 – Adding Events to a Phase in section Creating Scenarios or Themes. ☞GUI Overview Resources The Resources pane consists of so called resources, which are additional scenario features, such as media files, trends, handlers, timers, and user defined variables that can be added to the scenario. ☞ For more information about resources, see section Resources Pane in the Reference section. ☞ For more information about how to use resources, see section Stage 9 – Adding Resources to the Phase in section Creating Scenarios or Themes. ☞GUI Overview ☞ Contents SimDesigner Help Page 17 2020, Rev.T _____________________________________________________________________________________________________ Flow Chart Canvas The flow chart canvas is the area where the scenarios are graphically designed. The different graphical elements can be moved around on the canvas and placed wherever the author finds suitable. For themes this canvas is just one column of states where the order can be changed. Note: The canvas can be zoomed in and out with the zoom slider at the lower right of the canvas, see figure above. The canvas can also be zoomed by using the keyboard shortcut CTRL + mouse scroll wheel. The zoom level can be reset to 100%, by clicking Reset Zoom in the Command Toolbar. ☞ For more information about how to use the flow chart canvas, see Basic GUI Features Handling and also Stage 6 – Adding States and Stage 7 – Linking States with Triggers in Creating Scenarios or Themes. ☞ Contents SimDesigner Help Page 18 2020, Rev.T _____________________________________________________________________________________________________ ☞GUI Overview Basic GUI Handling This section describes some basic handling of items, such as states and events, in the SimDesigner GUI. The following subsections are available: ☞ Adding Items ☞ Moving Items ☞ Deleting Items ☞ Using the Flow Chart Canvas Adding Items SimDesigner uses mouse pointer sensitive Click-to-add buttons for adding items. The following examples show how this feature works. • Click the Click to add button. • One of the following appears: a) A search box and a Browse button. If the search box is used, type text. Suggestions appear as you type. ☞ Contents SimDesigner Help Page 19 2020, Rev.T _____________________________________________________________________________________________________ If the Browse button is used, a dialog appears. Select items from the dialog. b) A dialog. An example is shown below. Select items or make settings. ☞ Contents SimDesigner Help Page 20 2020, Rev.T _____________________________________________________________________________________________________ c) A spin box. An example is shown below. Type or use the up and down arrows to set a value. ☞ Contents SimDesigner Help Page 21 2020, Rev.T _____________________________________________________________________________________________________ Note: In some cases it is necessary to hover the mouse over an area to go further. A blue Click to add box appears as shown in the figure below. Click inside the Click to add area. For example a spin box or dialog (see the previous page) appears: ☞ Contents SimDesigner Help Page 22 2020, Rev.T _____________________________________________________________________________________________________ Moving Items The order of the items can be changed as shown by one of or a combination of the following methods: • In the item list (for example a list of events), drag the item you want to move and drop it right on another item. The dropped item appears above the item it was dropped on. Note: If a dialog has more than one list, items can be dragged from one list and dropped onto another list. • Mark an event and move it up or down in the list by using the keyboard shortcuts Ctrl+arrow up or down. • Mark an event and press Ctrl+C to copy it or Ctrl+X to cut it from the list, and press Ctrl+V to paste it to another place in the list or to another list. Deleting Items Items can be deleted in the following way: • Point to the item you want to delete. A red Delete icon appears to the right. • Click the Delete icon. The item is deleted. ☞ Contents SimDesigner Help Page 23 2020, Rev.T _____________________________________________________________________________________________________ Using the Flow Chart Canvas The Flow Chart Canvas is the graphical area used for creating scenarios or themes. States are linked through event triggers (not possible for themes). Themes look a bit simpler and have fewer options. The states for themes are automatically arranged in a column and moving the states around will only change the order in the column (or move the whole column). ☞ Contents SimDesigner Help Page 24 2020, Rev.T _____________________________________________________________________________________________________ ☞ Contents SimDesigner Help Page 25 2020, Rev.T _____________________________________________________________________________________________________ Adding and Linking States New states can always be added to the scenario or theme. This simple example shows how a new state is being created and how an already existing state is linked to this new state: • Click the Click to add new state box. A new state box appears. • Move the new state by dragging it to a suitable position. Note that if you hold the Ctrl key at the same time, then you can move all states in the ☞ Contents SimDesigner Help Page 26 2020, Rev.T _____________________________________________________________________________________________________ same phase at the same time (new in release 6.3). ☞ Contents SimDesigner Help Page 27 2020, Rev.T _____________________________________________________________________________________________________ • Click the link symbol in the original state. • Drag the arrow to the new state. Release the mouse button. ☞ Contents SimDesigner Help Page 28 2020, Rev.T _____________________________________________________________________________________________________ The states are linked and a Drop event here box appears on the link arrow. ☞ Contents SimDesigner Help Page 29 2020, Rev.T _____________________________________________________________________________________________________ • • Drag an event from the phase pane (Phase 1 in this example) as shown in the figure below. Drop the event on the Drop event here box. Note: States and events can be dragged around in scenarios, for the desired graphical representation on the canvas. ☞ Contents SimDesigner Help Page 30 2020, Rev.T _____________________________________________________________________________________________________ Moving Links Links can be moved as described in this example: We want to move the link from STATE A1 to STATE A2: • Click and hold the arrowhead (in STATE A1) of the link you want to move ☞ Contents SimDesigner Help Page 31 2020, Rev.T _____________________________________________________________________________________________________ • Drag the arrow towards the state to where you want the link to point (STATE A2). • Release the mouse button when the Release to link states area (for STATE A2) appears. ☞ Contents SimDesigner Help Page 32 2020, Rev.T _____________________________________________________________________________________________________ The link is now connected to the other state (STATE A2) in this example. Note that the upper section of the link in this example can be dragged to the right, by dragging the trigger event (‘Obtain respiratory rate’) to the right. This results in a somewhat better graphical “look” as shown in the figure below: ☞ Contents SimDesigner Help Page 33 2020, Rev.T _____________________________________________________________________________________________________ Deleting Links Links can be deleted as follows: • Click and hold the arrowhead of the link you want to delete. • Drag the link and release it in an empty area. The link is then deleted. • An alternative way to delete a link is to click the red cross in the upper right corner of the event. This is shown when you hover with the mouse over the event. Deleting States States can be deleted as follows: • Click the Remove frame icon in the upper right corner of the state to delete it. ☞ Contents SimDesigner Help Page 34 2020, Rev.T _____________________________________________________________________________________________________ Note: When a state is deleted, any links pointed to that state are deleted as well. Note: Use the Undo feature in the command toolbar if an item has been inadvertently deleted. Note: Hold down the control key to move all states and links related to the same phase at the same time. _______________________________________________________________ Explanations More than one link can be created to or from each state. This figure shows an example: ☞ Contents SimDesigner Help Page 35 2020, Rev.T _____________________________________________________________________________________________________ _____________________________________________________________________ ☞ Contents SimDesigner Help Page 36 2020, Rev.T _____________________________________________________________________________________________________ Creating Scenarios or Themes This section describes a typical work process for creating and designing scenarios or themes in SimDesigner. ☞ For an overview of the work process, see section A Ten-Stage Work Process – An overview. ☞ For detailed instructions, see section Creating Scenarios or Themes Using the Ten-Stage Work Process. ☞ Contents SimDesigner Help Page 37 2020, Rev.T _____________________________________________________________________________________________________ A Ten-Stage Work Process – An Overview ☞ Contents SimDesigner Help Page 38 2020, Rev.T _____________________________________________________________________________________________________ 1 – Creating a New Scenario or Theme File 2 – Filling in Scenario or Theme Information 3 – Adding Events to a Phase 4 – Editing the Phase 5 – Defining the Initial State 6 – Adding States 7 – Linking States with Triggers 8 – Adding Automatic Responses 9 – Adding Resources 10 – Adding Phases ☞ Contents SimDesigner Help Page 39 2020, Rev.T _____________________________________________________________________________________________________ The stages in the work flow shown in the figure above are described as follows. In the following sections detailed instructions are given for each stage. 1. Create a new scenario file. Give the scenario a file name and decide patient type, targeted simulators and other general settings. o For more information, see section Stage 1 – Creating a New Scenario or Theme File. 2. Fill in scenario or theme information. Enter patient data, an outline, learner brief, and other background data to that will be used by the instructor and partly by the learners during a patient simulation. o For more information, see section Stage 2 – Filling in Scenario or Theme Information. 3. Add events to a phase. Make a list of correct treatment and related events. o For more information, see section Stage 3 – Adding Events to a Phase. 4. Edit the phase. Organize the events in the phase, to make the instructor interface of SimPad user-friendly and organized. o For more information, see section Stage 4 – Editing the Phase. 5. Define the initial state. Give the state a name, and define the initial clinical status of the patient. o For more information, see section Stage 5 – Defining the Initial State. 6. Add states. Add states to the scenario. Match the intended progression of the scenario, or add possible states for themes.. o For more information, see section Stage 6 – Adding States. 7. Link states. Make the scenario progress from state to state with event-based triggers. o For more information, see section Stage 7 – Linking States with Triggers. 8. Add automatic responses. Make things happen independent of the overall scenario flow. o For more information, see section Stage 8 – Adding Automatic Responses. 9. Add resources. Add more fidelity to the scenario, with radiology and other media files, trends, handlers, and other advanced features. ☞ Contents SimDesigner Help Page 40 2020, Rev.T _____________________________________________________________________________________________________ o For more information, see section Stage 9 – Adding Resources. 10. Add phases. Divide complex and long scenarios into natural phases. Repeat step 3–8 for each new phase. o For more information, see section Stage 10 – Adding Phases. ☞ Contents SimDesigner Help Page 41 2020, Rev.T _____________________________________________________________________________________________________ Creating Scenarios or Themes Using the Ten-Stage Work Process In this section we look deeper into the ten-stage work process of creating a scenario or theme. Each section represents one stage in the work process introduced in the previous section. Note: Before reading this section, it is recommended to study section Basic GUI Features Handling. Stage 1 – Creating a New Scenario or Theme File When starting SimDesigner without specifying a file to edit, then you get a dialog asking you to decide if you want to create a scenario or a theme (or opening an existing file). Your choice here, or the type of file SimDesigner was started with to edit, will decide in which editing mode SimDesigner will be for the rest of the execution. There are some minor differences between these two modes where basically the theme mode is a bit more restricted with fewer options. Some of the following descriptions will show screenshots of scenario mode only, but the explanatory texts will describe any important differences. Many times it’s just a matter of exchanging the text “scenario” with “theme”. It’s possible to change editing mode during execution by opening a file of the other type, but normally one should restart SimDesigner if wanting to work on the other file type. When creating a new scenario file, the Create New Scenario dialog appears. This happens when selecting Create Scenario in start dialog or when clicking New in the Command toolbar. The variant of this dialog for themes is almost identical. ☞ Contents SimDesigner Help Page 42 2020, Rev.T _____________________________________________________________________________________________________ To create a new scenario file, do the following: • Enter a name in the Scenario name text box. • Select all necessary options for the scenario and click OK. Note: The scenario settings can later be edited from the command toolbar by choosing Settings > Scenario Settings. ☞ For more information about the Create New Scenario dialog, see section Scenario or Theme Information in the Reference section. The GUI is displayed with one initial state as shown in the figure below. ☞ Contents SimDesigner Help Page 43 2020, Rev.T _____________________________________________________________________________________________________ For themes it look slightly different with Theme info collapsed and no phase info on the states (since only one phase is possible). ☞ Contents SimDesigner Help Page 44 2020, Rev.T _____________________________________________________________________________________________________ Stage 2 – Filling in Scenario or Theme Information Themes have all the same information as scenarios here, only some labels differ. The Scenario Information pane is divided into five input boxes: • • • • • Patient data Scenario outline (or Theme outline) Learner brief Learning objectives Equipment checklist To fill in the boxes in the Scenario Information pane, do the following: • Click the Pencil icon , belonging to the input box you want to edit. A dialog appears. The appearance differs depending on the input box previously chosen, see the examples below: ☞ Contents SimDesigner Help Page 45 2020, Rev.T _____________________________________________________________________________________________________ • Select options or type in text depending on the dialog type. • Click OK. ☞ For detailed information about the Scenario Information pane, see Scenario or Theme Information in the Reference section. _______________________________________________________________ Explanations On the SimPad, scenario information is visible as shown in the figure below. _______________________________________________________________ ☞ Contents SimDesigner Help Page 46 2020, Rev.T _____________________________________________________________________________________________________ Stage 3 – Adding Events to a Phase As a default, Phase 1 is unfolded when the scenario has been created for adding events. For themes this single phase is instead just called Events. The phase is organized in two areas: Correct treatment Which are events required to treat the patient Related events Which are events that cannot be considered as treatment, for example communication skills Both predefined and custom defined events can be added. ☞ Contents SimDesigner Help Page 47 2020, Rev.T _____________________________________________________________________________________________________ Adding Predefined Events To add events, do the following: • Click the Click to add event button under Correct treatment. A text box and a Browse button appears. ☞ Contents SimDesigner Help Page 48 2020, Rev.T _____________________________________________________________________________________________________ • Enter an event name (suggestions appear as you type) or browse for one or more events in the Event Library (as described in section Adding Items) to add events to the Correct treatment list. • Add more events as described in steps 1–2. • Continue with Related events following the same procedure as described for Correct treatment, that is step 1–3 above. Note: Events can be added or deleted whenever you wish during the process of creating a scenario or theme. ☞ Contents SimDesigner Help Page 49 2020, Rev.T _____________________________________________________________________________________________________ Adding and Creating Custom Defined Events To add and create customer defined events, do use one of the following methods: Method 1: • Click the Click to add event button under Correct treatment or Related events. A text box and a Browse button appears: ☞ Contents SimDesigner Help Page 50 2020, Rev.T _____________________________________________________________________________________________________ Type in the text box a new (not already existing) event name and press Enter. The Select Category dialog appears. • Select a category already existing in the current scenario or create a new category for the event. Method 2: • Click the Click to add event box in the Correct treatment or Related events box. ☞ Contents SimDesigner Help Page 51 2020, Rev.T _____________________________________________________________________________________________________ A text box and a Browse button appears • Click Browse. The Event Library dialog appears. • In the Event Library dialog, click New Event. ☞ Contents SimDesigner Help Page 52 2020, Rev.T _____________________________________________________________________________________________________ The Event Editor dialog appears. • In the Event Editor dialog, enter an event name and other data, and make selections as shown in the figure above. Note: Optional keywords can be used for searching purposes in future versions of SimDesigner. Note: New in 6.4. It’s now possible to add media files to events, which will be presented at event registration. This is only available for popup events and in the event appearance view. Not at creation. ☞ Contents SimDesigner Help Page 53 2020, Rev.T _____________________________________________________________________________________________________ Stage 4 – Editing the Phase This section describes how to edit a phase. A simple example with just two events and two categories, is used in this section to illustrate this. Note: The following instructions show all possible editing options. Which steps needed to be done and the exact order depends on complexity of the phase and how the author wants to organize the phase for the best appearance in the instructor application. Follow appropriate steps below needed for editing your phase: • In the Phase pane, click the pencil icon. The Phase dialog appears showing the events previously added from the Phase pane. Initially, the events are grouped in their default categories. ☞ Contents SimDesigner Help Page 54 2020, Rev.T _____________________________________________________________________________________________________ _______________________________________________________________ Explanations of Phase Dialog – 1 No. Description A Categories B Events Each category can hold as many events as wished, but the author must consider the presentation of the scenario/theme in the instructor application: On a SimPad a maximum of five events are visible on the screen without scrolling. Themes don’t have the “Rename phase” and “Copy events to other phases” buttons. _______________________________________________________________ • Rearrange events (B), categories (A), or both, by dragging and dropping as described in Moving Items. ☞ Contents SimDesigner Help Page 55 2020, Rev.T _____________________________________________________________________________________________________ Note: The events can be moved within a category as well as between categories. Sorting of events and categories, affects the way these are presented in the instructor application during simulation. _______________________________________________________________ Explanations of Phase Dialog – 2 No. Description Explanation A Category icon Here, the icons of the categories can be changed. (Many categories of the predefined events have a predefined icon. In the case of user-defined events with user-defined categories, the author can select category icons from a list.) B Category name Here, the name of the categories can be changed. (Each predefined event has a predefined category. In the case of user-defined events, the author selects predefined categories or creates new categories.) C At registration Hide all - all instances with this setting are hidden if event count > 0. Hide this - only this instance is hidden if clicked. Strikethrough - only this instance gets disabled and strikethrough if clicked. Show count: always visible and shows total count for the event. Can be clicked several times. D Disappears after A time limit of how long the event will be visible on the instructor application screen. E Automatic responses Additional features connected to an event. See section Stage 8 – Adding Automatic Responses to Events. F Color The color of the category can be customized. G Event name Here, the name of an event can be changed. H Pencil icon Here, the event appearance can be edited. ☞ Contents SimDesigner Help Page 56 2020, Rev.T _____________________________________________________________________________________________________ Note: The following instruction steps refer to the designations in the figure and the table above. _______________________________________________________________ • Rename a category (B) by clicking the original name and typing in a new name. • Select a category icon (A) by clicking the existing icon or on No Icon if the category icon is missing. The Select Category Icon dialog appears. Select an icon from the dialog. ☞ Contents SimDesigner Help Page 57 2020, Rev.T _____________________________________________________________________________________________________ • Change the category color (F) by selecting a new color in the drop-down. • Rename an event (G) by clicking the original name and typing a new name. For more information about renaming of events, see section Renaming events • Change the appearance of the event, by clicking the pencil icon (H) to the left of the event name. The Event Appearance dialog appears. Here are examples of two different Event Appearance dialogs shown: ☞ Contents SimDesigner Help Page 58 2020, Rev.T _____________________________________________________________________________________________________ For popup events (those with values) is it possible to add a media file to be shown/played when registering the event. This is also true for Input Dialogs. Media files don’t have to be embedded, they can also be referenced externally by use of http/https. But note that some web pages don’t allow linking to their media so test carefully. Supported media types are: *.png;*.jpg;*.jpeg;*.bmp;*.gif;*.txt;*.pdf;*.htm;*.html;*.mpg;*.mpeg;*.mp3;*.mp4;*. wma;*.wmv;*.avi;*.wav;*.264. But note that some video formats can be dependent on having proper codecs installed on the machine the scenario is going to execute on. ☞ Contents SimDesigner Help Page 59 2020, Rev.T _____________________________________________________________________________________________________ Note that each event can be given a customized color here. And from version 6.4 is it also possible to add a media file which will be shown/played at event registration (only available for popup events). ☞ Contents SimDesigner Help Page 60 2020, Rev.T _____________________________________________________________________________________________________ • From the At registration column (C), select an alternative in the dropdown. • From the Disappears after column (D), click the spin boxes to set the time (in minutes and seconds) for the event. • From the Automatic responses column (E), click Click to add response button to add a response for the event. For more information about automatic responses, see section Stage 8 – Adding Automatic Responses to Events. ☞ Contents SimDesigner Help Page 61 2020, Rev.T _____________________________________________________________________________________________________ _______________________________________________________________ Explanations On the instructor application SimPad and LLEAP, the categories and the events, and their order is reflected in the GUI of SimPad and LLEAP respectively as shown in the figure below. ______________________________________________________________________ ☞ Contents SimDesigner Help Page 62 2020, Rev.T _____________________________________________________________________________________________________ Additional Functions in Phase Dialog Functions can be edited, added or deleted anytime. Clicking in the positions indicated in the figure above gives the following results: Pos. Results by Clicking on Pos. A An automatic response is added to the marked event, see Stage 8 – Adding Automatic Responses. Not available in theme mode. B An event within the current category is added. C A related event is added. D A new event (in a new Category box) is added. E A new category (– default or custom –) is added. F The event is deleted. G The editing is canceled and the Phase Editor closes. H The category is deleted. I Save the phase as a file with the extension phx. Called “Save events as phase” in theme mode. ☞ Contents SimDesigner Help Page 63 2020, Rev.T _____________________________________________________________________________________________________ Pos. Results by Clicking on Pos. J Load a phase with the extension phx, the handler file format hnx, the theme file format thx or the scenario file format scx. Called “Load events from phase” in theme mode. K Possibility to rename the current phase. Not available in theme mode. L Possibility to copy events from this phase to other phases. See Copy Events to other Phases Not available in theme mode. M Undoing and redoing changes made in the Phase dialog. ☞ Contents SimDesigner Help Page 64 2020, Rev.T _____________________________________________________________________________________________________ Stage 5 – Defining the Initial State In the initial state (as well as other states created later on, see next section), parameters can be set and changed. Do the following: • Move the mouse pointer over a state and click. The Define Patient State dialog appears: In the Initial state some default Vital signs have been set as shown in the figure, but can easily be changed as explained further on. • Under State name, type an appropriate name. ☞ Contents SimDesigner Help Page 65 2020, Rev.T _____________________________________________________________________________________________________ • Under Short description, enter additional information about the state of the patient. • Under Additional symptoms, define symptoms as described in the following. Note: The content of the additional symptoms dialog is dependent on which simulator has been selected in the scenario settings. a) Click the Click to add button. A text box and a Browse button appears. b) Enter a symptom name (suggestions appear as you type) or browse for symptoms in the Additional Symptoms dialog. ☞ Contents SimDesigner Help Page 66 2020, Rev.T _____________________________________________________________________________________________________ c) Add more symptoms if needed. All symptoms appear under Additional symptoms in Define Patient State dialog as shown in the example below. • Under Trends and handlers, add trends and handlers as described in the following. a) Click the Click to add button. The Trends and Handlers dialog appears. ☞ Contents SimDesigner Help Page 67 2020, Rev.T _____________________________________________________________________________________________________ Note that themes don’t have the handlers part of this dialog. Handlers can’t be added to themes. b) Click the Click to add trend- or the Click to add handler button. Select a trend- or handler-file from the Open dialog. The trend or handler adds to the Trends and Handlers dialog as shown in the example below: For both trends and handlers, a Start button appears, but can be changed to Stop or No change. Also a delay time can be set. For trends an offset time and a time to stop can also be set. _______________________________________________________________ Explanations of Terms Used in the Trends and Handlers Dialog Delay time postpones the response for a given time after the state is activated. Offset time positions the starting point for the trend, effectively jumping into the trend curve. For example, if setting offset time to 0:10 minutes the trend will start from the value corresponding to time = 10 as specified by the trend curve. Duration is the total time for the trend. Duration is set in the program Trend Editor and cannot be changed from SimDesigner. Stop trend after is the time after which the trend stops. Maximum, Minimum are values when set, the trend cannot exceed or fall below. _______________________________________________________________ c) Repeat the procedure in the last step until all the trends and handlers you wish to use are listed in the dialog. An example is shown here: ☞ Contents SimDesigner Help Page 68 2020, Rev.T _____________________________________________________________________________________________________ When trends and handlers have been added, they appear under Trends and handlers in the Define Patient State dialog, if they have been set to Start or Stop. d) Edit a trend or handler by clicking it. A box as shown in the example below appears. By clicking the Select trends button in this example, the Trends and Handlers dialog appears again (see step 5a). By selecting the Delay check box, the Delay spin box appears. Set or change the delay time. • Under Vital signs, add or change a vital sign as described in the following. Here the parameter etCO2 is used as an example. ☞ Contents SimDesigner Help Page 69 2020, Rev.T _____________________________________________________________________________________________________ a) Click the parameter. ☞ Contents SimDesigner Help Page 70 2020, Rev.T _____________________________________________________________________________________________________ A dialog appears. b) In the dialog, make the appropriate settings. c) Click OK. The parameter with a value, other indications, or both appears in the Vital signs box. Note: A vital sign can be deleted from the scenario by clicking Remove in the corresponding dialog. d) Add more vital signs if needed, following the steps a)–c). ☞ Contents SimDesigner Help Page 71 2020, Rev.T _____________________________________________________________________________________________________ • Under Non-medical responses, add responses as described in the following: a) Click the Click to add box. A text box and a Browse button appear. b) To select a response, do one of the following: In the text box, as you type suggestions appear. Select a response from the list: or Click the Browse button and select a response from the Non-Medical Responses Library dialog. ☞ Contents SimDesigner Help Page 72 2020, Rev.T _____________________________________________________________________________________________________ A dialog appears. Here the Media Files dialog is shown as an example: • In the dialog, add appropriate files, comments, messages, and so on (depending on the chosen response). Also make additional selections like in the example below: c) The responses appear under Non-medical responses in Define Patient State dialog as shown in the example below. d) Add more responses if needed. ☞ Contents SimDesigner Help Page 73 2020, Rev.T _____________________________________________________________________________________________________ _______________________________________________________________ Explanations The state name, description, vital signs, and other parameters set in the Define Patient State dialog is visible in the state box on the SimDesigner canvas as shown to the lower left in the figure below. See also States in the Reference section. The parameters can also be found in the SimPad interface as indicated to the lower right in the figure below. _____________________________________________________________________ ☞ Contents SimDesigner Help Page 74 2020, Rev.T _____________________________________________________________________________________________________ Stage 6 – Adding States Patient states are added in the Flow Chart Canvas. New states are added by clicking a Click to add new state box. To add a patient state, do the following: • Click inside the Click to add new state box. ☞ Contents SimDesigner Help Page 75 2020, Rev.T _____________________________________________________________________________________________________ A new state appears. The new state has initially no name and no parameters set. • • Click the state and edit it in the same way as the initial state, described in section Stage 5 – Defining the Initial State. Add more states if needed, repeating the procedure from step 1. ☞ Contents SimDesigner Help Page 76 2020, Rev.T _____________________________________________________________________________________________________ Stage 7 – Linking States with Triggers Between the patient states in a phase, links must be created. Themes don’t support linking between states. To create links, do the following: • • Drag an arrow from one state to another as described in section Using the Flow Chart Canvas. Add an event following one of the two methods described: ☞ Contents SimDesigner Help Page 77 2020, Rev.T _____________________________________________________________________________________________________ Method 1: • • Move the mouse pointer to an event in the phase pane. When the event is highlighted, drag it from the phase pane and drop it on the Drop event here box. (See also section Using the Flow Chart Canvas.) ☞ Contents SimDesigner Help Page 78 2020, Rev.T _____________________________________________________________________________________________________ The event appears in the box. • If more event features need to be added, click the event. The Define Trigger dialog appears. Proceed to step 3. ☞ Contents SimDesigner Help Page 79 2020, Rev.T _____________________________________________________________________________________________________ Method 2: • Click the Drop event here box. The Define Trigger dialog appears. • • Under Default description > Triggering event, enter an event name (suggestions appear as you type) or browse for one or more events in the Event Library. From the Define Trigger dialog, select appropriate settings for the event. ☞ Contents SimDesigner Help Page 80 2020, Rev.T _____________________________________________________________________________________________________ • Add more events if needed. (See note below). Note: In the Define Trigger dialog, the event can be replaced by another event. Conditional relations between events can be created by adding events through the Boolean operators AND and OR. For more information, see Defining Triggers in section Using Special Functions. ☞ Contents SimDesigner Help Page 81 2020, Rev.T _____________________________________________________________________________________________________ _______________________________________________________________ Explanations More than one link can be created to or from each state as shown in the example below: _____________________________________________________________________ ☞ Contents SimDesigner Help Page 82 2020, Rev.T _____________________________________________________________________________________________________ Stage 8 – Adding Automatic Responses to Events To make things happen in the scenario independent of the overall flow of the scenario, automatic responses can be added. • In the Phases pane, click the pencil icon. The Phase dialog appears: ☞ Contents SimDesigner Help Page 83 2020, Rev.T _____________________________________________________________________________________________________ • Click to add an automatic response. The Edit Automatic Response dialog appears. • Under Define Trigger, type suitable information and make selections. See also Using Triggers in Automatic Responses in section Using Special Functions. Press “Edit Advanced Condition” to use advanced features such as AND/OR logic. • Add Additional Symptoms, Trends, Vital signs, and Non-medical responses. These features are also found in the Define Patient State dialog. See also Stage 5 in this section. ☞ Contents SimDesigner Help Page 84 2020, Rev.T _____________________________________________________________________________________________________ Stage 9 – Adding Resources to the Scenario/Theme To add more realism to the scenario or theme, resources can be added from the Resources pane. To add resources, do the following: • In the Resources pane, click the Click to add resources button. The Select Resource Type dialog appears. In theme mode is the Handlers ☞ Contents SimDesigner Help Page 85 2020, Rev.T _____________________________________________________________________________________________________ button missing. • Select one of the resources. Note: The most resources are files of different kind. The next step refers to those. The features Add Timer and User Defined Variable are described separately in sections Adding Timers and Adding User Defined Variables in section Using Special Functions. • From the Open dialog, choose an appropriate file. • Repeat from step 1 if needed. ☞ For more information about resource types, see Resources Pane in the Reference section. ☞ Contents SimDesigner Help Page 86 2020, Rev.T _____________________________________________________________________________________________________ Note: Note that resources can be updated: If you have a newer version of a resource on disc, you can update the resource by clicking the update button for the corresponding resource. When saving the scenario the updated resource will be embedded in the scenario. ☞ Contents SimDesigner Help Page 87 2020, Rev.T _____________________________________________________________________________________________________ Stage 10 – Adding Phases To add a phase, do the following: • In the Phases pane, click the Click to add phase box. A new phase box appears: ☞ Contents SimDesigner Help Page 88 2020, Rev.T _____________________________________________________________________________________________________ • ☞ Repeat the procedure described in Stage 3 – Adding Events to a Phase and the instructions in the following sections. See also Phases Panes in the Reference section. Note: The states created after a new phase has been created, will belong to that phase. This belonging can be changed for every state, except for the initial state. Do the following: Click the phase name in a state. All phases appear in a list and another phase can be selected for the state. Note: The color of a phase in a scenario can be changed by using the drop-down at the palette icon: ☞ Contents SimDesigner Help Page 89 2020, Rev.T _____________________________________________________________________________________________________ Using Special Functions In this section some tasks, not covered in the main work flow for creating a scenario, are described. Copy and Paste of States and Triggers In canvas area, pressing the CTRL key, and changes the cursor. Move the cursor to a state or trigger, and click the left mouse button. The selection marker, the blue line, indicates that the state is selected. Clicking the left mouse button, toggles the selection marker. On the keybord, press CTRL+C to copy the selected state(s), and pressing CTRL+V will insert the selected state(s). This will clear the selection markers. To copy States and triggers, follow the same procedure, and select the items, to ☞ Contents SimDesigner Help Page 90 2020, Rev.T _____________________________________________________________________________________________________ be copied. Use CTRL+C, CTRL+V to copy the selected items. ☞ Contents SimDesigner Help Page 91 2020, Rev.T _____________________________________________________________________________________________________ Arranging the states and triggers, shows that when copying triggers, they will keep the link to the next state. To clear the selections, click on the canvas. Copy Events to other Phases Sometimes you have a category with events which you want to be present in all phases, or just re-use some events in other phases. There is a function available to make it easier to accomplish that. Open the phase editor and click the Copy events to other phases button This will bring up a dialog where you first select which events you want to copy and then press OK. ☞ Contents SimDesigner Help Page 92 2020, Rev.T _____________________________________________________________________________________________________ You then get another dialog where you specify which phases to copy to, and also what should happen if those events already exists in the same category in those phases. Adding Timers In the Resources pane, timers can be created which can be used in a various ways in a scenario. To create a timer, do the following: ☞ Contents SimDesigner Help Page 93 2020, Rev.T _____________________________________________________________________________________________________ • From the Resources pane, click Click to add resources. • From the Select Resource Type dialog, select Add timer. • From the Add Timer dialog, enter a name, select timer type (if the timer counts up or down), and enter an initial value (the duration of the timer, which later can be changed, see the following sections). Using Timers in Triggers between States To use the timer in a trigger between states, do the following: ☞ Contents SimDesigner Help Page 94 2020, Rev.T _____________________________________________________________________________________________________ • • Click a Drop event here box between two states (see Stage 7 – Linking States with Triggers). The Define Trigger dialog appears. From the dialog, select the special event Timer. A list of previously defined timers appears in the dialog. • From the list, select a timer. A time spin box with the previously defined time (initial value) appears under the timer name. • Change the time value if desired. • Click OK. ☞ Contents SimDesigner Help Page 95 2020, Rev.T _____________________________________________________________________________________________________ Using Timers in States and in Automatic Responses To use a timer in a state or in an automatic response, do the following: • In the Define Patient State dialog or Edit Automatic Response dialog, under Non-medical responses, click Click to add. • Select Set timer. A Timer box appears. • From the Timer box, select a previously defined timer and make timer settings. ☞ Contents SimDesigner Help Page 96 2020, Rev.T _____________________________________________________________________________________________________ _______________________________________________________________ Explanations of Timer Settings The timer can be set to Start, Stop, or Unchanged. The time can be set to Unchanged, Set, Add, or Subtract. Example: ____________________________________________________ A timer of count down-type has previously been set to 10 minutes and is running when reaching a new state after 6 minutes, that is there are 4 minutes left before it will stop. In the new state the timer state is set to Unchanged and the time is set to Add 12 minutes. This means that the total timer value at the start of the new state is 4+12=16 minutes. _____________________________________________________________ _______________________________________________________________ Note: A new timer can also be created from the Non-Medical Responses Library: Define Patient State dialog > Non-medical responses > Click to add > Browse > Non-Medical Responses Library > Create new timer. Note: If no timers are defined and Set Timer is selected, the Add Timer dialog appears automatically. ☞ Contents SimDesigner Help Page 97 2020, Rev.T _____________________________________________________________________________________________________ Adding User Defined Variables In the Resources pane, user defined variables can be created which can be used in various ways through a scenario. To create a user defined variable, do the following: • From the Resources pane, click Click to add resources. • From the Select Resource Type dialog, select User defined variable. ☞ Contents SimDesigner Help Page 98 2020, Rev.T _____________________________________________________________________________________________________ • From the Add User Defined Variable dialog, enter a name, select variable type (see section Add User Defined Variable in the Reference section), and enter an initial value. Note: Changes to user defined variables used to be logged always in detailed view of the log. From release 5.4 it’s possible to control the amount of logging. If the check box isn’t checked, then no logging of changes will be done. If checked then it will log if changes are bigger or equal to the limit specified. A value of 0 means log all changes. New in version 6.1 is that the type Set of items is supported ☞ Contents SimDesigner Help Page 99 2020, Rev.T _____________________________________________________________________________________________________ Using User Defined Variables in States and in Automatic Responses To use an user defined variable in a state or in an automatic response, do the following: • In the Define Patient State dialog (see Stage 5 – Defining the Initial State) or Edit Automatic Response dialog (see Stage 8 – Adding Automatic Responses to Events), under Non-medical responses, click Click to add and select Set user defined variable. A Variable box appears • From the Variable box, select a previously defined user defined variable and set desired parameters. Note: A user defined variable can also be created from the Non-Medical Responses Library: Define Patient State dialog > Non-medical responses > Click to add > Browse > Non-Medical Responses Library > Create user defined variable. Note: If no user defined variables are defined and Set User Defined variable is selected, the Add User Defined Variable dialog appears automatically. Note: Set transition on user defined variables is a new functionality in version 6.4. ☞ Contents SimDesigner Help Page 100 2020, Rev.T _____________________________________________________________________________________________________ Showing User Defined Variables on the Patient Monitor (new in version 7.1) This new functionality makes it possible to define new “vital signs” to be shown on the students patient monitor. This is done by adding extra information to some user defined variables (max 3 at the same time), telling how they should be displayed. Click the “Edit monitor definitions” button to get started. This will display a dialog where properties like color, min-max values, alarm ranges etc. can be defined. First select one (or several) of your defined variables which you want to show. ☞ Contents SimDesigner Help Page 101 2020, Rev.T _____________________________________________________________________________________________________ Then adjust the values as you like them to be: ☞ Contents SimDesigner Help Page 102 2020, Rev.T _____________________________________________________________________________________________________ Once there exists definitions for how to show some user defined variables, can you continue to edit the monitor layout. The editor will then show your defined variables in the list of “Available parameters”, and it can be configured as normally. Save the scenario and try to execute it. Note that the Patient Monitor will show your variable, and the PM component on the instructor application will as well. The student can adjust alarm levels etc, while the instructor can manually adjust values (if not done satisfactory by the scenario itself already). ☞ Contents SimDesigner Help Page 103 2020, Rev.T _____________________________________________________________________________________________________ ☞ Contents SimDesigner Help Page 104 2020, Rev.T _____________________________________________________________________________________________________ Adding Input Dialogs (new in version 6.3) In the Resources pane, input dialogs can be created which then can be told to be shown in states or auto responses. The result of the user clicking on a button in the dialog will be available in user defined variables automatically created and connected. To create an input dialog, do the following: • From the Resources pane, click Click to add resources. • From the Select Resource Type dialog, select Input dialog. ☞ Contents SimDesigner Help Page 105 2020, Rev.T _____________________________________________________________________________________________________ • From the Add Input Dialog dialog, enter an id, text, buttons etc (see section Add Input Dialog in the Reference section). • From the Add Input Dialog dialog, select Visible for, and the following dialog with filtering options will be shown. If reporter roles are defined, then more options will be available. ☞ Contents SimDesigner Help Page 106 2020, Rev.T _____________________________________________________________________________________________________ ☞ Contents SimDesigner Help Page 107 2020, Rev.T _____________________________________________________________________________________________________ Using Input dialogs in States and in Automatic Responses To use an input dialog in a state or in an automatic response, do the following: • In the Define Patient State dialog (see Stage 5 – Defining the Initial State) or Edit Automatic Response dialog (see Stage 8 – Adding Automatic Responses to Events), under Non-medical responses, click Click to add and select Add input dialog. An Input dialog box appears • From the selection box, select a previously defined input dialog and optionally set a delay. Note: An input dialog can also be created from the Non-Medical Responses Library: Define Patient State dialog > Non-medical responses > Click to add > Browse > Non-Medical Responses Library > Create input dialog. Note: If no input dialogs are defined and Add input dialog is selected, the Add Input Dialog dialog appears automatically. ☞ Contents SimDesigner Help Page 108 2020, Rev.T _____________________________________________________________________________________________________ Programming with the result from Input dialogs The result from the input dialog will be found in user defined variables which makes it possible to define e.g. state transitions like this (the id of the input dialog is “a” in this case): ☞ Contents SimDesigner Help Page 109 2020, Rev.T _____________________________________________________________________________________________________ Printing Variables as Log Comments In the Define Patient State dialog (see Stage 5 – Defining the Initial State) or Edit Automatic Response dialog (see Stage 8 – Adding Automatic Responses to Events), under Non-medical responses, Add Log Comment can be selected. In a Log Comment, it is possible to include the current values from user defined variables as shown in the following example. Example: ___________________________________________ A user defined variable named MyVar has been created in the scenario. The value of MyVar is constantly updated in the phase during the simulation. In SimDesigner the author has programmed the scenario to add a log comment when certain conditions are fulfilled. The log comment shows a text and the value of the user defined variable. From the Define Patient State or Edit Automatic Response dialog, under Non-medical responses, the author creates the following log comment: If the current value of MyVar is 10 at the time for the log comment to be generated, the log comment text in the log will be: ”The value of my user defined variable is 10.” Note: Use braces around the variable name, like {MyVar} in the example above, to make the value visible in the log comment. Note that the variable name is case sensitive; typing {myvar} in this example will not work. ☞ Contents SimDesigner Help Page 110 2020, Rev.T _____________________________________________________________________________________________________ Using Expressions in comments, instructor messages and input dialogs Conditions, comments, instructor messages and input dialogs can also contain advanced expressions for computing a value. See more information about this in the separate chapter about Expressions and variable substitutions. _________________________________________________________ ☞ Contents SimDesigner Help Page 111 2020, Rev.T _____________________________________________________________________________________________________ Defining Triggers Triggers can be defined when connecting two states or when creating or editing an automatic response for an event. Using Triggers Between States In triggers between states (see section Stage 7 – Linking States with Triggers) triggering events can be combined through the logical operators AND and OR. Note that the triggers are reset when entering a state. As a consequence, infinite loops can be created by mistake. The author must be aware of this. If an AND-operator between two triggering events is used, both events must be registered or ”fulfilled” before the condition of the trigger is true and the scenario can continue to the next state. Probably, there is some time between the two events to be registered, but not until both are registered the condition is fulfilled: the scenario and state has a ”built-in” memory. Using Triggers in Automatic Responses When an automatic response (see section Stage 8 – Adding Automatic Responses to Events) is created or edited, simple triggers can be created in the Edit Automatic Response dialog as shown in the figures below. AND/OR-logic cannot be used unless “Edit Advanced Condition” is clicked. A trigger can be created to make sure that an event triggers only on special occasions, instead of every time the event is registered. Examples: ___________________________________________ 1. The automatic response is activated the second time the event is registered. 2. The automatic response is activated if the event was registered within the first five minutes ________________________________________________________ ☞ Contents SimDesigner Help Page 112 2020, Rev.T _____________________________________________________________________________________________________ Example: ___________________________________________ For the event “Set oxygen rate”, a value event with a range of 1–10, an automatic response has been set to create a log comment when the event value is less than 6. This means, when this condition of the trigger is fulfilled, meaning the event “Set oxygen rate” is registered with the value 4, a log comment will be generated. If the event is registered with a value greater than 6, no log comment will be posted. Also, if the event is registered a second time, the first time with a value of 4, and then again with a value of 3, no new log comment will be generated since the condition has already been fulfilled. However, if the second event registration has a value of 8, then a third registration of the event with a value less than 6 would generate a new log post. ________________________________________________________ ☞ Contents SimDesigner Help Page 113 2020, Rev.T _____________________________________________________________________________________________________ Example: ___________________________________________ For the special event Parameter limits with a reference to SpO2, an automatic response has been set to create an increase in heart rate of +10 when the SpO2 value is less than 97%. This means, when this condition of the trigger is fulfilled (meaning the SpO2 becomes lower than 97%) the heart rate will immediately increase by 10 bpm. If the SpO2 is lowered even more, there will be no additional change to the heart rate, since the condition has already been fulfilled. However, if the SpO2 is raised above 97% and then back down again, a new increase in heart rate will be seen. ________________________________________________________ Note: The automatic responses created in a phase are active during the entire phase but stops when a new phase starts. ☞ Contents SimDesigner Help Page 114 2020, Rev.T _____________________________________________________________________________________________________ Using AND and OR in Automatic Responses In a trigger, triggering events can be combined with the logical operators AND and OR. Do the following: • Under Define Trigger, click the Edit Advanced Condition button. The Define Trigger dialog appears: • Click Click to add AND or Click to add OR and select an Event from the Event Library. ☞ Contents SimDesigner Help Page 115 2020, Rev.T _____________________________________________________________________________________________________ In the example shown below the original Triggering Event is Morphine. The AND-operator has been used to add the Triggering Event Tenecteplase. • When all Triggering Events have been added and settings made for each event (for example Route for a Drug Event), click OK. The combined Trigger Event appears now under Define Trigger as shown in the example below: ☞ Contents SimDesigner Help Page 116 2020, Rev.T _____________________________________________________________________________________________________ Using Evaluate later for value events Events defined to have a value are supposed to be given the value by the instructor (or by simulator for some events) at simulation. But it’s possible to define that it’s allowed to not give the value at simulation, and instead give it at debrief time. This is done by checking that option in the Event appearance dialog. The result in LLEAP when trying to register the event will be that the “Evaluate later” button is enabled. ☞ Contents SimDesigner Help Page 117 2020, Rev.T _____________________________________________________________________________________________________ The log in LLEAP will then just show that the event happened and no value. But there is a hidden marker for this event which should make it possible to add a value in the debriefing system (might not be supported yet depending on version used). What is possible to do for a scenario is to test if the event was registered in this way. This is done by checking the “Evaluate later marker” option when testing on a specified event value ☞ Contents SimDesigner Help Page 118 2020, Rev.T _____________________________________________________________________________________________________ Renaming events In the phase dialog, you can change the name of an event. Clicking the event text, will present a text field, where the new name can be entered. If the name of an existing event is entered, a warning is shown, and the existing event will be used. Cancel will abort the change. ☞ Contents SimDesigner Help Page 119 2020, Rev.T _____________________________________________________________________________________________________ If the event is referenced in a trigger, renaming the event, will update the triggers in the same phase, to the new event. Before the event renaming. When changing the name, the warning is shown. If the event is referenced, an additional warning is shown. Cancel will abort the change ☞ Contents SimDesigner Help Page 120 2020, Rev.T _____________________________________________________________________________________________________ After the event renaming. ☞ Contents SimDesigner Help Page 121 2020, Rev.T _____________________________________________________________________________________________________ Using Event Counters Each time an event registers during a scenario an event counter counts up by 1. This example shows the Insert IV-event and how it is possible to test on the counter. Example: ___________________________________________ The event Insert IV is of the Popup (On/Off)-type. This event becomes true when an IV is inserted (actually when the event is registered), and becomes false when the event Remove IV is registered. Each time Insert IV is registered a counter increase by 1 for that event, counting how many times it has been registered. This means that if Insert IV first is registered three times and then Remove IV is registered once, then Insert IV has the current value false and the count of 3. To test on an event count the following has to be chosen in the Edit Automatic Response dialog: Under Define Trigger, select Trigger on count and chose a suitable operator and number. ________________________________________________________ ☞ Contents SimDesigner Help Page 122 2020, Rev.T _____________________________________________________________________________________________________ Using Sub-Events Some events are of composite type which means they consist of sub-events, see section Sub-Events in the Reference section. The sub-events are normally visible in the instructor application. However, there are a few events with more than one sub-event level, that is a sub-event can have sub-events, and in rare occasions four level are possible. Only the first sub-event level is visible in the instructor application, but the other levels are active and will be visible in the scenario log if they are automatically registered, for example through sensors in the simulator. Example: ___________________________________________ The event Obtain vital signs has more than one sub-event levels. In SimDesigner’s Event Appearance dialog (opened from the Phase dialog) the first sub-event level is visible: ☞ Contents SimDesigner Help Page 123 2020, Rev.T _____________________________________________________________________________________________________ In the Phase dialog also, the next level can be seen: Check pulse has an indication that this sub-event has sub-events. They will be visible by clicking the Check pulse pencil icon: ☞ Contents SimDesigner Help Page 124 2020, Rev.T _____________________________________________________________________________________________________ ☞ Contents SimDesigner Help Page 125 2020, Rev.T _____________________________________________________________________________________________________ Note that the check box Use as normal event, hide sub-event is checked. This means, as earlier stated, that these sub-events will not be visible in the instructor application. ________________________________________________________ ☞ Contents SimDesigner Help Page 126 2020, Rev.T _____________________________________________________________________________________________________ Editing Auscultation Sound Presets SimMan 3G, -Trauma, -Mystic, -Essential, and -Essential Bleeding support auscultation sound presets. The heart, lungs, and bowel have a set of speakers for the different areas of the organs and support playing different sounds in each speaker. A preset defines which sounds to play in which area of the organ and the audio volume for each area. You can edit existing presets or create your own. When creating scenarios for one of the above mentioned simulators an Edit button for Sound presets in the Command toolbar is available: Editing Sound Presets To edit sounds, do the following: • In the Command toolbar, click Edit (Sound presets). The Sound Presets dialog appears: There are presets for heart, lungs, and bowel. • To edit a preset, select the tab for the wanted organ. ☞ Contents SimDesigner Help Page 127 2020, Rev.T _____________________________________________________________________________________________________ • Click a preset name in the list. • Edit the sounds and audio volume for each organ area. • Click OK to save. The preset has now been modified. Adding Sound Presets A new preset can be added from the left area in the Sound Presets dialog: • To add a new preset, click the Click to add preset button. A text box appears. • Enter a name of your preset in the text box. • Edit the preset as described in the previous page. • Click OK to save it. Your preset has been saved and is now found in the preset list. ☞ Contents SimDesigner Help Page 128 2020, Rev.T _____________________________________________________________________________________________________ Activating Sound Preset in a Scenario A preset can be activated in a patient state, automatic response or handler. In Additional Symptoms do the following: Add the Heart, Lung, or Bowel sound preset response and select the wanted preset. Exporting and Importing Set of Sound Presets All settings in the Sound presets dialog can be saved. Set of presets can also be opened in this dialog. To save a set of sound presets: Click Export file and select a suitable location for saving. To open a set of sound presets: Click Import file, browse for the file of interest, and open it. This way you can create a set of presets and reuse this in multiple scenarios. ☞ Contents SimDesigner Help Page 129 2020, Rev.T _____________________________________________________________________________________________________ SimNewB Specific Responses Lung Recruitment SimNewB supports a feature called Lung Recruitment that is adjusted by setting the additional symptom “Number of opening breaths needed”. If set to None, the feature is disabled. If enabled, the simulator starts with some lung resistance that will change to no resistance after a number of ventilations determined by the value of “Number of opening breaths needed”. ☞ Contents SimDesigner Help Page 130 2020, Rev.T _____________________________________________________________________________________________________ SimMom Specific Responses SimMom comes with both Manual delivery and Automatic delivery modules. SimDesigner have specific sets of responses for each of these two delivery modules. ☞ Additional and complementing information about SimMom, see section Running SimMom in LLEAP Help. Setting Delivery Module In the Edit Scenario Settings dialog (or in the Create New Scenario dialog if a new SimMom scenario is going to be created), select under Select featureset to use, Manual or Automatic Delivery. ☞ Contents SimDesigner Help Page 131 2020, Rev.T _____________________________________________________________________________________________________ Manual Delivery There are responses (symptoms) that are specific to the SimMom Manual delivery module. These are found in the following tabs in the Additional Symptoms dialog: Obstetrics Symptom Possible Settings Boggy uterus: Controls the uterus Hold: Holds the current pressure (default) bladder Tonic: Inflates to the set pressure Atonic: Exhausts air (releases pressure) Uterus pressure: Sets the target pressure for the Boggy uterus ‘Tonus’ setting 0–100 ☞ Contents SimDesigner Help Page 132 2020, Rev.T _____________________________________________________________________________________________________ Bleeding: Symptom Possible Settings Lower blood port enabled: Activates the uterus bleeding On Off Lower blood port valve opening: Controls the bleeding rate 0–100% ☞ Contents SimDesigner Help Page 133 2020, Rev.T _____________________________________________________________________________________________________ Secretions: Symptom Possible Settings Secretions, urine Normal Off ☞ Contents SimDesigner Help Page 134 2020, Rev.T _____________________________________________________________________________________________________ Convulsions Symptom Possible Settings Convulsions type On Off Seizure intensity 0–100% ☞ Contents SimDesigner Help Page 135 2020, Rev.T _____________________________________________________________________________________________________ Automatic Delivery (ADM) When creating a scenario for Automatic delivery, delivery positions can be defined. There are also responses (symptoms) that are specific to SimMom Automatic delivery. Selecting Delivery Positions To define a delivery position in a scenario, do the following: • In Patient Data, click the pencil icon. The Add Patient Data dialog appears: • In the drop-down menu, shown in the picture above, select a delivery position. ☞ Contents SimDesigner Help Page 136 2020, Rev.T _____________________________________________________________________________________________________ Responses There are responses (symptoms) that are specific to SimMom Automatic delivery. These are found in the Automatic Delivery tab in the Additional Symptoms dialog: Symptom Possible Settings Is delivering: When activated (on), the ADM pushes on every contraction. On Off Pause delivering: When activated (on), it pauses the ongoing delivery On Off Deliver on contraction no.: The number of contraction at which the delivery is completed. 0–100 Push baby during contractions, but no delivery: Pushing takes place on every contraction, but no complete delivery occurs. This is typically used in Instrumental deliveries together with the ‘Deliver now’ response. On Off Deliver now: When this response is activated the ADM immediately completes the delivery On ☞ Contents SimDesigner Help Page 137 2020, Rev.T _____________________________________________________________________________________________________ Shoulder Dystocia A Shoulder dystocia scenario requires that this delivery position is defined in the scenario. Selecting Shoulder Dystocia To define the Shoulder dystocia delivery position in a SimMom scenario, do the following: • In Patient Data, click the pencil icon. The Add Patient Data dialog appears: • In the drop-down menu, shown in the picture above, select the delivery position Shoulder dystocia. ☞ Contents SimDesigner Help Page 138 2020, Rev.T _____________________________________________________________________________________________________ The Shoulder Dystocia Response After the Shoulder dystocia has been selected (see the previous section), a response relevant for shoulder dystocia is found in the Automatic Delivery tab in the Additional Symptoms dialog. Symptom Possible Settings Shoulder released On Activate this response at a point in the scenario where the student has performed the correct procedure to release the shoulder. This releases the string holding the baby inside the simulator. ☞ Contents SimDesigner Help Page 139 2020, Rev.T _____________________________________________________________________________________________________ Fetal sound on SimMom Bowel SimMom can play the fetal heart sound on the bowel. This feature is activated in a patient state, an automatic response or a handler. Do the following: • Under Additional Symptoms in the dialog Define Patient State or Edit Automatic Response, click to add a symptom. • In the Additional Symptoms dialog, select the Auscultation Sounds tab. • Under Symptom Name select Bowel Sound and click OK. ☞ Contents SimDesigner Help Page 140 2020, Rev.T _____________________________________________________________________________________________________ • Under Additional Symptoms in the dialog Define Patient State or Edit Automatic Response, select Fetal Heart as shown in the figure below . The sound will now be in synch with the FHR on the EFM curve. ☞ Contents SimDesigner Help Page 141 2020, Rev.T _____________________________________________________________________________________________________ Editing EFM Presets and Patterns In a SimMom scenario, EFM presets and patterns can be edited. In the Command toolbar the EFM Library button is available with two options: Browse Click Browse to open the EFM Library dialog for previewing existing EFM presets and patterns. ☞ Contents SimDesigner Help Page 142 2020, Rev.T _____________________________________________________________________________________________________ Manage Click Manage to open the Manage Presets dialog for editing and creating new patterns and presets. ☞ For more information about the EFM Library, see section Running SimMom in LLEAP Help. Note: The EFM Library in SimDesigner works on the same set of presets and patterns as the EFM Library in LLEAP, that is, the same patterns and presets in SimDesigner are also available in LLEAP. A scenario created by someone else can contain presets that are not available in your EFM Library. Opening such a scenario in SimDesigner, means that the presets from the scenario also will be available in your SimDesigner EFM Library for editing. ☞ Contents SimDesigner Help Page 143 2020, Rev.T _____________________________________________________________________________________________________ Activating an EFM Preset in a Scenario The presets and patterns defined in the EFM library can be added to a scenario state, an automatic response or a handler. This can be done in the ways described in the following subsections: Adding Patterns Do the following: • • Under Additional Symptoms in the dialog Define Patient State or Edit Automatic Response, click the Click to add button. In the Additional Symptoms dialog, select the EFM tab. ☞ Contents SimDesigner Help Page 144 2020, Rev.T _____________________________________________________________________________________________________ • Under Symptom Name select a pattern (for example FHR Pattern) and click OK. • Under Additional Symptoms in the dialog Define Patient State or Edit Automatic Response, select a Fetal HR Pattern from the drop-down list as shown in the figure below. . ☞ Contents SimDesigner Help Page 145 2020, Rev.T _____________________________________________________________________________________________________ Activating Presets Note: This section assumes that presets already have been created. Do Do the following: • • • Under Additional Symptoms in the dialog Define Patient State or Edit Automatic Response, click the Click to Add button. In the Additional Symptoms dialog, select the EFM tab. Under Symptom Name select EFM Preset and click OK. ☞ Contents SimDesigner Help Page 146 2020, Rev.T _____________________________________________________________________________________________________ • Under Additional Symptoms in the dialog Define Patient State or Edit Automatic Response, select an EFM preset from the drop-down list as shown in the figure below. ☞ Contents SimDesigner Help Page 147 2020, Rev.T _____________________________________________________________________________________________________ Adding Settings from EFM Preset Library Dialog Do the following: • • • Under Additional Symptoms in the dialog Define Patient State or Edit Automatic Response, click the Click to add button. In the Additional Symptoms dialog, select the EFM tab. Under Symptom Name select Select from EFM Library and click OK. ☞ Contents SimDesigner Help Page 148 2020, Rev.T _____________________________________________________________________________________________________ The EFM Preset Library Dialog appears. • Make settings and click OK. The settings made appear now under Additional Symptoms in the dialog Define Patient State or Edit Automatic Response as shown in the figure below. ☞ Contents SimDesigner Help Page 149 2020, Rev.T _____________________________________________________________________________________________________ Converting Files Following file types can be handled in SimDesigner: • Previously used Laerdal scenario file formats (legacy scenarios) • Previously used Laerdal handler file formats • The zip-file format (used for SimStore offline packages) • The SimPad theme format created by ThemeEditor found at www.laerdal.com/themeeditor. Scenario File Formats Following scenario file formats can be converted to the SimDesigner file format scx: File Simulator sca ALS Simulator sce SimMan3G, SimMan Essential, SimMan Classic scb SimBaby Classic sct SimNewB Classic scn VitalSim and Resusci Anne PC Skillreporter scj SimJunior scm SimMom Note: SimDesigner is not able to detect the language of legacy scenarios. Before converting a scenario, make sure the SimDesigner language setting (in System Settings in the Command Toolbar) is set to the same language as the legacy scenario was written in. For example if the legacy scenario is Japanese, SimDesigner language setting must be set to Japanese (ja) before conversion is started. How to convert a file, see section Converting Scenario and Theme Files in SimDesigner or Converting Scenario Files with ScenarioEditor.exe. ☞ Contents SimDesigner Help Page 150 2020, Rev.T _____________________________________________________________________________________________________ Theme File Formats Following theme file formats can be converted to the SimDesigner file format thx: File Simulator thm All SimPad supported simulators ☞ How to convert a file, see section Converting Scenario and Theme Files in SimDesigner. Handler File Formats Following handler file formats can be converted to the file format hnx: File Simulator hna ALS Simulator hne SimMan3G, SimMan Essential, SimMan Classic hnb SimBaby Classic hnt SimNewB Classic hnj SimJunior hnm SimMom ☞ How to convert a file, see section Converting Handler Files in SimDesigner. ☞ Contents SimDesigner Help Page 151 2020, Rev.T _____________________________________________________________________________________________________ Converting Scenario and Theme Files in SimDesigner To convert a scenario or theme file in SimDesigner, do the following: • • In the Command toolbar, click Scenario > Open. Select the file to be converted. A conversion dialog appears. When the conversion has finished the Edit Scenario Settings dialog appears (or Edit Theme Settings). ☞ Contents SimDesigner Help Page 152 2020, Rev.T _____________________________________________________________________________________________________ ☞ Contents SimDesigner Help Page 153 2020, Rev.T _____________________________________________________________________________________________________ • Check the settings in the dialog and make changes if necessary. Click OK. A compatibility check is performed and the Compatibility with Manikin Types dialog appears if there are any compatibility issues. • Check the information in the dialog and take the necessary steps as suggested in the dialog above. Note: A compatibility check can be done anytime when creating a scenario. In the Command toolbar, click Compatibility > Check Compatibility. • Edit the phase if necessary (see Stage 4 – Editing the Phase). • Test the scenario or theme in an instructor application. ☞ Contents SimDesigner Help Page 154 2020, Rev.T _____________________________________________________________________________________________________ Converting Scenario Files with ScenarioEditor.exe Batch conversion of scenario files (not themes) can be made by using the command program ScenarioEditor.exe. Do the following: • Start Windows Command Prompt. • Change directory to C:\Program Files (x86)\Laerdal Medical\SimDesigner\ScenarioEditor • From this directory, start the program ScenarioEditor.exe. The Scenario Converter Usage Guide dialog appears. • Follow the instructions in the usage guide to convert the files. ☞ Contents SimDesigner Help Page 155 2020, Rev.T _____________________________________________________________________________________________________ Converting Handler Files in SimDesigner To convert a handler file, do the following: • In the toolbar, click Handlers > Edit. • Select file type All Files (*.*). • Select the handler file to be integrated in the scenario. A compatibility check is performed and the Compatibility with Manikin Types dialog appears. • Check the information in the dialog and take the necessary steps as suggested in the dialog. Note: A compatibility check can be done anytime when creating a scenario. In the toolbar, click Compatibility > Check Compatibility. • Test the scenario in an instructor application. Note: Handler files with the extension hnx are handled as described in Handlers in section Reference. ☞ Contents SimDesigner Help Page 156 2020, Rev.T _____________________________________________________________________________________________________ Reference About this Section This section gives more details about SimDesigner interface and other background information. ☞ Contents SimDesigner Help Page 157 2020, Rev.T _____________________________________________________________________________________________________ The Graphical User Interface – Overview A B C E D No. Description See section A Command Toolbar Command Toolbar B Scenario Information Scenario Information C Phases Phases Panes D Resources Resources Pane E Flow Chart Canvas – ☞ Contents SimDesigner Help Page 158 2020, Rev.T _____________________________________________________________________________________________________ Command Toolbar The command toolbar is composed of several groups of commands. Each group organizes related commands as shown in the figure and table below. Group Commands See Section Scenario New, Open, Print, Save, Save As Scenario Control Undo, Redo Control Events Library Events Handlers New, Edit Handlers Trends New, Edit Trends Flow chart view Auto Arrange (not in theme mode), Reset Zoom Flow Chart View Settings Scenario Settings, System Settings Settings Tools Check compatibility, Check usage Tools Monitor Layout Edit Monitor Layout Help About, Help Help Note: A command is executed by clicking the command in a relevant group in the command toolbar. In the following subsections the commands are described. ☞ Contents SimDesigner Help Page 159 2020, Rev.T _____________________________________________________________________________________________________ Scenario The Scenario group has the following commands: Command Description See Section New Opens the Create Scenario dialog to create a new scenario. Or theme if in Theme mode. New Open Opens an already existing scenario or theme file. – Print Prints the scenario flow chart canvas. The flow chart adjusts to one printed page. – Save Saves the scenario or theme to a file. As default the program suggests the same name as the scenario name chosen in the Create Scenario dialog, see section New. The file extension is scx. Save Save as Saves the scenario or theme to a file with a different name. Save As New When clicking the command New the Create Scenario/Theme dialog appears, from where the selections described below are made: ☞ Contents SimDesigner Help Page 160 2020, Rev.T _____________________________________________________________________________________________________ ☞ Contents SimDesigner Help Page 161 2020, Rev.T _____________________________________________________________________________________________________ Label Description Scenario name / Theme name Text box for the scenario name. By default the name is untitled, but can be changed by typing a new name. The scenario name chosen is the suggested name of the file when saving the file for the first time. Select ... kind of scenario... One of these scenario types must be selected: • Simulator-based training • Standardized patient • Task-trainer See Section – Kind of Scenario ☞ Contents SimDesigner Help Page 162 2020, Rev.T _____________________________________________________________________________________________________ Label Description See Section Select Patient type1 One of these patient types must be selected: • Adult • Pregnant • Child • Baby • Newborn – Select feature set to use1 One of these simulator types must be selected: – If patient type is Adult: • SimMan 3G • SimMan 3G Mystic • SimMan 3G Trauma • SimMan Essential • SimMan Essential Bleeding • SimMan Classic • SimMom Manual Delivery • SimMom Automatic Delivery • ALS Simulator • SimMan ALS • MegaCode Kelly Advanced • MegaCode Kelly Basic • Nursing Anne • Nursing Anne Simulator • Nursing Kelly • Resusci Anne Simulator • Resusci Anne Advanced SkillTrainer • Resusci Anne QCPR2 If patient type is Pregnant: • SimMom Manual Delivery • SimMom Automatic Delivery If patient type is Child: • SimJunior • MegaCode Kid • Nursing Kid If patient type is Baby: • SimBaby • SimBaby Classic • Nursing Baby If patient type is Newborn: • SimNewB • SimNewB Classic • Premature Anne ☞ Contents SimDesigner Help Page 163 2020, Rev.T _____________________________________________________________________________________________________ Label Description See Section Design for these simulators1 One or more additional simulators can be selected for running the scenario. – Select additional Laerdal equipment2 One or several of this equipment can be selected: • Patient monitor • SpO2 probe • SonoSimulator (ultrasound device) – Use automatic perfusion stop handling in scenario This lets you control if you want LLEAP/SimPad to automatically handle the vital signs when the patient goes into a non-perfusing rhythm. If selected it will automatically bring down the BP, SpO2, RR and C.O. in a realistic way. If you uncheck this option, you can instead control the behavior during perfusion stop in the scenario programming. One way of doing it is to add an automatic response to the Parameter limit event for the parameter “Perfusion stop” and add the desired responses there. – Use automatic airway open/close handling in scenario This lets you control if you want LLEAP/SimPad to automatically handle what should happen when the patient airway is blocked. If selected it will automatically adjust respiration rate, lung resistance, chest rise, CO2 etc in a realistic way. If you uncheck this option, you can instead control the behavior for a blocked airway in the scenario programming. One way of doing it is to add an automatic response to the Parameter limit event for the parameter “Air flow blocked” and add the desired responses there. Use new automatic pulse handling in scenario This lets you control if you want LLEAP/SimPad to automatically handle the pulse strength according to the current blood pressure. If you want the pulse handling to be the same as in SimPad 1.5/1.7.5 you should unselect this option. ☞ Contents SimDesigner Help Page 164 2020, Rev.T _____________________________________________________________________________________________________ Label Description Automatic vocal sound handling This lets you control how you want LLEAP/SimPad to handle vocal sounds when BP is 0/0, RR = 0 or the patient is intubated. See Section There are 3 options: o Use automatic vocal sound handling: Vocal sounds will be automatically disabled/stopped if BP = 0/0, RR = 0 or the patient is intubated. This option is currently only supported on LLEAP 5.4 and newer versions. o Don’t use automatic vocal sound handling: Vocal sounds will be allowed to play regardless what BP, RR is or regardless if intubated or not. This option is currently only supported on LLEAP 5.4 and newer versions. o Let LLEAP/SimPad decide: This setting will let the configuration option in LLEAP profile or in SimPad configuration screen decide if vocal sound handling is enabled or not. Allow adjusting patient state This is the legacy setting where LLEAP/SimPad behaves as normally and instructor can change any parameters on the fly Allow adjusting patient state only if instructor changes it to being allowed This lets you restrict the possibility for the instructor to change parameter values directly when running a scenario in LLEAP. Changes to vital signs etc. are then controlled by the scenario. But the instructor can enable the GUI by a special menu command if he really needs to do changes. Do not allow adjusting patient state This lets you restrict the possibility for the instructor to change parameter values directly when running a scenario in LLEAP. Changes to vital signs etc. are then fully controlled by the scenario. Use reporter roles This makes it possible to filter which event categories, instructor messages and input dialogs should be visible for each LLEAP instance. For scenarios with roles defined will LLEAP at start ask which role(s) the user want to have. Edit roles Shown when Use reporter roles is checked. Shows a dialog for adding and editing reporter roles. 1 Not available if Standardized patient or Task-trainer is selected. Patient monitor is selected by default. 2 ☞ Contents SimDesigner Help Page 165 2020, Rev.T _____________________________________________________________________________________________________ Reporter roles When Use reporter roles is checked, a button for editing roles is shown which will show the following dialog. Label Description Role name Just a name for the role. Is instructor Roles which doesn’t have this checked aren’t allowed to adjust patient state. Can be useful for e.g. letting students help with event registration. Default color Event categories, instructor messages and input dialogs will get this color as default when assigned this role. Kind of Scenario Label Description Simulator-based training Scenarios for patient simulators. Standardized patient Scenarios using actors as patients. Task-trainer Scenarios for task-trainers, for example Laerdal Respiratory and Wound Care Task Trainers. Save/Save as When clicking save or Save as, SimDesigner will check for unused resources, and if resources have been added but not referenced, a message is presented. ☞ Contents SimDesigner Help Page 166 2020, Rev.T _____________________________________________________________________________________________________ Pressing Yes, will include unused resources in the scenario and pressing No, will discard any unused resource. During autoconversion, unused resources will be discarded. Control The Control group has the following commands: Command Description Undo Undo the last action. A number of actions can be undone by repeatedly choosing the Undo command. If an action cannot be undone, the Undo command is dimmed. Redo Redo the last action. A number of actions can be redone by repeatedly choosing the Redo command. If an action cannot be redone, the Redo command is dimmed. ☞ Contents SimDesigner Help Page 167 2020, Rev.T _____________________________________________________________________________________________________ Events The Events group has the following command: Command Description Library Opens the Event Library dialog. From this dialog new events can be created. Events that are automatically registered are indicated with ‘Auto’ after the event name. Events with sub-events are indicated with ‘Sub’ after the event name. Handlers ☞ Contents SimDesigner Help Page 168 2020, Rev.T _____________________________________________________________________________________________________ This control doesn’t show in theme mode. The Handlers group has the following commands: Command Description See Section New Opens the Handler Editor dialog from where a new handler can be created. New Edit Opens an Open dialog for selecting a file. When selected, the Handler Editor Dialog opens. Edit New Label Description See Section Name Text box for the handler name. By default the name is ’New handler’, but is changed when typing a new name. – Click to add a category Opens the New Category dialog with a text box in which the category name is typed. In each category events can be added. – Browse Events A text box and Click to add event button. By typing a text, suggestions of events appear which can be selected. By typing a non-existent name a new event can be created. By clicking Click to add event, the Event Library dialog opens. In the dialog, events can be selected or new events created. Save Opens the Save File As dialog. The handler can be named and saved in a preferred folder. – Exit Exits the Handler Editor dialog without saving. – Adding Items ☞ Contents SimDesigner Help Page 169 2020, Rev.T _____________________________________________________________________________________________________ Edit All features described in section New above can be used. In addition each event can be edited and reorganized in the same way as in Phase dialog (described in section Stage 4 – Editing the Phase.) Trends The Trends group has the following commands: Command Description See Document New Opens the Trend Editor from where a new trend can be created. Trend Editor Help Edit Opens an existing trend file in the Trend editor from where it can be edited. Trend Editor Help ☞ Contents SimDesigner Help Page 170 2020, Rev.T _____________________________________________________________________________________________________ Flow Chart View The Control group has the following commands: Command Description See Section Auto Arrange Arranges the States and Events graphically in a flow chart according to a visualization model. Not available in theme mode. Auto Arrange Reset Zoom Resets the canvas zoom to 100%. – Auto Arrange Auto Arrange has different options to graphically represent a scenario. The default (option 1) is a “hierarchical layout”. Try them out to see which fits your needs best. In theme mode are all states instead just arranged in one column. Settings The Settings group has the following commands: ☞ Contents SimDesigner Help Page 171 2020, Rev.T _____________________________________________________________________________________________________ Command Description See Section Scenario Settings / Theme Settings Opens Edit Scenario Settings dialog. The fundamental settings of the scenario can be modified. Scenario Settings System Settings Opens Settings dialog. The folders for the scenario files and related files as Handlers, Trends and Media files can be set. System Settings Scenario Settings The Edit Scenario Settings dialog is identical to Create New Scenario dialog, except for title, language selection and import/export of scenario texts. Edit Theme Settings is also identical, except that replaces the word scenario with theme. See New in section Scenario. Label Description Scenario Language Setting the scenario language, will cause content to be displayed in the selected language, e.g. Using Dutch, will display the standard event Wash hands as Handen wassen. ☞ Contents SimDesigner Help Page 172 2020, Rev.T _____________________________________________________________________________________________________ Label Description Scenario texts Allows you to export text content into csv format that can be imported by Excel. After editing, the texts can be imported back into SimDesigner. Note that Excel must select to import the csv file with ‘;’ as separator and utf-8 as the source text encoding. ☞ Contents SimDesigner Help Page 173 2020, Rev.T _____________________________________________________________________________________________________ System Settings Label Select Language Select default setting for what happens at event registration Description Sets the default language for new and converted scenarios. This is an indication for which language the scenario is developed. Sets the events used in the scenario to always use the event library default setting or one of 4 alternatives. ☞ Contents SimDesigner Help Page 174 2020, Rev.T _____________________________________________________________________________________________________ Label Description Multiple Windows With this option selected, the Phase dialog and Handler Editor open in a new window, which can be dragged to a new position independently of the SimDesigner window. All functions accessed from the Phase dialog or Handler Editor end up in the same window as the Phase dialog. Example: The Phase dialog window can be dragged to a nother screen if multiple screens are used. Show all automatic response Affect how automatic responses are shown in phase editor. When unchecked will only the selected row show details about the responses. This increases the performance, and avoids issues when there is a huge amount of responses in the scenario. Print vitals in b/w Affects printing of scenario/theme so it looks better (and uses less ink) on b/w printer. Units The unit for etCO2: mmHg (default), kPa, or % The unit for temperature: °C (default) or °F Default Settings for Event Changes When editing events in the phase editor you have these options: • “Apply changes to similar events in the scenario” Choose this to have the change affect all instances of this event in the scenario • “Apply changes to the Event Library (Only valid for custom events)” Choose this to have the change affect the identical event in the event library as well Event autocompletion When searching for events you can search amongst all events, only standard events, or only custom events. Tools The Tools group has the following commands: ☞ Contents SimDesigner Help Page 175 2020, Rev.T _____________________________________________________________________________________________________ Command Description See Section Check compatibility Shows scenario or theme compatibility with manikin types. Check compatibility Check usage Shows a search and replace utility. Check usage Check compatibility The check compatibility indicates compatibility of the scenario for different manikin types. Check usage This makes it possible to search for all occurrences of events, parameters, media files etc. Plain text search is also available. If the scenario is saved then is it also possible in some cases to replace all occurrences at once. For events also in assessment rules if the scenario was edited in Assessment Designer as well. ☞ Contents SimDesigner Help Page 176 2020, Rev.T _____________________________________________________________________________________________________ Replace will automatically save the scenario, and there is no undo available (except trying to replace back the opposite way, but that might include more replacements). Sound presets The sound presets group has the following command: Command Description See Section Edit Opens the Sound presets dialog, where the sound presets for the scenario are set. Edit Monitor layout The Monitor layout group has the following command: ☞ Contents SimDesigner Help Page 177 2020, Rev.T _____________________________________________________________________________________________________ Command Description See Section Edit Opens the Monitor Setup dialog, where the monitor layout for the Patient monitor is set. Edit Edit Label Description 5 Waveform Layout, etc Some fundamental Patient Monitor setups from which a desired layout can be selected. Layout Name Text box for entering the name of the Patient Monitor setup. Available parameters Available parameters become visible when clicking a parameter in the Patient Monitor box (below the Layout Name). This parameter can then be changed to another one in the Available parameters list, which will be immediately reflected in the Patient Monitor box. Available parameters can be moved to the Unavailable parameters list using the downarrow button. Unavailable parameters can be –moved to the Available parameters list using the up-arrow button. Initial State On: The sensor is activated at Patient Monitor start up. Off: The sensor is not connected at Patient Monitor start up. Idle: The sensor is activated from the Patient Monitor manually.1 ☞ Contents SimDesigner Help Page 178 2020, Rev.T _____________________________________________________________________________________________________ Label Description EFM Settings Only visible for SimMom scenarios. Controls if and how EFM is going to be shown on Patient Monitor at start. 1 See Patient Monitor Help for detailed information. ☞ Contents SimDesigner Help Page 179 2020, Rev.T _____________________________________________________________________________________________________ Help The Help group has the following commands: Command Description About Opens the About dialog, where for example program version and copyright information is shown. Help Opens SimDesigner help file, which is this document. ☞ Contents SimDesigner Help Page 180 2020, Rev.T _____________________________________________________________________________________________________ Scenario or Theme Information The Scenario Information pane is designed both for the instructor and the learner, to give brief information about scenario, and background data to the scenario. Note that the pane can be folded and unfolded. Theme Information has same content as Scenario Information. The Scenario Information pane is divided into these input boxes: Label Description See Section Patient data Basic data about the patients such as name, age, weight, and height. The data can be included in the Learner brief. Patient data Scenario Outline A free text field where a brief description about the scenario can be added. Called Theme Outline in theme mode. Scenario Outline Learner Brief A free text field where a brief description for the learners can be added. Learner Brief Learning Objectives A numbered list of the learning objectives. Learning Objectives Equipment Checklist A numbered checklist of equipment to be used in the Equipment scenario. Checklist ☞ Contents SimDesigner Help Page 181 2020, Rev.T _____________________________________________________________________________________________________ Patient Data The Add patient data box has data by default as shown below. The default data can be changed by typing over and selecting other data. Label Description Change picture Opens a dialog for browsing patient pictures. Name Text box for typing the patient name. Age A spin box for entering the age of the patient and a drop-down list with units (years, months, weeks, days, hours, or minutes) Gender A drop-down list for selecting gender of the patient. Height A spin box for entering the height of the patient and a dropdown list with units (cm or inches) Weight A spin box for entering the weight of the patient and a dropdown list with units (kg or lbs). Include in learner brief Checkboxes for data to be shown in Learner brief. ☞ Contents SimDesigner Help Page 182 2020, Rev.T _____________________________________________________________________________________________________ Example: ___________________________________________ ______________________________________________________________ Scenario Outline Scenario Outline is a free text field, which can be used for a brief outline, comments, notes, and copyright information. ☞ Contents SimDesigner Help Page 183 2020, Rev.T _____________________________________________________________________________________________________ Example: ___________________________________________ ______________________________________________________________ ☞ Contents SimDesigner Help Page 184 2020, Rev.T _____________________________________________________________________________________________________ Learner Brief Learner brief is information meant for the learners. Learner brief can be shown on the patient monitor. Example: ___________________________________________ ______________________________________________________________ ☞ Contents SimDesigner Help Page 185 2020, Rev.T _____________________________________________________________________________________________________ Learning Objectives Learning Objectives can be added or deleted to a list by using the + - or the ﹣ -button. Text can be pasted by using the Paste-button or the Windows keyboard shortcut Ctrl + V. The objectives are automatically numbered in the order they are typed in. Example: ___________________________________________ ______________________________________________________________ ☞ Contents SimDesigner Help Page 186 2020, Rev.T _____________________________________________________________________________________________________ Equipment Checklist Equipment can be added or deleted to a checklist by using the + - or the ﹣-button. Text can be pasted by using the Paste-button or the Windows keyboard shortcut Ctrl + V. The equipment is automatically numbered in the order they are typed in. Example: ___________________________________________ ☞ Contents SimDesigner Help Page 187 2020, Rev.T _____________________________________________________________________________________________________ Phases Panes The Phases Pane shows at start one phase (called Phase 1) as shown below. Label Description See Section Phases A group box containing Phase 1 and additional phases that are added. The box can be folded (minimized) or unfolded by clicking the arrow. Not available in theme mode. – Phase 1 A group box containing click to add buttons to add events (Correct treatment and Related events). The box can be folded (minimized) or unfolded by clicking the arrow. – Palette icon A drop-down for changing the phase color. Not available in theme mode. Pencil icon An editing button to open the Phase dialog for organizing the added events. Phase Dialog CORRECT TREATMENT A Click to add button for adding events needed for the treatment of the patient. – RELATED EVENTS A Click to add button for adding events not seen as treatment. It can for example be desirable learner actions like good communication skills, but also bad behavior or common mistakes. – Click to add phase A click to add button for adding phases. Not available in theme mode. Click to Add Phase ☞ Contents SimDesigner Help Page 188 2020, Rev.T _____________________________________________________________________________________________________ Click to Add Phase When clicking Click to add phase button a new phase box opens. The new phase box looks like Phase 1 box when unfolded except for color. For example, is Phase 1 red and Phase 2 green. When adding more phases, new boxes are added with other colors. Those colors are easily changed. ☞ Contents SimDesigner Help Page 189 2020, Rev.T _____________________________________________________________________________________________________ Phase Dialog Label Description See Section Category name Name of the category which can be changed by typing over the original name. – Category Icon Icons to make each category easier to identify on an instructor application. The icons can be changed. – Visible for When reporter roles are defined for the scenario, then can categories be filtered to be visible for specific roles. Color The color of the category can be changed. – At registration What will happen with this event, and others with the same name, when they are registered at simulation. The alternatives are self descriptive. – Automatic response Responses connected to and triggered by an event. Not available in theme mode. – Events The events in the lists are the ones added in the Phase pane. More events can be added by clicking Click to add event buttons. These events will automatically be added to the Phase pane. – ☞ Contents SimDesigner Help Page 190 2020, Rev.T _____________________________________________________________________________________________________ Label Description Sub-events If an event has sub-events, they will be visible in the list. An editing button to open the Event Appearance dialog. Pencil icon See Section – Edit Event Appearance Save Phase A phase can be saved as a file (with the extension phx). – Load Phase A phase file (with the extension phx) can be loaded. – Rename Phase A phase file can be renamed. Not available in theme mode. Copy events to other phases Events can be selected for copying to other phases. Not available in theme mode. ☞ Copy Events to other Phases For information about how to work with phases, see section Stage 4 – Editing the Phase. Edit Event Appearance How to edit the appearance of an event depends on the event type. In the following subsections, some examples are given. Basic Event Appearance In all events some basic appearance settings are possible to make. In many events these are also the only possible settings: ☞ Contents SimDesigner Help Page 191 2020, Rev.T _____________________________________________________________________________________________________ Label Description Event name The event name can be shown in three different ways: • The original name (for example ’Check pulse’) • An alias (for example ’Palpate pulse’) • Use a standard1 Color This is a new feature with version 6.1 where each event can be given a color. In previous version they could only be marked as “critical”. If that was the case, then they are now shown with the color red. Changes When checked then all changes made to this occurrence of the event will also be applied to all other occurrences of the same event. 1 Here references to medical standards can be given. This feature is not implemented yet but will come soon. Advanced Event Appearance Except for the basic settings described in the previous section, some events have more advanced settings like Drug event shown below. In this case routes, doses, and other parameters can be set. ☞ Contents SimDesigner Help Page 192 2020, Rev.T _____________________________________________________________________________________________________ You can configure the concentration of a drug by changing the number in the Routes column: This will automatically adjust the preset volume accordingly. ☞ Contents SimDesigner Help Page 193 2020, Rev.T _____________________________________________________________________________________________________ Sub-Events Some events consist of sub-events as shown in the example below: Label Description Sub-events A selected sub-event (left check boxes) is visible in the Phase dialog. It is visible in an instructor application, for example SimPad. An un-selected sub event will not be shown. Pre-selected A pre-selected sub-event (right check boxes) has a pre-checked check box in an instructor application like SimPad. Several preselected sub-events can be controlled by only one OK-button in SimPad. The not pre-selected sub-events are still available during simulation and can be selected separately. • For information about how to use sub-events, see section Using SubEvents. ☞ Contents SimDesigner Help Page 194 2020, Rev.T _____________________________________________________________________________________________________ Editing Custom Events Custom events can be edited in the event library, but if you have already used the event in the scenario, it is easier to edit the event definition in the phase editor. To do this, click the Edit Event button. A dialog appears: ☞ Contents SimDesigner Help Page 195 2020, Rev.T _____________________________________________________________________________________________________ Click the Event Settings Tab to edit event definition. Here you can edit the detailed settings of the event. You can choose between these options: • Apply changes to scenario This will apply the change to all instances of this event in the scenario. • Apply changes to Event Library This will apply change to the event definition in the Event Library. If none of them above is selected the change will only be applied to this instance of the event. ☞ Contents SimDesigner Help Page 196 2020, Rev.T _____________________________________________________________________________________________________ Resources Pane From the Resources pane (below the Phases pane) a variety of resources can be selected: Resource Type Description See Section Handlers Opens a dialog for finding a Handler-file. Not available in theme mode. – Radiology files Opens a dialog for finding a Radiology-file. – ☞ Contents SimDesigner Help Page 197 2020, Rev.T _____________________________________________________________________________________________________ Resource Type Description See Section Lab files Opens a dialog for finding a Lab-file. – Media files Opens a dialog for finding a Media-file. – Add Timer Adds a timer that can be used with timer events (special events). Trends Opens a dialog for finding a Trend-file. User-defined variables Adds an user defined variable. Vocal sounds Opens a dialog for finding a Vocal sounds-file. – Input dialogs Adds an input dialog. – Monitor layout Opens a dialog for finding a Monitor layout-file. – LLEAP GUI layout Opens a dialog for finding a LLEAP GUI layoutfile. This makes it possible to control the LLEAP GUI for specific scenarios/themes. – Add Timer Add User Defined Variable • For information about how to use resources, see section Stage 9 - Adding Resources to the Phase. Add Timer Label Description Timer name A text box for typing a timer name. Timer type: The following timer types are available: Count up Count down Initial value A value given in minutes and seconds. ☞ Contents SimDesigner Help Page 198 2020, Rev.T _____________________________________________________________________________________________________ • For information about how to use timers, see Adding Timers in section Using Special Functions. ☞ Contents SimDesigner Help Page 199 2020, Rev.T _____________________________________________________________________________________________________ Add User Defined variable Label Description Variable name A text box for typing a variable name. Variable type The following variable types are available: Text Number Number with decimals On/Off Set of items Initial value An initial value can be given. The format depends on the variable type: Text: An arbitrary text can be written Number: A negative or positive integer value can be set Number with decimals: A negative or positive decimal value with six decimals can be set. On/Off: ON or OFF can be set For Set of items a list of values can be given, where one of them must be marked as the initial value. Logging Changes to the variable will be logged (visible in detailed view) when the amount of change is larger or equal to the setting. 0 means log every change. For Set of items is no value needed. Uncheck in order to not get any logging at all for changes. • For information about how to use user defined variables, see section Adding User Defined Variables in section Using Special Functions. ☞ Contents SimDesigner Help Page 200 2020, Rev.T _____________________________________________________________________________________________________ Add Input dialog ☞ Contents SimDesigner Help Page 201 2020, Rev.T _____________________________________________________________________________________________________ Label Description Dialog id An identifier for the dialog. An user defined variable will be created with the prefix “Input_” followed by the id. Title The title of the dialog shown. Media Any of the media resources added to the scenario can be selected, and the presentation height can be adjusted. New in 6.4. The media can be selected to use “External media”, in which case an URL to an internet location must be supplied. The client being shown the input dialog must have internet access for external media to work. Text The text to be presented in the dialog. Add input field When checked will a text input field be shown in the dialog where the user can enter anything. An user defined variable will be created with the prefix “InputText_” followed by the id. When the dialog is closed will that user defined variable contain the text entered. Buttons A number of buttons can be created. Each one should be given a different name and they will all close the dialog when clicked on. The user defined variable with prefix “Input_” will get the value of the name of the button clicked. Pause It’s possible to tell that the whole simulation should be paused while this dialog is shown. New in 6.4. ☞ Contents SimDesigner Help Page 202 2020, Rev.T _____________________________________________________________________________________________________ Label Description Visible for Will show a window where it’s possible to filter where the dialog should be presented. Can be on PatientMonitor and/or on LLEAP. If Reporter roles are defined then those can also be filtered on for LLEAP. Color The frame/background of the dialog can be customized. If not specified, then black is used. • For information about how to use input dialogs, see section Adding Input Dialog in section Using Special Functions. ☞ Contents SimDesigner Help Page 203 2020, Rev.T _____________________________________________________________________________________________________ After the resources have been added they are available in the Scenario Resources pane. From the pane the resources can be opened and edited by clicking the corresponding pencil or folder icon. Resource Type Description See Handlers Opens the handler in the Handler Editor dialog. Not available in theme mode. Section Handlers Media files Opens the file in a media player or viewer. – Add Timer Opens the timer in the Add Timer dialog. – Trends Opens the Trend editor. User-defined variables Opens the variable in the Add User-Defined Variable dialog. – Input dialogs Opens the dialog for editing in the Edit Input Dialog dialog. – Vocal sounds Opens the sound in a sound player. – Trend Editor Help ☞ Contents SimDesigner Help Page 204 2020, Rev.T _____________________________________________________________________________________________________ Resource Type Description Monitor layout Opens the monitor layout in the Monitor Setup. See – Handlers The Handler Events dialog is similar to the Phase dialog. Handlers are built by events as shown in Handler Events dialog here: • See also Handlers in section Command Toolbar. ☞ Contents SimDesigner Help Page 205 2020, Rev.T _____________________________________________________________________________________________________ States A state visible on the canvas looks like this: A B C D E F ☞ Contents SimDesigner Help Page 206 2020, Rev.T _____________________________________________________________________________________________________ All parameters shown can be edited through Define Patient State dialog shown in the next section, where the designations (A, B, C, etc) in the figure above are explained. Define Patient State Dialog In each patient state, a variety of parameters can be set or changed. Theme version: Pos1 Label Description See A State name A text box for entering the name of the state. – B Short description A text box for entering information about the state. – D Additional symptoms Visible and audible symptoms related to the lungs and the hearth can be added and edited. Which symptoms that can be set depends on the simulator type. Section Additional Symptoms ☞ Contents SimDesigner Help Page 207 2020, Rev.T _____________________________________________________________________________________________________ Pos1 Label Description See E Trends and handlers Trends and handlers can be added and edited. Section Trends and Handlers C Vital signs Vital signs can be selected from a list of 25. Each vital sign has parameters that can be set. Section Vital Signs F Non-medical responses Responses that are not directly connected to the medical status of the patient. These non-medical responses are available and can be edited: • Media files • Vocal sounds • Set timer • Add Log Comment • Add Instructor message • Set User defined variables • End Scenario • Pause Scenario • Fast Forward Scenario – Stop all running transitions... A selection meaning that any trends running before entering this state will be stopped. bottom left of the dialog – Clear delayed responses... A selection meaning that delayed responses from earlier states are cleared and therefore will not start during the current state. bottom left of the dialog – All other A selection meaning that all vital signs and values are parameters which are NOT specified in this set to normal state will get their default value (depends on targeted simulator) when the state is entered. bottom left of the dialog – Automatic shock conversion... l This option is only available in theme mode. A selection giving the possibility to preprogram values for number of shocks and shock energy level needed to activate this state (in the case the instructor has enabled the state for shock activation in the LLEAP GUI). bottom left of the dialog – Transition time to this state The time between the previous and the current state during which the parameters (vital signs) changes to values in the current state. The changes follow a transition curve.2 bottom left of the dialog – ☞ Contents SimDesigner Help Page 208 2020, Rev.T _____________________________________________________________________________________________________ Pos1 – Label Description See Transition curve The curve the parameter values follows between two states. The following curves are available: • Linear • S-curve • Exponential • Inverse Exponential bottom left of the dialog 1 The designations refer to the figure in the previous section. If a vital sign has been set to a specific transition (see Basic Vital Sign), this transition overrides the transition set for the state 2 Additional Symptoms Note: Available symptoms depend on the manikin type. ☞ Contents SimDesigner Help Page 209 2020, Rev.T _____________________________________________________________________________________________________ After a symptom has been selected, it shows up in the Additional symptoms box in the Define the Patient State dialog as shown in this example: From the drop-down list a value is selected, see the following sections. A time delay can also be set. Trends and Handlers Trends and handlers can be controller from the Trends and Handlers dialog. The handler part of the dialog isn’t available in theme mode. For more information, see section Stage 5 – Defining the Initial State. ☞ Contents SimDesigner Help Page 210 2020, Rev.T _____________________________________________________________________________________________________ Vital Signs The figure above shows the vital signs, set for the initial state. Vital signs, which have been set, appear in color, not set vital signs are grey. The following vital signs are available. Label Description ECG Electrocardiogram HR Heart Rate RR Respiration BP Blood Pressure SpO2 Saturation of Peripheral Oxygen etCO2 End-Tidal Carbon Dioxide Tblood Invasive blood temperature TPeri Peripheral Temperature WP Pulmonary Wedge Pattern Cyanosis ☞ Contents SimDesigner Help Page 211 2020, Rev.T _____________________________________________________________________________________________________ Label Description PAP Sys. Pulmonary Artery Pressure Systolic PAP Dia. Pulmonary Artery Pressure Diastolic CVP Central Venous Pressure ICP IntraCranial Pressure pH Arterial pH C.O. Cardiac Output inN2O Inspired Nitrogen Dioxide etN2O End-Tidal Nitrogen Dioxide inO2 Inspired Oxygen etO2 End-Tidal Oxygen inAGT Inspired Anesthetic Gas etAGT End-tidal Anesthetic Gas TOF Train of Four responses. How many responses out of four. TOF% Ratio between the strength of the fourth response and the first. PTC Post Tetanic Count Each Vital sign can be edited if already set and new ones can be added by clicking them. After clicking a vital sign, a dialog appears. Depending on type of vital sign, the dialog appearance can vary. ☞ Contents SimDesigner Help Page 212 2020, Rev.T _____________________________________________________________________________________________________ Basic Vital Sign In most vital signs some basic settings are possible to make. In many vital signs these are also the only possible settings: Label Description Vital sign name – Set to drop-down Decides how the value in the value box will be handled. The following options are available: Set to Add Subtract Multiply by Divide by Value box For entering a value by typing or using the arrow-keys. Use expression Set the vital sign value using an expression. See separate chapter about expressions. Set delay A delay (in minutes and seconds). Set transition A transition time (in minutes and seconds) to the state, following a transition curve (linear, sinus, exponential, inverse exponential). Remove, OK, Cancel Except for the ordinary OK- and Cancel-buttons, there is a Remove-button. Using this button will remove the Vital sign (that is it will be marked grey in the Vital sign box above, but can be activated again). Advanced Vital Sign Except for the basic settings described in the last section, some vital signs have more advanced settings like ECG shown below. ☞ Contents SimDesigner Help Page 213 2020, Rev.T _____________________________________________________________________________________________________ Non-Medical Responses ☞ Contents SimDesigner Help Page 214 2020, Rev.T _____________________________________________________________________________________________________ ☞ Contents SimDesigner Help Page 215 2020, Rev.T _____________________________________________________________________________________________________ Response Description See Section Media files Includes a variety of sound-, picture-, and movie-file formats. Supported formats: Pictures: jpg, jpeg, bmp, gif, tif Audio: wav format Video codecs: - MPEG-1 (not MPEG-2) (*.mpg) - WMV (*.wmv) - Cinebench (*.avi) - Microsoft RLE (*.avi) - IYUV (*.avi) - Laerdal AVS (*.264) - Mp4 Lab files: txt, html, pdf _ Vocal sounds Sound file in .wav-format. _ Set timer Sets a timer previously created in the Resources pane. The time can be changed. Using Timers in States and in Automatic Responses Create new timer Creates a new timer in the same way as from the Resources pane. Adding Timers Add log comment Log comments can be used to guide the instructor after the scenario has finished. Learner grades can also be set. (Log comments can also be added afterwards in SimPad/LLEAP by the instructor.) _ Add instructor message Instructor messages can be added as log comments but also as popup messages. The message will then popup on the SimPad/LLEAP screen to catch the instructor’s attention. They can be filtered on reporter roles if such are defined for the scenario. _ Add input dialog These are messages which can popup on SimPad/LLEAP and/or PatientMonitor. Can have several buttons and formatted text. _ Create input dialog Creates a new input dialog in the same way as from the Resources pane. Add Input Dialog ☞ Contents SimDesigner Help Page 216 2020, Rev.T _____________________________________________________________________________________________________ Response Description See Section Set user defined variables Opens a user defined variable created in the Resources pane. The variable can be changed. Using User Defined Variables in States and in Automatic Responses Create user defined variable Creates a new user defined variable in the same way as from the Resources pane. Adding User Defined Variables Start scenario / theme Will add a start scenario/theme response to the state. Only one of the five Start/End/End&Debrief/Pause/Fa stForward can exist in one state at the moment. End scenario / theme Will add an end scenario/theme response to the state. In LLEAP this means an end session dialog will be presented. End scenario / theme and debrief Will add an end scenario/theme response to the state. In LLEAP this means that the session will go directly to debrief (if a debriefing system is connected). Pause scenario / theme Will add a pause scenario/theme response to the state. Fast forward scenario / theme Will add a fast forward response to the state. It has the option of running indefinitely but can then be stopped by another setting of fast forward with time 0 (in automatic response or similar) Register event Will add an event to automatically register. Can have values. Useful for e.g. setting up an environment with “Warming blanket” and similar events already registered. ☞ Contents SimDesigner Help Page 217 2020, Rev.T _____________________________________________________________________________________________________ Media files – advanced options There are a number of optional settings for each file that is transferred, depending on type of file: Setting Alias Available for All Description The name of the file, shown in the log and on the Patient Monitor. Display / Play All Immediately will show, and play, the media immediately after transfer. Next will place the media in the play queue if a media is already being shown/playing. It will otherwise act the same as Immediately. Delay All Window All Auto-close Multimedia Duration Radiology / Lab results All Closure possible after Transfer only will transfer the file but it will not be played automatically The amount of time that the transfer is delayed. How the window on the Patient Monitor should display the media. Hidden – No window is shown, but sounds will be played. Only Controls – Only playback controls are shown, but sounds will be played. Normal – Standard window is shown Fit to screen – The window is maximized to fill the screen, but playback controls are still available. Fullscreen – The whole screen is used, but no playback controls are shown. Check to make the window close after finished playing. The amount of time until the window automatically closes down. To keep it open until user closes it down, set this time to 0. Close buttons are enabled once this time is reached. E.g. see screen shot above where “Head scan” will normally be shown for 10 seconds, but user can close the window after 5 seconds. Note: Not all combinations make sense. It’s up to the user to set usable combinations. ☞ Contents SimDesigner Help Page 218 2020, Rev.T _____________________________________________________________________________________________________ Expressions and variable substitution Expressions SimDesigner supports the concept of expressions. We define an expression as a mathematical expression that computes a value. The expression can consist of constant values, user defined variables, parameter values and mathematical functions. Expressions can be used in conditions (special event “Test on advanced expression”), comments and instructor messages, when setting a vital sign value and when setting a user define variable value. Variable substitution On top of the mathematical expression we have the notation of putting the expressions inside "{}" curly brackets. Everything inside curly brackets is first attempted to be replaced by the value of a specified user defined variable (including timers), event or parameter. This is done recursively before finally trying to evaluate the resulting expression. E.g. in a comment you can write: "The value is {(int)(5*{Laerdal.Response.AGT.inAGT_Percent} + pi*sin({Laerdal.Event.Shock energy level}) - max({MyTimer},{MyInt}))}". Note that events are specified as "Laerdal.Event.event name" or "Custom.Event.event name", and parameters need full "Laerdal.Response.XXX". See below for a full list of parameters. Functions LLEAP and SimPad is using the “muParser” parser library to calculate the expressions. The syntax and available features for expressions are described at http://articles.beltoforion.de/article.php?a=muparserx&hl=en In addition to those in the link above we’ve added support for the “modulo operator”, using the ‘%’ character. E.g. in a comment you can write this to print out a duration based on a timer, “myTimer”, in your scenario: “Time (min:sec) = {(int)({myTimer}/60)}:{{myTimer}%60}”. When running the scenario, if myTimer was 155 at time of logging, it would be logged like this: “Time (min:sec) = 2:35 From version 6.6.0 is it also possible to use a more convenient formatting of times, “{secFormat({myTimer})}”. This function will also take care of hours, replacing with HH:MM:SS if more than 1 hour, and only MM:SS if less than an hour. We also have added a function for generating random numbers: rand(minValue,maxValue) This function takes a minimum value and a maximum value as parameters and returns a random value within that range. Parameter listing The following lists all parameter names: ☞ Contents SimDesigner Help Page 219 2020, Rev.T _____________________________________________________________________________________________________ <xs:enumeration value="Laerdal.Response.AGT.inAGT_Percent" /> <xs:enumeration value="Laerdal.Response.AGT.etAGT_Percent" /> <xs:enumeration value="Laerdal.Response.AGT.inAGTetAGTTrendMin_Percent" /> <xs:enumeration value="Laerdal.Response.AGT.inAGTetAGTTrendMax_Percent" /> <xs:enumeration value="Laerdal.Response.Airway.AirFlowBlocked" /> <xs:enumeration value="Laerdal.Response.Airway.LungResistanceRight_Percent" /> <xs:enumeration value="Laerdal.Response.Airway.LungResistanceLeft_Percent" /> <xs:enumeration value="Laerdal.Response.Airway.LungCompliance_Percent" /> THE FOLLOWING IS DEPRECATED. PLEASE STOP USING! <xs:enumeration value="Laerdal.Response.Airway.StomachDistentionVer2" /> USE THESE ONES INSTEAD! <xs:enumeration value="Laerdal.Response.Airway.StomachDistention.Enabled" /> <xs:enumeration value="Laerdal.Response.Airway.StomachDistention.ReleaseAir" /> <xs:enumeration value="Laerdal.Response.Airway.StomachDistention.Inflate" /> <xs:enumeration value="Laerdal.Response.Airway.TongueFallback" /> <xs:enumeration value="Laerdal.Response.Airway.TongueEdema_Percent" /> <xs:enumeration value="Laerdal.Response.Airway.PneumothoraxRightVer2" /> <xs:enumeration value="Laerdal.Response.Airway.PneumothoraxLeftVer2" /> THE FOLLOWING IS DEPRECATED. PLEASE STOP USING! <xs:enumeration value="Laerdal.Response.Airway.Laryngospasm" /> USE THIS ONE INSTEAD! <xs:enumeration value="Laerdal.Response.Airway.Laryngospasm_Percent" /> <xs:enumeration value="Laerdal.Response.Airway.PharyngealObstruction" /> <xs:enumeration value="Laerdal.Response.Airway.DecreasedCervicalMotion" /> <xs:enumeration value="Laerdal.Response.Airway.Trismus" /> <xs:enumeration value="Laerdal.Response.Airway.FBAO" /> <xs:enumeration value="Laerdal.Response.Airway.FBAO" /> <xs:enumeration value="Laerdal.Response.Airway.OpenBreaths.MinNrOKVentsPhase1" /> <xs:enumeration value="Laerdal.Response.Airway.OpenBreaths. MinNrOKVentsPhase2" /> <xs:enumeration value="Laerdal.Response.Airway.TracheostomaOpening_Percent" /> <xs:enumeration value="Laerdal.Response.Auscultation.Heart.PresetName" /> <xs:enumeration value="Laerdal.Response.Auscultation.Heart.Whole" /> <xs:enumeration value="Laerdal.Response.Auscultation.Heart.WholeVolume_Percent" /> <xs:enumeration value="Laerdal.Response.Auscultation.Heart.Aortic" /> <xs:enumeration value="Laerdal.Response.Auscultation.Heart.AorticVolume_Percent" /> <xs:enumeration value="Laerdal.Response.Auscultation.Heart.Pulmonary" /> <xs:enumeration value="Laerdal.Response.Auscultation.Heart.PulmonaryVolume_Percent" /> <xs:enumeration value="Laerdal.Response.Auscultation.Heart.Tricuspid" /> <xs:enumeration value="Laerdal.Response.Auscultation.Heart.TricuspidVolume_Percent" /> <xs:enumeration value="Laerdal.Response.Auscultation.Heart.Mitral" /> <xs:enumeration value="Laerdal.Response.Auscultation.Heart.MitralVolume_Percent" /> <xs:enumeration value="Laerdal.Response.Auscultation.LungLeft.PresetName" /> <xs:enumeration value="Laerdal.Response.Auscultation.LungLeft.Whole" /> <xs:enumeration value="Laerdal.Response.Auscultation.LungLeft.WholeVolume_Percent" /> <xs:enumeration value="Laerdal.Response.Auscultation.LungLeft.AnteriorUpper" /> <xs:enumeration value="Laerdal.Response.Auscultation.LungLeft.AnteriorUpperVolume_Percent" /> <xs:enumeration value="Laerdal.Response.Auscultation.LungLeft.AnteriorLower" /> <xs:enumeration value="Laerdal.Response.Auscultation.LungLeft.AnteriorLowerVolume_Percent" /> <xs:enumeration value="Laerdal.Response.Auscultation.LungLeft.AnteriorWhole" /> <xs:enumeration value="Laerdal.Response.Auscultation.LungLeft.AnteriorWholeVolume_Percent" /> <xs:enumeration value="Laerdal.Response.Auscultation.LungLeft.PosteriorUpper" /> <xs:enumeration value="Laerdal.Response.Auscultation.LungLeft.PosteriorUpperVolume_Percent" /> <xs:enumeration value="Laerdal.Response.Auscultation.LungLeft.PosteriorLower" /> ☞ Contents SimDesigner Help Page 220 2020, Rev.T _____________________________________________________________________________________________________ <xs:enumeration value="Laerdal.Response.Auscultation.LungLeft.PosteriorLowerVolume_Percent" /> <xs:enumeration value="Laerdal.Response.Auscultation.LungLeft.PosteriorWhole" /> <xs:enumeration value="Laerdal.Response.Auscultation.LungLeft.PosteriorWholeVolume_Percent" /> <xs:enumeration value="Laerdal.Response.Auscultation.LungRight.PresetName" /> <xs:enumeration value="Laerdal.Response.Auscultation.LungRight.Whole" /> <xs:enumeration value="Laerdal.Response.Auscultation.LungRight.WholeVolume_Percent" /> <xs:enumeration value="Laerdal.Response.Auscultation.LungRight.AnteriorUpper" /> <xs:enumeration value="Laerdal.Response.Auscultation.LungRight.AnteriorUpperVolume_Percent" /> <xs:enumeration value="Laerdal.Response.Auscultation.LungRight.AnteriorMiddle" /> <xs:enumeration value="Laerdal.Response.Auscultation.LungRight.AnteriorMiddleVolume_Percent" /> <xs:enumeration value="Laerdal.Response.Auscultation.LungRight.AnteriorLower" /> <xs:enumeration value="Laerdal.Response.Auscultation.LungRight.AnteriorLowerVolume_Percent" /> <xs:enumeration value="Laerdal.Response.Auscultation.LungRight.AnteriorWhole" /> <xs:enumeration value="Laerdal.Response.Auscultation.LungRight.AnteriorWholeVolume_Percent" /> <xs:enumeration value="Laerdal.Response.Auscultation.LungRight.PosteriorUpper" /> <xs:enumeration value="Laerdal.Response.Auscultation.LungRight.PosteriorUpperVolume_Percent" /> <xs:enumeration value="Laerdal.Response.Auscultation.LungRight.PosteriorLower" /> <xs:enumeration value="Laerdal.Response.Auscultation.LungRight.PosteriorLowerVolume_Percent" /> <xs:enumeration value="Laerdal.Response.Auscultation.LungRight.PosteriorWhole" /> <xs:enumeration value="Laerdal.Response.Auscultation.LungRight.PosteriorWholeVolume_Percent" /> <xs:enumeration value="Laerdal.Response.Auscultation.Bowel.PresetName" /> <xs:enumeration value="Laerdal.Response.Auscultation.Bowel.Whole" /> <xs:enumeration value="Laerdal.Response.Auscultation.Bowel.WholeVolume_Percent" /> <xs:enumeration value="Laerdal.Response.Auscultation.Bowel.LeftUpperVolume_Percent" /> <xs:enumeration value="Laerdal.Response.Auscultation.Bowel.LeftUpper" /> <xs:enumeration value="Laerdal.Response.Auscultation.Bowel.LeftLowerVolume_Percent" /> <xs:enumeration value="Laerdal.Response.Auscultation.Bowel.LeftLower" /> <xs:enumeration value="Laerdal.Response.Auscultation.Bowel.RightUpperVolume_Percent" /> <xs:enumeration value="Laerdal.Response.Auscultation.Bowel.RightUpper" /> <xs:enumeration value="Laerdal.Response.Auscultation.Bowel.RightLowerVolume_Percent" /> <xs:enumeration value="Laerdal.Response.Auscultation.Bowel.RightLower" /> <xs:enumeration value="Laerdal.Response.Bleeding.UpperPortEnabled" /> <xs:enumeration value="Laerdal.Response.Bleeding.UpperPortRate_Percent" /> <xs:enumeration value="Laerdal.Response.Bleeding.UpperPortBleedingType" /> <xs:enumeration value="Laerdal.Response.Bleeding.LowerPortEnabled" /> <xs:enumeration value="Laerdal.Response.Bleeding.LowerPortRate_Percent" /> <xs:enumeration value="Laerdal.Response.Bleeding.LowerPortBleedingType" /> <xs:enumeration value="Laerdal.Response.BloodPressure.Systolic_mmHg" /> <xs:enumeration value="Laerdal.Response.BloodPressure.SystolicTrendMin_mmHg" /> <xs:enumeration value="Laerdal.Response.BloodPressure.SystolicTrendMax_mmHg" /> <xs:enumeration value="Laerdal.Response.BloodPressure.Diastolic_mmHg" /> <xs:enumeration value="Laerdal.Response.BloodPressure.DiastolicTrendMin_mmHg" /> <xs:enumeration value="Laerdal.Response.BloodPressure.DiastolicTrendMax_mmHg" /> <xs:enumeration value="Laerdal.Response.BloodPressure.MeanArterial_mmHg" /> <xs:enumeration value="Laerdal.Response.BloodPressure.KorotkoffVolume" /> <xs:enumeration value="Laerdal.Response.BloodPressure.AuscultationGap" /> <xs:enumeration value="Laerdal.Response.BloodPressure.FlatLine" /> ☞ Contents SimDesigner Help Page 221 2020, Rev.T _____________________________________________________________________________________________________ <xs:enumeration value="Laerdal.Response.CardiacOutput.Value_LiterPerMinute" /> <xs:enumeration value="Laerdal.Response.CardiacOutput.ValueTrendMin_LiterPerMinute" /> <xs:enumeration value="Laerdal.Response.CardiacOutput.ValueTrendMax_LiterPerMinute" /> <xs:enumeration value="Laerdal.Response.Convulsions.Type" /> <xs:enumeration value="Laerdal.Response.MuscleTone.Type" /> <xs:enumeration value="Laerdal.Response.SeizureIntensity_Percent" /> <xs:enumeration value="Laerdal.Response.TorsoMotion_Percent" /> <xs:enumeration value="Laerdal.Response.HeadSeizure" /> <xs:enumeration value="Laerdal.Response.HeadLimp " /> <xs:enumeration value="Laerdal.Response.CVP.Value_mmHg" /> <xs:enumeration value="Laerdal.Response.CVP.ValueTrendMin_mmHg" /> <xs:enumeration value="Laerdal.Response.CVP.ValueTrendMax_mmHg" /> <xs:enumeration value="Laerdal.Response.CVP.FlatLine" /> <xs:enumeration value="Laerdal.Response.Ecg.BasicRhythm" /> <xs:enumeration value="Laerdal.Response.Ecg.Extrasystole" /> <xs:enumeration value="Laerdal.Response.Ecg.ExtrasystoleFrequency" /> <xs:enumeration value="Laerdal.Response.Ecg.HeartRate_bpm" /> <xs:enumeration value="Laerdal.Response.Ecg.HeartRateTrendMin_bpm" /> <xs:enumeration value="Laerdal.Response.Ecg.HeartRateTrendMax_bpm" /> <xs:enumeration value="Laerdal.Response.Ecg.Severity" /> <xs:enumeration value="Laerdal.Response.Ecg.PEA" /> <xs:enumeration value="Laerdal.Response.Ecg.MuscularArtefacts" /> <xs:enumeration value="Laerdal.Response.Ecg.ElectricalArtefacts" /> <xs:enumeration value="Laerdal.Response.Ecg.PacingRate_bpm" /> <xs:enumeration value="Laerdal.Response.Ecg.Pulse_bpm" /> <xs:enumeration value="Laerdal.Response.etCO2.Value_mmHg" /> <xs:enumeration value="Laerdal.Response.etCO2.ValueTrendMin_mmHg" /> <xs:enumeration value="Laerdal.Response.etCO2.ValueTrendMax_mmHg" /> <xs:enumeration value="Laerdal.Response.etCO2.FlatLine" /> <xs:enumeration value="Laerdal.Response.etCO2.ExpirationSlope_Percent" /> <xs:enumeration value="Laerdal.Response.etCO2.InspirationSlope_Percent" /> <xs:enumeration value="Laerdal.Response.inCO2.Value_mmHg" /> <xs:enumeration value="Laerdal.Response.Eyes.PupilSizeRight" /> <xs:enumeration value="Laerdal.Response.Eyes.PupilSizeLeft" /> <xs:enumeration value="Laerdal.Response.Eyes.EyelidStatus" /> <xs:enumeration value="Laerdal.Response.Eyes.BlinkRate" /> <xs:enumeration value="Laerdal.Response.Eyes.LightSensitivity" /> <xs:enumeration value="Laerdal.Response.Fontanelle.IsFull" /> <xs:enumeration value="Laerdal.Response.Liver.IsEnlarged" /> <xs:enumeration value="Laerdal.Response.CapillaryRefillTime.Enabled " /> <xs:enumeration value="Laerdal.Response.CapillaryRefillTime.Sternum_Seconds " /> <xs:enumeration value="Laerdal.Response. CapillaryRefillTime.LeftHand_Seconds " /> <xs:enumeration value="Laerdal.Response.ICP_mmHg" /> <xs:enumeration value="Laerdal.Response.ICPTrendMin_mmHg" /> <xs:enumeration value="Laerdal.Response.ICPTrendMax_mmHg" /> <xs:enumeration value="Laerdal.Response.N2O.inN2O_Percent" /> <xs:enumeration value="Laerdal.Response.N2O.etN2O_Percent" /> <xs:enumeration value="Laerdal.Response.N2O.inN2OetN2OTrendMin_Percent" /> <xs:enumeration value="Laerdal.Response.N2O.inN2OetN2OTrendMax_Percent" /> <xs:enumeration value="Laerdal.Response.O2.inO2_Percent" /> <xs:enumeration value="Laerdal.Response.O2.etO2_Percent" /> <xs:enumeration value="Laerdal.Response.O2.inO2etO2TrendMin_Percent" /> <xs:enumeration value="Laerdal.Response.O2.inO2etO2TrendMax_Percent" /> <xs:enumeration value="Laerdal.Response.Pacing.Enabled" /> <xs:enumeration value="Laerdal.Response.Pacing.Threshold_mA" /> <xs:enumeration value="Laerdal.Response.PAP.Systolic_mmHg" /> <xs:enumeration value="Laerdal.Response.PAP.SystolicTrendMin_mmHg" /> ☞ Contents SimDesigner Help Page 222 2020, Rev.T _____________________________________________________________________________________________________ <xs:enumeration value="Laerdal.Response.PAP.SystolicTrendMax_mmHg" /> <xs:enumeration value="Laerdal.Response.PAP.Diastolic_mmHg" /> <xs:enumeration value="Laerdal.Response.PAP.DiastolicTrendMin_mmHg" /> <xs:enumeration value="Laerdal.Response.PAP.DiastolicTrendMax_mmHg" /> <xs:enumeration value="Laerdal.Response.PAP.Wedge_mmHg" /> <xs:enumeration value="Laerdal.Response.PAP.WedgeTrendMin_mmHg" /> <xs:enumeration value="Laerdal.Response.PAP.WedgeTrendMax_mmHg" /> <xs:enumeration value="Laerdal.Response.PAP.FlatLine" /> <xs:enumeration value="Laerdal.Response.PerfusionStop" /> <xs:enumeration value="Laerdal.Response.pH" /> <xs:enumeration value="Laerdal.Response.pHTrendMin" /> <xs:enumeration value="Laerdal.Response.pHTrendMax" /> <xs:enumeration value="Laerdal.Response.PTC" /> <xs:enumeration value="Laerdal.Response.PTCTrendMin" /> <xs:enumeration value="Laerdal.Response.PTCTrendMax" /> <xs:enumeration value="Laerdal.Response.Pulses.Silence" /> <xs:enumeration value="Laerdal.Response.Pulses.EnablePulseRules" /> <xs:enumeration value="Laerdal.Response.Pulses.Central" /> <xs:enumeration value="Laerdal.Response.Pulses.Central.Limited" /> <xs:enumeration value="Laerdal.Response.Pulses.RightLeg" /> <xs:enumeration value="Laerdal.Response.Pulses.RightLeg.Limited" /> <xs:enumeration value="Laerdal.Response.Pulses.LeftLeg" /> <xs:enumeration value="Laerdal.Response.Pulses.LeftLeg.Limited" /> <xs:enumeration value="Laerdal.Response.Pulses.RightFoot" /> <xs:enumeration value="Laerdal.Response.Pulses.RightFoot.Limited" /> <xs:enumeration value="Laerdal.Response.Pulses.LeftFoot" /> <xs:enumeration value="Laerdal.Response.Pulses.LeftFoot.Limited" /> <xs:enumeration value="Laerdal.Response.Pulses.RightArm" /> <xs:enumeration value="Laerdal.Response.Pulses.RightArm.Limited" /> <xs:enumeration value="Laerdal.Response.Pulses.LeftArm" /> <xs:enumeration value="Laerdal.Response.Pulses.LeftArm.Limited" /> <xs:enumeration value="Laerdal.Response.Pulses.RightHand" /> <xs:enumeration value="Laerdal.Response.Pulses.RightHand.Limited" /> <xs:enumeration value="Laerdal.Response.Pulses.LeftHand" /> <xs:enumeration value="Laerdal.Response.Pulses.LeftHand.Limited" /> <xs:enumeration value="Laerdal.Response.Pulses.Femoral" /> <xs:enumeration value="Laerdal.Response.Pulses.Femoral.Limited" /> <xs:enumeration value="Laerdal.Response.Pulses.Neck" /> <xs:enumeration value="Laerdal.Response.Pulses.Neck.Limited" /> <xs:enumeration value="Laerdal.Response.Pulses.Umbilical" /> <xs:enumeration value="Laerdal.Response.Pulses.Umbilical.Limited" /> <xs:enumeration value="Laerdal.Response.Respiration.awRR_BreathsPerMinute" /> <xs:enumeration value="Laerdal.Response.Respiration.RR_BreathsPerMinute" /> <xs:enumeration value="Laerdal.Response.Respiration.RRTrendMin_BreathsPerMinute" /> <xs:enumeration value="Laerdal.Response.Respiration.RRTrendMax_BreathsPerMinute" /> <xs:enumeration value="Laerdal.Response.Respiration.CO2Exhalation" /> <xs:enumeration value="Laerdal.Response.Respiration.ChestRise" /> <xs:enumeration value="Laerdal.Response.Respiration.BreathingPattern" /> <xs:enumeration value="Laerdal.Response.Scenario.Pause" /> <xs:enumeration value="Laerdal.Response.Scenario.Stop" /> <xs:enumeration value="Laerdal.Response.Secretions.Sweat" /> <xs:enumeration value="Laerdal.Response.Secretions.Ears" /> <xs:enumeration value="Laerdal.Response.Secretions.Eyes" /> <xs:enumeration value="Laerdal.Response.Secretions.Nose" /> <xs:enumeration value="Laerdal.Response.Secretions.Mouth" /> <xs:enumeration value="Laerdal.Response.Secretions.Urine" /> <xs:enumeration value="Laerdal.Response.Secretions.Froth" /> <xs:enumeration value="Laerdal.Response.Shock.Threshold_Joule" /> <xs:enumeration value="Laerdal.Response.SpO2.Value_Percent" /> ☞ Contents SimDesigner Help Page 223 2020, Rev.T _____________________________________________________________________________________________________ <xs:enumeration value="Laerdal.Response.SpO2.ValueTrendMin_Percent" /> <xs:enumeration value="Laerdal.Response.SpO2.ValueTrendMax_Percent" /> <xs:enumeration value="Laerdal.Response.SpO2.CyanosisThreshold_Percent" /> <xs:enumeration value="Laerdal.Response.Temp.TBlood_Celcius" /> <xs:enumeration value="Laerdal.Response.Temp.TBloodTrendMin_Celcius" /> <xs:enumeration value="Laerdal.Response.Temp.TBloodTrendMax_Celcius" /> <xs:enumeration value="Laerdal.Response.Temp.TPeri_Celcius" /> <xs:enumeration value="Laerdal.Response.Temp.TPeriTrendMin_Celcius" /> <xs:enumeration value="Laerdal.Response.Temp.TPeriTrendMax_Celcius" /> <xs:enumeration value="Laerdal.Response.TOF.Count" /> <xs:enumeration value="Laerdal.Response.TOF.CountTrendMin" /> <xs:enumeration value="Laerdal.Response.TOF.CountTrendMax" /> <xs:enumeration value="Laerdal.Response.TOF.Percent" /> <xs:enumeration value="Laerdal.Response.TOF.PercentTrendMin" /> <xs:enumeration value="Laerdal.Response.TOF.PercentTrendMax" /> <xs:enumeration value="Laerdal.Response.VocalSoundPossible" /> <xs:enumeration value="Laerdal.Response.Pregnant.ContractionPhase" /> <xs:enumeration value="Laerdal.Response.Pregnant.IsDelivering" /> <xs:enumeration value="Laerdal.Response.Pregnant.PauseDelivering" /> <xs:enumeration value="Laerdal.Response.Pregnant.ShoulderDystociaResolved" /> <xs:enumeration value="Laerdal.Response.Pregnant.DeliverInXContractions" /> <xs:enumeration value="Laerdal.Response.Pregnant.ContinuousPushing" /> <xs:enumeration value="Laerdal.Response.Pregnant.ForceFinalPush" /> <xs:enumeration value="Laerdal.Response.Pregnant.BoggyUterus" /> <xs:enumeration value="Laerdal.Response.Pregnant.UterusPressure_Percent" /> <xs:enumeration value="Laerdal.Response.CTG.FHR.Pattern" /> <xs:enumeration value="Laerdal.Response.CTG.UA.Pattern" /> <xs:enumeration value="Laerdal.Response.CTG.BV.Pattern" /> <xs:enumeration value="Laerdal.Response.CTG.Combined.Pattern" /> <xs:enumeration value="Laerdal.Response.CTG.FHR.Baseline" /> <xs:enumeration value="Laerdal.Response.CTG.FHR.BaselineTrendMin" /> <xs:enumeration value="Laerdal.Response.CTG.FHR.BaselineTrendMax" /> <xs:enumeration value="Laerdal.Response.CTG.FHR.Offset" /> <xs:enumeration value="Laerdal.Response.CTG.FHR.Acceleration" /> <xs:enumeration value="Laerdal.Response.CTG.FHR.EarlyDeceleration" /> <xs:enumeration value="Laerdal.Response.CTG.FHR.LateDeceleration" /> <xs:enumeration value="Laerdal.Response.CTG.FHR.VariableDeceleration" /> <xs:enumeration value="Laerdal.Response.CTG.FHR.SynchedDeceleration" /> <xs:enumeration value="Laerdal.Response.CTG.FHR.Sinusoid" /> <xs:enumeration value="Laerdal.Response.CTG.FHR.Rate" /> <xs:enumeration value="Laerdal.Response.CTG.BV.LTVGain" /> <xs:enumeration value="Laerdal.Response.CTG.BV.LTVGainTrendMin" /> <xs:enumeration value="Laerdal.Response.CTG.BV.LTVGainTrendMax" /> <xs:enumeration value="Laerdal.Response.CTG.BV.LTVFreq" /> <xs:enumeration value="Laerdal.Response.CTG.BV.LTVFreqTrendMin" /> <xs:enumeration value="Laerdal.Response.CTG.BV.LTVFreqTrendMax" /> <xs:enumeration value="Laerdal.Response.CTG.BV.STVGain" /> <xs:enumeration value="Laerdal.Response.CTG.BV.STVGainTrendMin" /> <xs:enumeration value="Laerdal.Response.CTG.BV.STVGainTrendMax" /> <xs:enumeration value="Laerdal.Response.CTG.UA.Pressure" /> <xs:enumeration value="Laerdal.Response.CTG.UA.Baseline" /> <xs:enumeration value="Laerdal.Response.CTG.UA.Offset" /> <xs:enumeration value="Laerdal.Response.CTG.UA.Interval" /> <xs:enumeration value="Laerdal.Response.CTG.UA.IntervalTrendMin" /> <xs:enumeration value="Laerdal.Response.CTG.UA.IntervalTrendMax" /> <xs:enumeration value="Laerdal.Response.CTG.UA.Duration" /> <xs:enumeration value="Laerdal.Response.CTG.UA.DurationTrendMin" /> <xs:enumeration value="Laerdal.Response.CTG.UA.DurationTrendMax" /> <xs:enumeration value="Laerdal.Response.CTG.UA.ContractionHeight" /> ☞ Contents SimDesigner Help Page 224 2020, Rev.T _____________________________________________________________________________________________________ <xs:enumeration value="Laerdal.Response.Config.BirthingPosition" /> <xs:enumeration value="Laerdal.Response.Config.UpperPortBleeding" /> <xs:enumeration value="Laerdal.Response.Config.LowerPortBleeding" /> <xs:enumeration value="Laerdal.Response.QCPR.CompressionTotalHandPosOK_Percent" /> <xs:enumeration value="Laerdal.Response.QCPR.CompressionLatestHandPosOK" /> <xs:enumeration value="Laerdal.Response.QCPR.CompressionLatestDepth_mm" /> <xs:enumeration value="Laerdal.Response.QCPR.CompressionLatestReleaseDepth_mm" /> <xs:enumeration value="Laerdal.Response.QCPR.CompressionTotalAverageDepth_mm" /> <xs:enumeration value="Laerdal.Response.QCPR.CompressionTotalAverageReleaseDepth_mm" /> <xs:enumeration value="Laerdal.Response.QCPR.CompressionMovingAverageRate_cpm" /> <xs:enumeration value="Laerdal.Response.QCPR.CompressionTotalAverageRate_cpm" /> <xs:enumeration value="Laerdal.Response.QCPR.CompressionCyclesCount" /> <xs:enumeration value="Laerdal.Response.QCPR.CompressionTotalCount" /> <xs:enumeration value="Laerdal.Response.QCPR.CompressionTimeSinceLast_Seconds" /> <xs:enumeration value="Laerdal.Response.QCPR.VentilationMovingAverageRate_vpm" /> <xs:enumeration value="Laerdal.Response.QCPR.VentilationTotalAverageRate_vpm" /> <xs:enumeration value="Laerdal.Response.QCPR.VentilationLatestVolume_ml" /> <xs:enumeration value="Laerdal.Response.QCPR.VentilationTotalAverageVolume_ml" /> <xs:enumeration value="Laerdal.Response.QCPR.VentilationLatestInflationTime_ms" /> <xs:enumeration value="Laerdal.Response.QCPR.VentilationTotalAverageInflationTime_ms" /> <xs:enumeration value="Laerdal.Response.QCPR.VentilationCyclesCount" /> <xs:enumeration value="Laerdal.Response.QCPR.VentilationTotalCount" /> <xs:enumeration value="Laerdal.Response.Simulation.Compression.IsON" /> <xs:enumeration value="Laerdal.Response.Simulation.Compression.Rate_cpm" /> <xs:enumeration value="Laerdal.Response.Simulation.Compression.Depth_mm" /> <xs:enumeration value="Laerdal.Response.Simulation.Compression.ReleaseDepth_mm" /> <xs:enumeration value="Laerdal.Response.Simulation.Compression.HandPosOK_Percent" /> ☞ Contents SimDesigner Help Page 225 2020, Rev.T _____________________________________________________________________________________________________ Contacting Laerdal Contact your Laerdal Service Center for further information or help. Visit the Simulator User Network (SUN) website (http://simulation.laerdal.com) to search for solutions shared by other users. ☞ Contents