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- " CARDIAC ARREST! simulates a dying patient. It starts with basic data"
- "such as blood chemistry, temperature, pre-existing health problems, and"
- "heart damage. Based on probabilities, it determines what is the most"
- "likely patient status, and then returns to you the ekg and vital signs"
- "for the patient. When you want to order something, you type your order"
- "in plain English, then press the RETURN key. Your order is"
- "processed, and the program again calculates the patient's status."
- " Following most orders, the patient's clock time is advanced one"
- "minute. After about 20 'minutes', if you're ready, you can transfer"
- "the patient to the ICU and get an analysis of your efforts. You can"
- "go to the analysis program at anytime by typing the word QUIT."
- " Should you decide to exit the program without an analysis of your"
- "performance, you can press the escape key. You may then start the"
- "resuscitation over, go back to the patient choosing menu, or exit"
- "the program."
- "---"
- " Orders for bolus (I.V. push) drugs must be complete--this means drug"
- "name, dose, units, and route (if not IV). If the order isn't complete,"
- "the nurse will tell you what's missing, but you must enter the entire"
- "order again. With infusions, however, just tell the nurse what drug"
- "infusion you want set up. You'll be asked for the rate of infusion"
- "later. This includes saline or ringer's as well as drug 'drips'."
- " Unlike the average nurse, the simulator can only remember one step"
- "at a time. It tries to keep you from accidentally entering odd orders,"
- "but if you try to give two orders at the same time, strange things may"
- "happen. For example, if you type START I.V. AND GIVE 2 AMPS BICARB"
- "the nurse will tell you there isn't an I.V. yet. Remember: one step."
- " Another picky detail in 'version 1.0' is that doses MUST be entered"
- "as NUMBERS (digits) and not as words! And there must be a space"
- "between the numeric dose and the units--that is, '35cc' will not be"
- "correct, but '35 cc' will be. But don't sweat the details. The nurse"
- "will tell you exactly what's wrong in an incorrectly entered order."
- "---"
- " The defibrillator is initially set at 200 joules. You don't need to"
- "always specify the setting, but be careful--you might severely injure a"
- "baby if the nurse doesn't think to question the charge setting."
- " You're expected to order blood gases and electrolytes. When the"
- "lab tech says the results will be back in 5 minutes, he's not referring"
- "to actual clock time. It means the program time you see on the screen."
- " If you don't have any order to enter, you can either press the RETURN"
- "key to advance one minute, or order OBSERVE 6 MINUTES to advance the"
- "clock six minutes. Observation stops when lab returns or an I.V. is"
- "started, or when the patient has bad vital signs. You can break into"
- "the observation cycle by touching any key. If you forget the patient's"
- "story or weight, just ask for the HISTORY. By asking to CHEAT, you"
- "can see the patient's diagnosis and teaching points."
- " Brand names, generic names, and slang terms are usually recognized"
- "by the program. Further information is found in the manual."
- "---"
- " CARDIAC ARREST! attempts to simulate a real life situation as much"
- "as is possible. Consequently, it's possible to take the correct"
- "actions, and still have your patient's status get worse. If you're"
- "ordering something totally stupid, or giving a whopping overdose of"
- "a drug, the nursing staff will often catch your errors--but not"
- "always. Just like real life, this simulation allows you to learn"
- "from your mistakes the hard way!"
- " Keep a flowsheet. Recording your orders helps you figure out where"
- "you fouled up. You may copy the sample flowsheet provided with the"
- "manual. The most common cause of problems is misspelled orders, or"
- "failure to leave a space between the numeric dose and the units of"
- "measure (such as MG, CC, AMPS). Watch as the program analyzes your"
- "order to see what it recognizes. Any words which the program doesn't"
- "echo back to you are NOT recognized by the program's vocabulary search."
- " If all else fails, read the manual. Good luck."
- "---"
- " COPYRIGHT NOTICE "
- " "
- " CARDIAC ARREST! and the CARDIAC ARREST! manual are copyrighted works"
- "of Bruce Argyle MD. All rights to programs, data, and text are reserved"
- "by the author. The user is permitted to make a backup copy of the"
- "CARDIAC ARREST! disk for archival purposes only. Copying of the disk"
- "for use on more than one machine is considered a violation of the"
- "copyright. While Mad Scientist Software attempts to insure that"
- "CARDIAC ARREST! is compatible with current ACLS standards, it is"
- "distributed on an as-is basis. No guarantee of medical correctness"
- "is made. Periodic updates will be made as the ACLS recommendations"
- "change. These may be purchased for a small fee from:"
- " "
- " Mad Scientist Software"
- " 2063 North 820 West"
- " Pleasant Grove, UT 84062"
- " (801) 785-3028"
- "---"
- "END"
-