Maestro For Luna User Guide

User Guide - Luna
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Proprietary Notice
This document, including the information contained herein, is confidential and/or proprietary to CAE Inc., and shall not be
reproduced or disclosed in whole or in part, or used for any purpose whatsoever without the prior written authorization of CAE Inc.
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Trademarks and/or registered trademarks of CAE Inc. and/or its affiliates include but are not limited to Apollo, Ares, Athena,
BabySIM, Caesar, CathLabVR, EndoVR, HPS Human Patient Simulator, iStan, Juno, LapVR, Lucina, Luna, NeuroVR, Orion, PediaSIM,
Vimedix, VimedixAR and Vivo. All other brands and product names are trademarks or registered trademarks of their respective
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may not be used, changed, copied, altered, or quoted without the written consent of the respective owner. All rights reserved.
CAE ©2020
Contents
CONTENTS
System Requirements ................................................................................................ 1
Software and Hardware . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1
Windows® Operating System. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1
CAEMaestro Software . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1
Introducing Maestro................................................................................................... 3
Instructor Tablet . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3
Microsoft Surface Go . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3
Maestro Application Overview . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4
Run On The Fly . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4
Simulated Clinical Experiences . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5
Starting Maestro. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5
Maestro Home Screen . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6
Maestro System Settings . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7
SCE Manager . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7
History . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7
Using Maestro ............................................................................................................. 9
Starting a Simulation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9
Run On the Fly Simulations . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9
Run an SCE. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10
Run Screen Features . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11
Monitor Signals . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11
Event Log . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .13
Display Patient Records in TouchPro. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14
Reset an SCE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .15
Changing Patient Status . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .17
Patient Status Parameters. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17
Changing a Patient’s Parameters . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .19
Using Quicklinks . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 21
Conditions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .22
Medications . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 23
The Medication Log . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .25
Reset a Medication . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .26
Treatments . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .27
Transitioning Scenario States . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 28
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SCE Timeline Controls . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .29
Using Bookmarks . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 29
Patient Display .......................................................................................................... 31
Patient Status Display . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .31
Flags . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 32
Alarm State . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .32
Editing Parameters. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 33
Change the Patient Vitals Display . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .35
Managing SCEs........................................................................................................... 37
Review an SCE. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 38
View SCE Details . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 39
SCE Editor Navigation Tabs . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 40
SCE Editor Panels . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 40
Create a Custom SCE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .40
Copy an SCE. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 40
Creating a New SCE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .43
Import or Export an SCE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .45
Using the SCE Editor ................................................................................................. 47
Patient Profile . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 48
Setting a Patient’s Baseline . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 50
Scenarios . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .51
Add, Modify or Delete Scenario States . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 54
Checklists . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .58
Patient Records . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 60
Upload Patient Records . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 61
Edit or Delete Patient Records . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .62
Runtime Configuration . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .63
Preparation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .64
Learning Modules ..................................................................................................... 65
Import a Learning Module . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .65
Delete a Learning Module. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .66
Create a Learning Module. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .67
Administrative Tools ................................................................................................ 69
System Administration . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .70
System Information and Settings . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .70
Specify a Default Simulator. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 71
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Set the Default System Language. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .71

Additional Administrative Tools . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .71
SCE Management . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 72
Session History - History Screen. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .72
Peripheral Devices . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .73
Using The TouchPro Patient Monitor ..................................................................... 77
Access the TouchPro Patient Monitor . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .77
Running TouchPro From Your Own Computing Device . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 78
Configure TouchPro . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .79
Sounds . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .82
NIBP Cycling . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .82
Manual NIBP . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 83
Change the TouchPro Language . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 84
Select a Preconfigured Layout . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 85
12-Lead ECG . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .86
Patient Record . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .88
Snapshot . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .88
Appendix A - Maestro Manual Parameter Descriptions ...................................... 91
Appendix B - Condition Guidelines for Programming ........................................ 109
Appendix C - Medication Information .................................................................. 111
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System Requirements
SYSTEM REQUIREMENTS
This section describes the minimum and optimal requirements to run the simulator.
Software and Hardware

Any computer (or tablet) used to operate the Maestro software or TouchPro must meet hardware
and software requirements. These requirements also apply to devices running Maestro Standalone.
Windows® Operating System

• Windows 10 64-bit
• 8GB of RAM
• 32 GB Hard drive space available
• 1366x768 screen resolution
• Wireless 802.11b/n/g
CAEMaestro Software
The following identifies the software version associated with the release of this user guide.
Document Document Version Software Version
Maestro for Luna 905K560452 V1.0 CAE Maestro V1.8
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System Requirements CAEMaestro
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Introducing Maestro
INTRODUCING MAESTRO
CAE Maestro software allows facilitators to control and monitor CAE patient simulators.
On the Fly vs. SCE

There are two ways to run a simulation in Maestro: On the Fly and Simulated Clinical Experience
(SCE). When operating On the Fly, no content is authored ahead of time, and the simulation is simply
controlled in real time by the instructor.
With an SCE, at least some details of the simulation are defined ahead of time (like states, patient
profile, and other scenario background information). During an SCE, users can also make on the fly
changes as appropriate.
Modeled vs. Manual

In Modeled Mode, the simulated patient is automatically driven by CAE Physiology, a computational
model of human physiology. It is an engine that powers patient behavior, progression of clinical
signs, and response to interventions. In Modeled Mode, instructors also have the option to override
the model’s output.
In Manual Mode, the instructor is responsible for driving changes to the patient’s condition and
responses to interventions. The Manual Mode interface features a streamlined layout with only the
required controls to maximize ease of use.
All four combinations are possible. You can run a Manual SCE, a Modeled SCE, Manual On the Fly, or
Modeled On the Fly.
Instructor Tablet
This section describes the tablet Maestro operates on. Maestro can also be installed on a laptop. For
more information, see System Requirements section in this guide.
Microsoft Surface Go
A Surface Go Instructor Tablet is used to run the software.
The Surface Go provides the capabilities of a laptop in an ultra-portable tablet. This mobile
workstation features a Windows 10 operating system, a 10 in (25.4 cm) touchscreen, and up to nine
hours of battery life. The Surface Go tablet comes equipped with pre-installed instructor software.
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Introducing Maestro CAEMaestro
Note: If the on-screen keyboard does not appear after tapping in a text field, tap the Notifications
icon in the lower-right corner and tap Tablet Mode. Tap anywhere outside of the Notifications
window to minimize the Notifications screen.
Surface Go Instructor Tablet
Maestro Application Overview

Users have three choices for managing their simulation in the Maestro software:
• Run simulations “on-the-fly” (manually) in Manual mode
• Run simulations “on-the-fly” (manually) in Modeled mode using CAE Physiology
• Run preconfigured simulations using simulated clinical experiences (SCEs)
Run On The Fly

The Run On The Fly mode has no predetermined scenarios or intended progression of events.
Running exercises on-the-fly is designed to provide facilitators with a simple way to run a simulation
with no advanced programming. Run On The Fly can be performed in manual or modeled mode.
Manual mode shows only required controls that allow facilitators to drive changes to the patient’s
condition and responses to interventions.
In Modeled mode, the simulation is automatically driven by CAE Physiology (a computational model
of human physiology). This mode controls patient behavior, progression of clinical signs, and
response to interventions. This mode also allows facilitators to override the model’s output.
Note: Only systems that include the CAE Physiology (optional on some simulators) can be run in a
modeled mode.
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Introducing Maestro
Simulated Clinical Experiences

Simulated Clinincal Experiences (more commonly referred to as SCEs) are process tools that enable
facilitators to execute a learning strategy using simulation. Preconfigured CAE SCEs provide an
extensive overview and outline of the learning exercise, and require minimal additional faculty
development time for use. Each SCE is comprised of a patient and a scenario.
Starting Maestro
To start the Maestro software:
1. From the Instructor tablet desktop screen, tap the CAEMaestro icon.
CAEMaestro Icon
The Applications screen appears.
Applications Screen
2. Tap CAEMaestro.
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Maestro Home Screen
From the Home screen, you can:
• Access the SCE Manager to create and manage SCEs
• Access the History of simulation sessions
• Access administrative tools and system settings
• Run simulations
SCE Manager
History Gear
Home
Keyboard Icon
CAEMaestro Home Screen
To return to the Home screen from the SCE Manager or History screens, tap Home.
IMPORTANT: If using a Surface Go tablet, ensure the Keyboard icon is visible at the bottom of the
screen. This indicates the manual keyboard is available to use. Tap the icon when you need to use the
keyboard to enter information into a field. If the Keyboard icon is not visible, refer to your Surface Go
user manual to learn how to turn it on.
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Introducing Maestro
Maestro System Settings

From the Home screen, you can access information about the software or change system settings.
Tap the Gear icon in the upper-right corner to select the following:
º System: to access information about the Maestro software version, the type of
simulator, Preferences, License Manager, and Maintenance.
º Language: to change the Maestro language.
º About: to view the software version, the type of simulator and the serial number.
º User Guide: to download the user guide (English version). To access the User Guide in
other languages, go to www.caehealthcare.com and click the Support link.
º Support: to access CAE support contact information.
º Select Simulator (only when using Maestro Standalone): to change the simulator.
SCE Manager
Using the SCE Manager, you can create new SCEs, import SCEs and Learning Modules, and manage
existing modules.
History
From the History screen, you can view, export, rename or delete simulation session logs. Each
simulation session is identified by the Start Time, Duration, Simulator, Session Name, and SCE Title.
Each session consists of CPR data, Physiological data and an Event Log.
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Using Maestro
USING MAESTRO
Using the Maestro software, you can create and run SCEs, assess learners and adjust system controls.
Note: For optimal performance, Maestro should be the only software program running.
Starting a Simulation
Upon launching the Maestro app, the Home screen appears and users have the option to choose one
of the following simulations types: Run On the Fly (Modeled), Run On the Fly (Manual) or Run an SCE.
Run On the Fly Simulations

The Run On the Fly (Modeled) or Run On the Fly (Manual) simulation options start a simulation
without an SCE.
To begin a Run On the Fly simulation:
1. Tap one of the simulation types: Run on the Fly Manual or Run on the Fly Modelled
(only if Maestro Physiology license is installed).
2. Choose one of the patient ages: Post-delivery (2 seconds to 2 minutes), Neonate (2

minutes to 2 days), or Infant (2 days to 1 month).
3. Select the Gender of the patient.
4. Tap Start to begin the simulation.
From the Run screen, you can manually alter the patient’s status and adjust parameters as
needed for specific situations. The functionality in this mode is similar to, and described in
Run an SCE section of this user guide.
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Using Maestro CAEMaestro
Run an SCE
From the SCE Manager, you can run various simulations.
To run an SCE:
1. From the Home screen, tap Run an SCE.
The SCE Manager tab is selected by default and a list of available SCEs appears.
SCE Manager Screen
Note: Tap an SCE’s title to view SCE details before launching. See View Details in the next
section.
2. Tap the Play button to start an SCE.
The Run screen appears and displays the Patient Baseline state.
3. Tap Scenario in the upper-right corner of the screen.
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Using Maestro
The list of scenario states appear. A scenario will remain in Patient Baseline until the Play
button is tapped in another state.
SCE Run Screen
4. Tap the Play button to apply a state to the running SCE.
Run Screen Features

When an SCE is started, the Run screen appears and displays a series of panels that group related
controls and information. The content for each control is dynamic and varies whether you run
scenarios in On the Fly mode or as an SCE.
In Modeled mode, the panels contain additional controls.
Users can adjust the status of the patient while they proceed through a simulation using these
controls.
Monitor Signals
The Monitor Signals tab gives users control over the values and signals that appear on the simulated
patient monitor, TouchPro.
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Tap Monitor Signals to adjust the controls for the simulator.
Monitor Signals
By default, all probes are on. When probes are turned off, it impacts different waveforms and
numerical values on the patient monitor.
Probe Turned Off Impact
ECG Leads Hides the ECG waveform
Pulse Oximeter Hides the PLETH waveform and SpO2 value
Capnograph Hides the CO2 waveform and EtCO2 value
ECG and Pulse Hides the Heart Rate

Oximeter
Pulse Oximeter and Hides the Respiratory Rate

Capnograph
Blood Temperature Hides the TBlood and TRectal values
Body Temperature Hides the TAxilla and TBody values
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Using Maestro
Setting the catheter placement to Atmosphere causes a flat line to appear, even when an override is
used. Available catheters include:
• Arterial Catheter
• Central Venous Catheter
• PA Catheter
If the catheter placement is None, no trace appears at all.
Event Log
During an SCE, all changes (manual or detected by the system) to simulation settings, learner actions,
and checklist results are recorded in the Event Log.
To access the Event Log, tap the Events button in the lower-left corner of the Run screen.
The event log records the time and details of instructor and learner actions, which are color coded by
category.
Event Log
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In Manual SCEs, the medication information is tracked in the Event Log, but does not have an
automatic effect on patient physiology.
Medication Information in Event Log
Display Patient Records in TouchPro

You can display patient records in the TouchPro software while an SCE is running.
To display a patient record:
1. From the Maestro Run screen, click Records.
The Patient Records list appears with all available patient records shown.
Preview
button
Patient Records
2. (Optional) To preview a patient record before sending to TouchPro, select the record and
tap the Preview button.
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Using Maestro
3. Select a patient record and tap Send to TouchPro.
The patient record opens in TouchPro.
Note: Only one patient record displays at a time.
To stop displaying a patient record in TouchPro, on the patient record, tap Remove from TouchPro.
To close the Patient Record list, tap Records.
Reset an SCE
Resetting an SCE brings the patient’s initial status data back to its original status. The SCE time is
unaffected. Reset data appears in the Event Log.
To reset patient data:
1. While running an SCE, tap the first bookmark on the timeline.
Timeline
2. Tap Revert.
Revert to Marker
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The patient returns to its original physiological state at the start of the SCE. The patient
reset is indicated on the SCE timeline bar.
Reset Notification
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Using Maestro
Changing Patient Status

You can adjust the patient status while an SCE is running by:
• Using one of the parameter panels on the Run screen to modify parameters. For more
information, see Patient Status Display section of this user guide.
• Using the Conditions, Treatments, and Medications Quicklinks.
• Applying Scenario states.
Patient Status Parameters

From the Run screen, select a parameter icon to display the associated parameters panel for various
body systems and features. To access a parameters panel, tap the appropriate icon or button for:
• Cardiovascular
• Respiratory
• Neurological
• Fluids
• Sounds
• Pulse
Run Screen with Cardiac Parameters
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Types of Parameters
There are two types of parameters: numeric and discrete.
Once a parameter is selected and set, the patient’s physiology changes according to the model for
that parameter.
Numeric Parameters
To change numeric parameters, tap in the relevant field and enter a new value in place of the existing
one. Or, use the slider to move through the range of parameter values until the numeric value is
established.
In Manual mode, parameters exist for each of the monitored patient values.
In Modeled mode, there are a larger set of parameters that are either monitored patient values, or
physiological model inputs. When users set or modify monitored patient values, it overrides the
output of the physiological model. To return to a physiologically modeled value, tap the Modeled
button and tap Accept.
Changing physiological model inputs indirectly impacts the output of the physiological model. When
a modeled input is called a factor, it acts as a multiplier. For example, Heart Rate Factor 2.0 is two
times the baseline Heart Rate.
Discrete Parameters
Discrete parameters let users choose the appropriate option from a drop-down menu or toggle
switch.
The following image shows the Bronchial Occlusion parameter. The Bronchial Occlusion parameter is
set using a discrete parameter switch that toggles between OFF and ON.
Bronchial Occlusion Parameter
Some parameters have two toggle switches or buttons, one for each side of the manikin.
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Using Maestro
Changing a Patient’s Parameters

To change a patient’s parameters:
1. Tap the appropriate parameters icon to view the parameter panel.
Basic tab Advanced tab
Cardiac Parameters panel Cardiac Parameters icon

Respiratory Parameters
icon
Neuro Parameters icon
Fluid Parameters icon
Parameters menu
Cardiac Parameters Panel
If an SCE is in Modeled mode, the parameters will display the physiological responses in
real time. Otherwise, the parameters will be static until changed in Manual mode.
Note: Some simulators have Basic and Advanced tabs on the Respiratory and
Cardiovascular panels. Basic parameters are shown by default. Tap the Advanced tab to
display Advanced parameters.
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2. Select the desired parameter. The Parameter Controls screen appears.
Heart Rate Parameter Controls
3. Set the new value and tap Accept.
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Using Maestro
Using Quicklinks
Quicklinks allow the application of conditions, medications, and treatments during simulation. Once
applied, conditions are reflected in the patient’s physiology and logged. All medications and
interventions are also logged, and most affect the patient’s physiology.
The Conditions, Medications, and Treatment controls used most often can be set up as Quicklinks
Favorites and will appear in alphabetical order at the top of the panel. This lets you quickly
administer changes in patient status.
Note: Quicklinks can only be added while creating or editing an SCE.
To learn more about setting up Quicklinks, see Runtime Configuration section of this user guide.
Search field
Quicklink
Favorites
Conditions Panel
TIP: Tap the appropriate icon to collapse or expand the control.
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Conditions
Conditions are similar to scenario states and can contain multiple parameter changes. These
quicklinks make it easy to change the patient’s status.
Conditions
icon
Conditions Panel
To set parameters using the Conditions Quicklinks, tap Conditions icon. In the Conditions panel, tap
the Condition Quicklink to apply it to the simulation.
To apply a condition that is NOT set up as a Quicklink Favorite:
1. Browse the panel to find the desired condition.
Conditions are organized by categories. You can also list All Conditions by tapping A-Z (All
Conditions) to browse by group in alphabetical order or use the Search feature to quickly
find a specific condition.
2. Tap the name of the desired condition.
The condition is applied to the patient.
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Using Maestro
Medications
To choose a medication using the Quicklinks:
1. In the Medications panel, tap one of the Quicklinks.
Search field
Quicklink
Favorites
Medications Panel
A menu appears and shows the available medications.
2. Tap a specific medication to choose a dose and route of administration.
The Medication controls appear.
3. Tap the desired Delivery Method and select a pre-defined dose from the Amount menu,
or choose Custom to enter a custom dose.
Note: All administered medications are added to the Event log in both Manual and Modeled modes
(unless labeled Log only), but medications only affect the patient’s status if the simulation is in
Modeled mode. For Modeled mode SCEs, the medication is also logged in the Log tab on the
Medications panel.
To administer a medication that is NOT set up as a Quicklink Favorite:
1. From the Medications list, tap A-Z (All Medications) to browse all medications in
alphabetical order or use the Search feature to quickly find a specific medication.
Medications are grouped in the list by type below the A-Z (All Medications) list option.
2. Navigate through the menus to locate the desired medication. Tap the desired medication
in the list.
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The Medication controls appear. The delivery method and amount options, which include
pre-defined doses and custom dose option, is displayed.
Medication Controls
3. Select a dose option in one of two ways:
• Under Delivery Method, choose a pre-defined dose and select an Amount.
• Under Delivery Method, choose a pre-defined dose and from the Amount drop-down
menu, select Custom.
Custom Dose
4. Enter the custom amount and tap Administer.
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Using Maestro
The Medication Log

The Medication Log tracks the infusion of medication administered and its effect on patient status.
The Medication Log is present in Modeled mode only.
To view the Medication Log:
1. From the Run screen, tap the Medications control.
2. Tap the Log tab.
Medications Log
The medications that have previously been administered appear in the Logged section of
the screen. Medications that are currently impacting the patient physiology appear in the
Active section of the screen.
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Tap on an active medication to display medication information.
Medication Information
The normalized effector site concentration is shown next to each medication listing. This represents
the amount of medication that is affecting the patient physiology.
Reset a Medication
To reset a medication:
1. From the Medication Log, tap an active medication.
2. From the medication information, tap Reset.
The medication is cleared from the model and from the Medication Monitor.
With continuous infusions, the amount infused goes back to zero, but the infusion
continues.
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Using Maestro
Treatments
To apply an intervention using Quicklink Favorites:
1. Tap Treatments icon and select a treatment from the Quicklink Favorites.
Search field
Quicklink
Favorites
Treatments
icon
Treatments Panel
To apply a treatment that is NOT set up as a Quicklink Favorite:
1. Tap Treatments.
Treatments are organized by type and all available treatments are listed under A-Z (All
Treatments).
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2. Navigate through the menus to locate the desired treatment.
Treatments Menu
3. Select a treatment and tap Apply treatment.
Transitioning Scenario States

To move between scenario states from the Run screen:
1. Tap Scenario icon to expand the scenario panel.
Scenario Management Panel
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Using Maestro
2. Tap the Play button in the desired state to advance from the Patient Baseline state.
To pause or continue a scenario, tap the Pause or Play button from the Scenario
Management menu.
SCE Timeline Controls

The SCE timeline controls are located at the bottom of the Run screen.
Timeline
• The Timeline bar shows the amount of time that has elapsed and bookmarks that have
been created.
• The Marker button creates a bookmark at the current point in the SCE. The marker can be
used later to reset the patient’s physiology to what it was when the bookmark was
created.
• The Fast-Forward button accelerates the SCE time to a 4:1 ratio.
• The Pause/Play button pauses the SCE time or starts the SCE if it has been paused. The
Pause/Play button also returns the SCE time to normal speed after Fast-Forward has
been selected.
Using Bookmarks
To annotate the timeline, tap the Marker button. A marker appears on the Timeline bar.
Timeline with Bookmarks
To return to the patient status at the time the marker was created, tap the marker on the timeline and
tap Revert.
Note: The SCE time continues moving forward and does not reset to the marker time.
Revert to Bookmark
The patient’s status returns to the selected point in the timeline.
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Usiing Maestro CAEMaestro
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PATIENT DISPLAY
When you run an SCE, the patient’s status appears.
Patient Status Display

Patient status display appears in the main frame on the Run screen. The status includes numeric data
and waveforms.
Patient Status Display
From this screen, you can:
• Tap Alarms to mute or unmute alarm sounds.
• Tap Waveforms or numeric widgets to adjust parameters.
• Edit a layout.
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Patient Display CAEMaestro
Flags
Blue, rotating flags indicate a value of the parameter is in transition. A yellow System Override flag
indicates the value of the parameter has been overridden by the system due to a special condition
(for example, Apnea, Non-pulsatile rhythm or Pulseless Electrical Activity.)
Transition
flag
System
Override
flag
Flags
Alarm State
When an alarm is not muted and a value reaches critical state, the associated widget flashes.
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Patient Display
Editing Parameters
You can edit parameters in one of two ways:
• Parameter Editor
• Quick Edit
To edit parameter in the Parameter Editor:
1. Tap a waveform or vital sign widget to open the Parameter Editor window.
2. Use the sliders, text fields (+) and (-) to adjust parameters.
Parameter Window
3. Tap Accept.
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To edit a parameter using Quick Edit:
1. Press and hold a waveform or vital sign widget until (+) and (-) icons appear over the
widget.
Plus/Minus Widget
2. Tap the plus or minus signs to adjust the parameter.
3. Click outside of the Quick Edit area to save the changes and close the editor.
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Patient Display
Change the Patient Vitals Display

You can change the layout of the patient vitals display and save parameters as part of the layout.
To change the Patient Vitals Display:
1. In the SCE Runtime screen, tap the Patient Status button.
Patient Status Button
The Edit Vitals Layout & Alarms screen appears.
2. Either begin modifying the baseline layout or tap Load Saved Layout to select another
patient display layout to modify.
3. Drag and drop a waveform or numeric widget from the right panel to an available display
in the left panel.
Once in place, the Select Waveform or Select Numeric Widget screen appears.
4. Select or change the physiological parameter(s) as needed. Tap Save.
5. When the Edit Vitals Layout & Alarms screen appears either:
• Tap Accept to update the layout without saving it.
• Tap Save to Library to save the layout for future use.
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Managing SCEs
MANAGING SCES
The Maestro SCE Manager is where you can view and print information for all SCEs. You can also
create, edit, copy, or delete custom SCEs and Learning Modules.
To access the SCE Manager screen, from the Maestro Home screen, tap SCE Manager.
Search New SCE Gear

Sort by
More menu
SCE Manager Screen
The default screen shows Recently Used SCEs but you can easily locate any SCE and Module in the
SCE Manager.
There are three ways to locate SCEs or modules from the SCE Manager screen:
• In the left column, tap either Favorites, All, Preconfigured SCEs, User-created SCEs or
User-created Modules.
• In the Search field, type part or all of the name of an SCE or module.
• Tap the Sort by drop-down to filter the list by ascending or descending order.
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Managing SCEs CAEMaestro
Review an SCE
To review details about an SCE, tap on the name of an SCE, or tap the Gear icon and select Review
from the drop-down menu.
SCE Gear Drop-Down Menu Options
The SCE Editor screen appears.
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Managing SCEs
View SCE Details

From the SCE Editor screen, you can select a tab or panel to view details.
The SCE Editor screen is where users can enter specific details for custom SCEs.
SCE Editor Overview Learner Facilitator

Navigation Tabs Panel Panel Panel
SCE Editor Screen - Overview Panel
For more information on entering SCE details into a new SCE, see Create a Custom SCE section of this
user guide.
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SCE Editor Navigation Tabs
• Details: Lists relevant information about the SCE. Allows access to the Overview, Learner,
and Facilitator panels
• Patient: Describes the patient profile
• Scenario: Includes states pertaining to the SCE
• Checklists: Includes checklists related to learner milestones for the SCE
• Patient Records: Stores patient records including but not limited to:
º Lab reports
º X-rays
º Medical history
º Healthcare Provider’s orders
º Handoff reports
• Runtime Configuration: Lists condition, medication, and treatment information
• Preparation: Lists recommended equipment and supplies needed to run the SCE
SCE Editor Panels

• Overview: Includes information about the SCE synopsis and descriptions of the states
• Learner: Displays learning objectives, performance measures for each state, and
preparation questions
• Facilitator: Includes notes, debriefing points, teaching questions and answers, as well as
clinical references about the SCE
Create a Custom SCE

You can quickly create an SCE by copying an existing SCE, or by creating a new SCE and entering all of
the details. Custom SCEs can be used alone or in a Learning Module. For more information, see
Learning Modules section of this user guide.
Note: The Lock icon on any screen indicates the SCE was installed by CAE and cannot be edited or
deleted.
Copy an SCE
When an SCE with specific physiological characteristics is needed for repeated use, create the SCE
from an existing SCE.
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Managing SCEs
To copy an SCE:
1. On the SCE Manager screen, tap the Gear icon on the right of the desired SCE.
2. Tap Copy.
The Copy SCE screen appears and lists sections of the SCE you can copy.
Copying SCE
3. Select the elements of the SCE to copy. When finished, click Next. In the SCE Title field,
enter a new SCE name.
4. (Optional) Assign the SCE to a Module using the drop-down menu.
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5. Click Copy.
Saving Copied SCE
The new SCE is copied and available for selection from the SCE Manager.
Note: Overwriting an SCE will only impact the running SCE, not any other SCE copied from
the same base patient.
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Managing SCEs
Creating a New SCE

Creating a new SCE is a two-step process.
1. Create the SCE in the SCE Manager as described in this section.
2. Enter details about the SCE in the SCE Editor as described in Using the SCE Editor section of
this user guide.
To create an SCE:
1. From the SCE Manager screen, tap New SCE.
The New SCE screen appears.
New SCE WIndow
2. Type a title for the SCE in the SCE Title field.
3. (Optional) To add an SCE to a module, tap the drop-down arrow and select a module. Or,
tap the + icon to create a new module.
Select Module
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4. Type a name for the module in the Enter New Module Name screen and tap Add.
New Module Name Screen
5. Complete the remaining fields in the New SCE screen or select options as required. When
finished, tap Create.
The SCE Editor screen appears with the Details tab displayed.
SCE Editor - Details Tab
6. In the Overview, Learner, and Facilitator panels, tap the Edit icons to enter additional
information.
7. Tap the navigation tabs to enter additional details about the SCE as needed. To learn
more, see Using the SCE Editor section.
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Managing SCEs
Import or Export an SCE

SCEs can be imported from an external device or the hard disk drive where the SCE file is saved. The
SCE file extension is msce.
To import from SCE Manager screen, tap the More drop-down menu and tap Import SCEs.
More Drop-Down Menu Options
Note: The step-by-step instructions for importing SCEs and Learning Modules are located in Appendix
- Importing Learning Modules of this user guide.
To export an SCE:
1. In the SCE Manager, tap the gear icon next to the desired SCE.
2. Tap Export.
3. Select the desired location for the msce file in your File Explorer window and tap Save.
The file is saved in the designated location. If using a tablet, the files can be
exported to an external device via USB-C cable.
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To view the PDF of an SCE:
1. Tap View PDF.
2. Select the desired location for the msce file in your File Explorer window and tap Save.
The file is saved in the designated location. If using a tablet, the files can be
exported to an external device via USB-C cable.
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Using the SCE Editor
USING THE SCE EDITOR

Use the SCE Editor to review or manage any purchased, preconfigured SCEs and to complete or edit
information for custom SCEs. From the SCE Editor screen, you can also view checklists, and patient
records, or delete information as needed.
To access the SCE Editor, tap on the name of an SCE from the SCE Manager screen.
SCE Details
The buttons in the Navigation panel provide options to:
• Run the SCE.
• Edit the patient or scenario.
• Add checklists or patient records.
• Modify the runtime configuration including preparation information.
Some sections in the SCE Editor include a rich-text editor to allow free-form data entry.
Note: If the SCE is locked, you cannot modify or delete information.
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Using the SCE Editor CAEMaestro
Patient Profile
To edit the Patient Profile:
1. From the SCE Editor, in the Patient section, tap the Edit button.
Patient Profile
The Patient Profile Editor appears.
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2. Modify the patient’s name, eye color, age, gender, weight, and height in the appropriate
fields.
Patient Profile
3. (Optional) Tap Change Picture to change the patient’s picture.
4. Tap Save.
IMPORTANT: No part of the patient’s profile can contain any special characters, such as / \ : * ? < > %
|“
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Setting a Patient’s Baseline
The patient baseline is the patient’s initial status at the start of an SCE.
To set the Patient’s Baseline:
1. In the Patient section, tap the Edit button on the right of Baseline.
The Patient Baseline Editor appears.
Patient Baseline Editor
2. Set the Patient’s baseline status by modifying the desired parameters and tap Save.
When the SCE begins, the Patient status reflects the selected baseline settings.
To use the text editor:
1. Where available, tap the Edit button.
2. Enter or edit information as needed.
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Note: Text can be copied into the fields from Text Editor or Notepad only.
Text Editor
3. When finished, tap Save.
Note: Notes can also be added to each scenario state when editing a Scenario.
Scenarios
For any custom SCE, users can create scenarios, or if a scenario is not locked, users can edit a
scenario.
You may edit scenarios to modify patient status from the Scenario Editor or Live Scenario Editor.
Note: The live editor allows edits to the scenario while running the simulation, and is only available
when the optional Maestro Physiology feature is active.
To edit from the Scenario Editor:
1. From the SCE Manager screen, select an SCE to edit.
The SCE Editor screen appears.
2. Tap the Scenario tab.
3. Tap the Scenario Edit icon.
Note: If it is a brand new SCE, tap the Open Scenario Editor button to open the Scenario
Editor.
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The Scenario Editor appears.
Scenario Editor
4. Tap the Gear icon located on the side of a state to do one or more of the following:
º Rename: to rename the state.
º Copy: to copy the state.
º Delete: to delete the state.
º Edit Parameters: to edit the state parameters without jumping to the specified state.
º Add Transition: allows transitions to be added from one state to another.
º Edit Note: to add state notes.
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To edit from the Live Scenario Editor:
Note: From the Live Scenario Editor, states can be added, modified and deleted.
1. From the Scenario Editor screen, tap Live Scenario Editor.
The Live Scenario Editor screen opens.
Live Scenario Editor
2. Tap the Gear icon located on the side of a state. Then, tap one or more of the following:
º Add State: to add new states.
º Restart Simulation: to revert the simulation to the patient baseline.
º Gear icon, located on the side of a state to do the following:
º Jump to State: allows users to jump to the desired state. It is possible to perform a
live edit, by selecting the Edit Live button. Once completed, parameter changes will
be applied to the state. This option allows users to edit state parameters and see the
resulting physiological impact on the patient.
º Rename: to rename the state.
º Copy: to copy the state.
º Delete: to delete the state.
º Edit Parameters: to edit the state parameters without jumping to the specified state.
º Add Transition: allows transitions to be added from one state to another.
º Edit Note: to add state notes.
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Add, Modify or Delete Scenario States
A scenario state is comprised of conditions and parameters. A state may also include automated
transitions to other states and notes for the instructor.
For scenarios, users can:
• Create new states and options.
• Add conditions and parameters to a state, or copy a state into a new state.
• Modify or delete portions of a state such as parameters or transitions, or the entire state
itself.
• Add and delete transitions.
Add Scenario States and Parameters

You can add states, conditions, and parameters in the Scenario Editor or Live Scenario Editor.
To add a scenario state:
1. In the Scenario Editor or Live Scenario Editor, tap Add State.
2. In the window that appears, enter a name for the new state. Tap Create.
The State window appears, where you can add parameters to the state.
New State
To add parameters in the Live Scenario Editor:
1. In the Live Scenario Editor, select the desired state, and then select Jump to State. All
changes made to controls will be added to active state.
2. Tap the Gear icon and select Edit Live.
3. Add as many parameters as needed.
Parameters appear consecutively within the state.
4. Move to different states to add or edit parameters as needed using the Jump to State
feature. Repeat this step as needed through multiple states.
5. When finished, click Return to save and exit the editor.
IMPORTANT: If the physiology of any parameter conflicts with other parameters, Maestro
will retain the last parameter entered.
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To add parameters in the Scenario Editor:
1. In the Scenario Editor, select the desired state.
2. On the right side of the screen, click Edit Parameters.
3. Add conditions or parameters as needed by selecting them from the list on the left side of
the screen. Once added, they appear on the right side of the screen.
4. Tap Save.
Modify or Delete Scenario States or Parameters

To modify a scenario state:
1. In the Scenario Editor or Live Scenario Editor, select the desired scenario state. Then, Tap
Edit Parameters.
2. Make necessary changes. Tap Save.
To delete a scenario state in the Scenario Editor or Live Editor, tap the Gear icon, then tap Delete.
To delete parameters:
1. In the Scenario Editor or Live Scenario Editor, tap the Information icon to expand the
state.
Information Icon
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2. Tap the Parameters tab. Tap the X icon next to the parameter to delete.
Parameters Tab
Add and Delete Transitions

To add transitions, the scenario must have both an original state and a state that results from the
transition. Add or delete transitions from the Scenario Editor or Live Scenario Editor.
To add transitions:
1. In the Scenario Editor or Live Scenario Editor, tap the Gear icon next to the desired state.
2. Tap Add Transition.
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The New Transition screen appears.
New Transition Screen
3. Select an option from the list of transition types, then select additional options as
prompted.
Example: If the administration of medication is a desired transition, select Medications,

then select the desired medication from the list that appears.
4. Once the transition option is selected (for example Medication), enter the criteria,
transition value ,and state that results from the transition.
5. (Optional) Follow the same steps to make selections and assign values to the Treatment,
Assessment, Vitals, Medication concentration, Fluids, Time in Scenario, and Time in State
variable types.
6. When finished, tap Save.
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To delete a transition in the Scenario Editor or Live Scenario Editor:
1. Tap the Information icon next to the state.
Information Icon
2. Select the Transitions tab, then tap the Trash button next to the transition to delete.
Scenario Editor - Transition Tab
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Checklists
You can create new checklists or import existing checklists from the library.
To create a new checklist:
1. In the SCE Editor, tap the Checklists tab.
2. When the Checklists screen appears, tap Create New.
The New Checklist screen appears.
New Checklist Screen
3. Enter a name for the checklist in the Checklist Name field.
4. (Optional) Tap Add Checkbox to add a checkbox to the checklist.
a. Enter a label name in the Checkbox Label field.

b. (Optional) Tap Add Checkbox to continue entering labels as
needed.
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c. Tap Save.
5. (Optional) Tap Add Dropdown to add list items to the checklist.
a. Enter a name for the dropdown list in the Dropdown Label field.
b. Tap Add Option to provide items that can be selected from
the dropdown list.
c. Enter a name for the list item in the Dropdown Options
field.
d. (Optional) Tap Add Dropdown to continue entering
dropdown lists as needed.
e. Tap Save.
To import a checklist:
1. In the SCE Editor, tap the Checklists tab.
2. When the Checklists screen appears, tap Import from Library.
The Import Checklist screen appears and displays all checklists from all SCEs in the
system.
Import Checklist Screen
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3. In the checkboxes on the right, select items to import.
4. Tap Import.
Patient Records
Patient records can be uploaded into Maestro for display in the TouchPro software. Once uploaded, a
patient record is available for use with the SCE.
Note: A single patient record file cannot exceed 20MB.
Maestro can store up to of patient record files. To ensure adequate space, delete patient records that
are no longer needed.
To access a patient record:
1. From the SCE Editor screen, tap the Patient Records tab.
The Patient Records list appears with all available patient records shown.
Patient Records Screen
2. (Optional) To preview a patient record before sending to TouchPro, select the record, and
tap the Preview button.
Preview Button
3. Select a patient record, then tap Send to TouchPro.
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Upload Patient Records
You can upload the following file types:
• GIF, JPG, PNG, and XPS images
• MPEG and MOV videos
• PDF documents
• MP3 audio Files
To upload a patient record:
1. In the SCE Editor, tap the Patient Record tab.
2. In the screen that appears, tap Patient Files > Add File.
The New Patient File screen appears.
New Patient File - Upload Screen
3. Click Upload. Select the desired file and tap Open.
4. When the file name and description appear, modify as needed in the text fields to reflect
the desired file name and description.
5. Tap Create.
To view a patient record, select the record in Patient Records.
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Edit or Delete Patient Records

You can only change the name or description of the patient record. You cannot edit the content of
the record from the Patient Record tab.
To edit a patient record name:
1. From the list of Patient Files, tap the Gear icon next to the desired file.
2. Tap Edit. Change the Name or Description as needed.
3. Tap Save.
To delete a patient record:
1. From the list of Patient Files, tap the Gear icon next to the desired file.
2. Tap Delete.
3. When the message appears to confirm your selection, click Delete.
Runtime Configuration
Tap Runtime Configuration to access the Condition Setup screen. From the Quicklinks Setup screen,
conditions, medications, and treatments can be preconfigured for the SCE by creating Quicklinks.
To navigate through available conditions, medications, and treatments, tap the Conditions,
Medications and Treatments buttons.
Runtime Configuration Screen
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To create a Quicklink Favorite, select a Quicklink from the Conditions, Medications or Treatments
lists.
Creating a Quicklink Favorite
To remove a Quicklink Favorite, deselect the option.
Preparation
From the Preparation tab, users can create a list of equipment and supplies, or notes about
preparing the manikin for the SCE.
To create a list preparation items:
1. From the SCE Editor, tap the Preparation tab. Tap either Equipment & Supplies or
Manikin Setup.
2. Tap the Edit button and enter items.
3. Tap Save.
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Learning Modules
LEARNING MODULES
Learning Modules are comprised of multiple SCE’s. You can import or delete existing Learning
Modules, or create new Learning Modules in Maestro.
Import a Learning Module

To import a Learning Module in Maestro:
1. From the SCE Manager screen, tap More > Import Module.
More Button
2. Locate the correct learning module file on the external storage device or hard disk drive
where the learning module is located. The file extension is mlm.
3. Select the file. Tap Open.
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Learning Modules CAEMaestro
Delete a Learning Module

To delete a Learning Module from Maestro:
1. From the SCE Manager screen, tap More > Manage Modules.
Manage Modules Screen
2. Tap the Trash icon next to the module you want to delete.
3. When the message appears for you to confirm your selection, tap Delete All.
All of the SCE’s in the learning module will be deleted.
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Learning Modules
Create a Learning Module

To create a Learning Module
1. From the SCE Manager screen, tap New SCE.
The New SCE screen appears.
New SCE Screen
2. Type a title for the SCE in the SCE Title field.
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Learning Modules CAEMaestro
3. To select a module to add the SCE to, tap the dropdown arrow, then select a module. Or,
tap the + icon to create a new module.
• If creating a new module, type a name for it in the Enter New Module Name screen. Then,
tap Add.
New Module Name Screen
4. Complete the remaining fields or select options as required. Tap Create.
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Administrative Tools
ADMINISTRATIVE TOOLS
The Maestro software includes administrative tools to access and manage system settings,
preferences, and additional information such as historical data about simulation sessions.
Access Administrative tools via the Gear icon located on the upper-right corner of the Home page.
Gear Icon
Select one or more of the following to access system settings:
• System: Access information about the Maestro software version, the type of simulator,
along with Preferences, License Manager and Maintenance
• Select Simulator: Change the simulator (only available when using Maestro Standalone)
• Language: Change the Maestro language
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Administrative Tools CAEMaestro
System Administration
From the System Administration screen, you can access system information, set preferences, manage
licenses and maintenance information for Maestro.
System Information and Settings

To access the System Settings, from the Home screen, tap the Gear icon. Then, select System.
System Administration
From this screen, you can select:
• About: to view simulator type, software version and system configuration.
º Under Data Management, you can backup and restore data through the Backup Data
and Restore Data buttons respectively.
CAUTION: Restoring data permanently replaces all current data on the device. Make
sure all users are disconnected from simulators before proceeding.
• Preferences: to change settings to different software features.
º General Preferences: to adjust language, units of measure (metric or imperial),

pressure and CPR settings.
• License Manager: to access license information. From here, you can start a trial of the
Maestro software, and activate or deactivate the license.
• Maintenance: to access maintenance options, including simulator configuration and

connected devices.
• Peripherals: to see which devices are connected and which ones have low battery.
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Specify a Default Simulator

If using Maestro Standalone software, you can select a simulator and set it as the default when using
Maestro.
To change the simulator type:
1. From the Home screen, select the Gear icon and tap Select Simulator.
Select Simulator Screen
Select Simulator Screen
2. (Optional) Select Set as default.
3. Tap Apply.
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Set the Default System Language
To set Maestro’s language:
1. From the Home screen, click the Gear icon.
Select Language Screen
2. Select the desired language. Tap Accept.
Note: Language can also be set from System > Preferences.
Additional Administrative Tools

You can access the CAEMaestro User Guide, support information, or system information.
From the Home screen, click the Gear icon, and then select one of the following:
• User Guide: to download the user guide (English version). Go to:

www.caehealthcare.com and click the Support link.
• Support: for CAE Support contact information.
• About: to access information about the Maestro software version, the type of simulator
and the serial number.
SCE Management
The SCEs in Maestro are managed in the SCE Manager screen. For more information on managing
and modifying settings of the SCEs using the SCE Manager, see Using Maestro section of this user
guide.
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Session History - History Screen

The History screen displays a log of simulation event data.
History Log Options
History Log Options
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To view session data:
1. Tap the History tab.
2. Tap the Gear icon for the desired simulation session, then select View Session Data.
History Log Options
The Event Log, Physiological Data, and CPR Data appears. Click the Physiological Data for a session to
view all physiological data that occurred during the SCE.
You can export data to a CSV or MSS file (session file in Maestro format) and store it on an external
device.
To export data from the History screen, tap the Gear icon for the desired simulation session, then tap
Export.
Peripheral Devices
This features identifies the devices associated with the simulator and whether they are connected to
the simulator’s network.
Peripheral Devices Icon
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Tap the Peripherals Device icon to view the connection status and battery level to the right of each
device name.
Peripheral Devices Menu
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The full device details appear on the Peripherals Devices screen.
Peripheral Devices Screen
To adjust settings:
1. Tap the Edit icon to access the Low Energy Peripherals Channel.
Low energy peripherals channel
2. Adjust settings as needed.
3. Tap Apply.
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Using the TouchPro Patient Monitor
USING THE TOUCHPRO PATIENT MONITOR

TouchPro allows you to view the patient’s physiology, expressed in waveforms and numeric values.
This section will show you how to access and configure the TouchPro software.
The software can be used from the Instructor Tablet, or on another computing device, provided it has
joined the simulator’s wireless network and meets the minimum system requirements.
Access the TouchPro Patient Monitor

The TouchPro Patient Monitor software is compatible with computers that have touch-screen
capabilities.
To run TouchPro, the Instructor Tablet (or other computing device) must be connected to the
simulator’s network.
Note: An SCE must be running in the Maestro software for any physiological data to appear in
TouchPro. TouchPro can only show one patient at a time.
To launch TouchPro from the Instructor Tablet:
1. With an SCE running, tap the CAETouchPro icon in the upper-right corner of the screen.
TouchPro icon
CAETouchPro icon
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Using the TouchPro Patient Monitor CAEMaestro
When TouchPro opens, the simulated patient monitor appears.
TouchPro Patient Monitor
Running TouchPro From Your Own

Computing Device
If you want to use your own computing device to run the TouchPro software, it must meet the system
requirements and be joined to the simulator network prior to use.
The simulator and Instructor Tablet form a local area network with static IP addresses. Refer to the
following instructions or contact your system administrator to configure the network properties and
connect the TouchPro software.
To connect to the TouchPro software using your own a computing device:
1. Ensure the Instructor Tablet is connected to the simulator network.
2. Unlock the Instructor tablet.
3. Tap Apps > Settings > Connections > WiFi.
4. Tap ADVANCED link in upper, right corner of the screen.
5. Write down the IP Address at the bottom of the window.
To launch TouchPro:
1. Power on the computing device with TouchPro installed.
2. Open a web browser, and then enter the IPv4 address in the address field.
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3. When prompted, download and install the Maestro application, then click on the TouchPro
icon on desktop.
Configure TouchPro
The vital signs and colors, alarm suspension time, alarm ranges, and audible settings can be
configured from the Settings panel.
To access the Settings panel:
1. Tap Settings in the bottom-right corner of the screen.
The Settings menu appears.
2. Tap the Layout tab.
3. From the Layout that appears, select a Layout and tap Edit.
Settings Window
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The Layout Edit window appears.
Layout Edit Window
4. Tap a signal to edit its parameters.
The Insert a parameter window appears.
Insert a parameter Window
5. Adjust the signal’s Color, Alarm, and Graph Scale parameters as needed.
6. Select a parameter to insert it in the place of the selected parameter.
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7. When finished, tap the X in the upper-right corner to close the window.
The Layout Edit window reappears.
8. Use the plus (+) buttons to add waveforms to the layout.
Layout Edit Window
TouchPro adds a line to the Layout.
9. Tap the new line to open the Insert a Parameter window.
10. Select the parameter to display on the new line.
11. Set the parameter’s Color and Alarms. When finished, close the screen.
12. Tap Done to close the window.
The Settings Layout Edit window opens.
13. Tap Edit to resume editing the layout.
14. Tap Save As to save the layout.
15. Type a name for the layout, then tap Save.
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Sounds
To silence all sounds, click the Mute button in the bottom-left corner of the screen.
TouchPro Controls
To set up the audio for TouchPro:
1. Tap the Settings button in the bottom-right corner of the TouchPro screen.
2. From the Settings window, tap the Audio Setup tab.
TouchPro Audio Setup Window
3. (Optional) Select a waveform to set it as the pulse sound trigger.
4. (Optional) Select an Alarm Suspension Time to disable the selected waveform for an
indicated amount of time.
5. When finished, tap X to close the window.
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NIBP Cycling
When non-invasive blood pressure (NIBP) is displayed, the patient’s NIBP can be updated at specified
intervals using NIBP Cycling.
To set NIBP cycling:
2. From the Settings menu, tap NIBP Cycling.
The NIBP Cycling window appears.
NIBP Cycling Window
3. Select the desired interval for the cycling.
Note: Custom cycling is also available.
Manual NIBP
To display the patient’s current NIBP, from the TouchPro controls, tap the Manual NIBP button.
TouchPro Controls
Note: Manual NIBP can be used at any time during cycling, however it turns off auto-cycling.
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CHANGE THE TOUCHPRO LANGUAGE

To change the default language of the software:
2. From the Settings menu, tap the Language tab.
The Language Selection window appears.
Language Selection Window
3. Select a language.
The TouchPro software changes to the selected language.
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Select a Preconfigured Layout

These are the preconfigured CAE Healthcare Layouts:
• Nursing – preconfigured with waveform and numeric readouts for ECG Lead II and SPO2
and numeric readouts for NIBP (noninvasive blood pressure) and body temperature
• NICU Newborn – preconfigured with waveform and numeric readouts for ECG Lead II,
ABP, Preductal SpO2, Postductal SpO2, EtCO2 and numeric readouts for NIBP, MAP and
body temperature
• NICU Infant – preconfigured with waveform and numeric readouts for ECG Lead II, ABP,
SpO2 and EtCO2 and numeric readouts for NIBP, MAP and body temperature
• Delivery Room – preconfigured with waveform and numeric readouts for ECG Lead II,
Preductal SpO2, Postductal SpO2 and EtCO2 and numeric readouts for NIBP and body
temperature
To select a preconfigured layout:
1. Click the Layout drop-down menu in the upper-right corner of screen.
The TouchPro Settings menu appears.
2. Select a layout.
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12-Lead ECG
To view a 12-lead ECG report:
1. Tap the 12-Lead ECG on the screen.
TouchPro Controls
The report appears.
A 12-Lead ECG Report
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2. (Optional) To view the full screen, tap the Full Screen button bottom-right corner of the
12-lead ECG report. Then, tap Return to return to the inset view.
Print
Return
icon
Full-screen 12-Lead ECG Report
3. Tap Print button to print the report.
The Select a destination window appears.
4. Tap a new print destination.
5. When the newly selected destination appears, tap Print to print the report.
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Patient Record
To view Patient Records:
1. Tap Patient Record in the lower-left corner of the screen.
TouchPro Controls
The Patient Records window appears.
TouchPro Patient Records Window
This information provides access to the same Patient Files, History, Hand Off Record, and Orders
information contained in Maestro.
Note: For this information to be visible in TouchPro, the facilitator must send it from the Maestro
software.
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Snapshot
The snapshot tool lets you capture an image of data on the screen, and then save it to your laptop or
tablet. You might do this if you are connected to a wireless network where you cannot print a report.
To capture an image:
1. Tap Snapshot at the bottom of the screen.
The Snapshot window appears showing the live date you want to capture.
Snapshot Window
2. To take another snapshot, tap the Capture Snapshot (camera) button at the bottom-right
corner of the screen.
3. (Optional) Tap the Expand button at the bottom, right corner of the screen to open it to a
full screen view.
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Appendix A - Manual Parameter Descriptions
APPENDIX A - MAESTRO MANUAL

PARAMETER DESCRIPTIONS
The Maestro software has a number of parameters that control the patient status and software-
controlled features of the simulator. The parameters are grouped by category: Cardiac, Respiratory,
Neuro, Fluids, Sounds, and Pulse.
The following is a brief description of each parameter. Each parameter description lists the default
settings for Newborn patient as well as the ranges and/or controls for all patients.
Cardiovascular: Basic Parameters

Arterial Blood Pressure
The Blood Pressure parameter is used to set the value of the blood pressure (Manual mode) or
override the physiological modeling for blood pressure in Modeled mode. The systolic and diastolic
blood pressures can both be set to fixed numeric values, regardless of interventions performed.
Resetting the parameter to Modeled returns control of the underlying blood pressure to the
physiological models.The set change can also be programmed to occur over time using the onset
control.
Default: Modeled or 73/40 (Manual mode)
Range:
º Systolic: 0 mmHg - 300 mmHg
º Diastolic: 0 mmHg - 300 mmHg
Central Venous Pressure (CVP)

The CVP parameter is used to set the CVP baseline and atrial contraction amplitude to fixed numeric
values, thereby overriding the physiologic modeling for central venous pressure. Once set,
intravascular volume changes have no effect on the CVP. In addition, once an override is applied,
changes in tidal volume have no effect on the CVP waveform with the exception of an apneic patient
where the minimum and maximum would be the same value since there is no inspiration or
expiration. Depending on the volume status of the patient, the minimum/maximum value can be
shifted up or down.
The available CVP controls are as follows:
• Minimum Diastolic: Baseline of the CVP at the end of an inspiration
• Maximum Diastolic: Baseline of the CVP at the end of an exhalation
• Pulse Amplitude: Size of the CVP wave during atrial contraction
For the override to take effect, the Central Venous Catheter must be set to the Intrathoracic Vein.
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Appendix A - Manual Parameter Descriptions CAEMaestro
For example, with the minimum diastolic set to 5 mmHg, maximum diastolic set to 15 mmHg and
pulse amplitude set to 2 mmHg, the CVP baseline is 15 mmHg, dipping to 5 mmHg with each
inhalation, and the amplitude of the wave is 2 mmHg with each atrial contraction. The CVP baseline
remains the same even in the event of intravascular volume changes and the depth of each dip due
to inhalation remains at 5 mmHg even in the event of tidal volume changes. However, if the
respiratory rate increases or decreases, the frequency of the dips will show a corresponding increase
or decrease. The set change can also be programmed to occur over time using the onset control.
Default: Modeled or
º Minimum Diastolic: -1 mmHg
º Maximum Diastolic: 4 mmHg
º Pulse Amplitude: 2 mmHg
Range:
º Minimum Diastolic: -10 mmHg - 25 mmHg
º Maximum Diastolic: -10 mmHg - 25 mmHg
º Pulse Amplitude: 0 mmHg - 50 mmHg
Pulmonary Artery Pressure (PAP)

The PAP parameter is used to set the pulmonary artery pressure in Manual mode or override the
physiological modeling for pulmonary artery pressure in Modeled mode. The systolic and diastolic
pressures can both be set to fixed numeric values, regardless of interventions performed. Resetting
the parameter to Modeled returns control of the underlying pulmonary artery pressure to the
physiological models. The set change can also be programmed to occur over time using the onset
control.
Default: Modeled or 45/35 (Manual mode)
Range:
º Systolic 0 mmHg - 70 mmHg
º Diastolic 0 mmHg -70 mmHg
Pulmonary Capillary Wedge Pressure (PCWP)

The PCWP parameter is used to display the patient's pulmonary capillary wedge pressure. It is used
to simulate the pressure as measured by wedging a pulmonary catheter with an inflated balloon into
a small pulmonary arterial branch. The set change can also be programmed to occur over time using
the onset control.
Default: Modeled or 8 mmHg (Manual mode)
Range: -10 mmHg - 100 mmHg
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Heart Rate
The Heart Rate parameter is used to set the heart rate to a given (fixed) number of beats per
minute. Once the heart rate is set to a numeric value, administered drugs or intravascular volume
changes have no effect on the heart rate, Use this parameter to “fix” or set the heart rate to a specific
number. The set change can also be programmed to occur over time using the onset control.
Default: Modeled or 145 bpm (Manual mode)
Range: 30 beats per minute - 220 beats per minute
Cardiac Output
The Cardiac Output parameter displays the volume of blood pumped by the heart per minute.
Cardiac Output is a function of heart rate (the number of heart beats per minute) and stroke
volume (the volume of blood pumped out of the heart with each beat). Cardiac Output does not
affect the rest of the physiology. For example, if cardiac output is set to zero, it will be shown on the
TouchPro as zero, but the patient will still have a blood pressure and pulses. The set change can also
be programmed to occcur over time using the onset control.
Default: Modeled or 0.8 L/min (Manual mode)
Range: 0 L/min - 3 L/min
Cardiac Rhythm
The Cardiac Rhythm parameter is used to change the patient’s underlying cardiac rhythm displayed
on the Patient Status Display or TouchPro patient monitor. To change the cardiac rhythm, click the
Cardiac Rhythm parameter and select the desired rhythm from the available list. If a number
appears following the cardiac rhythm on the list, this overrides the heart rate to the rate indicated.
Default: Modeled or Sinus (Manual mode)
Options:
Abnormal P wave
Asystole
AV Block, First-Degree
AV Block, Second-Degree, Mobitz I
AV Block, Second-Degree, Mobitz II
AV Block, Third-Degree
Bundle Branch Block, Left
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Bundle Branch Block, Right
Hypertrophy, Left Ventricular
Hypertrophy, Right Ventricular
Long QT Syndrome
Low QRS voltage
Sinus
Sinus Tachycardia
ST Segment Elevation
Supraventricular Tachycardia
Third Degree AV Block
Ventricular Fibrillation, Coarse
Ventricular Tachycardia
Wolff Parkinson White Waveform
Pulseless Electrical Activity

The Pulseless Electrical Activity parameter triggers a clinical condition characterized by
unresponsiveness and lack of palpable pulse in the presence of organized cardiac electrical activity. It
is either ON or OFF.
Default: OFF
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PVC Probability
The PVC Probability parameter represents the percentage of cardiac cycles containing a premature
ventricular contraction (contraction of the ventricles that occurs earlier than usual due to abnormal
electrical activity of the ventricles).
The PVC Probability is used to set the frequency of PVCs within any cardiac rhythm. The set change
can also be programmed to occur over time using the onset control.
Default: 0
Range: 0% - 90%
Hemoglobin
The Hemoglobin parameter is used to set a fixed hemoglobin value. Hemoglobin does not affect the
rest of the physiology. The value set will be shown on the Touch Pro if selected in one of the numeric
fields. The set change can also be programmed to occur over time using the onset control.
Default: 14.0
Range: 10.0 g/dL - 20.0 g/dL
Respiratory: Basic Parameters

Apnea
The Apnea parameter triggers a clinical condition characterized by no spontaneous breathing. Active
arm movement, lung sounds and vocal sounds will cease when apnea is enabled. It is either ON or
OFF.
Default: OFF
Breathing Pattern
The Breathing Pattern parameter is used to demonstrate different spontaneous breathing patterns
on the manikin.
Apneustic: 15.0
Regular: 10.0 g/dL - 20.0 g/dL
Default: Regular
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Laryngospasm
Use the Laryngospasm parameter to simulate closed cords. Enable the laryngospasm paramater,
then close the cords manually using the syringe and tubing assembly connected to the layrngospasm
port underneath the back side of the manikin’s neck. When the cords are closed, a “cannot intubate,
cannot ventilate” crisis scenario is achieved. To open the cords, turn the Laryngospasm parameter
OFF.
Default: OFF
Substernal Retractions
Use the Substernal Retractions parameter to display substernal retractions on the manikin. It is
either ON or OFF.
Default: OFF
Cyanosis
The Cyanosis parameter is used to display circumoral cyanosis (blue coloring). The intensity of the
blue coloring can be set. The set intensity can also be programmed to occur over time using the
onset.
Default: 0
Range: 0% - 100%
Bronchial Occlusion (Left and Right)

Turning on the Bronchial Occlusion parameter completely obstructs the right or left bronchi,
simulating a lower airway obstruction (e.g., mucus plug).
Right and left bronchi can be occluded individually.
Improper intubation creates a mainstem occlusion, yielding an inability to ventilate the lungs.
However, the right and left bronchi are not occluded individually.
Default: OFF
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Respiratory Rate
The Respiratory Rate parameter is used to set the respiratory rate to a given number of breaths per
minute. The patient continues to breathe at the set number of breaths per minute, regardless of the
arterial oxygen or carbon dioxide levels.
For example, when the respiratory rate is set to 10 breaths per minute, the respiratory rate remains
at 10 breaths per minute, regardless of arterial oxygen or carbon dioxide levels.
Default: Modeled or 45 (Manual mode)
Range: 0 breaths per minute - 75 breaths per minute
Pre-ductal SpO2
The Pre-ductal SpO2 parameter is used to set a fixed numeric value, regardless of the oxygen
applied. The set change can also be programmed to occur over time using the onset control.
Default: Modeled or 97% (Manual mode)
Range: 0% - 100%
Post-ductal SpO2
The Post-ductal SpO2 parameter is used to set a fixed numeric value, regardless of the oxygen
applied. The set change can also be programmed to occur over time using the onset control.
Range: 0% - 100%
SpO2
The SpO2 parameter is used to override the normal pulmonary circulation and set the SpO2 at a fixed
numeric value, regardless of the oxygen applied. The set change can also be programmed to occur
over time using the onset control.
Range: 0% - 100%
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EtCO2
The EtCO2 parameter is used to set the end-tidal CO2 to a fixed numeric value, measured in mmHg,
regardless of the minute ventilation. The end exhalation point of the capnogram waveform will also
reflect the set end-tidal CO2 value. Setting the EtCO2 has no effect on the arterial carbon dioxide values
(PaCO2), respiratory rate or tidal volume.
For example, when the EtCO2 is set to 50 mmHg, the numeric end-tidal CO2 will display a value of
50 mmHg and the capnogram waveform rises to an end-tidal of 50 mmHg. However, the respiratory
rate and tidal volume will remain the same unless the Respiratory Rate and/or the Tidal Volume
parameter(s) is adjusted. The set change can also be programmed to occur over time using the onset
control.
Range: 0 mmHg – 100 mmHg
Tidal Volume
The Tidal Volume parameter is used to set the tidal volume to a given volume per breath. Once Tidal
Volume is set to a numeric value, arterial oxygen and carbon dioxide values have no effect on the
tidal volume, .
For example, with the tidal volume set to 200 mL, the tidal volume remains a constant (set) 200 mL
even in the event of falling arterial oxygen levels. In such situations, the patient can only respond to
arterial oxygen or carbon dioxide levels by altering the respiratory rate, either automatically via the
model-driven controls or when thewith the Respiratory Rate parameter is adjusted. The set change
Default: Modeled or 25 mL (Manual mode)
Range: 0 mL - 250 mL
I to E Ratio (1:X)
The I to E Ratio (1:X) parameter can be used to change the ratio of inspiratory time:expiratory time
(I:E). The I to E Ratio does not affect physiology. The set change also be programmed to occur over
time using the onset control.
Default: 1.75
Range: 0.5 - 7.0
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Intrapleural Volume (Vol): (Left and Right)

The Intrapleural Vol parameters allow intrapleural volume to accumulate, for example, as happens
during pneumothorax, hydrothorax or hemothorax.
To simulate a pneumothorax, set the corresponding Intrapleural Vol to a value greater than 0 mL.
Breath sounds and chest rise are automatically diminished on the appropriate side due to decreased
ventilation of the affected lung. The set change can also be programmed to occur over time using the
onset control.
Default: 0
pH
Use the pH parameter to set a fixed pH value. The pH does not affect the rest of the physiology. The
value set will be shown on the patient monitor if selected in one of the numeric fields. The set change
Default: 7.39
Range: 6.9 - 7.9
Neurological:
Intracranial Pressure (ICP)
The ICP parameter is used to set the ICP displayed as a numeric value on the Patient Status Display
and on the TouchPro monitor.
Range: 0 mmHg - 65.0 mmHg
Temperature: Body
The temperature measured at the body surface can be set using this parameter and can be displayed
on the Patient Status Display and TouchPro software.
The body temperature is not linked to the physiologic models. However, changes can be made “on
the fly” or scripted using the Scenario Designer. The set change can also be programmed to occur
over time using the onset control.
Default: 36.5°C
Range: 32.0°C - 42.0°C
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Temperature: Blood
The arterial blood temperature can be set using the Temperature: Blood parameter. The arterial
blood temperature can then be displayed on the Patient Status Display and TouchPro software.The
set change can also be programmed to occur over time using the onset control.
Default: 37°C
Range: 32.0°C - 42.0°C
Reflex Irritability
Use the Reflex Irritability parameter to log the level of the infant’s reflexes during the learner’s
assessment. This parameter is log only and has no effect on physiology or the manikin.
Type:
º Absent
º Vigorous
º Weak
Arm Movement
Use the Active Arm Movement parameter to demonstrate active, asynchronized, random arm
movement of both arms. If apnea or loss of consciousness are enabled, active arm movement will
cease. This parameter is either ON or OFF.
Default: OFF
Loss of Consciousness
Use the Loss of Consciousness parameter to simulate loss of consciousness of the patient. When
enabled, active movement and vocal sounds will cease. This parameter is either ON or OFF.
Default: OFF
Convulsions
Use the Convulsions parameter to demonstrate a faster movement than the Arm Movement
paramater. If apnea or loss of consciouness are enagled, convulsions will cease. This parameter is
either ON or OFF.
Default: OFF
100 ©2020 CAE 905K560452 v1.1

Stimulation
Use the Stimulation parameter to log that the learner stimulated the infant by clicking on the Infant
Stimulation button. This parameter has no effect on the manikin.
Fluids
There are two categories of fluids: BLEEDING and INFUSION.
BLEEDING
Fluid Loss Blood
When used, the Fluid Loss Blood parameter reflects a decrease in total blood volume. Blood loss
proportionally decreases both the red blood cell volume and the plasma volume according to the
current hematocrit. The loss of the volume set can be an immediate one time loss or the volume loss
over time.
Fluid Loss Plasma

When used, the Fluid Loss Plasma parameter reflects a decrease in plasma volume. Plasma loss
decreases the plasma volume without changing the red blood cell volume. It refers collectively and
generically to all fluid losses, including evaporative, transcellular, bowel and third space fluid losses.
INFUSION
Colloid Infusion
When used, the Colloid Infusion parameter reflects an addition to the plasma volume without
changing the red blood cell volume. Colloids include modified fluid gelatin starch solutions, dextran
and human albumin. The volume selected can be administered as an immediate bolus or as an
infusion over time.
Crystalloid Infusion
When used, the Crystalloid Infusion parameter reflects an addition to the plasma volume without
changing the red blood cell volume. The term crystalloid is used to describe salt solutions for infusion
(e.g., normal saline, dextrose in water, Ringer’s Lactate). The volume selected can be administered as
an immediate bolus or as an infusion over time.
©2020 CAE 905K560452 v1.1 101

PRBC Infusion
Packed red blood cells are a preparation of 70% red blood cells and 30% liquid plasma, often
administered in severe anemia to restore adequate levels of hemoglobin and red cells without
overloading the vascular system with excess fluids. The volume selected can be administered as an
immediate bolus or as an infusion over time.
Whole Blood Infusion

The term whole blood is used to refer to blood that has not been separated into its various
components. It represents a preparation of 40% red blood cells and 60% liquid plasma. The volume
selected can be administered as an immediate bolus or as an infusion over time.
102 ©2020 CAE 905K560452 v1.1

Sounds
A variety of simulated sounds are available to create a realistic experience. Click the Sounds button
on the Run screen to access the Sounds controls.
Heart Sounds
Heart sounds are synchronized with the cardiac cycle and can be auscultated over the left upper and
lower sternal border.
Heart sounds can be adjusted by clicking on the Sound icon on the Run screen. When the Sounds
panel appears, select Heart Sounds. The Heart Sounds menu will appear.
Independent control of the type and volume of heart sounds may be selected in each anatomical
region.
Type:
º Upper
º Lower
To affect the heart sounds simultaneously in all anatomical regions, select All and the desired sound.
Default: Normal
Type:
º Normal Mitral
º Normal S1
º S3
º S4
º S3 and S4
º Early Systolic Murmur
º Mid Systolic Murmur
º Late Systolic Murmur
º Holosystolic Murmur
º Late Diastolic Murmur
Note: The volume control slider can be used to adjust the amplitude of the sound.
©2020 CAE 905K560452 v1.1 103

Lung Sounds
Normal and abnormal breath sounds are selected using this parameter. Breath sounds are
synchronized with ventilation of the left and right lungs.
Breath sounds can be adjusted by clicking on the Sound icon on the Run screen. When the Sounds
panel appears, select Lung Sounds. The Lung Sounds menu will appear.
Independent control of the type and volume of heart sounds may be selected in each anatomical
region.
Type:
º Left Upper
º Left Lower
º Right Upper
º Right Lower
To change breath sounds, select the desired sound from the Lung Sounds menu.
Default: Normal
Type:
º Normal
º Stridor
º Wheezing
º Pneumothorax
º Bronchovesicular
º Crackles
º Rhonchi
NOTE: The volume control slider can be used to adjust the amplitude of the sound.
104 ©2020 CAE 905K560452 v1.1

Bowel Sounds
Bowel sounds can be adjusted by clicking on the Sound icon on the Run screen. When the Sounds
panel appears, select Bowel Sounds. The Bowel Sounds menu will appear.
Normal, Hypoactive, Hyperactive and absent bowel sounds (None) are selected using this
parameter. For no bowel sounds, click the status toggle to OFF.
Type:
º Normal
º Hypoactive
º Hyperactive
Independent control of the type and volume of bowel sounds may be selected in each anatomical
region.
Locations:
º Left Upper
º Right Upper
º Left Lower
º Right Lower
To affect the bowel sounds simultaneously in all anatomical regions, select All Bowel Sounds and
the desired sound.
Default: Normal
Note: The volume control slider underneath each area may be used to adjust the amplitude of the
sound. The volume control slider is only enabled while connected to a simulator.
©2020 CAE 905K560452 v1.1 105

Vocal Sounds
Vocal sounds are selected using this parameter.
Vocal sounds can be adjusted by clicking on the Sound icon on the Run screen. When the Sounds
panel appears, select Vocal Sounds. The Vocal Sounds menu will appear.
Default: None
Type:
º None
º Breathing
º Strong Cry
º Weak Cry
º Gasping
º Expiratory Grunting
º Hiccups
º Stridor
º Wheezing
º Sneezing
º Screaming
º Coughing
º Cooing
Note: The volume control slider can be used to adjust the amplitude of the sound.
106 ©2020 CAE 905K560452 v1.1

Pulses
All pulses are enabled by default, unless altered by an SCE. To change a pulse setting, tap the Pulse
icon on the Run screen. Tap the desired pulse location on the image.
Pulse Default Range
Left Brachial ON Not Applicable
Right Brachial ON Not Applicable
Brachial Deficit 40 mmHg 0 - 300
Left Fermoral ON Not Applicable
Right Femoral ON Not Applicable
Femoral Deficit 40 mmHg 0 - 300
Umbilical Pulse Post-delivery: ON Not Applicable
Newborn: OFF
Infant: OFF
Umbilical Deficit 40 mmHg 0 - 300
The pulse can be turned ON or OFF.
The pulse intensity can be set to:
º Absent
º Weak
º Normal
º Bounding
The pulse deficit can be changed from default to another value. When the systolic pressure falls
below the set pulse deficit, the pulse will turn off.
©2020 CAE 905K560452 v1.1 107

Appendix A - Maestro Parameter Descriptions CAEMaestro
108 ©2020 CAE 905K560452 v1.1

Appendix B - Condition Guidelines
APPENDIX B - CONDITION GUIDELINES FOR

PROGRAMMING LUNA WITH MAESTRO
These guidelines are intended to help you select Maestro conditions to achieve desired vital signs
within each programmed state. All four conditions should be programmed into each state in the
order presented below.
• Respiratory: Desaturation
• Cardiovascular: Blood Pressure
• Cardiovascular: Heart Rate
• Respiratory: Respiratory Rate
The Maestro software is physiologically driven. When using multiple conditions (e.g., Desaturation +
Hypertension + Tachycardia + Tachypnea), physiological regulatory mechanisms such as the
baroreceptor reflex and ventilatory control cause compensatory changes within parameters. To
achieve the desired vital sign, select one condition level above (greater) or below (less) to achieve the
desired physiological effect.
Respiratory: Desaturation
Desaturation Pre-ductal SpO2 Post-ductal SpO2
Reset 99% 94%
High 90s 97% 92%
Mid 90s 95% 90%
Low 90s 92% 87%
High 80s 87% 82%
Mid 80s 84% 79%
Low 80s 81% 76%
High 70s 78% 73%
Mid 70s 75% 70%
Low 70s 72% 67%
Less than 70 58% 53%
©2020 CAE 905K560452 v1.1 109

Appendix B - Condition Guidelines CAEMaestro
Cardiovascular: Blood Pressure

Hypertension Hypotension
Reset 73/40 Reset 73/40
Mild 90/47 Mild 59/36
Moderate 95/51 Moderate 55/34
Severe 100/60 Severe 50/30
Cardiovascular: Heart Rate

Tachycardia Bradycardia
Reset 140 Reset 140
Mild 170 Mild 100
Moderate 180 Moderate 90
Severe 190 Severe 80
Respiratory: Respiratory Rate

Tachypnea Bradypnea
Reset 42 Reset 40
Mild 60 Mild 10
Moderate 65 Moderate 8
Severe 72 Severe 6
110 ©2020 CAE 905K560452 v1.1

Appendix C - Medication Information
APPENDIX C - MEDICATION INFORMATION

The following table describes the medications available for administration in the Maestro software.
Each medication is listed along with:
• Any effects on the patient’s physiology (modeled or log-only)
• The medication category
• The predefined dosage choices
• The units used for custom dosages
• The route of administration.
When a medication has more than one possible route of administration, it is listed on a separate row
for each route.
Medication Modeled or Category Predefined Custom Dosage Options

Log Only Dosages
Units Route
Acetaminophen L Analgesic 10mg/kg mg/kg PO, PR, IV

15 mg/kg
Adenosine M Cardiovascular 0.05 mg/kg mg/kg IV/IO
0.1 mg/kg
Albumin 5% L Volume Expander 0.5 gram/kg gram/kg IV/IO
Albuterol L Bronchodilator 0.05 mg/kg mg/kg Nebulizer
0.10 mg/kg
0.15 mg/kg
Alprostadil L Cardiovascular 0.01 mcg/kg/min mcg/kg/min IV/IO
0.05 mcg/kg/min
0.1 mcg/kg/min
0.4 mcg/kg/min
Amiodarone M Cardiovascular 5 mcg/kg/min mg/kg mcg/kg/min IV/IO
10mcg/kg/min
15mcg/kg/min
5mg/kg
Atropine M Cardiovascular 0.02 mg/kg mg/kg IV/IO, IM, ET
0.04 mg/kg
0.05 mg/kg
0.06 mg/kg
Caffeine Citrate L Stimulant 5 mg/kg mg/kg IV, PO
10 mg/kg
20 mg/kg
25 mg/kg
Calcium Chloride L Cardiovascular 10 mg/kg mg/kg IV/IO
10% 20 mg/kg mg/kg/hr
50 mg/kg/hr
Calcium Gluconate L Mineral 100mg/kg mg/kg IV
200 mg/kg
©2020 CAE 905K560452 v1.1 111

Appendix C - Medication Information CAEMaestro
Captopril L Cardiovascular 0.01 mg/kg mg/kg PO
0.05 mg/kg
0.1 mg/kg
Chloral Hydrate L Hypnotic 25 mg/kg mg/kg PO, PR
50mg/kg
Chlorothiazide L Diuretic 5 mg/kg mg/kg IV, PO
10 mg/kg
20 mg/kg
Curosurf L Respiratory 1.25 ml/kg mL/kg ET
2.5 ml/kg
Dexamethasone L Corticosteroid 0.25 mg/kg mg/kg IV, PO
0.5 mg/kg
Dextrose L Anti-Hypoglycemic 0.2 gram/kg gm/kg IV/IO
1 gram/kg
Diazepam L Hypnotic 0.1 mg/kg mg/kg IV, IM, PO
0.2 mg/kg
0.3 mg/kg
Digoxin L Cardiovascular 6 mcg/kg mcg/kg IV, PO
8 mcg/kg
10 mcg/kg
Diphenhydramine L Histamine Blocker 1 mg/kg mg/kg IV/IO, IM, PO
2 mg/kg
Dobutamine M Cardiovascular 2 mcg/kg/min mcg/kg/min IV/IO
5 mcg/kg/min
10 mcg/kg/min
20 mcg/kg/min
Dopamine M Cardiovascular 2 mcg/kg/min mcg/kg/min IV/IO
5 mcg/kg/min
10 mcg/kg/min
20 mcg/kg/min
Enalapril L Cardiovascular 0.04 mg/kg mg/kg PO
0.1 mg/kg
Enalaprilat M Cardiovascular 5 mcg/kg mcg/kg IV
10 mcg/kg
Epinephrine M ACLS/Cardiovascular 0.01 mg/kg (IV, IO) mg/kg mcg/kg/min IV,IO, ET
1:10,000 0.05 mg/kg (ET)
0.1 mg/kg (ET)
Esmolol M Cardiovascular 25 mcg/kg/min mcg/kg/min IV

50 mcg/kg/min
100 mcg/kg/min
Etomidate M Hypnotic 0.2 mg/kg mg/kg IV/IO
0.4 mg/kg
Fentanyl M Narcotic 1 mcg/kg mcg/kg IV
2 mcg/kg mcg/kg/hr
3 mcg/kg
4 mcg/kg
1 mcg/kg/hr
2 mcg/kg/hr
3 mcg/kg/hr
4 mcg/kg/hr
5 mcg/kg/hr
112 ©2020 CAE 905K560452 v1.1

Appendix C - Medication Information
Flumazenil L Antagonist 0.01 mg/kg mg/kg IV

Furosemide L Diuretic 1 mg/kg mg/kg IV, IM
2 mg/kg
Hydralazine L Cardiovascular 0.1 mg/kg mg/kg IV, IM
0.2 mg/kg
Hydrocortisone L Corticosteroid 1 mg/kg mg/kg IV
2 mg/kg
3 mg/kg
4 mg/kg
5 mg/kg
Indomethacin L Prostaglandin Inhibitor 0.1 mg/kg mg/kg IV
0.2 mg/kg
Infasurf L Respiratory 3 ml/kg mL/kg ET
Insulin L Hormone 0.05 u/kg units/kg IV
0.1 u/kg
Ipratropium L Respiratory 25 mcg/kg/dose mcg Nebulizer
bromide 175 mcg/dose mcg/kg
Isoproterenol M Cardiovascular 0.05 mcg/kg/min mcg/kg/min IV
0.1 mcg/kg/min
0.15 mcg/kg/min
2 mcg/kg/min
Lidocaine M Cardiovascular 0.5 mg/kg mg/kg mcg/kg/min IV/IO
1.0 mg/kg
2 mg/kg
20 mcg/kg/min
Lorazepam L Hypnotic 0.05 mg/kg mg/kg IV
0.1 mg/kg
Magnesium Sulfate L ACLS 25 mg/kg mg/kg IV/IM
50 mg/kg
Mannitol L Diuretic 0.5 gm/kg gm/kg IV
1.0 gm/kg
Meperidine L Narcotic 0.2 mg/kg mg/kg IV, IM, PO,SQ
0.5 mg/kg
Methadone L Narcotic 0.05 mg/kg mg/kg PO, SC, IM, IV
0.1 mg/kg
Methylprednisolone L Corticosteroid 1 mg/kg mg/kg IV/IO, IM
Midazolam M Hypnotic 0.05 mg/kg mg/kg IV
0.1 mg/kg mcg/kg/min
0.15 mg/kg
1 mcg/kg/min
Milrinone L Vasodilator 50 mcg/kg mcg/kg IV/IO
0.25 mcg/kg/min mcg/kg/min
0.5 mcg/kg/min
0.75 mcg/kg/min
Morphine M Narcotic 0.05 mg/kg mg/kg IV
0.1 mg/kg mg/kg/hr
0.01 mg/kg/hr
0.02 mg/kg/hr
Naloxone M Antagonist 0.1 mg/kg mg/kg IV/IO, ET, IM, SC
©2020 CAE 905K560452 v1.1 113

Appendix C - Medication Information CAEMaestro
Neostigmine L Neuromuscular 0.03 mg/kg mg/kg IV
Blockade 0.05 mg/kg
0.07 mg/kg
Nitroglycerin L Cardiovascular 0.25 mcg/kg/min mcg/kg/min IV/IO
0.5 mcg/kg/min
Nitroprusside L Cardiovascular 0.5 mcg/kg/min mcg/kg/min IV/IO
1.0 mcg/kg/min
2.0 mcg/kg/min
Norepinephrine L Cardiovascular 0.05 mcg/kg/min mcg/kg/min IV/IO
0.1 mcg/kg/min
Pancuronium L Neuromuscular 0.05 mg/kg mg/kg IV
Blockade 0.1 mg/kg
Phenobarbital L Hypnotic 3 mg/kg mg/kg IV, IM, PO
5 mg/kg
15 mg/kg
20 mg/kg
Phenylephrine L Cardiovascular 0.1 mcg/kg/min mcg/kg/min IV
0.5 mcg/kg/min
Phenytoin L Anticonvulsant 5 mg/kg mg/kg IV, PO
15 mg/kg
20 mg/kg
Procainamide M Cardiovascular 7 mg/kg mg/kg mcg/kg/min IV/IO
10 mg/kg
20 mcg/kg/min
40 mcg/kg/min
80 mcg/kg/min
Propranolol L Cardiovascular 0.01 mg/kg mg/kg IV, PO
0.1 mg/kg
0.15 mg/kg
0.25 mg/kg
Racemic Epi L Bronchodilator 0.25 ml mL IN
Rocuronium L Neuromuscular 0.4 mg/kg mg/kg IV/IO
Blockade 0.5 mg/kg
0.6 mg/kg
Sodium Bicarbonate L Cardiovascular 1m Eq/kg mEq/kg IV, IO
4.2% 2m Eq/kg
Succinylcholine M Neuromuscular 2 mg/kg mg/kg IV
Blockade
Survanta L Respiratory 4 ml/kg mL/kg ET
Terbutaline L Respiratory 2 mcg/kg mg/kg IV/IO
10 mcg/kg mcg/kg/min
0.1 mcg/kg/min
Theophylline L Bronchodilator 2 mg/kg mg/kg PO
5 mg/kg
Vasopressin L ACLS/Cardiovascular 0.1 mu/kg milliunits/kg IV/IO
0.5 mu/kg milliunits/kg/min
0.1 mu/kg/min
0.5 mu/kg/min
Vecuronium L Neuromuscular 0.03 mg/kg mg/kg IV
Blockade 0.1 mg/kg
0.15 mg/kg
114 ©2020 CAE 905K560452 v1.1

caehealthcare.com
For more information about CAE products, contact your regional sales manager
or the CAE distributor in your country, or visit caehealthcare.com.
Tel +1 941-377-5562 or 866-233-6384
For customer service, please contact CAE.
Customer Service Headquarters - United States

Monday - Friday from 7:00 a.m. to 6:00 p.m. ET
Phone 1-866-462-7920
Email: [email protected]
Customer Service - Canada

Monday - Friday from 8:00 a.m. to 5:00 p.m. ET
Phone 1-877-223-6273
Customer Service - Europe, Middle East, and

Africa
Monday - Friday from 8:00 a.m. to 5:00 p.m. CET
Phone +49 (0) 6131 4950354
Customer Service - United Kingdom and Ireland

Monday - Friday from 9:00 a.m. to 5:00 p.m. GMT
Phone +44 (0)800-917-1851
Customer Service - Latin America

Monday - Friday from 9:00 a.m. to 5:00 p.m. BRT/BRST
Phone +55 11 5069-1510
Customer Service - Asia Pacific

Monday - Friday from 8:00 a.m. to 5:00 p.m. CET
Phone +49 (0) 6131 4950354
©2020 CAE

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User Guide - Luna

©2020 CAE 905K560452 v1.1 vii

viii ©2020 CAE 905K560452 v1.1

Set the Default System Language. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .71

©2020 CAE 905K560452 v1.1 ix

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iv ©2020 CAE 905K560452 v1.1

Software and Hardware

Windows® Operating System

• 32 GB Hard drive space available

• 1366x768 screen resolution

Document Document Version Software Version

Maestro for Luna 905K560452 V1.0 CAE Maestro V1.8

©2020 CAE 905K560452 v1.1 1

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2 ©2020 CAE 905K560452 v1.1

On the Fly vs. SCE

Modeled vs. Manual

©2020 CAE 905K560452 v1.1 3

Surface Go Instructor Tablet

Maestro Application Overview

• Run simulations “on-the-fly” (manually) in Manual mode

• Run simulations “on-the-fly” (manually) in Modeled mode using CAE Physiology

• Run preconfigured simulations using simulated clinical experiences (SCEs)

Run On The Fly

4 ©2020 CAE 905K560452 v1.1

Simulated Clinical Experiences

The Applications screen appears.

©2020 CAE 905K560452 v1.1 5

• Access the SCE Manager to create and manage SCEs

• Access the History of simulation sessions

• Access administrative tools and system settings

CAEMaestro Home Screen

6 ©2020 CAE 905K560452 v1 .1

Maestro System Settings

º Language: to change the Maestro language.

º Support: to access CAE support contact information.

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8 ©2020 CAE 905K560452 v1.1

Run On the Fly Simulations

To begin a Run On the Fly simulation:

2. Choose one of the patient ages: Post-delivery (2 seconds to 2 minutes), Neonate (2

3. Select the Gender of the patient.

4. Tap Start to begin the simulation.

©2020 CAE 905K560452 v1 9

1. From the Home screen, tap Run an SCE.

SCE Manager Screen

2. Tap the Play button to start an SCE.

3. Tap Scenario in the upper-right corner of the screen.

10 ©2020 CAE 905K560452 v1

SCE Run Screen

4. Tap the Play button to apply a state to the running SCE.

Run Screen Features

In Modeled mode, the panels contain additional controls.

©2020 CAE 905K560452 v1 11

Probe Turned Off Impact

ECG Leads Hides the ECG waveform

Pulse Oximeter Hides the PLETH waveform and SpO2 value