A manikin at the Johns Hopkins Medicine Simulation Center has its pulse checked by a nurse in the nurse residency program during a simulation.

The team monitors the “patient” with no pulse as compressions are administered and automated external defibrillator pads are put in place.

Getting ready to defibrillate, the team looks on as real shocks from the defibrillator are administered to the manikin during the simulated code.

Looking at the monitor, nurses check the capnometry for the concentration of carbon dioxide in the proximal airway during inspiration and expiration.

A nurse injects epinephrine as part of the simulation. The manikin receives injections through an IV port. By using radio frequency identification, the system can determine the kind of drug administered. Through a flowmeter, the system can gauge the amount delivered so the appropriate reaction can be simulated in the manikin.