This realistic manikin is used for training in a wide range of advanced lifesaving skills in pre-hospital emergencies. It is educationally effective for training in advanced life support, targeting key skills of pre-hospital care providers. Preprogrammed scenarios provide standardized training while customizable scenarios and real time instructor control allows adaptation to meet individual student’s needs. Optional accessories such as nuclear, biological and chemical (NBC), trauma, and bleeding-control modules add realism to the training scenarios.