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The Vital Sign Simulator is intended for use in medical emergency training simulations. In combination with a cpr-manikin, it offers a low-cost alternative to commercial high-tech patient simulation manikins. It is used with a dual monitor system, one monitor with controls for the operator and one providing the vital signs to the trainees. Heart rate, oxygen saturation, respiratory rate, blood pressure and various moving ECG samples can be set and changed at any time by the operator. The trainee-side interface allows automatic/manual defibrillation, cardioversion and pacing.