I got tired of having mouldy IV arms and disgusting skin, not to mention the effort and expense required to change the skins. The replacement skin and veins alone are $383 + GST!
It turns out that Laerdal make a different style of arm for their Nursing Kelly manikins that are directly compatible with SimMan Classic, MegaCode Kelly and ALS Simulator. This is an articulated arm with a simple pad insert to allow limited IV insertion. The arm is part number 300-05150 and retails for $264 + GST. The insert is part number 300-04050 and retails for $42 + GST.
We generally don’t even connect up the tubes, but simply provide this insert as a location for inserting an IV. Fluids and drugs are administered via our bung and tube setup.