Physio-Control LIFEPAK 1000 - Manual (Page 27)

LIFEPAK 1000 Defibrillator Operating Instructions 3-5
©2006-2012 Physio-Control, Inc.
How to Use the LIFEPAK 1000 Defibrillator
Special Situations for Electrode Placement
When placing electrodes on the patient, be aware of special situations:
Obese Patients or Patients with Large Breasts
Apply the electrodes to a flat area on the chest, if possible. If skin folds or breast tissue prevent
good adhesion, spread skin folds apart to create a flat surface.
Thin Patients
Follow the contour of the ribs and spaces when pressing the electrodes onto the torso. This
limits air space or gaps under the electrodes and promotes good skin contact.
Patients with Implanted Pacemakers
If possible, place defibrillation electrodes away from the internal pacemaker generator. Treat this
patient like any other patient requiring emergency care.
Patients with Implanted Defibrillators
Apply the electrodes in the anterior-lateral position. Treat this patient like any other patient
requiring emergency care.
Alternate Anterior-Posterior Electrode Position
The electrodes may be placed in an anterior-posterior position as follows:
1 Place either the ♥ or + therapy electrode over the left precordium as shown in Figure 3-1 .
The upper edge of the electrode should be below the nipple. Avoid placement over the
nipple, the diaphragm, or the bony prominence of the sternum if possible.
2 Place the other electrode behind the heart in the infrascapular area as shown in Figure 3-1 .
For patient comfort, place the cable connection away from the spine. Do not place the
electrode over the bony prominences of the spine or scapula.
Figure 3-1 Anterior-Posterior Placement
ANTERIOR POSTERIOR
Anterior Posterior