Physio-Control LIFEPAK 15 - Manual (Page 132)

5-18
LIFEPAK 15 Monitor/Defibrillator Operating Instructions
Automated External Defibrillation (AED)
Advisory Monitoring
Advisory Monitoring is a special way to set up AED mode that allows the use of all the
monitoring functions without initiating the AED prompted protocol when the device is turned on.
When needed, the AED mode prompted protocol can be initiated by pressing ANALYZE . In
addition, access to Manual mode therapies—that is, manual defibrillation, synchronized
cardioversion, or pacing—by unauthorized users can be restricted, if necessary.
Certain setup options must be changed for the device to operate in Advisory Monitoring when it
is turned on. For more information, see the LIFEPAK 15 Monitor/Defibrillator Setup Options
provided with your device.
When set up for Advisory Monitoring and the monitor is turned on, the ADVISORY MODE-MONITORING
message appears continuously in the message area on the Home Screen. Monitor functions such
as NIBP, SpO
2
and 12-lead ECG can be used. Lead II and dashes are shown in the top ECG
trace (Channel 1) unless or until the patient is connected to the ECG cable. If therapy electrodes
(pads) and the therapy cable are connected to the patient, press LEAD to change to PADDLES lead
and view the ECG.
In Advisory Monitoring, LEAD II and PADDLES lead are the only ECG monitoring leads allowed in
Channel 1. The Continuous Patient Surveillance System (CPSS) is active and automatically
evaluates the patient ECG. However, CPSS is evaluating only for a potentially shockable rhythm.
If a shockable ECG rhythm such as VF is detected, the following prompt appears: CHECK PATIENT.
IF NO PULSE, PUSH ANALYZE .
Prior to pressing ANALYZE , confirm that the patient is in cardiac arrest. Motion artifact, a low
amplitude ECG, and other causes of poor ECG signal may cause false CPSS alerts. If the patient
is not in cardiac arrest, do not press ANALYZE . Troubleshoot the cause of the false CPSS alert.
If the patient is in cardiac arrest, press ANALYZE . Pressing ANALYZE causes the defibrillator to
enter AED mode. The defibrillator begins the AED prompted protocol and analyzes the patient's
ECG when therapy electrodes are applied to the patient. For more information about defibrillator
behavior in AED mode, see "Automated External Defibrillation (AED)" on page 5-7.
Note: CPSS only evaluates for shockable ECG rhythms. If the ECG rhythm is nonshockable, for
example asystole, no prompting occurs. Users who are not trained to interpret ECGs or are
trained only to use AED mode must always press ANALYZE when using this special setup function
to initiate ECG analysis and AED prompting.
To switch back to Advisory Monitoring from AED prompted protocol, press LEAD .
For information about limiting access to Manual mode by unauthorized users, see "Switching
from AED Mode to Manual Mode" on page 5-14, or see the LIFEPAK 15 Monitor/Defibrillator
Setup Options provided with your device.