Physio-Control LIFEPAK 15 - Manual (Page 136)

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LIFEPAK 15 Monitor/Defibrillator Operating Instructions
Manual Defibrillation
Manual Defibrillation
The LIFEPAK 15 monitor/defibrillator provides manual defibrillation using adult and pediatric
QUIK-COMBO pacing/defibrillation/ECG electrodes, adult standard paddles, or pediatric paddles.
For more information, see "Paddle Accessory Options" on page 6-1.
The LIFEPAK 15 monitor/defibrillator is capable of providing intra-operative direct defibrillation
and synchronized cardioversion with the internal paddles accessory designed for the LIFEPAK 15
defibrillator. For more information, see the Instructions for Use for the internal paddles.
Intended Use
When used in Manual mode, the LIFEPAK 15 monitor/defibrillator is a direct current defibrillator
that applies a brief, intense pulse of electricity to the heart muscle. Manual mode requires operator
interpretation of the ECG rhythm and interaction with the device in order to defibrillate the patient.
Manual mode defibrillation and synchronized cardioversion are intended for use by personnel who
are authorized by a physician or medical director and have, at a minimum, the following skills and
training:
• Arrhythmia recognition and treatment
• Advanced resuscitation training equivalent to that recommended by the AHA or ERC
• Training on the use of the LIFEPAK 15 monitor/defibrillator
Defibrillation is only one aspect of the medical care required to resuscitate a patient who has a
shockable ECG rhythm. Depending on the situation, other supportive measures may include:
• Cardiopulmonary resuscitation (CPR)
• Administration of supplemental oxygen
• Drug therapy
Indications
Manual defibrillation is indicated for the termination of certain potentially fatal arrhythmias,
such as ventricular fibrillation and symptomatic ventricular tachycardia. Delivery of this energy
in the synchronized mode is a method for treating atrial fibrillation, atrial flutter, paroxysmal
supraventricular tachycardia and, in relatively stable patients, ventricular tachycardia.
Contraindications
Defibrillation is contraindicated in the treatment of Pulseless Electrical Activity (PEA), such as
idioventricular or ventricular escape rhythms, and in the treatment of asystole.