Physio-Control LIFEPAK 15 - Manual (Page 138)

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LIFEPAK 15 Monitor/Defibrillator Operating Instructions
Manual Defibrillation
Manual Defibrillation Procedure
To perform manual defibrillation:
1. Verify that the patient is in cardiopulmonary arrest (unconscious, pulseless, not breathing
normally).
2. Press ON .
3. Identify the electrode or paddle sites on the patient and prepare the patient’s skin. (See "Patient
Skin Preparation" on page 5-4.) Use either the anterior-lateral or anterior-posterior position.
4. Connect the therapy electrodes to the therapy cable and confirm cable connection to the
defibrillator.
5. Apply therapy electrodes to the patient in anterior-lateral or anterior-posterior position. If using
standard paddles, apply conductive gel to the paddles and place paddles on the patient’s chest
in the anterior-lateral position.
6. Confirm desired energy is selected, or press ENERGY SELECT or rotate the SPEED DIAL to select the
desired energy. On the standard (hard) paddles, rotate the ENERGY SELECT dial.
7. Press CHARGE. While the defibrillator is charging, a charging bar appears and a ramping tone
sounds, indicating the charging energy level. When the defibrillator is fully charged, the screen
displays available energy.
8. Make certain all personnel, including the operator, stand clear of the patient, stretcher, bed,
and any equipment connected to the patient.
9. Confirm ECG rhythm requires defibrillation. Confirm available energy.
10.Press the (shock) button on the defibrillator or the (shock) buttons on the standard
paddles to discharge energy to the patient. For standard paddles, apply firm pressure with both
paddles to the patient’s chest, and press both paddle buttons simultaneously to discharge
energy to the patient. For safety reasons, the (shock) button on the defibrillator front panel is
disabled when using standard paddles.
Note: To disarm (cancel the charge), press the SPEED DIAL . The defibrillator disarms
automatically if shock buttons are not pressed within 60 seconds, or if you change the energy
selection after charging begins.
Note: To interrupt defibrillation and initiate pacing, press PACER . If charged, the defibrillator
disarms.
11.Start CPR according to your protocol. To activate the metronome, press CPR at any time.
12.At the end of your CPR period, observe the patient and the ECG rhythm. If an additional shock
is necessary, repeat the procedure beginning at Step 6.
Successful resuscitation is related to the length of time between the onset of a heart rhythm that
does not circulate blood (ventricular fibrillation, pulseless ventricular tachycardia) and
defibrillation. The physiological state of the patient may affect the likelihood of successful
defibrillation. Thus, failure to resuscitate a patient is not a reliable indicator of defibrillator