Therapy – Physio-Control LIFEPAK 15 User Manual

Page 153

THERAPY

LIFEPAK 15 Monitor/Defibrillator Operating Instructions

5-39

Pediatric ECG Monitoring and Manual Mode
Therapy Procedures

For pediatric patients, follow the procedures for ECG monitoring, manual defibrillation,

synchronized cardioversion, and pacing except for the following:

• Use the appropriate paddle accessory based on the weight of the child.

• Select the appropriate defibrillation energy for the weight of the child according to the American

Heart Association (AHA) recommendations or local protocol. Using energy levels of 100 joules or

greater is likely to cause burns.

• When pacing, inspect the patient’s skin under the heart electrode frequently for signs of burns.

Note:

The amount of pacing current needed for capture is similar to the pacing current needed for

adults. For more information about pediatric paddles and electrodes, see Chapter 6, "Paddle

WARNINGS

BURN HAZARDS

POSSIBLE PATIENT SKIN BURNS

Do not use pediatric QUIK-COMBO electrodes on adults or larger children. Delivery of

defibrillation energies equal to or greater than 100 joules (typically used on adults)

through these smaller electrodes increases the possibility of skin burns.

POSSIBLE PEDIATRIC PATIENT SKIN BURNS

Noninvasive pacing may cause patient skin irritation and burns, especially with higher

pacing current levels. Inspect underlying skin of the

♥ electrode frequently after 30

minutes of continuous pacing. Discontinue noninvasive pacing if skin burn develops

and another method of pacing is available. On cessation of pacing, immediately

remove or replace electrodes with new ones.