ZOLL E Series Monitor Defibrillator Rev D - Manual (Page 189)

9650-1210-01 Rev. R 4-1
SECTION 4
ADVISORY DEFIBRILLATION
Advisory Defibrillation
With Advisory defibrillation, the unit analyzes the
patient’s ECG rhythm to determine if a shockable rhythm
exists. If defibrillation is advised, you charge the
defibrillator and deliver shock treatment to the patient.
Note: You cannot use external paddles to defibrillate in
Advisory mode. You must use MFE pads for
shock delivery.
The E Series unit automatically adjusts defibrillation
energy based on configuration settings for Shock 1, 2
and 3. In its factory default configuration, the unit delivers
the first three shocks at 120J, 150J, and 200J. You can
configure the unit to deliver shocks at other energy
levels; see the E Series Configuration Guide for more
information.
The Advisory function can only be activated when:
• MFE Pads are connected and selected as the ECG
source.
• MFE Pads are firmly attached to the patient.
• The selector switch is turned to DEFIB.
Determine Patient Condition Following Medical
Protocols
Verify:
• Unconsciousness
• Absence of breathing, and
• Absence of pulse
Begin CPR following medical protocols
Request additional assistance.
Prepare the patient and attach the MFE pads
This is described in “MFE Pad Application/Connection”
on page 1-9.
If connecting to PADS through the AutoPulse Plus, refer
to the User Guide AutoPulse ® Resuscitation System
Model 100 with Defibrillator Interface addendum (part
number 9650-0720-01) for instructions on properly
connecting the E Series to the AutoPulse Plus. It is
recommended that the user cycle through the lead
setting until the APLS icon appears in the upper
right-hand corner of the display, indicating that the unit
recognizes the connection to the AutoPulse Plus.
When MFE Pads are used, the patient connection is considered to be defibrillation-
protected Type BF.
WARNING
• Do not use the unit’s Advisory function on patients
under 8 years of age.
• The AutoPulse Plus is only intended for use on
adults 18 years of age or older. When using the
E Series and AutoPulse Plus as a system, this age
restriction applies to the E Series as well.
WARNING
The rhythm analysis function may not reliably identify
ventricular fibrillation in the presence of an implantable
pacemaker. Inspection of the electrocardiogram and
clinical evidence of cardiopulmonary arrest should be
the basis for any treatment of patients with implantable
pacemakers.
WARNING
If the APLS icon does not appear, check that the
E Series and AutoPulse Plus are properly connected. If
the APLS icon still does not appear, or a
PADDLE FAULT occurs, discharge energy internally by
changing the energy selection, disconnect the
Multi-Function Cable and PADS from the AutoPulse
Plus, and connect the Multi-Function Cable directly to
the PADS.