ZOLL E Series Monitor Defibrillator Rev D - Manual (Page 192)

E Series Operator’s Guide
4-4 9650-1210-01 Rev. R
3
Press SHOCK
Once the unit has charged to the selected energy, the
SHOCK button illuminates, and the PRESS SHOCK
message is displayed. Simultaneously, the monitor
displays the energy level to which the defibrillator has
charged in the message DEFIB XXXJ READY.
A continuous tone sounds for 50 seconds, followed by
an intermittent beeping for 10 seconds. The shock must
be delivered within this 60 second interval, or the
defibrillator disarms itself.
Press and hold the illuminated SHOCK button on the
front panel until energy is delivered to the patient. An
XXXJ DELIVERED message appears on the display for
approximately 5 seconds.
Observe the patient or ECG response to be certain that
the shock has been delivered.
After the energy is delivered to the patient, the display
returns to DEFIB XXX J SEL.
Repeat Analysis
Press the ANALYZE button to restart an ECG analysis.
Determine if additional shocks are required.
Note: Reanalysis of the ECG rhythm, either manually or
automatically (see E Series Configuration Guide),
is inhibited for 3 seconds after a shock.
Continue Patient Care
Continue patient care according to medical protocols.
Advisory Function Messages
These messages may appear during Advisory
defibrillation:
• SELECT DEFIB MODE
The ANALYZE button is pressed, but the unit is not in
the DEFIB mode. Move the selector switch to DEFIB
to enable the defibrillator and Advisory capability.
• SELECT PADS
The ANALYZE button is pressed and the device is
being operated in any lead configuration other than
PADS. Press LEAD button until PADS is selected.
• DISABLE SYNC
The ANALYZE button is pressed and the device is in
DEFIB mode with SYNC on. Turn off SYNC mode by
pressing the SYNC softkey. Press the ANALYZE
button again to initiate rhythm analysis on the patient.
Warning Messages
Warning messages prompt the operator to check the
patient, the unit, the electrodes and/or connections.
These warnings may appear during Advisory
defibrillation:
• NOISY ECG / RETRY ANALYSIS
Displayed for 5 seconds when the unit detects a
noisy ECG signal. Check and adjust electrode
placement and cable connections to help eliminate
the noise source. Press the ANALYZE button again
to begin ECG analysis.
• ECG TOO LARGE / RETRY ANALYSIS
ECG signal is too large for proper rhythm analysis.
Press the ANALYZE button again to begin ECG
analysis.
• CHECK PATIENT
The unit detected a shockable rhythm during
continuous background ECG analysis without
initiating an analysis (i.e., Smart Alarms™). The
prompt is given when the heart rate alarms are
enabled and the unit detects a shockable rhythm or if
the rhythm goes from non-shockable to shockable.
The prompt persists as long as a shockable rhythm is
being detected. Press the ANALYZE button to begin
ECG analysis.
Note: The CHECK PATIENT analysis function operates
continuously when heart rate alarms are enabled
WARNING
• Warn all persons in attendance of the patient to
STAND CLEAR prior to defibrillator discharge.
• Do not touch the bed, patient, or any equipment
connected to the patient during defibrillation. A
severe shock can result. Do not allow exposed
portions of the patient's body to come in contact
with metal objects, such as a bed frame, as
unwanted pathways for defibrillation current may
result.
Sync
On/Off
DEFIB 200J READY
Alar ms ID# Wave 2 Param
00:01
PRESS SHOCK
ECG
WARNING
The ECG Rhythm Analysis function does not warn the
operator of patient asystole, as it is not a shockable
rhythm.