ZOLL M Series Defibrillator Rev YH - Manual (Page 32)

M S ERIES O PERATOR ’ S G UIDE
3-2
Note: Neonatal and Pediatric defibrillator energy levels
should be set based on site-specific clinical
protocols.
Prepare Paddles
Remove the paddles from their holders by grasping the
handles and pressing down on the paddle release latch
located above each paddle. Apply a liberal amount of
electrolyte gel to the electrode surface of each paddle.
(Use of electrode gel patches can be substituted for gel
applied to paddle surfaces.)
Rub the electrode surfaces together to evenly distribute
the applied gel.
Apply Paddles to Chest
Apply the paddles firmly to the anterior wall of the chest.
Place the “Sternum” paddle to the right (patient’s right) of
the patient’s sternum, just below the clavicle.
Place the “Apex” paddle on the chest wall, just below
and to the left of the patient’s left nipple, along the
anterior-axillary line.
Rub the paddles against the skin to maximize the
paddle-to-patient contact.
The paddles may be used for ECG monitoring in
emergency situations when time does not allow
connection of standard ECG monitoring electrodes. The
unit automatically pre-selects “PADDLES” when it is
initially turned on and paddles are connected to the
Multi-Function cable.
If an ECG cable and ECG electrodes are in use, press
the LEAD button to select the desired ECG lead
configuration - I, II, III or PADDLES (also aVR, aVF, aVL
and V if the unit has been so configured).
2
Charge Defibrillator
Press the CHARGE button on the front panel or on the
apex paddle handle.
If both SHOCK buttons on the paddles are depressed
when the CHARGE button is activated, the device will
not charge and a “RELEASE SHOCK BUTTON” or other
message will appear on the display.
To increase or decrease the selected energy after the
CHARGE button has been pressed, use the defibrillator
energy select buttons on either the sternum paddle or
defibrillator front panel.
After charging to the selected energy, the charge
indicator on the apex paddle will light. A distinctive
charge ready (continuous) tone sounds and the energy
ready “DEFIB XXXJ READY” message will be displayed.
The defibrillator is now ready.
3
Deliver SHOCK
WARNING
• Do not permit gel to accumulate between the paddle
electrodes on the chest wall (gel bridge). This could
cause burns and reduce the amount of energy delivered
to the heart.
• If using defibrillator gel pads, make sure that the size of
the pad is large enough to cover the entire paddle
electrode area.
3 SHOCK
2
ANALYZE CHARGE
ENERGY
SELECT
or
STERNUM
APEX
CAUTION
• Changing the selected energy while the unit is charging
or charged will cause the defibrillator to disarm itself.
Press the CHARGE button again to charge the unit.
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.
3 SHOCK
2
ANALYZE CHARGE
ENERGY
SELECT
or