Pediatric defibrillation – ZOLL R Series Monitor Defibrillator Rev E User Manual
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Adult Defibrillation – Pediatric Defibrillation
R Series ALS Model
Defibrillation (Advisory)
1. Apply electrodes.
2. Turn selector switch to DEFIB.
3. The energy will be displayed as configured by 
your institution.
4. Shout “Clear, Analyzing”; stop CPR and
ensure patient is motionless.
5. Press ANALYZE button.
6. Read display message. If SHOCK ADVISED 
is displayed, shout “Clear” and verify others 
are clear.
7. Press SHOCK button.
8. If NO SHOCK ADVISED, check for a pulse 
and if no pulse, resume CPR immediately.
Defibrillation (Manual)
1. Apply electrodes.
2. Turn selector switch to red area labeled 
DEFIB.
3. Energy selected will be as configured by
institution protocol. You may change settings 
if desired by using the ENERGY SELECT 
▲ (UP) and ▼ (DOWN) arrow keys.
4. If the rhythm appears to be shockable, press
the CHARGE button.
5. Shout “Clear” and verify others are clear.
6. Press SHOCK button.
Pediatric Defibrillation
Follow the instructions as outlined above for your unit with the following exceptions: 
•	 OneStep	Pediatric	electrodes	should	be	used	on	children	up	to	8	years	of	age.	For	children	over	 
8 years of age, use adult electrodes.
• When the OneStep Pediatric electrode is connected, the R Series will automatically set
the energy delivered to 50, 70, and 85 J increments. These levels are appropriate for children 
from 25 kg or greater. 
• When using OneStep Pediatric electrodes on children under 25 kg, an energy of 2 J per kg
is recommended and will need to be set manually using the ENERGY SELECT
▲ (UP) and
▼ (DOWN) arrow keys.
•	 For	all	other	electrodes,	select	the	desired	energy	manually	based	upon	2	J	per	kg.	
•	 Do	not	use	AED	or	Advisory	mode	in	children	under	8	years	of	age	unless	OneStep	Pediatric	 
electrodes are attached or energy has been manually selected in advisory mode.
