ZOLL R Series Monitor Defibrillator Rev K Operators Guide - Manual (Page 138)

C HAPTER 13 T ROUBLESHOOTING
13–6 www.zoll.com 9650-0912-01 Rev. K
6. Unable to SHOCK when in
Remote Sync mode
• Ensure REMOTE SYNC is displayed in place of the
ECG waveform and that REMOTE SYNC XXXJ SEL. is
displayed.
• Ensure that a remote device conforming with the Sync
In/Marker Out specifications in Appendix A is properly
connected.
• Ensure that Sync markers appear with each R-wave on
the remote device’s display. If Sync markers are not
present on the remote device’s display or do not appear
to be nearly simultaneous with each R-wave, do not
proceed with synchronized cardioversion.
• Press and hold SHOCK button(s) until energy is
delivered to the patient.
7. No apparent energy delivery to
patient
• Under certain circumstances, some patients will not
show a physical reaction when energy is delivered.
• Perform defibrillator self-test.
• Check for CHECK PADS and POOR PAD CONTACT
messages alternating on the monitor.
• If hands-free therapy electrodes are used, ensure
proper placement and contact.
• Review the discharge stripchart for Joules/current
delivered.
8. CHECK PADS or ATTACH PADS
message
• Verify proper OneStep cable / hands-free therapy
electrode connection by disconnecting and
reconnecting the OneStep cable and hands-free therapy
electrodes.
• Ensure proper contact of hands-free therapy electrodes
and that the patient does not have excessive hair
beneath the electrodes.
• OneStep cable is defective. If message persists,
disconnect OneStep cable from therapy pads, and plug
cable into test connector. CHECK PADS or
ATTACH PADS should change to DEFIB PAD SHORT
(Manual mode only).
• Try using paddles to defibrillate.
9. SELECT PADS message
• ECG Analysis will operate only when hands-free
therapy electrodes are attached to the patient.
• Disconnect paddle, and connect hands-free therapy
electrodes for use in Advisory defibrillation.
• Activate manual mode to use Paddles.
10. NOISY ECG
RETRY ANALYSIS message
• Check for proper application and adhesion of hands-
free therapy electrodes.
• Check to make sure that nobody is touching the patient
and that the patient is motionless.
Symptom Recommended Action