ZOLL R Series Monitor Defibrillator Rev J - Manual (Page 251)

Remote Synchronized Cardioversion Procedure
9650-0904-01 Rev. K ZOLL R Series Operator’s Guide 6–7
View the ECG trace on the remote device’s display. Verify that Sync markers appear with each
R-wave. The Sync markers will appear as described in the remote device’s user manual.
WARNING! Verify the ECG waveform is stable and that a Sync marker appears only with R-waves.
If Sync markers are not present on the remote device display, or do not appear to be
nearly simultaneous with each R-wave, do not proceed with synchronized
cardioversion.
2 Charge Defibrillator
Press the CHARGE button on the front panel or, if using paddles, on the apex paddle handle.
To abort charging and increase or decrease the selected energy after the CHARGE button has
been pressed, use the ENERGY SELECT buttons on either the defibrillator front panel or the
sternum paddle. Press the CHARGE button again to charge the unit.
After charging the unit to the selected energy, either the front panel SHOCK button or, the apex
paddle charge indicator illuminates. A distinctive audible tone sounds and the energy ready
REMOTE SYNC XXXJ READY message is displayed.
The defibrillator is now ready to deliver therapy.
3 Deliver SHOCK
WARNING! Warn all persons in attendance of the patient to STAND CLEAR prior to defibrillator
discharge.
Verify that no one is in contact with the patient, monitoring cable or leads, bed rails, or
any other potential current pathways.
Press and hold the illuminated SHOCK button on the front panel, or simultaneously press and
hold both paddle SHOCK buttons until energy is delivered. The defibrillator will discharge
with the next remote synchronization pulse.
Note: If the defibrillator is not discharged within 60 or 120 seconds (user configurable) after
reaching the selected energy level, the unit automatically disarms itself. During the ten
seconds prior to this internal disarm, the charge ready tone beeps intermittently. The
charge ready tone then stops and the defibrillator remains in Remote Sync mode.
ENERGY
SELECT
ENERGY
SELECT
ANALYZE ANALYZE CHARGE CHARGE
RELEASE RELEASE
or