Physio-Control LIFEPAK 20e - Manual (Page 89)

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LIFEPAK 20e Defibrillator/Monitor Operating Instructions 4-19
©2006-2013 Physio-Control, Inc.
4 Press SYNC . Confirm the sync LED blinks with each detected QRS complex.
Note: Press SYNC again to deactivate synchronous mode.
5 Observe the ECG rhythm. Confirm that a triangle sense marker appears near the middle of
each QRS complex. If the sense markers do not appear or are displayed in the wrong
locations (for example, on the T-wave), select another lead. (It is normal for the sense marker
location to vary slightly on each QRS complex.)
6 Prepare the patient’s skin for therapy electrode application as described in Step 3 of
Defibrillation Procedure , page 4-16 .
7 Connect the therapy electrodes to the therapy cable, and confirm cable connection to the
defibrillator.
8 Apply therapy electrodes to the patient in the anterior-lateral or anterior-posterior position. If
using standard paddles, apply conductive gel to the paddles and place paddles on the
patient’s chest.
9 Press ENERGY SELECT .
10 Press CHARGE .
Note: If the REMOVE TEST PLUG message appears, disconnect test plug and connect
therapy electrodes to QUIK-COMBO therapy cable and press CHARGE .
11 Make certain all personnel, including operator, stand clear of the patient, bed, and any
equipment connected to the patient.
12 Confirm ECG rhythm. Confirm available energy.
13 Press and hold the SHOCK button on the defibrillator until the ENERGY DELIVERED message
appears on the screen. For standard paddles, press and hold both SHOCK buttons on the
paddles simultaneously until the ENERGY DELIVERED message appears on the screen.
Release buttons. For safety reasons, the SHOCK button on the defibrillator is disabled when
using standard paddles.
Note: To disarm (cancel a charge), press the Speed Dial. The defibrillator disarms
automatically if shock buttons are not pressed within 60 seconds, or if you change the
energy selection after charging begins. Press
CHARGE to restart charging.
14 Observe patient and ECG rhythm. Repeat procedure from Step 4, if necessary.
WARNING!
Possible lethal arrhythmia.
Ventricular fibrillation may be induced with improper synchronization. DO NOT use the ECG
from another monitor (slaving) to synchronize the LIFEPAK 20e defibrillator/monitor discharge.
Always monitor the patient’s ECG directly through the ECG cable, therapy cable or use the
remote synchronization procedure. Confirm proper placement of the sense markers on the ECG.