Physio-Control LIFEPAK 15 - Manual (Page 119)

THERAPY
5
©2007-2013 Physio-Control, Inc. LIFEPAK 15 Monitor/Defibrillator Operating Instructions
5-5
• Briskly wipe the skin dry with a towel or gauze. This mildly abrades the skin and removes oils,
dirt, and other debris for better electrode adhesion to the skin.
• Do not use alcohol, tincture of benzoin, or antiperspirant to prep the skin.
Anterior-Lateral Placement
Anterior-lateral placement is used for ECG monitoring, defibrillation, synchronized cardioversion,
and noninvasive pacing.
To perform anterior-lateral placement:
1. Place either the
♥ therapy electrode or
APEX paddle lateral to the patient's left nipple in the
midaxillary line, with the center of the electrode in the midaxillary line, if possible. See
Figure 5-1.
Figure 5-1 Anterior-Lateral Placement
2. Place the other therapy electrode or STERNUM paddle on the patient’s upper right torso, lateral to
the sternum and below the clavicle as shown in Figure 5-1.
Anterior-Posterior Placement
Anterior-posterior is an alternative position for noninvasive pacing, manual defibrillation, and
synchronized cardioversion, but not for ECG monitoring or AED mode. The ECG signal obtained
through electrodes in this position is not a standard lead.
To perform anterior-posterior placement:
1. Place either the
♥ or + therapy electrode over the left precordium as shown in Figure 5-2. The
upper edge of the electrode should be below the nipple. Avoid placement over the nipple, the
diaphragm, or the bony prominence of the sternum, if possible.
2. Place the other electrode behind the heart in the infrascapular area as shown in Figure 5-2. For
patient comfort, place the cable connection away from the spine. Do not place the electrode
over the bony prominences of the spine or scapula.
QUIK-COMBO Therapy Electrodes Standard Paddles
Anterior
Lateral
Sternum
Apex