Physio-Control LIFEPAK 20e - Manual (Page 88)

Therapy
4-18 LIFEPAK 20e Defibrillator/Monitor Operating Instructions
Activating and Deactivating the Metronome
To activate the CPR metronome in Manual mode:
Note: The CPR metronome cannot be activated during noninvasive pacing.
Note: If the VF/VT alarm is on, it is suspended when the metronome is on to prevent false
VF/VT alarms. If other vital sign alarms activate when the metronome is on, the visual
indicators occur, but the alarm tone is suppressed until the metronome is deactivated.
The metronome provides “tocks” and ventilation prompts continuously until it is deactivated. To
stop the metronome, select
STOP METRONOME in the CPR Metronome menu. An event is
recorded in the CODE SUMMARY Event Log when CPR metronome is turned ON or OFF and
when the Age-Airway setting is changed. To adjust the volume of the metronome, press
OPTIONS , select ALARM VOLUME , and change the VOLUME .
Note: If all Age-Airway selections are set to the same C:V ratio (for example, Adult - No
Airway, Adult - Airway, Youth - No Airway, and Youth - Airway all set to 10:1), the CPR
metronome always provides “tocks” and ventilation prompts at the set ratio for both AED
mode and Manual mode. In this situation, the CPR Metronome menu does not appear when
the
CPR METRONOME icon is selected during use—selecting the CPR METRONOME icon only
activates and deactivates the metronome at the fixed C:V ratio.
Synchronized Cardioversion Procedure
Note: The LIFEPAK 20e defibrillator/monitor can be configured to remain in synchronous
mode or to return to asynchronous mode after discharge. It is important that you know how
your defibrillator is configured. Refer to
"Manual Mode Setup Menu," page 8-5 .
1 Press ON .
2 Attach patient ECG cable and ECG electrodes as described previously on page 3-5 .
3 Select lead II or the lead with greatest QRS complex amplitude (positive or negative).
Note: To monitor the ECG through therapy electrodes, place the electrodes in the
anterior-lateral position and select PADDLES lead.
1 Use the Speed Dial to select the CPR
METRONOME icon. The CPR
Metronome menu appears and the
metronome is activated using the Adult-
No Airway default setting.
2 Use the Speed Dial to highlight and
select the desired Age-Airway setting.
CPR Metronome
Adult - No Airway
Adult - Airway
Youth - No Airway
Youth - Airway
Stop Metronome
Adult - No Airway 30:2
When the metronome is on, a message
appears in the message area that indicates
the current Age-Airway selection.