Using the cpr metronome, Cpr metronome warnings, How the cpr metronome works – Physio-Control LIFEPAK 15 User Manual

Page 139: Age-airway considerations, Therapy

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THERAPY

5

©2007-2013 Physio-Control, Inc.

LIFEPAK 15 Monitor/Defibrillator Operating Instructions

5-25

performance. Patients often exhibit a muscular response (such as jumping or twitching) during an

energy transfer. The absence of such a response is not a reliable indicator of actual energy delivery

or device performance.

Using the CPR Metronome

When CPR is required during cardiac arrest, the CPR metronome provides audible prompts that

guide the user to deliver CPR with proper timing in accordance with the 2005 American Heart

Association and European Resuscitation Council CPR guidelines.

CPR Metronome Warnings

Note:

The CPR metronome is a tool to be used as a timing aid during CPR. Assess the patient at

all times and provide CPR only when indicated. Provide CPR according to your training and

protocols.

How the CPR Metronome Works

The metronome provides audible “tocks” at a rate of 100/minute to guide the rescuer in

performing chest compressions. The metronome also provides audible ventilation prompts

(either a tone or verbal “ventilate”) to cue the rescuer when to provide ventilations. The

metronome prompts the rescuer to perform CPR at the selected compression to ventilation (C:V)

ratio.

Age-Airway Considerations

The default C:V ratio for the metronome (in both AED and Manual modes) is Adult - No Airway

(30:2) because most patients in cardiac arrest are adults who have an initially unsecured

airway. In Manual mode, the user can choose the most appropriate C:V ratio based on the

patient’s age and current airway status. The Age-Airway selection determines the C:V ratio of the

metronome sounds. The default C:V ratios are shown in Table 5-2.

WARNING

CPR DELIVERED WHEN NOT NEEDED

The metronome sounds do not indicate information regarding the patient’s condition.

Because patient status can change in a short time, the patient should be assessed at

all times. Do not perform CPR on a patient who is responsive or is breathing normally.

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