Physio-Control LIFEPAK 15 - Manual (Page 153)

THERAPY
5
©2007-2013 Physio-Control, Inc. LIFEPAK 15 Monitor/Defibrillator Operating Instructions
5-39
Pediatric ECG Monitoring and Manual Mode
Therapy Procedures
For pediatric patients, follow the procedures for ECG monitoring, manual defibrillation,
synchronized cardioversion, and pacing except for the following:
• Use the appropriate paddle accessory based on the weight of the child.
• Select the appropriate defibrillation energy for the weight of the child according to the American
Heart Association (AHA) recommendations or local protocol. Using energy levels of 100 joules or
greater is likely to cause burns.
• When pacing, inspect the patient’s skin under the heart electrode frequently for signs of burns.
Note: The amount of pacing current needed for capture is similar to the pacing current needed for
adults. For more information about pediatric paddles and electrodes, see Chapter 6, "Paddle
Accessory Options."
WARNINGS
BURN HAZARDS
POSSIBLE PATIENT SKIN BURNS
Do not use pediatric QUIK-COMBO electrodes on adults or larger children. Delivery of
defibrillation energies equal to or greater than 100 joules (typically used on adults)
through these smaller electrodes increases the possibility of skin burns.
POSSIBLE PEDIATRIC PATIENT SKIN BURNS
Noninvasive pacing may cause patient skin irritation and burns, especially with higher
pacing current levels. Inspect underlying skin of the ♥ electrode frequently after 30
minutes of continuous pacing. Discontinue noninvasive pacing if skin burn develops
and another method of pacing is available. On cessation of pacing, immediately
remove or replace electrodes with new ones.