ZOLL E Series Monitor Defibrillator Rev G 12 Lead - Manual (Page 6)

E Series - 12 Lead ECG Monitoring Option Insert
4 9650-1213-01 Rev. G
3. Locate the second intercostal space on the patient’s
right side, lateral to and just below the “Angle of
Louis.”
4. Move your finger down two more intercostal spaces to
the fourth intercostal space which is the V1 position.
Note: When placing electrodes on female patients,
always place leads V3-V6 under the breast rather
than on the breast.
12-Lead Acquisition
The E Series unit begins pre-acquisition of 12-lead data
when you attach the electrodes to the patient, as follows:
1. Attach electrodes to the patient lead wires.
2. Attach lead wires and electrodes to the patient, refer
to “Electrode Placement” on page 3.
3. Attach the V-lead cable to the 12-lead ECG cable.
(When V-leads are not in use, ensure the V-leads
protective cap is plugged into the V-lead connector.)
4. Attach the 12-lead cable to the ECG connector at the
back of the E Series product.
Arrange the 12-lead cable such that it is neat and not
dangling or looped, and assure that it is not pulling on
individual electrodes.
5. Turn the selector switch to MONITOR mode.
6. If PADS or PADDLES are selected, select Lead I.
(You must select leads to obtain a 12-lead printout.)
7. If the unit is configured to print 12-lead 4x3 reports,
press the RECORDER button for 3 seconds to initiate
12-lead printout.
The unit begins printout of the 12-lead report. This
report consists of 10 seconds of 12-lead ECG data
printed in four staggered 2.5 second segments.
Note: If the V-leads are not in use, pressing and holding
the RECORDER button for 3 seconds, causes a
2 x 3 report to be printed. This report consists of 5
seconds of ECG data printed in two staggered
2.5 second segments (lead I, II and III, and lead
aVR, aVL, and aVF).
To transmit the 12-lead report to a fax machine or GE
MUSE system, refer to “APPENDIX C: 12-Lead ECG
Data Transmission” on page 21.
Physiological Monitoring
When the E Series device is turned to MONITOR, the
physiological monitoring menu is displayed with the
following softkeys: Param, Wave 2, ID#, Alarms and
12 Lead.
If you enter 12-lead monitoring with 2 waveforms
displayed, both waveforms remain displayed on the
screen during the 12-lead monitoring. To remove the
second waveform prior to entering 12-lead monitor mode,
press the Wave 2 softkey.
For AED units, the 12 Lead softkey is third from the left.
12 Lead Softkey
When you press the 12 Lead softkey, the following screen
appears:
Acquire Softkey
For the E Series to produce a formatted ECG recording
and 12SL analysis, press the Acquire softkey. The
message ACQUIRING ECG displays and the Acquire
softkey changes to Halt.
Press the Halt softkey during acquisition to stop the data
collection process. The monitor displays an ACQUISITION
HALTED message and changes the leftmost softkey back
to Acquire.
During the data acquisition phase, the unit performs a lead
status check to ensure all leads are properly connected
and that 10 seconds of valid data have been acquired.
Acquisition will not occur if any of the leads are not
connected. If one or more of the V-leads is not properly
attached to the patient, an ECG VX LEAD OFF message is
displayed on the screen (“VX” indicates the specific
V-leads that are not attached to the patient).
If one or more of the limb leads is not properly attached to
the patient, an ECG LEAD OFF message is displayed on
the screen and a dashed line appears on the tracing.
When 10 seconds of valid ECG data have been acquired,
the message ACQUISITION COMPLETE is displayed. The
data is then analyzed, during which the message
ANALYZING 12 LEAD is displayed. When the analysis is
done, the message ANALYSIS COMPLETE is displayed
and the unit proceeds to the transmission screen if it is
configured to transmit after 12-lead analysis.
Settings Softkey
To change ECG Filter, Lead Group settings or Dial Type
settings, press the Settings softkey from the 12-lead
Monitor screen. (Note that you can change defaults for
ECG Filter and Lead Group via the E Series Configuration
WARNING
All computerized ECG analysis results must be
reviewed by a physician before they are used to
determine patient treatment.