ZOLL E Series Monitor Defibrillator Rev R - Manual (Page 38)

E Series Operator’s Guide
3-2 9650-1210-01 Rev. R
Note: When the unit is turned to MONITOR or DEFIB,
the ECG source is set either to PADDLES (if
paddles are connected to the Multi-Function
cable), or to Multi-function pads (if paddles are
not connected to the Multi-Function cable). If
connected to the AutoPulse Plus, the APLS icon
will be displayed and PADS will be the ECG
source. You can select any of the other ECG lead
configurations — I, II, III (also aVR, aVF, aVL, and
V) if the unit has been so configured and ECG
cable/electrodes are in use.
Energy Select
Observe the display and verify the selected energy is
appropriate. To change the energy setting, use either
pair of up-down arrow buttons.
The selected energy level is shown in the DEFIB
XXXJ SEL. message on the display.
If the unit is configured to do so, it automatically sets the
energy to the pre-configured levels for Shock 1, Shock 2,
and Shock 3 at power-up and after each of the first two
shocks. The ENERGY INCREMENTED message
appears when this occurs. This function is disabled if you
manually change the energy level outside the pre-
programmed sequence and deliver a shock. See the
E Series Configuration Guide for more details.
Prepare Paddles (if applicable)
Remove paddles from their holders by sliding each
paddle toward you, out of the paddle well. Apply a liberal
amount of electrolyte gel to the electrode surface of each
paddle (or you can use electrode gel patches).
Rub the electrode surfaces together to evenly distribute
the applied gel.
Apply Paddles to Chest (if applicable)
Apply paddles firmly to the anterior wall of the chest.
Place the Sternum paddle to the right (patient’s right) of
the patient’s sternum, just below the clavicle.
Place the Apex paddle on the chest wall, just below and
to the left of the patient’s left nipple, along the anterior-
axillary line.
Rub the paddles against the skin to maximize the
paddle-to-patient contact.
The paddles may be used for ECG monitoring in
emergency situations when time does not allow for
connection of standard ECG monitoring electrodes.
WARNING
Neonatal and pediatric defibrillator energy levels
should be set based on site-specific clinical protocols.
 3(/#+

!.!,9:% #(!2'%
%.%2'9
3%,%#4
or
Energy Select on
Front Panel
Energy Select on
Sternum Paddle
DEFIB 200J SEL.
ID# Param
00:01
ECG
Wave 2 Alar ms
Sync
On/Off
WARNING
• Do not permit gel to accumulate between the
paddle electrodes on the chest wall (gel bridge).
This could cause burns and reduce the amount of
energy delivered to the heart.
• If using defibrillator gel pads make sure that the
size of the pad is large enough to cover the entire
paddle electrode area.
STERNUM
APEX